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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Basics & Questions
Can elevated prolactin itself cause ED in TRT patients?
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<blockquote data-quote="GeauxBears" data-source="post: 77611" data-attributes="member: 5724"><p>I've read elevated prolactin in men can cause ED and other sexual dysfunction based on its inhibitory effects on the HPTA; however, I am curious to know if fluctuations in prolactin itself can cause ED in a TRT patient?</p><p></p><p>I have a documented pituitary adenoma that has seemed non-functional for the past several years and I was placed on TRT due to having very low T numbers + the usual symptoms.</p><p></p><p>Been on a stable TRT protocol for well over a year with great success, but recently have been experiencing consistent symptoms such as loss of penile sensitivity as well as loss of erection during sex. Libido is ok, morning erections are mostly present and I can get an erection easily, but during sex it's like a switch is turned off in my brain after a few minutes and I end up losing my erection and ability to finish. It takes forever to get it back up if we want to try again. I am on 6.25mg Cialis per day in addition to TRT + AI protocol.</p><p></p><p>Checking in with Dr. Saya in a few weeks and was hoping the check-up bloodwork would show something obvious, but it looks pretty good:</p><p></p><p>Total T: 913 (348-1197)</p><p>Free T: 27.3 (8.7-25.1) HIGH</p><p>E2 (MS): 28 (8-35)</p><p>E2 Free: 0.81 (0.2-1.8) / 2.9%</p><p>E2 (Sensitive): 27 (8-35)</p><p>DHT: 79 (30-85)</p><p>Prolactin: 15.6 (4.0-15.2) HIGH</p><p>SHBG: 14.5 (16.5-55.9) LOW</p><p></p><p>The only thing that's abnormal for me is the prolactin number...I realize it's barely "high" but historically mine has been in the single digits.</p><p></p><p>Obviously I'll get Dr. Saya's perspective during our chat but any thoughts in advance as to whether this could explain my situation?</p></blockquote><p></p>
[QUOTE="GeauxBears, post: 77611, member: 5724"] I've read elevated prolactin in men can cause ED and other sexual dysfunction based on its inhibitory effects on the HPTA; however, I am curious to know if fluctuations in prolactin itself can cause ED in a TRT patient? I have a documented pituitary adenoma that has seemed non-functional for the past several years and I was placed on TRT due to having very low T numbers + the usual symptoms. Been on a stable TRT protocol for well over a year with great success, but recently have been experiencing consistent symptoms such as loss of penile sensitivity as well as loss of erection during sex. Libido is ok, morning erections are mostly present and I can get an erection easily, but during sex it's like a switch is turned off in my brain after a few minutes and I end up losing my erection and ability to finish. It takes forever to get it back up if we want to try again. I am on 6.25mg Cialis per day in addition to TRT + AI protocol. Checking in with Dr. Saya in a few weeks and was hoping the check-up bloodwork would show something obvious, but it looks pretty good: Total T: 913 (348-1197) Free T: 27.3 (8.7-25.1) HIGH E2 (MS): 28 (8-35) E2 Free: 0.81 (0.2-1.8) / 2.9% E2 (Sensitive): 27 (8-35) DHT: 79 (30-85) Prolactin: 15.6 (4.0-15.2) HIGH SHBG: 14.5 (16.5-55.9) LOW The only thing that's abnormal for me is the prolactin number...I realize it's barely "high" but historically mine has been in the single digits. Obviously I'll get Dr. Saya's perspective during our chat but any thoughts in advance as to whether this could explain my situation? [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Basics & Questions
Can elevated prolactin itself cause ED in TRT patients?
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