Eventually I saw someone that treated men with low T. I told him the history of when my issues occured after the epidural shots. He raised an eyebrow to it and said " we are starting to see more of that" . Some medications (epidural, statins, opiates, some blood pressure meds etc)depending on your age, dose and length of use can change your pituitary gland (I think the hypothalmus is related too.) Those glands produce and monitor your endocrince system and keeps things in balance. Sort of like a closed loop feedback system. If you are on a med too long, have a genetic issue or have an injury or illness to the pituitary then it stops or can't produce the appropriate chemicals like luteinizing hormone. some doctors deny this.
The caudal approach to the epidural space involves the use of a Tuohy needle, an intravenous catheter, or a hypodermic needle to puncture the sacrococcygeal membrane . Injecting local anaesthetic at this level can result in analgesia and/or anaesthesia of the perineum and groin areas. The caudal epidural technique is often used in infants and children undergoing surgery involving the groin, pelvis or lower extremities. In this population, caudal epidural analgesia is usually combined with general anaesthesia since most children do not tolerate surgery when regional anaesthesia is employed as the sole modality.