What is the Problem with Me? Need Advice. High Prolactin

Pharma / TRT Testosterone Replacement
1

I have almost no urge for sex and no involuntry erections either. I get erections but not that hard when i tried porn recently. And i also feel like my penis has got shorter. I have got done some tests Kindly tell me whats wrong with me. My age is 22 years and further i also use risperidone and procyclidine and divalproex sodium for my bipolar but even before these medications i felt sexually weak.

Serum Testosterone
Results 354.0
REFERENCE RANGES:

ADULT MALES
20-49 YEARS 249-836 ng/dl

=50 YEARS 193-740 ng/dl

Serum TSH
Result 2.08

ADULTS
21-54 years 0.4----------4.2
55-87 years 0.5----------8.9

SERUM PROLACTIN Result 55.19

SERUM MONOMERIC PROLACTIN 20.72 ng/ml
(REFERENCE RANGES)

FEMALE = 4.0 - 18.5
MALE = 3.6 - 12.4
INTERPRETATION:-
The normal concentration of monomeric prolactin
in serum suggest macroprolactin which is an
inactive form of prolactin,tested only in samples
with high(but<200ng/ml)of total prolactin levels.
However high concentration of monomeric prolactin
in serum is suggestive of true hyperprolactinemia,
in absence of pregnancy and postpartum lactation.

SERUM FSH Result 2.37

REFERENCE RANGE

Male

1-9 years 0.0-5.0 mlU/ml
10-11 years 0.0-6.0 mIU/ml
12-18 years 0.0-10.0 mIU/ml
Adults 1.4-15.4 mIU/ml

SERUM LH Result 4.55

REFERENCE RANGE
Adults 1.2–7.8 mIU/ml

2

The problem you have is these medical condition by themselves with no medication can lower libido/sex drive and the stress can affect your erections. Antipsychotics and anticonvulsants both cause some degree of sexual dysfunction.

These medications you are taking can definitely increase prolactin (weak erections) and raise SHBG levels, when your SHBG levels become too low or too high you are basically low T at that pointng because either SHBG is holding on to most of your T or you are dumping into your urine do to low SHBG.

It’s also possible your T was already low before you starting taking these medication and you sexual problems may not have been cause by your bipolar. I was on Klonopin (anticonvulsants) for 30 years and was lucky that it didn’t affect my libido or erections, if anything it increase my libido. Sadly the year long withdraw process destroyed my natural T production that saw it plummet over several months which is why I’m on TRT in the first place.

3

What type of treatment I need now ???
Do I need to go for some other blood / urine test???