Geubitelli
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Help With Blood Test Results
- Thread starter Geubitelli
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halfwit
I like turtles.
Let me guess, you want to get it on, but Mr Happy doesn't want to cooperate? Or, you can get him up, but say 5-10 minutes in, he takes a nap or goes all soft-serve on you?
I'm guessing that based on your prolactin, which is elevated (in range). Some guys are pretty sensitive to prolactin effects, and a case of the floppies is normally the result.
If it's more of a case of you just really aren't interested in sex, I'd look at free T3 (don't know why they pull T4 AND TSH when FT3 is what truly matters) and estradiol. Estradiol is easily just as important as testosterone, and SSRI use is known to mess with that too. (prolactin is my first guess, but they do often go hand in hand)
My .02c
Edit: Just to clarify about the FT3, you had a high TSH and poor thyroid function can mess with SHBG - > free testosterone. Some are sensitive to that too.
I'm guessing that based on your prolactin, which is elevated (in range). Some guys are pretty sensitive to prolactin effects, and a case of the floppies is normally the result.
If it's more of a case of you just really aren't interested in sex, I'd look at free T3 (don't know why they pull T4 AND TSH when FT3 is what truly matters) and estradiol. Estradiol is easily just as important as testosterone, and SSRI use is known to mess with that too. (prolactin is my first guess, but they do often go hand in hand)
My .02c
Edit: Just to clarify about the FT3, you had a high TSH and poor thyroid function can mess with SHBG - > free testosterone. Some are sensitive to that too.
Megatron28
Moderator
While you are young, you may be a candidate for treatment with Cabergoline. It had a higher success rate with older men in the following study, but younger men did still see some benefits in regard to Testosterone Levels and ED. It may also help with your mild depression. I would encourage you to read the following study and discuss it with your doctor.
http://press.endocrine.org/doi/full/10.1210/jc.2003-030852?queryID=63/111001&
In conclusion, 50% of the patients coming to our observation for hyperprolactinemia complained of sexual disturbances, whereas 96.7% of them had an impairment of erectile events per night compared with 13.7% of controls. Six months of treatment with cabergoline was successful not only in producing a rapid normalization of serum PRL levels but also in restoring and preserving gonadal function in hyperprolactinemic men. The treatment should be considered as a first choice in hyperprolactinemic hypogonadism, providing a normalizing of gonadotropin pulsatile secretion and consequently testosterone levels in most cases, thus restoring and maintaining during treatment the capability of normal sexual activity in male patients.
http://press.endocrine.org/doi/full/10.1210/jc.2003-030852?queryID=63/111001&
In conclusion, 50% of the patients coming to our observation for hyperprolactinemia complained of sexual disturbances, whereas 96.7% of them had an impairment of erectile events per night compared with 13.7% of controls. Six months of treatment with cabergoline was successful not only in producing a rapid normalization of serum PRL levels but also in restoring and preserving gonadal function in hyperprolactinemic men. The treatment should be considered as a first choice in hyperprolactinemic hypogonadism, providing a normalizing of gonadotropin pulsatile secretion and consequently testosterone levels in most cases, thus restoring and maintaining during treatment the capability of normal sexual activity in male patients.
Megatron28
Moderator
Here is another study worth reading.
International Journal of Impotence Research - Cabergoline treatment in men with psychogenic erectile dysfunction: a randomized, double-blind, placebo-controlled study
The effectiveness of cabergoline in 50 men with psychogenic erectile dysfunction was investigated in a 4-month, randomized, placebo-controlled, double-blind study with validated psychological tests, and prolactin, follicle-stimulating hormone, luteinizing hormone and testosterone serum levels. Cabergoline treatment was well-tolerated and resulted in normalization of hormone levels in most cases. In the cabergoline-treated group, significant interactions between prolactin and testosterone serum concentrations were observed. Erectile function improved significantly. Sexual desire, orgasmic function, and the patient's and his partner's sexual satisfaction were also enhanced. Cabergoline may be an effective and safe alternative agent for men with psychogenic ED.
International Journal of Impotence Research - Cabergoline treatment in men with psychogenic erectile dysfunction: a randomized, double-blind, placebo-controlled study
The effectiveness of cabergoline in 50 men with psychogenic erectile dysfunction was investigated in a 4-month, randomized, placebo-controlled, double-blind study with validated psychological tests, and prolactin, follicle-stimulating hormone, luteinizing hormone and testosterone serum levels. Cabergoline treatment was well-tolerated and resulted in normalization of hormone levels in most cases. In the cabergoline-treated group, significant interactions between prolactin and testosterone serum concentrations were observed. Erectile function improved significantly. Sexual desire, orgasmic function, and the patient's and his partner's sexual satisfaction were also enhanced. Cabergoline may be an effective and safe alternative agent for men with psychogenic ED.
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