Oh, that is odd. For some reason my text after the articles didnâ??t show up. That is what I think you have, and I posted those just to show you that it is not that rare, and in some cases, it gets better with time. However, if I were in your situation, I would probably do the following:
Wks 1-4 Aromasin 10mg/day
Wks 1-4 Cabergoline 1mg/week
Wks 1-4 tamoxifen 20mg/day
I would suggest you look into them but essentially you have a suicidal aromatase inhibitor to lower estrogen, a D2 selective dopamine agonist to inhibit prolactin producing cells, and a SERM to increase testosterone levels, by preventing the negative feedback loop. Cabergoline and Bromocriptine are the D2 agonists most used, for elevated prolactin levels, because they show more selectivity in the dopamine receptor subtype than prami, or ropinirole. If that didnâ??t work, I would look into testosterone HRT injections.
have you ever had a thyroid test done?
EDIT: I just notice you have a very high LH:FSH ratio, which if you were a woman, I would just about guarantee that you had PCOS, but obviously that is not a possiblity. Have you ever had any type of trauma to your testes?
I just woke up this morning with a voicemail from my endo. He said he rethought what he told me and he will not prescribe me androgel. It will be causing me more harm than good, it will be a life long thing and it will negatively effect my prostate. WTF Does this guy just not treat young men with low test??
[quote]JonBlood wrote:
I just woke up this morning with a voicemail from my endo. He said he rethought what he told me and he will not prescribe me androgel. It will be causing me more harm than good, it will be a life long thing and it will negatively effect my prostate. WTF Does this guy just not treat young men with low test??[/quote]
Elevated test does not cause prostate cancer - actually may prevent it. You need to find an endocrinologist that is up to date with the research.
I can understand though not putting you at HRT at your age. Fix the underlying problem. Low test is not the problem, it’s the symptom.
I’m seeing a new endo on Friday. I’m going to propose Cabergoline; hopefully bringing my super elevated prolactin to normal levels will fix all of my problems.
[quote]Vulf wrote:
I am a Nurse in the ER and talk to Doc’s all the time about Anabolics and Test, most are lost on the issue. Talk to this guy.
anabolicdoc
In many cases Prolactin rise is due to a TUMOR be it brain or Pituitary.
Also I believe (THC) Marijuanna will assist in lowering Prolactin.
[/quote]
Thank you for your response. I had a pituitary MRI that came out negative fortunately. Also, I have seen a study on THC lowering prolactin. However is this was held true for me, I would have negative prolactin levels. I will check out the anabolic doc. Thank you
You need to reduce things that are inhibiting your HPTA. Rx and OTC drugs, alcohol and cannabis can increase estrogen levels. You need to lower estrogens and prolactin.
Elevated prolactin decreases dopamine levels and that alone can cause depression. Increased estrogens can cause depression and mood problems in males.
You can determine if your testes are responsive with an hCG challenge test. hCG is injected and TT, FT are checked later on.
Cabergoline 0.5 - 1.0 mg/week and low dose anastrozole would be the best course of action. You need to start with a very low dose of anastrozole as your T levels are low and you do not want to storm into an anastrozole over-responder sutuation.
Read the 'protocol for injections. sticky on the over 35 forum. This post should have been there.
[quote]KSman wrote:
You need to reduce things that are inhibiting your HPTA. Rx and OTC drugs, alcohol and cannabis can increase estrogen levels. You need to lower estrogens and prolactin.
Elevated prolactin decreases dopamine levels and that alone can cause depression. Increased estrogens can cause depression and mood problems in males.
You can determine if your testes are responsive with an hCG challenge test. hCG is injected and TT, FT are checked later on.
Cabergoline 0.5 - 1.0 mg/week and low dose anastrozole would be the best course of action. You need to start with a very low dose of anastrozole as your T levels are low and you do not want to storm into an anastrozole over-responder sutuation.
Read the 'protocol for injections. sticky on the over 35 forum. This post should have been there.[/quote]
Thank you for your response KSMan, I will speak with my endo about the hcg test. However, i don’t know you you are recommending anastrozole; there is no problem with my estrogen or e2 levels. All literature I could find explained that the drug was used to control the said hormones. Could you please explain? thanks
Anastrozole is used to regulate estrogen. Your E levels may be ok now but once you go on TRT they will be elevated due to the increased test in you system. This could lead to gyno or just high E symptoms. The anastrozole will prevent this by stoping the conversion of estrogen.
UPDATE:
After 4 weeks of 5 pumps daily of Androgel i got zero increase in testosterone. She is writing me test injection prescription for every ten days of between 75 and 100mg. I asked about doing the injections more often so i don’t get such a peak and trough, and she said that’s why I’m getting every ten days not every 14 days. She also said something about some sort of build-up of something in injection site which is another reason why she wants me to do ten days. I’m having my blood testing again in 3 weeks and she is flexible. How long until I can expect to feel something after my first injection? I’ll probably be injecting into my quads. thanks guys.
Don’t inject quads. Thats probably number 4 on the list of places I’d recommend. Use the ventrogluteal site. Then dorsalgluteal. Then delts if you have to.
Seriously push for twice weekly injections. It makes a difference.
Doc is yet another idiot. Tell her what you want to do and tell her that you expect that she should go along with that unless she has real evidence that it would do harm. Make her prove it. She cannot.
Does she have women do female HRT with single doses every 10 days? Don’t want those women to get a build up of something somewhere.
[quote]Vulf wrote:
I am a Nurse in the ER and talk to Doc’s all the time about Anabolics and Test, most are lost on the issue. Talk to this guy.
anabolicdoc
In many cases Prolactin rise is due to a TUMOR be it brain or Pituitary.
Also I believe (THC) Marijuanna will assist in lowering Prolactin.
[/quote]
Vulf is correct here. I’m an anesthetist and I’m very familiar with this condition as I have a pituitary adenoma (tumor). I am fairly confident that you have the exact same thing. The fact that your CT scan showed nothing only means that you probably have a microadenoma. The same as I do(my CT was also negative).
Standard treatment is with a drug called bromocriptine which supresses the secretion of the prolactin.
What kind of doctor have you been seeing? A GP, internist or what? You NEED to be seeing an endocrinologist. If this person IS an endocrinologist, you need to find another one ASAP. This is not difficult diagnosis, and its not an uncommon condition.
BTW, elevated prolactin levels in men often produce basicly the exact same symptoms as major depression.