Hi, I’ll start with my symptoms:
Feeling the cold easily ( although I always have done)
so I have recently gotten exhausted with trying to get help on the NHS and have recently seeked help from a private male hormone specialist. He had some fresh blood tests done which are as follows…
13th march 2018
Fsh 6.3 (1.5-12.4)
Lh 6.7 (1.7-8.6)
Oestradiol 58 (41-159)
Testosterone 21.3 (8.64-29)
Shbg 48 (18.3-54.1)
Free androgen index 44.4 (24-104)
Prolactin 615 (86-324)
Cortisol random 565 (113-456)
Tsh 1.71 (0.27-4.2)
T4 total 97.5 (66-181)
Free T4 16.7 (12-22)
Free t3 5.24 (3.1-6.8)
He has recommended that I try to get an MRI on the NHS as I can’t afford it private at the moment. His recommendation is that I try some HCG for the prolactin.
I asked about cabergoline but he says he doesn’t like to use it as it just covers the problem up rather than deal with it. Which I’m not so sure about as if the problem is a pituitary tumor then there isn’t really much alternative as far as I’m aware.
However he hasn’t ruled out cabergoline and said he would talk to the doctor he works with about it.
He also said he wouldn’t want to start me on any treatment yet incase it skews my MRI? Which I’m unsure how it would?
So I guess my question now is what do you guys think of the recent bloods and the specialists idea of possibly treating me with HCG? Thyroid seems good as far as I can see? Thanks
My blood work:
4th August 2017
Serum total 25-oh vit d 84 (75-200)
Serum albumin 45 (35-50)
Testosterone 16.2 (8-26.1)
Free test 0.335 (0.17-0.59
Sex hormone binding glob 34.9 (17.3-65.8)
Prolactin 596 (45-375)
Ferritin 60 (15-300)
Oestradiol 100 (0-145)
Cortisol 758 (140-690)
Tsh 2.1 (0.35-5)
Creatinine 108 (64-104)
Urea 9.4 (2.5-7.8)
Gfr >60 (60-99)
The doctor said creatinine and urea were probably high from supplements, I think I was using creatine at the time.
I’ve tried a high dose of iodine as suggested by ksman and this didn’t ease any of my symptoms. I’ve also checked morning and afternoon body temps which were ok but I will do them again.
The doctors/endo won’t help me out because they say prolactin isnt high enough to be a prolactinoma and I look fit and healthy.
Any help is much appreciated!
Edit: I was wondering if overtraining could be the cause as the doctor said prolactin can act like a stress hormone and excessive excersise could increase prolactin. Especially as cortisol was high as well.