[quote]Dr J wrote:
I have been having some issues lately that made me suspect my prolactin was too high, so I ran some labs. They’re not all back yet, so I’m jumping the gun a little, but here goes: Total test. is 367 (free + weakly bound aren’t back yet), estradiol is 23.9, LH is 2.6, and prolactin is 2.4. My difficulty is achieving orgasm. I can get an erection and maintain it until I start getting close to orgasm; the closer I get, the softer it goes, and I can’t “finish” (luckily my wife usually beats me).
Like I said, I suspected high prolactin, but this is too low. Does anybody have any useful input?[/quote]
Prolactin isn’t well understood functionally speaking in men however there have been studies showing immune modulation (a higher than normal prolactin level helps your immune system while conversely too high or too low seems to be bad)…but other than that there is no real data on prolactin except perhaps a person emotionally speaking may have less of an ability to empathize or feel emotional when something ‘sad’ or ‘cute’ happens.
But this is hypothetical. If you barely orgasm, then this could contribute to low prolactin. Your T seems to be low, even with free T coming in normal, a total T of 300’s is usually not good and may explain your issues. The prolactin could be dopamine dominance and less serotonin. Do you sleep poorly? Get anxious or manic? Do you have a low appetite or do you emotionally eat?