Test with high prolactin and down FSH

how is your morning wood?

Have you tried the arimidex or anti prolactin stuff yet?

Very very low i have to say. I have morning erections when i feel i need to piss, you know what i mean. Otherwise, nothing. Very poor sensations i would say.

I havenĀ“t taken anything against prolactine yet as i got tested in a specialised medical centre where they will monitor my hormons to be more exact.

My lybido and sexual potence is running totally low as i had ā€œsexā€ twice and it was simple pathetic, even though i can at least performance a bit. This is the biggest nightmate ever.

With that prolactin level you should be getting a pituatary MRI. Assuming it comes back clean you might try something milder than caberolegine such as deprenyl, a dopamine agonist that drives down prolactin levels.

If either drug does not drop your prolactin lower or FSH higher, then given the consistently low FSH then you should have inhibin B tested.

A 24 hour urinary steroid profile would also be useful. If you get one done drop me a PM and Iā€™ll show you how to calculate the 5 beta to 5 alpha metabolite ratios. Note I am not a doctor and you should always follow your doctorā€™s advice.

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Thank you for your comment kazman.

I recently saw a new endo (another more) and he said my hormone test was not that but. In his opinion the mental issue is playing an important role on my syntoms. Anyhow, i have been feeling a bit better recently (could even have a normal shag last weekend) without taking any help, but still far away from the guy i used to be.

Anyway i will ask my previous endo about those tests to see if i can have some improvement.

My problem is that i am in spain and tests and doctors are probably less capable than in the States.

I will keep posting though as i have to receive a new hormone panel very soon.

your free t3 is low as well. You, like myself, need to get your dopamine, norepinpherine, epiphereine tested as well.

To answer your question, in cases of normal secondary hypogonadism the use of clomiphene citrate very frequently raises both LH and FSH. However, in post finasteride cases only LH (and thus testosterone) is raised, at least in all the bloodwork from clomiphene (Clomid) users I have reviewed.

The FSH hormone signals sperm production by the testis, thus the watery ejaculate problem. Not sure if this is implicated in reduced volume. Do you have these symptoms?

Kazman, when i was on propecia i can clearely remember i had watery semen. It has not been that watery since i quitted. However, i would say the amount of sperma relased has been reduced. I donĀ“t know if this is mental of just i cannot measure it properly, but it is my impression at least. Anyhow, 5 years ago i could have sex 2 or 3 times almost on a row, now i have to accept only one and thank it. I am not 29 so my body coudnĀ“t have gone though that sad change in less than 5 yearsā€¦ as many doctors want to believe. I will ask my endo about those drugs and i may go to see a neurologist, although i am doing better with brain fog: i donĀ“t feel stupid as i used to but still forget names and simple data easilyā€¦

Toad, mate, what happened with that specialist you were going to speak last month?any updates? How are you feeling? Some recovery?

I saw a doctor (oldman) who said i was not the first persone having these problems but based on his experience people get recovered sooner or later. However he has not prescribed anything as i am waiting to get these exact bloody tests to make sure how are all my values again.

I will keep posting. Thank you for your help, it is more than welcome.

Interesting because when I was on Propecia my sperm wasnt watery either.

Well. I just came back from (the supposedly) best medical centre on hormone test in my town. Bloody hell, it took 4 weeks for them to get back to me.

I am going to post my results but i have to say it is not a full panel as my last specialist (best in town, also supposedly) checked my profile my previous tests done and asked just for the follows:

Test 5,9 (2,8-10)
FSH 1,3 (1,3-11)
LH 2,2 (0.5-10)
17 B estradiol 14 (15-70)
17 OH progesteron 0,82 (0,5-2,4)
Serotonine 77 (40-400)
PRL 5,3 (max 8)

ā€¦ and i suggested that the D vitamine should be get tested too:

25 OH vitamine D 30,3 30-100)
1,25 OH vitamine D 64 (18-78)

Well, as you can see my main problem ys FSH low (apparently prolactina is not high anymore) and i would say LH too. After plenty of testing here must be the problem in my view. I know there are many values missing but my endo pointed out that the they were fine (i quite agree) in the other tests so i would like to have some feedback about what protocol to follow.

Btw, i have been having sex recently (twice a week) over the last month and my sensations were better (no totally good, though). I had ā€œnormalā€ sex with my girlfriend, what i mean is erections strong enough to penetrate her but not very hard, you know what i mean. Besides, she is taking the pill so we use no condom. Otherwise, i donĀ“t think i could maintain the erection. Besides, a couple years ago i could have 2 or 3 sexual acts a night, now i can hardly have one as a long time after finishing it, i donĀ“t still want to have sex. I feel like i have no libido and my testicles donĀ“t want to produce more sperm lol. It may sound stupid but for example last night, when my gf went bed i stayed awake masturbating and i felt like my penis could not capacity either to keep an erection or to produce semen.

I am sorry if i was too exact with my private life but still think can be relevant. I know that many people here cannot even have sex, but i am getting slightly better and i would like even improve more. Any thoughts are more than welcome.

Thank you guys.

Your E is to low. If youā€™re E is to low you wont get morning erections, and if it to high you wont them either. what did they have to say about it? Youre preg is sky high, probably indicating some sort of adrenal issue. You need to go to Dr. crislers forum site and educate yourself on adrenals and what tests you need. Iā€™m sure you have an adrenal issue like myself. Seems like you and I are pretty close to one another with tests and function.

cheers toad, you are very helpful. I will check out that forum too.

This is funny because one month ago my E was in the opposite, over the high rangeā€¦ I am a bit lost then.

I will be seeing this endo soon so i will try to find out what protocol to use as i said.

I will keep posting of course.

I am screwed, that is sure, no idea if this is adrenally, physically or mentally (probably all of them)

I think it has to do with how your adrenals are functioningā€¦ when you get more sleep and go to bed at about 10 pm your adrenals will be better. Also lifting weights and going to bed early will help them even more bc they give you a cortisol boost. Do you ever lose your balance (feel wobbly), or do your eyes ever bother you, such as feeling dried out? My prolactin was also all over the place, the first test it was High and the second it was low.

Mate i have gone to the gym for over 10 years, dieting, just once a week some alcohol and no cigs at all. I would say i am healthier now than i used to be before propecia.

Regarding your questions, i donĀ“t remember feeling wobbly and no issue with my eyes/view either. I know these symtoms are common in some postpropecia takers but not mine. Actually i had severe brain fog a few months ago but iĀ“d say it is almost gone (or i cannot notice it nowadays) and sexual/penis probs are my main issue, some fatigue as well.

What is killing me is the bloody fluctuation of my hormonal values. I donĀ“t know whether to blame the medical centres or propecia for that.

What i am very sure of is that my penis/testicles donĀ“t work properly. They are smaller, floppier and do not respond as they used to. No doctor/specialist/god will convice me that is my mind who is messing with my body.

:laughing:

I saw my endo today and we were chating about my last test she ordered one month ago and seeing probable treatment. As i said, some values are missing as she wanted to focus only on the follows:

LH 2.2 (0.5-10)
FSH 1,2 (1,3-11)
17B Estradiol 15 (15-70)
Serotonine 78 (40-400)
PRL 5,5 (MAX 8)
1,25oh2 vit d 65 (18-78)
25-oh-vitd 31 (30-100)
17-oh Progesterone 0,82 (0,5-2.4)

it could be said that the screw is twisted again since my prolactine and progesterone are in range (good values i would dare to say) while fsh and lh are very low (my doctor focused on this). She is also worried about my semen. i am going to get it checked next week to see its mobility and approximate amount. It is such a crap this sexual stuffā€¦ but i donĀ“t want even to think this may trigger me not having childrenā€¦

Besides, im going through a stimulation test (gnrh) before starting any treatment. Which is quite encouraging is that she believes i kind of have second hypothiroidism (many of us have such symptoms) so treatment based on HCG is being considered because prolactine and progresterone are no longer consider as the root of my problem (both went down naturally, or perhaps this medical centre is more efficient running tests)

Any thoughts or previous experiences would be more than welcome.

Is this doctor in Spain?

Yep she is. I have had to look for a lot to find a competent doctor. I would say she is my fith endo over the last year and the one who is treating my condition seriously. In fact, i donĀ“t understand why doctors are not concerned enough about patientĀ“s symptoms, specially when you see their level of FSH is SO LOW. This has to be affecting meā€¦

Mate if you are living in london i am pretty sure you will find a proper practinioner if you look for thoroughly.

I just come back from my medical centre after my grmh test. Unfortunately i wonĀ“t have the results untill the 15th of January. I informed my doctor i am moving to UK for three months but i will be taking any treatment she recommends no matter where i am.