hdbernalp1979
New Member
Hi guys:
Some days ago i post a thread in other section only with two answers that didnt helped me much, i´m confused and desperate,i´m from Bogotá Colombia, i´m a 37 years old hiv positive guy with hypothyroidism being treated with levothyroxyne 50 mcg, my HIV meds are lamivudine/zidovudine and issentres, i´ve been reading all kind of information here, i know that every one case is different. I´ve been pretty active on gym and a capoeira academy.(but for hypothyroidism symptoms i lowered my physical activity)
Since seven years ago after my diagnostic i began to suffer low libido, erection and orgasm(very hard to achieve) issues, i was on a medical carrousel, where endocronologist or urologist always sent me to psichologist or psychiatrist showing low interest to help me solve my health issues, still since 2010 i know that i had subclinical hypothyroidisms never treated, only last year when i began to show heavy symptoms(hair falling, sleep issues, slugish all time) i went to a priivate endocrinologist who inmediatly put me on levo, first month with levo was amazing not sexually, but on that month i felt like on my 20´s all days on gym, barely signs of tiredness, sleeping like a baby, gained muscular mass on my back, and gained weight i was thinking that my sexual life also would improve, after that month i suffered a crash and i went worst than before my doc didnt do nothing, she told me that i only should wait and sent more test. At that time a friend told me about an andrologist, so i went, this doc told me that on HIV patients SHBG is high and men show hypogonadism symptoms, at that time two months ago my total T was on 4.79 ng/ml, doc put me on Androgel 1% daily, since two months ago i´ve been daily aplying me the gel, only with modest improve morning woods returned, i feel more relaxed, but no great energy or great libido, still with small sleep disturbances.
My last tests are the following, i dont have recent free T and free T3, medics are reluctant to order these tests
But i have totals i hope can be usefull in some way
Total T 5.19 ng/ml 2.8-8.0
Prolactin 7.09 ng/ml 4.04-15.2 ng/ml
Free T 14.38 pg/ml 9,0-47 pg/ml (This is an old value, at that time total t was on same value that now)
Total T3 1.54 nml/l 1.3-3.1
Free t4 1.65 ng/dl 0.93-1.7
TSH 2.71 uUi/m 0.27-4.2(This was ranging between 4 and nearly 7 now on levo has a lower level and i feel better)
Cortisol am 239 nmol/l 171-536 nmol/L
ACTH 511 pg/ml 5-60
Ferritin 125.8 ng/ml 40-400ng/ml
Hemoglobin 16.9 g/dl 13.5-18
Hematocrit 45.5% 40-50%
Viral load <20 copies
CD4 723
At this point after read much posts here i ask my self if i should have waited until thyroid stabilization before begin with trt, ´cause only with one month on levo i saw an abysmal change until the crash, i think now my thyroid doesn't produce hormones and i´m depending of external t4 and may be i need an increase on dose, any way like i said before i´m desperate has been much years, nearly all my 30's, sadly in my country no one here speaks or pay much atention to hormonal problems on hiv persons, i really thought that i was 'crazy', and after last meeting with the endocrinologist she told me that my tiredness is psychological ´cause i´m 'regulated' and that all these energy that i felt on levo also was only psychological PFFFFFFFFFF. What do you think?
thanks in advance
Some days ago i post a thread in other section only with two answers that didnt helped me much, i´m confused and desperate,i´m from Bogotá Colombia, i´m a 37 years old hiv positive guy with hypothyroidism being treated with levothyroxyne 50 mcg, my HIV meds are lamivudine/zidovudine and issentres, i´ve been reading all kind of information here, i know that every one case is different. I´ve been pretty active on gym and a capoeira academy.(but for hypothyroidism symptoms i lowered my physical activity)
Since seven years ago after my diagnostic i began to suffer low libido, erection and orgasm(very hard to achieve) issues, i was on a medical carrousel, where endocronologist or urologist always sent me to psichologist or psychiatrist showing low interest to help me solve my health issues, still since 2010 i know that i had subclinical hypothyroidisms never treated, only last year when i began to show heavy symptoms(hair falling, sleep issues, slugish all time) i went to a priivate endocrinologist who inmediatly put me on levo, first month with levo was amazing not sexually, but on that month i felt like on my 20´s all days on gym, barely signs of tiredness, sleeping like a baby, gained muscular mass on my back, and gained weight i was thinking that my sexual life also would improve, after that month i suffered a crash and i went worst than before my doc didnt do nothing, she told me that i only should wait and sent more test. At that time a friend told me about an andrologist, so i went, this doc told me that on HIV patients SHBG is high and men show hypogonadism symptoms, at that time two months ago my total T was on 4.79 ng/ml, doc put me on Androgel 1% daily, since two months ago i´ve been daily aplying me the gel, only with modest improve morning woods returned, i feel more relaxed, but no great energy or great libido, still with small sleep disturbances.
My last tests are the following, i dont have recent free T and free T3, medics are reluctant to order these tests
But i have totals i hope can be usefull in some way
Total T 5.19 ng/ml 2.8-8.0
Prolactin 7.09 ng/ml 4.04-15.2 ng/ml
Free T 14.38 pg/ml 9,0-47 pg/ml (This is an old value, at that time total t was on same value that now)
Total T3 1.54 nml/l 1.3-3.1
Free t4 1.65 ng/dl 0.93-1.7
TSH 2.71 uUi/m 0.27-4.2(This was ranging between 4 and nearly 7 now on levo has a lower level and i feel better)
Cortisol am 239 nmol/l 171-536 nmol/L
ACTH 511 pg/ml 5-60
Ferritin 125.8 ng/ml 40-400ng/ml
Hemoglobin 16.9 g/dl 13.5-18
Hematocrit 45.5% 40-50%
Viral load <20 copies
CD4 723
At this point after read much posts here i ask my self if i should have waited until thyroid stabilization before begin with trt, ´cause only with one month on levo i saw an abysmal change until the crash, i think now my thyroid doesn't produce hormones and i´m depending of external t4 and may be i need an increase on dose, any way like i said before i´m desperate has been much years, nearly all my 30's, sadly in my country no one here speaks or pay much atention to hormonal problems on hiv persons, i really thought that i was 'crazy', and after last meeting with the endocrinologist she told me that my tiredness is psychological ´cause i´m 'regulated' and that all these energy that i felt on levo also was only psychological PFFFFFFFFFF. What do you think?
thanks in advance
