idear Sirim 29 yrs old male .married. i have unilateral undesended testicle and i felt that there was gradual decrease of my sexual and some cognitive functions and i feel usually that im tired and depressed and i cant sleep.and recently i feel that i have permanent headache with noise in my ears that cant be relived by panadol. However, i went to the dr and he asked for TSH, free and total testesterone ,estradiol and DHEA, shbg and prolactin anlysis. i got the result this week and as i thought that there is decrease of testesterone. total test is 8.3 nmol/l (ref 11.5 -33) ,SHBG LOW 13 NMOL/L REFE (15-50), FREE TEST LOW 26 PMOL/L REF(43-138) and with increase of prolactin 888 miu/l ref (85-500) ,% prolactin recovery (77%),, TSH was normal 2.07 (ref .04- 3.50) ,Total PSA was normal 0.61 (0.20 - 2.0)
.I feel that this decrease of my testO is due to increase of the prolactin level especialy because i developed gynecomastia since i was in 21 yrs old and there is erectial dysfunction . i did brain CT scan and every thing was normal .I spoke with institute of men health program and we will put u in program for 12 month taking cream testesterone . I think its not warthy to take testo if there is no correction for prolactin level and follow up and i think my case dont manage by testesterone . it should treat hyperprolactinemia first. Although i feel that symptom of testo deficency affected my life and work and cognitive activity.SO,the GP doctor prescriped for me 1.25 bromocribtine with gradual increase of the dose. Some times, i feel that it could be due to the sexual Exhaustion due to Over Masturbation because i was doing this habit for long times and i cant stop it. or its due to 2ndy hypothyroidism. could u please give me your advice regarding this issue .Do you think that i have to take the bromocriptine even if i dont have prolactinoma, What is the possible causes of my case. Who can i relive from these symptoms.