Guest guest Posted January 4, 2008 Report Share Posted January 4, 2008 Hi Chris If the first MRI was not done right then yes you can have a pituitary problem. Did they use high resolution doing without shooting you with die and with die. chis_az <chis_az@...> wrote: I have had low testosterone for a good few years now. Originally I had boardline low testosterone levels of 10.2nmol/ and a nomral LH level. I had a Insulin Tollerance Test four years ago as well and that was perfectly normal and was 44 (UK reference) MU/L. I also had an MRI which was normal, prolactin levels were also normal and adrenal and thyroid hormones that were repeatedly very good/normal. So boarderline low testosterone looked to be the only issue. My health has gone dramatically downhill over the course of four years. I had a new Insulin Tollerance Test a few months ago and it showed that I now have low growth hormone with a UK level of 9mu/l (works out to around 3 of the US range). So we had a before and after test and can see that Growth Hormone has gone from 44mu/l to 9mu/l somehow in the last four years. I also came off testosterone for three months to see what my baseline testosterone level was and it now showed a level of 5.6nmol/l and my LH still normal. So my testosterone has gone from 10.6 to 5.6 and my growth hormone from 44 to 9. I has seemed that these values have plummeted in a way that has mirrored my continuingly worse health. A few months ago I started geting these sharp pains behind my left eye, just imtermitently- not like a headache. They have continued every week since, just now and again I get a sharp pain behind the eye. My eyes have subsequently started to swell up and my left eye in particular has swollen quite badley to the point where the eyelid cannot be seen and it is affecting my vision a little. Three weeks ago I had a prolactin test and it came back a little bit high. 378 Uk reference range (0-350). I had another test a week ago and that has come back also a little high 387 (0-350). What are the odds that the dropping of the baseline testosterone and growth hormone levels and the now growth hormone deficiency (doctors are trying to get me on GH therapy) is down to a prolactinoma or pituitary tumor? I thought that prolactin was usually through the roof before it ever caused significant issues? Is this just a red herring or is this the cause of everything? could a problem have been missed on the original MRI? Obviously no one can say, but I would be very interested to hear peoples thoughts on this? What does that level come to on the US range? Would that prolactin level be an issue at all? Co-Moderator " Don't believe anything you hear and only half of what you see. " Phil --------------------------------- Never miss a thing. Make your homepage. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 4, 2008 Report Share Posted January 4, 2008 > I have had low testosterone for a good few years now. > > Originally I had boardline low testosterone levels of 10.2nmol/ and a > nomral LH level. I had a Insulin Tollerance Test four years ago as > well and that was perfectly normal and was 44 (UK reference) MU/L. > > I also had an MRI which was normal, prolactin levels were also normal > and adrenal and thyroid hormones that were repeatedly very good/normal. > > So boarderline low testosterone looked to be the only issue. > > My health has gone dramatically downhill over the course of four years. > > I had a new Insulin Tollerance Test a few months ago and it showed that > I now have low growth hormone with a UK level of 9mu/l (works out to > around 3 of the US range). So we had a before and after test and can > see that Growth Hormone has gone from 44mu/l to 9mu/l somehow in the > last four years. > > I also came off testosterone for three months to see what my baseline > testosterone level was and it now showed a level of 5.6nmol/l and my LH > still normal. So my testosterone has gone from 10.6 to 5.6 and my > growth hormone from 44 to 9. > > I has seemed that these values have plummeted in a way that has > mirrored my continuingly worse health. > > A few months ago I started geting these sharp pains behind my left eye, > just imtermitently- not like a headache. They have continued every > week since, just now and again I get a sharp pain behind the eye. > > My eyes have subsequently started to swell up and my left eye in > particular has swollen quite badley to the point where the eyelid > cannot be seen and it is affecting my vision a little. > > Three weeks ago I had a prolactin test and it came back a little bit > high. 378 Uk reference range (0-350). I had another test a week ago > and that has come back also a little high 387 (0-350). > > What are the odds that the dropping of the baseline testosterone and > growth hormone levels and the now growth hormone deficiency (doctors > are trying to get me on GH therapy) is down to a prolactinoma or > pituitary tumor? > > I thought that prolactin was usually through the roof before it ever > caused significant issues? > > Is this just a red herring or is this the cause of everything? > > could a problem have been missed on the original MRI? > > Obviously no one can say, but I would be very interested to hear > peoples thoughts on this? > > What does that level come to on the US range? > > Would that prolactin level be an issue at all? > > > > > > > Co-Moderator " Don't believe anything you hear and only half of what you see. " > Phil > > --------------------------------- > Never miss a thing. Make your homepage. > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 4, 2008 Report Share Posted January 4, 2008 Thanks for the replies Jim and Phil. The scan I had four years ago was of the pituitary and at that time the testosterone was boarderline low and I had good GH levels and back then my prolactin was around 200 on the UK range and within range. Now I have testosterone that is very low if off treatment at baseline and diagnosed GH deficiency. I guess I am wondering could a prolactin level that is only a little above normal be a pituitary tumor even if it has been this way on two tests? I was thinking it was unlikely but??? I guess it might be possible that there was no problem on an MRI four years ago and there would be now? Ovbiously the prolactin is not through the roof high and not even that much above the top of the range. Anyone know what my levels would be on the US range? P.S I think I was injected with something on the MRI scan- once. > > I have had low testosterone for a good few years now. > > > > Originally I had boardline low testosterone levels of 10.2nmol/ and a > > nomral LH level. I had a Insulin Tollerance Test four years ago as > > well and that was perfectly normal and was 44 (UK reference) MU/L. > > > > I also had an MRI which was normal, prolactin levels were also normal > > and adrenal and thyroid hormones that were repeatedly very good/normal. > > > > So boarderline low testosterone looked to be the only issue. > > > > My health has gone dramatically downhill over the course of four years. > > > > I had a new Insulin Tollerance Test a few months ago and it showed that > > I now have low growth hormone with a UK level of 9mu/l (works out to > > around 3 of the US range). So we had a before and after test and can > > see that Growth Hormone has gone from 44mu/l to 9mu/l somehow in the > > last four years. > > > > I also came off testosterone for three months to see what my baseline > > testosterone level was and it now showed a level of 5.6nmol/l and my LH > > still normal. So my testosterone has gone from 10.6 to 5.6 and my > > growth hormone from 44 to 9. > > > > I has seemed that these values have plummeted in a way that has > > mirrored my continuingly worse health. > > > > A few months ago I started geting these sharp pains behind my left eye, > > just imtermitently- not like a headache. They have continued every > > week since, just now and again I get a sharp pain behind the eye. > > > > My eyes have subsequently started to swell up and my left eye in > > particular has swollen quite badley to the point where the eyelid > > cannot be seen and it is affecting my vision a little. > > > > Three weeks ago I had a prolactin test and it came back a little bit > > high. 378 Uk reference range (0-350). I had another test a week ago > > and that has come back also a little high 387 (0-350). > > > > What are the odds that the dropping of the baseline testosterone and > > growth hormone levels and the now growth hormone deficiency (doctors > > are trying to get me on GH therapy) is down to a prolactinoma or > > pituitary tumor? > > > > I thought that prolactin was usually through the roof before it ever > > caused significant issues? > > > > Is this just a red herring or is this the cause of everything? > > > > could a problem have been missed on the original MRI? > > > > Obviously no one can say, but I would be very interested to hear > > peoples thoughts on this? > > > > What does that level come to on the US range? > > > > Would that prolactin level be an issue at all? > > > > > > > > > > > > > > Co-Moderator " Don't believe anything you hear and only half of what > you see. " > > Phil > > > > --------------------------------- > > Never miss a thing. Make your homepage. > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 4, 2008 Report Share Posted January 4, 2008 we have a new web site up for Dr. I am a mod and Hardasnails maybe you can get some good info from the guys at this site. Come and join everyone is welcome. http://74.54.133.233/forum/forumdisplay.php?s= & daysprune= & f=2 chis_az <chis_az@...> wrote: Thanks for the replies Jim and Phil. The scan I had four years ago was of the pituitary and at that time the testosterone was boarderline low and I had good GH levels and back then my prolactin was around 200 on the UK range and within range. Now I have testosterone that is very low if off treatment at baseline and diagnosed GH deficiency. I guess I am wondering could a prolactin level that is only a little above normal be a pituitary tumor even if it has been this way on two tests? I was thinking it was unlikely but??? I guess it might be possible that there was no problem on an MRI four years ago and there would be now? Ovbiously the prolactin is not through the roof high and not even that much above the top of the range. Anyone know what my levels would be on the US range? P.S I think I was injected with something on the MRI scan- once. > > I have had low testosterone for a good few years now. > > > > Originally I had boardline low testosterone levels of 10.2nmol/ and a > > nomral LH level. I had a Insulin Tollerance Test four years ago as > > well and that was perfectly normal and was 44 (UK reference) MU/L. > > > > I also had an MRI which was normal, prolactin levels were also normal > > and adrenal and thyroid hormones that were repeatedly very good/normal. > > > > So boarderline low testosterone looked to be the only issue. > > > > My health has gone dramatically downhill over the course of four years. > > > > I had a new Insulin Tollerance Test a few months ago and it showed that > > I now have low growth hormone with a UK level of 9mu/l (works out to > > around 3 of the US range). So we had a before and after test and can > > see that Growth Hormone has gone from 44mu/l to 9mu/l somehow in the > > last four years. > > > > I also came off testosterone for three months to see what my baseline > > testosterone level was and it now showed a level of 5.6nmol/l and my LH > > still normal. So my testosterone has gone from 10.6 to 5.6 and my > > growth hormone from 44 to 9. > > > > I has seemed that these values have plummeted in a way that has > > mirrored my continuingly worse health. > > > > A few months ago I started geting these sharp pains behind my left eye, > > just imtermitently- not like a headache. They have continued every > > week since, just now and again I get a sharp pain behind the eye. > > > > My eyes have subsequently started to swell up and my left eye in > > particular has swollen quite badley to the point where the eyelid > > cannot be seen and it is affecting my vision a little. > > > > Three weeks ago I had a prolactin test and it came back a little bit > > high. 378 Uk reference range (0-350). I had another test a week ago > > and that has come back also a little high 387 (0-350). > > > > What are the odds that the dropping of the baseline testosterone and > > growth hormone levels and the now growth hormone deficiency (doctors > > are trying to get me on GH therapy) is down to a prolactinoma or > > pituitary tumor? > > > > I thought that prolactin was usually through the roof before it ever > > caused significant issues? > > > > Is this just a red herring or is this the cause of everything? > > > > could a problem have been missed on the original MRI? > > > > Obviously no one can say, but I would be very interested to hear > > peoples thoughts on this? > > > > What does that level come to on the US range? > > > > Would that prolactin level be an issue at all? > > > > > > > > > > > > > > Co-Moderator " Don't believe anything you hear and only half of what > you see. " > > Phil > > > > --------------------------------- > > Never miss a thing. Make your homepage. > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 5, 2008 Report Share Posted January 5, 2008 > > Three weeks ago I had a prolactin test and it came back a little bit > high. 378 Uk reference range (0-350). I had another test a week ago > and that has come back also a little high 387 (0-350). > > It looks like the prolactin test numbers are in millimoles per litre (mmol/L) though my textbook says the SI units for prolactin are nanomoles per litre (nmol/L). The American units are ng/mL. The range is 0 to 15 ng/mL. The conversion factor from ng/mL to nmol/L is 0.045 hence, the conversion factor from ng/mL to mmol/L is 45. So values below 675 would be considered in range according to this book. The book is 14 years old. So, it is also possible the test itself has changed such the test give different number??? Anyway try to include the number labels/factor labels with the numbers. Dwight Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 7, 2008 Report Share Posted January 7, 2008 I appreciate the attempt to convert the reference ranges Dwight...cheers The reference I have been given is definitely in miu/L though and not nmol/l. I had a prolactin level of around 140miu/l two years ago then it went to 250miu/l, then to 378miu/l and now to 387miu/l and my my reference range is given as 0-350. I have not been able to convert this range to the US or SI levels despite trying to search the web in order to do so...so I guess I just wont get to know what this would represent in US terms. Thanks for trying again though Dwight > > > > > > Three weeks ago I had a prolactin test and it came back a little bit > > high. 378 Uk reference range (0-350). I had another test a week > ago > > and that has come back also a little high 387 (0-350). > > > > > > It looks like the prolactin test numbers are in > millimoles per litre (mmol/L) though my textbook says > the SI units for prolactin are nanomoles per litre (nmol/L). > > The American units are ng/mL. The range is 0 to 15 ng/mL. > The conversion factor from ng/mL to nmol/L is 0.045 hence, > the conversion factor from ng/mL to mmol/L is 45. > So values below 675 would be considered in range > according to this book. The book is 14 years old. > So, it is also possible the test itself has changed > such the test give different number??? > > Anyway try to include the number labels/factor labels > with the numbers. > > Dwight > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 7, 2008 Report Share Posted January 7, 2008 On Mon, 07 Jan 2008 20:46:12 -0000, you wrote: >I appreciate the attempt to convert the reference ranges >Dwight...cheers > >The reference I have been given is definitely in miu/L though and not >nmol/l. > >I had a prolactin level of around 140miu/l two years ago then it went >to 250miu/l, then to 378miu/l and now to 387miu/l and my my reference >range is given as 0-350. > >I have not been able to convert this range to the US or SI levels >despite trying to search the web in order to do so...so I guess I >just wont get to know what this would represent in US terms. http://www.sciencedirect.com/science?_ob=ArticleURL & _udi=B7GVY-4MY6NG7-1 & _user=1\ 0 & _rdoc=1 & _fmt= & _orig=search & _sort=d & view=c & _acct=C000050221 & _version=1 & _urlVers\ ion=0 & _userid=10 & md5=6a2373c63e36e492913ceca210741df7 " The following conversion factor was given: 1 µg=26 mIU S-prolactin. " http://www.clinchem.org/cgi/content/full/49/9/1504/T1 2 To convert prolactin mIU/L to µg/L, divide by 36. http://www.vin.com/scripts/labquest/converthtml.pl Prolactin ng/ml 1 µg/L > >Thanks for trying again though Dwight Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 7, 2008 Report Share Posted January 7, 2008 On Mon, 07 Jan 2008 20:46:12 -0000, you wrote: >I appreciate the attempt to convert the reference ranges >Dwight...cheers > >The reference I have been given is definitely in miu/L though and not >nmol/l. > >I had a prolactin level of around 140miu/l two years ago then it went >to 250miu/l, then to 378miu/l and now to 387miu/l and my my reference >range is given as 0-350. > >I have not been able to convert this range to the US or SI levels >despite trying to search the web in order to do so...so I guess I >just wont get to know what this would represent in US terms. > >Thanks for trying again though Dwight This article with the conversion in a footnote may interest you also: http://www.clinchem.org/cgi/reprint/49/9/1504.pdf Frequent Misdiagnosis and Mismanagement of Hyperprolactinemic Patients before the Introduction of Macroprolactin Screening: Application of a New Strict Laboratory Definition of Macroprolactinemia Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 8, 2008 Report Share Posted January 8, 2008 Thanks for all the info. At the moment I am a little confused to say the least. I mean I have a pain that eminates from behind one eye exactly where the pituitary is. The skin surrounding that eye has swollen and my vision is a little odd. I have prolactin that has increased and gone above the reference range and has continued to increase little by little for 2 years...but it is not high enough to shout prolactinoma. All the while my health has been deteriorating greatly and my baseline testosterone has gone from 283ng/ml to 161ng/dl and my Growth Hormone has gone from being 44 and a very health level on the UK reference range to 0.5-9 and I now have Growth Hormone Deficiency. Plummiting health....cause unknown- effects very low testosterone and GH levels- hypopituitary and osteoporosis. Two years ago bone density was minus 1.5. Now it is minus 2.8. I have been on all forms of TRT without success at all doses with or without arimidex at all doses. Something is causing all this....whatever it is seems impossible to find. I have gone from being health and having no health issue four years ago to severe osteoporosis of the spine- low testosterone and low growth hormone....now these headaches/eye problem that I have had for months......VERY odd. > > >I appreciate the attempt to convert the reference ranges > >Dwight...cheers > > > >The reference I have been given is definitely in miu/L though and not > >nmol/l. > > > >I had a prolactin level of around 140miu/l two years ago then it went > >to 250miu/l, then to 378miu/l and now to 387miu/l and my my reference > >range is given as 0-350. > > > >I have not been able to convert this range to the US or SI levels > >despite trying to search the web in order to do so...so I guess I > >just wont get to know what this would represent in US terms. > > > >Thanks for trying again though Dwight > > > This article with the conversion in a footnote may interest you also: > http://www.clinchem.org/cgi/reprint/49/9/1504.pdf > > Frequent Misdiagnosis and Mismanagement of > Hyperprolactinemic Patients before the > Introduction of Macroprolactin Screening: > Application of a New Strict Laboratory Definition > of Macroprolactinemia > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 8, 2008 Report Share Posted January 8, 2008 http://www.unc.edu/~rowlett/units/scales/clinical_data.html http://www.globalrph.com/conv_si.htm#Epinephrine Try both of these and search for the Prolactin conversion. I converted mine from one of these. --- chis_az <chis_az@...> wrote: > I appreciate the attempt to convert the reference > ranges > Dwight...cheers > > The reference I have been given is definitely in > miu/L though and not > nmol/l. > > I had a prolactin level of around 140miu/l two years > ago then it went > to 250miu/l, then to 378miu/l and now to 387miu/l > and my my reference > range is given as 0-350. > > I have not been able to convert this range to the US > or SI levels > despite trying to search the web in order to do > so...so I guess I > just wont get to know what this would represent in > US terms. > > Thanks for trying again though Dwight > > > > > > > > > > > > > > > Three weeks ago I had a prolactin test and it > came back a little > bit > > > high. 378 Uk reference range (0-350). I had > another test a week > > ago > > > and that has come back also a little high 387 > (0-350). > > > > > > > > > > It looks like the prolactin test numbers are in > > millimoles per litre (mmol/L) though my textbook > says > > the SI units for prolactin are nanomoles per litre > (nmol/L). > > > > The American units are ng/mL. The range is 0 to 15 > ng/mL. > > The conversion factor from ng/mL to nmol/L is > 0.045 hence, > > the conversion factor from ng/mL to mmol/L is 45. > > So values below 675 would be considered in range > > according to this book. The book is 14 years old. > > So, it is also possible the test itself has > changed > > such the test give different number??? > > > > Anyway try to include the number labels/factor > labels > > with the numbers. > > > > Dwight > > > > > __________________________________________________________ Sent from - a smarter inbox http://uk.mail. Quote Link to comment Share on other sites More sharing options...
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