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Will low testosterone levels cause anxiety and panic attacks?

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I am a 24 year old male who recently developed symptoms of panic attacks out of nowhere. After a lot of doctors visits I finally was able to see a endocrine who took blood work and told me my testosterone was extremely low for somebody my age. I was prescribed clomid 25mg a day for the next 3 months with appointments to get blood work done every 4-6 weeks. My question is how long should it take for me to notice a difference and could low T and unbalanced hormones be the cause of the physical symptoms causing me so much anxiety/panic??

Category: Endocrinologist

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Category: Diabetologist
 31 Doctors Online

Hello.



Thank you for your query at DoctorSpring.com.



In order to give my best opinion, I will need a few more details in your case.



1. What was the level of Testosterone, LH and FSH reported in your test results?

2. Was a Thyroid function test done?

3. Did you have any symptoms like loss of libido, difficulty in having or sustaining an erection/sexual intercourse?

4. Did you have any loss of hair / slow growth of beard, axillary or groin hair?

5. Did you have any weakness, thinning of muscles etc? 



Please reply with answers to these questions,  and I will be able to advise you better.



Regards.



Patient replied :

1. I don't have the test numbers on hand I would need to ask my doctor for specifics.
2. I attached a thyroid test results.
3. Absolutely have a loss of libidos and loss of energy feeling extremely drained lately and sleeping a lot.
4. No not that I know off
5. Muscles are def feeling a lot more fatigued especially my legs.
The main thing I am hoping this fixes is my recent boughts of panic and anxiety. I have never had a history of panic and I had read online that low test can cause panic attacks because it can increase cortisol in your body? Any truth here?


Hello.



In case you do have low Testosterone levels, then the best treatment is Testosterone replacement itself. Clomiphene is not a good choice here.

We also need to know the cause of low Testosterone, which will need tests like LH, FSH, Prolactin and if required, a MRI scan for pituitary.

Bouts of panic and anxiety may happen due to sudden fall in Testosetrone levels, but not necessarily due to cortisol. A rise in FSH, LH and some reasons, unknown can lead to such symptoms.



So I suggest that you get your LH, FSH and Prolactin levels checked as the first step.



If after Testosterone supplementation, your anxiety does not subside, you will need to consult a psychiatrist to evaluate your panic and anxiety and for appropriate management.



Let me know if you have any other queries.



Thank you.



Dr. J Muthukrishnan
Category: Diabetologist
Experience: 
Fellowships/Training: 
1. 10th Asia-Pacific Pediatric Endocrine Society  Fellows meeting, Seoul, Korea, Oct 2008
2. Eighth ICMR Course on Genetics and Genetic Counseling – Jul 2008 – SGPGI, Lucknow
3. Annual Certificate Course on Endocrinological Laboratory Techniques at National Institute of Nutrition (ICMR) Hyderabad,India, ( Aug-Sep 2006) 
Fellowship: Endocrinology, Diplomate of National Board, National Academy of Medical Sciences, New Delhi, 2008, Medwin Hospital, Hyderabad
Senior Residency: Diplomate of National Board (General Medicine), National Academy of Medical Sciences, New Delhi, 2002
Residency: MD, General Medicine, 1997-2000, Armed Forces Medical College, 2nd position in University
Medical School: MBBS, Armed Forces Medical College, 1992
Dr. J Muthukrishnan and 4 other Medical Specialists are ready to help you

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