This doc is thinking correctly. Wellbutrin is not an SSRI and can have positive sexual effects if one’s is been held back by low dopamine. Wellbutrin worked for me and I had to move on as it was too stimulating [for me]. If one tolerates Wellbutrin, it is cheap and can be prescribed. If it does not work out for you, you can tell the doc that cabergoline is a good alternative. Prescribing cabergoline to brighten one’s mood is really a long reach of understanding for most docs.
Lowering prolactin can increase T if elevated levels were repressing your HPTA.
Low levels if prolactin can easily also contribute to a lack of motivation and lack of enjoyment or satisfaction with things in life. Makes sense that a lack of the “reward” neural transmitter would lead to such things. Can make you feel dumpy, not necessarily depressed or profoundly sad. But low dopamine can be a strong factor if one otherwise is depressed.
We all loose dopamine levels with age. Some faster than others. Maybe someday we will be finding and treating the dopamine deficiencies that that we all get sooner or later. Many of the aspects that we observe in aging people is caused by low dopamine and of course there are low sex hormones with all at some point in aging as well. When low dopamine levels are severe it becomes a disease called Parkinson’s, then you can get medical treatment, otherwise rarely.
With anything that you do to increase dopamine, make it hang around longer in your brain with low dose seleginine/Deprenyl. 2.5mg EOD does a nice job. When stacking dopergenic drugs, you will need to use less of each. Too much dopamine is unsettling. I would call these things “mood brighteners”.
If you have trouble sleeping, trazodone is very cheap and effective, as well as dopergenic.