Clomid for 1.5 years - recent changes, prolactin?

[Singh767]

Hi All,
So basically I am on Clomiphene treatment to boost my testosterone (before I started 1.5 years ago my Testosterone was 11.5 and my LH 3.0 and oestradiol 156). I have sent the below to my private specialist.
Could the rise in prolactin explain why my Testosterone went down so much since the last blood test? I noticed in the last 3 weeks a change in my erections.

With my prolactin levels what it is will I need treatment, what would be recommended vitamin E? Also any other feedback would be great, I am looking to have kids this year so I get a bit worried with changes like this.
With my specialist we are trying to work out a maintenance dose for my Exemestane. My current dosages for the last 3 months are:
- Clomid twice a week 25mg (currently splitting in half to take it 4 times a week).
- Exemestane 6.25mg twice a week.
The only change in my regime has been begininning of December switching from Arimidex to Exemstane.

 

[Nelson Vergel]

I would try zinc plus B6 first for your prolactin:

Effects of zinc on prolactin - Excel Male TRT Forum

"Zinc-treated patients had significantly lower serum prolactin levels (11 +/- 4 ng/ml v 29 +/- 7 ng/ml) than untreated patients." https://pubmed.ncbi.nlm.nih.gov/2864486/

www.excelmale.com

I would increase your clomid dose to 12.5 mg per day, not 4 times per week.

Has your doctor ordered a free T test? How about a sperm test?

 

[Singh767]

The reason I'm only on 25mg twice a week is because my hair started falling out at the higher doses (DHT rocketed).
- Yes my free T Test result is below. What do you think?
- What dose Vitamin B 6 and Zinc? I've just bought some, plus Vitamin E.
- I haven't had a sperm test no, do you think it could be low?

 

[nodoctor]

Dht blockers perhaps? I don’t because sexual sides were crappy but dutasteride, etc seem pretty effective and then you could up dose.