Hi – I have been feeling a significant muscle strain in my right pelvic region, with the pain having come and gone over five months. I was wondering if there is a way to diagnose/treat the strain (or whatever is causing this issue) without having to get MRIs taken or see an orthopedist. I would have expected the pain to subside by now. I should also note that I have very low levels of libido and have confirmed low testosterone levels through blood work and am not sure if there is a relation. My primary care doctor has checked for hernias and prostate issues and found none. Thanks.
Your doctor has ruled out those two; the next investigations should be ultrasound (soft tissue damage) and then, if negative, osteonecrosis aka avasacular necrosis, which is a real bet which would require a hip replacement (~ AU$ 29,000). Sorry but everything else diagnostic has pretty much been done and an xray or CT will not really image it properly. A bone density scan image on the injured side should tell you something about bone density.
PS. I have no free Testosterone at all (0.0 ng/L) but there is no connection except for some osteoporosis and osteopenia (49 yo M)
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