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Low Testosterone & FAA Medical

Discussion in 'Ask A Flight Surgeon' started by yourcfi, Dec 20, 2010.

  1. yourcfi

    yourcfi Well-Known Member

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    I am a Hodgkin's survivor (twice) and as a result of chemo/radio-therapy, I have been diagnosed with:
    - Hypothyroidism
    - Hypogonadism (low testosterone)

    During my second to last exam, FAA medical examiner refused to issue me a cert and I had to get a special issuance of 1st class. I have just been diagnosed with Hypogonadism and am about to start on medication (Testim). I realize the possible side effects could raise red flag from the FAA. However, based on reading a previous thread, I realize that I should not have any issues renewing my 1st class even with this condition.


    Other Info:
    - FAA requires a report from my PCP that I am still in remission from Hodgkiins
    - My TSH, Vit D , Cholest. etc are in normal range
    - I turned 35 last year and took a clean EKG to the medical examiner as well.
    - Otherwise a runner and in excellent health (no weight or other issues)
    - Current Testosterone Levels: 239 L ng/dL; Free/Direct at 7.3L pg/mL; FSH 17.8H mIU/mL
    -
    Questions:
    1. Should I start taking Testim now, get a new blood work done and then take my blood-work with me to my next FAA medical exam? Or should I go to the FAA medical examiner before I start the treatment? The exam is in Feb. of next year.
    2. Do I need to take anything other than the (blood work) reports (before and after starting the FSH/testosterone treatment) and a letter from my PCP?

    Appreciate your feedback.
    Many thanks!
     
  2. ///AMG

    ///AMG Well-Known Member

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    They give class 1's to women.....am I missing something? :)
     
  3. FDX8891

    FDX8891 Well-Known Member

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    I don't think you're going to find the right answer here. Talk to your AME.
     
  4. Rotor2Wing

    Rotor2Wing Unapologetically American

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    Low testosterone is an acceptable condition to the FAA from what I have read. I do know test replacement therapy is on the approved drug list to fly. Also do your research on TRT so you know whats going on with it. The vast majority of Drs do it the wrong way. Find a good endocrinologist that knows what their doing.
     
  5. SteveC

    SteveC Really? Staff Member

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    :dunno:

    We have an AME here. That's the purpose of this forum - to let the good doctor give knowledgeable advice as opposed to pilot's dispensing hearsay.
     
  6. My Flight Surgeon

    My Flight Surgeon Sr. Aviation Medical Examiner Staff Member

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    Start now. Have your PCP mention it in his usual report and include testosterone levels on treatment to show it is within the normal range and not sky high.
     
  7. yourcfi

    yourcfi Well-Known Member

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    Thank you very much for your advice. I was planning on doing exactly the same thing. In addition to that, I have a call with my AME to discuss and confirm the very steps you mentioned. Thanks again.

     
  8. FDX8891

    FDX8891 Well-Known Member

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    I'm an idiot - I didn't realize what part of the forum this was in, haha. My bad.
     

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