I started TRT about 8 wks ago I am a 56 yr old male . I was expierencing depression ,lack of libido and erectile dysfunction. My doctor checked my levels 3 times and they all came back low with elevated prolactin levels and shbg levels . My estradiol levels where fine the elevated Prolactin Levels and shbg where due to Hep c which I required from a blood transfusion in 1985 due to a car acciedent. My levels where Total T 228 ng/dl, Free T 2.8 ng/dl, SHBG 134 nmol/L, Prolactin 36.1 ng/ml, Estradiol 24 pg/ml. LH 4.9 ul .
After eight weeks of TRT my levels where Total T 1272 ng/dl, Free T 21 ng/dl. SHBG 111 nmol/L, Prolactin 72.3 pg/ml. Estradiol 62 pg/ml ,LH 3.2 ul . The TRT has made a profound change in my life in the 8 weeks I have been on it. My depression has gone I have great energy levels and I have my drive back to do things in life. But my Libido has not come back and I still suffer from Erectile Dysfunction. I have been researching this and from what I have read the elevated prolactin levels,along with the elevated Estradiol and lowered LH levels can have a profound effect on libido and ED .I presented this to my Endocrine doctor and he said my levels where fine.
I asked him for some Medication to lower some of the levels but he refused.The Prolactin level is way out of range the range is 0.0-15.0, The range for the Estradiol is <50, and the SHBG range is 13-71. The Total T range is 270-1070 and the Free T range is 9-30. My doctor is a Neuroendocrine specialist and said he does not do much TRT. I do not know what to do. I do not know if what I read when I researched this stuff was correct but It seems to me that some of these levels are way out of wack.
Any help would be appreciated I am recieving 100 mg of Test E injections once weekly. I am going to try and drop these levels naturally but if it does not work I was thinking of Prami and Forestene but I do not know if this is a good idea.