Another quick update.
I met with my general practitioner this afternoon and went over all results with him. He thinks it’s fine that the urologist wants to try clomid, however said he didn’t think it would work and we’re headed to full TRT soon.
He mentioned that my pituitary may have other issues than we know. I take meds to increase dopamine production, and apparently the increased level of dopamine can lead to a reduction in prolactin. Since my prolactin is in the normal range it may be artificially low due to the meds and I may be on the high end signaling something else going on.
He would like me to get an MRI to find out for sure. His thought is if the pituitary is fine, producing appropriate levels of prolactin which is shows now, he’s more inclined to think I may be primary and treatment would be different.
I have to read up on all this. I’m not against the MRI, plan on doing it, but want to know how to intelligently discuss the results etc. If anyone has experience with a pituitary/brain MRI I’d love to know how it went, what you looked at, and how your results impacted your future treatment.