Synacthen test result - Advice please?

[Guest guest]

Hi all,

Apologies for long post but I would be grateful for any help and advice.

I saw the NHS endo at my local hospital who said I needed the Short Synacthen

test but advised that I could take my last hydrocortisone at 3.30pm the day

before the this test. I took 2 NAX and 5 NA the day before the test too. The

result:

Basal 386nmol/L, 30 mins 226, 60 mins 326 (the Health care asst couldnt get my

blood on the 60 min test - I nearly blacked out and had to go to down to

Phelbotomy so this probably took another 15 mins). The endos letter says that I

do have some adrenal function but clearly not a normal response. He goes on to

say that it is difficult to know whether this is related to the steroids that I

have been taking or whether I started off with a problem with the adrenal

glands.

Other results: LH 46.3, FSH 46.7mU/L which suggests I may be reaching the

menopause - I had a hysterectomy 7 years ago and only have 1 remaining ovary. I

use progesterone cream (as suggested by Dr P). Testosterone less than

0.1nmol/L which he says is low. He says that he doesnt know what Nutri Adrenal

Extra is and thinks that this may suppress my testosterone. No results

available on DHEA yet.

The endo says he wants me to stop NAX and tail down the Hydrocortisone and then

repeat the test - aim to return adrenal function. He hasnt made any

recommendation for any prescriptions?

I apologise for the long post - can anyone advise please? I currently take

Cortef 20mg, T3 40mcg, NAX 3, NA 5 daily.

many thanks