What Causes Low Grade Fever While On Testosterone Supplements?

Posted on Mon, 15 May 2017

Question: Started out just tired (Extreme fatigue.) I was on a testosterone supplement but it was not reaching maintenance levels so they sent me to a urologist. He has used the level (triple the previous dosage) and they also did blood work. In the blood fork they found extremely low iron levels (near zero.) They subsequently sent me to a hematologist. He said that in males, low iron levels most likely means bleeding internally, either from ulcer or cancer. He has scheduled a test in which they put a scope threw the mouth to look down into the stomach. That is scheduled XXXXXXX 26th (first available.) He also did blood work to check the hemoglobin which was normal but the "MPV" is low "7.0 (normal 7.4-10.4.) I am also running a constant low grade fever 99.4-99.6. My normal temp is around 97.8. Not sure what this could be so hoping you could shed some light on possibilities.

Answered by Dr. Shailja Puri (31 minutes later)

Brief Answer:
Upper and lower GI endoscopy need to be done to look for any lesion.

Detailed Answer:
Hello,
Thanks for posting your query on HealthcareMagic.

Your doctor is right that low iron levels in males is usually due to loos of blood from body, gastrointestinal tract being the commonest site.
You need to go for upper and lower gastrointestinal (GI) endoscopy to look for any lesion in upper or lower GI tract.
In case any lesion - ulcer or growth is detected, a biopsy will be taken.
Low MPV is suggestive of microcytic RBCs.
Microcytic RBCs are RBCs which are smaller than the normal RBCs.
microcytic RBCs are seen in iron deficiency state.
The associated low grade fever needs to be investigated.

Thanks and take care
Dr Shailja Puri

Note: Do you have more questions on diagnosis or treatment of blood disorders? Ask An Expert/ Specialist Now

Above answer was peer-reviewed by : Dr. Kampana