Help! 24 Y/O High Prolactin Low Testosterone

Hello, I am in need of insight. I am currently 24 years old and did my first cycle 3 years ago when I was 21. I took all the necessary precautions and had a great base from powerlifting. I hit a final weight gain of 215 total lbs at 5’10’'. Here was my cycle:

12 week cycle
Week1: 500mg test E, 40mg Dbol
Week2: 500mg test E, 40mg Dbol
Week3: 500mg test E, 40mg Dbol
Week4: 500mg test E, 40mg Dbol
Week5-12: 500mg test E
Week15-18: Clomid - 100/50/50/50. nolva - 40/20/20/20
Had L-dex on hand

3 years passed and I had no issues, I was/ am a professional fitness model. I traveled Europe for 6 months and came back and was a vegetarian for 1 year. I exercise 4 times a week, throw in cardio, have a near perfect diet and probably 9-11% bf year round. I am currently 180lbs and fairly shredded. I started a finance position 10 months ago and absolutely hate it.

I became depressed and lifting became my life. 4-5 months ago I started feeling extremely tired, had no sexual desire, and overall fatigued. At the time I was on creatine because I have been all natural for years after my cycle use. I decided to get some lab work done and found out my testosterone was that of a 80 year old and prolactin levels of a woman in her 1st trimester.

I was/ am crushed at this point and dont know what to do. I have been seeing an endo and have another appointment next week. I dont want to go on permanent hormone replacement therapy. I have slightly puffy nipples (Or so I think, it could be in my head but I pay extremely close attention to my body, They feel sensitive). I usually have a cheat meal on weekends and drink occasionally ( Heavy drinking past 2 weekends because of my birthday). If I could get any advice on my next steps I would very grateful

I am still very strong although I notice my fatigue at the gym, I am maintaining my muscle mass/ weight. I have sex regularly with my gf but can only last about twice back to back in one night. It would be a test for me to try 3x in one night. I used to finish 4-5 in one night…

I sleep at least 7 hours a night and have had brain fog ever since this diagnoses

Here are blood test results thusfar:

May 17 (8:10 am)
testosterone, Free 6.4
Standard Range 5.0 - 40.0pg/mL
testosterone, Total 357.0
Standard Range 332 - 896ng/dL

Prolactin 16.0ng/mL Prolactin
Reference Ranges are as follows:
Male: 3.7-17.9 ng/mL

Insulin-Like Growth Factor 1 (IGF1) 267
ARUP Standard Range 116 - 358ng/mL

Cortisol 14.4ug/dL
Cortisol Reference Range:
Before 10am: 4.46-22.7
After 5pm: 1.7-14.1

April 12 (8 am)

testosterone, Free 10.4
Standard Range 5.0 - 40.0pg/mL
testosterone, Total 425.0
Standard Range 332 - 896ng/dL

Luteinizing Hormone (LH)3.4mIU/mL LH
Reference Ranges are as follows:
Female Ovulating:
Follicular phase: 2.58-12.1 mIU/mL
Peak : 27.3-96.9 mIU/mL
Luteal phase : 0.833-15.5 mIU/mL
Postmenopausal : 13.1-86.5 mIU/mL

Prolactin 22.9ng/mL Prolactin
Reference Ranges are as follows:
Male: 3.7-17.9 ng/mL
Normal Female(non-pregnant): 3.0-18.6 ng/mL

Free Thyroxine (FT4)1.20
Standard Range 0.78 - 2.19ng/dL

Angiotensin Converting Enzyme (ACE)26
Standard Range 4 - 60U/L

Ferritin 51.7
Standard Range 17.9 - 464.0ng/mL

Estradiol 13.4pg/mL Estradiol
Reference Ranges are as follows:
Male: 5.37-65.9 pg/mL
Female Ovulating:
Follicular phase: 26.6-161 pg/mL
Peak : 187-382 pg/mL
Luteal phase : 32.7-201 pg/mL
Postmenopausal : 5.37-38.4 pg/mL

April 6 (9 am)

Metabolic Plan
Sodium 138 Standard Range 136 - 145 mmol/L
Potassium 3.9 Standard Range 3.6 - 5.0 mmol/L
Chloride 100 Standard Range 98 - 107 mmol/L
Carbon Dioxide Standard Range 29H22 - 28 mmol/L
BUN 21 Standard Range 6 - 20 mg/dL
Creatinine 1.14 Standard Range 0.70 - 1.30 mg/dL
Glucose77 Standard Range 74 - 100 mg/dL
Calcium9.5 Standard Range 8.6 - 10.3 mg/dL
Total Protein7.5 Standard Range 6.0 - 8.3 gm/dL
Albumin4.8 Standard Range 3.5 - 5.0 gm/dL
SGPT/ALT 31 Standard Range 10 - 35 U/L
SGOT/AST37 Standard Range 14 - 50 U/L
Alkaline Phosphatase48 L Standard Range 53 - 128 U/L
Total Bilirubin0.8 Standard Range 0.3 - 1.2 mg/dL
Fasting?12
Est GFR not Afr-Am>60 >=60 mL/min

testosterone 284 Standard Range 241 - 827 ng/dL

TSH2.487 Standard Range 0.300 - 4.000 mU/l

Vit D3 25-Hydroxy37 ng/mL
Vit D2 25-Hydroxy<1 ng/mL
Vit D Total 25-Hydroxy37 32 - 100 ng/m
0-14 ng/mL = Severely deficient
15-31 ng/mL = Mildly deficient
32-100 ng/mL = Optimal

100 ng/mL = Consider toxicity

Lipid Profile
Cholesterol126 Standard Range 108 - 199 mg/dL
Triglyceride46 Standard Range 26 - 149 mg/dL
HDL45 Standard Range 40 - 125 mg/dL
Chol/HDL Ratio2.8 Standard Range 0.0 - 5.0
LDL72 Standard Range 0 - 99 mg/dL

Vitamin B-12 - 756 Standard Range 180 - 914 pg/mL

Did you jack off or have sex anytime near your prolactin blood tests (12-24 hours prior)?

[quote]VTBalla34 wrote:
Did you jack off or have sex anytime near your prolactin blood tests (12-24 hours prior)?[/quote]

I had sex the night before all of my tests. Would it elevate it to these levels?

It could…get it retested without sexual activity 24 hours prior…