Still facing it. Shortly after my last post, I started having really bad issues with libido, and after countering those with Cialis, it seems to have lowered my E2 to the point where the issue worsened. However, my prolactin stayed elevated during this period. So I don’t think that’s the entire issue.
I’ve also found enough research showing that macroprolactin causes sexual issues despite how it’s not supposed to:
Most of the men with macro-prolactinemia (78%) had erectile dysfunction as the presenting complaint
Another that’s female oriented:
Taking a break from the Cialis, letting things level out again, and keeping up on blood tests to see where things stand. Actually going Monday.
Once this eases up, I’m planning to try quinagolide (an alternative to caber/bromo) to bring prolactin down. Regardless of TRT and E2 I have had elevated total prolactin for years now so I think giving treatment of that a shot is worthwhile.
I have another thread setup to document that trial - maybe the mods can merge if they feel it’s best: Quinagolide for Elevated Prolactin