I Recently Had A Battery Of Tests Done To Assess

Posted on Sun, 17 Nov 2019

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Sun, 17 Nov 2019 Answered on

Last reviewed on

Question : I recently had a battery of tests done to assess my thyroid function. My mother has hypothyroidism. I have nodules on my thyroid, "speckled" type as per the test. My ANA test was a "weak" positive. My T4 was 0.81, TSH 0.902, T3 1.9. My testosterone was checked, <12 ng/dL. Vitamin D was "insufficient" at 18. I have almost the entire list of hypothyroid symptoms. I won't see my doctor again until December 3. I know high TSH is a general marker for Hashimoto's, mine is normal. Could these numbers and symptoms point to hypopituitarism or secondary hypothyroidism? In addition, I was diagnosed with Bipolar Disorder last year, GAD in 2017, and adult ADD this year. Could it all be connected somehow?

Answered by Dr. Mirjeta Guni (1 hour later)

Brief Answer:
About low testosterone;

Detailed Answer:
Hello and thank you for asking!
I have gone carefully through your concern.
Low T3 and T4 with normal TSH are suggestive for pituitary hypothyroidism.
Low testosterone level may also be due to pituitary pathogies, where the mos common is prolactinoma.
So, except of thyroid function you need to check also prolactin level and a pituitary MRI would be of help.
Bipolar disorder is not related to these hormonal alterations, so i would not blame pituitary gland for these pathologies, but testosterone level is low and you should try to find a cause.
So i think your physician will check prolactine level and ask for a MRI next.
Hope the information will help.
Best wishes,
Dr.Mirjeta

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Mirjeta Guni (3 hours later)

Thank you for your timely reply! I have been researching this for days so I'm happy that I was headed the right direction. I'd love to be free of (at least!) the Bipolar diagnosis, but at this point it's about getting back to my normal physical self. Or close to it, anyway. Thank you again, and I hope you have a wonderful evening!

Answered by Dr. Mirjeta Guni (14 hours later)

Brief Answer:
Thanks to you for asking!

Detailed Answer:
Will be a pleasure to help you further.
Best wishes,
Dr.Mirjeta

Above answer was peer-reviewed by : Dr. Yogesh D