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Cluster Headache Help and Support >> Medications,  Treatments,  Therapies >> Low Testosterone
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Message started by LasVegas on Feb 8th, 2014 at 12:38pm

Title: Low Testosterone
Post by LasVegas on Feb 8th, 2014 at 12:38pm
Medical literature i've read in old board posts show some connection of hormone imbalance and CH's. 

Please share your thoughts, research findings, worthy treatments, etc on this subject.


-Gregg in Las Vegas

Title: Re: Low Testosterone
Post by Bob Johnson on Feb 8th, 2014 at 1:02pm
This is the only item I have. Nothing has popped up since.
There was a run of citations from1976 with this one being the last one on PubMed. Looks like the idea flamed out.
========
Headache. 2006 Jun;46(6):925-33. 


Testosterone replacement therapy for treatment refractory cluster headache.

Stillman MJ.

Objectives.-To describe the clinical characteristics and laboratory findings of cluster headache patients whose headaches responded to testosterone replacement therapy. Background.-Current evidence points to hypothalamic dysfunction, with increased metabolic hyperactivity in the region of the suprachiasmatic nucleus, as being important in the genesis of cluster headaches. This is clinically borne out in the circadian and diurnal behavior of these headaches. For years it has been recognized that male cluster headache patients appear overmasculinized. Recent neuroendocrine and sleep studies now point to an association between gonadotropin and corticotropin levels and hypothalamically entrained pineal secretion of melatonin. Results.-Seven male and 2 female patients, seen between July 2004 and February 2005, and between the ages of 32 and 56, are reported with histories of treatment resistant cluster headaches accompanied by borderline low or low serum testosterone levels. The patients failed to respond to individually tailored medical regimens, including melatonin doses of 12 mg a day or higher, high flow oxygen, maximally tolerated verapamil, antiepileptic agents, and parenteral serotonin agonists. Seven of the 9 patients met 2004 International Classification for the Diagnosis of Headache criteria for chronic cluster headaches; the other 2 patients had episodic cluster headaches of several months duration. After neurological and physical examination all patients had laboratory investigations including fasting lipid panel, PSA (where indicated), LH, FSH, and testosterone levels (both free and total). All 9 patients demonstrated either abnormally low or low, normal testosterone levels. After supplementation with either pure testosterone in 5 of 7 male patients or combination testosterone/estrogen therapy in both female patients, the patients achieved cluster headache freedom for the first 24 hours. Four male chronic cluster patients, all with abnormally low testosterone levels, achieved remission. Conclusions.-Abnormal testosterone levels in patients with episodic or chronic cluster headaches refractory to maximal medical management may predict a therapeutic response to testosterone replacement therapy. In the described cases, diurnal variation of attacks, a seasonal cluster pattern, and previous, transient responsiveness to melatonin therapy pointed to the hypothalamus as the site of neurological dysfunction. Prospective studies pairing hormone levels and polysomnographic data are needed.

PMID: 16732838 

Title: Re: Low Testosterone
Post by Guiseppi on Feb 8th, 2014 at 9:04pm
It's been discussed at length, this is a LLOONNG thread, maybe 20 pages, lots of info, many successes......

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Joe

Title: Re: Low Testosterone
Post by LasVegas on Feb 9th, 2014 at 4:54pm

Guiseppi wrote on Feb 8th, 2014 at 9:04pm:
It's been discussed at length, this is a LLOONNG thread, maybe 20 pages, lots of info, many successes......

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Joe



Thanks Joe, yes I did read that llllong thread, lots of great info, thanks for providing the link.  ;)

But am interested in updates/new info/research/experience/etc....anybody?

-Gregg in Las Vegas

Title: Re: Low Testosterone
Post by Bob Johnson on Feb 10th, 2014 at 9:39am
You're surely aware of the rush of t.v. ads about men using T when their "pep" has declined.

When is now emerging are several studies which indicate that this self-administration has lead to a significant increase in heart problems and 1-2 other serious issues.

This is a new development since the the time when T was investigated for CH and changes any consideration of using it for Cluster.

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