High Prolactin and HCT

[bobcat]

On daily Androgel (4 pumps) and 250 IUs of HCG three times a week.
My Testosterone, Total is 320.
Estrodiol <12.
Prolactin 18.5.
HEMATOCRIT, AUTO 53.3

My doctor wants me to go off the HCG (which he is not prescribing) to see if my prolactin and HCT will come down as they are just above normal range. Don't want to do that - just got my balls back.

Any ideas on how to get my prolactin and HCT down somewhat so my doctor will chill out?

Incidentally, I'm feeling good. Lots of energy, high sex drive, etc.

 

[Gene Devine]

bob - Can you add ranges to those labs?

Your total testosterone is low given your TRT protocol.

High prolactin along with low androgen levels can be a symptom of a pituitary adenoma.

Did your physician check your pituitary gland?

E2 is low as well, are you taking any AI?

 

[Nelson Vergel]

It is very strange that you have high hematocrit with such low testosterone. Do you smoke or live in high altitudes?

I would not make any conclusions with one prolactin value.

You need a higher dose of testosterone and may have to go donate some blood soon to bring your hematocrit under 50.

 

[bobcat]

Nelson, I live in LA! I also thought I should up my androgel dose but wouldn't that just drive the HCT and prolactin higher? My doctor thought that the 320 t-level was not as important as how I am feeling which is pretty good. No sex problems, high drive, lots of energy, etc. I wanted to get to a t-level in the 500's but certainly don't want higher prolactin and HCT. Any advice?

Gene - ranges:

ESTRODIAL - range: 8 - 43. I am <12
HCT, AUTO - range 42 - 52%. I am at 53.3
TESTOSTERONE, TOTAL - range 193 - 740. I am at 320
PROLACTIN - range 2.1 - 17.7. I am at 18.5
All other labs are in the normal range.
Thanks.