Advertisement
The Body: The Complete HIV/AIDS Resource
Follow Us Follow Us on Facebook Follow Us on Twitter Download Our App
Professionals >> Visit The Body PROThe Body en Espanol
Read Now: TheBodyPRO.com Covers AIDS 2014
   
Ask the Experts About

Understanding Your LabsUnderstanding Your Labs
           
Rollover images to visit our other forums!
Recent AnswersAsk a Question
  
  • Email Email
  • Glossary Glossary


Have Cushing's syndrome/HIV: couple of questions
May 16, 2004

Dear Doctor Holodniy, Amazingly, I seem to have Cushings or at least some form of hypercortisolism based on repeat 24 hour urine tests (very high cortisol levels) and morning serum cortisol (strangely, afternoon serum cortisol is normal).

Does HIV cause hypercortisolism? And, does high cortiol cause low testosterone? I read that maybe it does, but if that is true - how is it that cortisol is highest in the early mornings, yet sexual libido is also highest in the early mornings?

Many thanks.

Response from Dr. Holodniy

The data on this subject is conflicting. There is wide variability in what is a "normal range". There are several factors that could be contributing to increased cortisol levels. You don't indicate whether you are currently receiving protease inhibitors (like ritonavir), exogenous steroid preparations or have evidence of lipodystrophy. You don't indicate whether other endogenous steroids were measured, or whether a cortisol suppression test was performed to determine if there is truly an endocrine problem. I can't answer the evolutionary question about why cortisol is highest in the morning.



Previous
reached undetectable, but CD4 dropped too
Next
Lab results: very high cortisol...caused by HIV itself?

  
  • Email Email
  • Glossary Glossary

 Get Email Notifications When This Forum Updates or Subscribe With RSS


 
Advertisement



Q&A TERMS OF USE

This forum is designed for educational purposes only, and experts are not rendering medical, mental health, legal or other professional advice or services. If you have or suspect you may have a medical, mental health, legal or other problem that requires advice, consult your own caregiver, attorney or other qualified professional.

Experts appearing on this page are independent and are solely responsible for editing and fact-checking their material. Neither TheBody.com nor any advertiser is the publisher or speaker of posted visitors' questions or the experts' material.

Review our complete terms of use and copyright notice.

Powered by ExpertViewpoint

Advertisement