Empty sella syndrome, causing low T, high prolactin, can i get off TRT
Hi to all,
I am male and mid 30's been in good health most of my life, but a couple of years ago my health turned for the worst.
Fatigue, lethargy, aching muscles, brain fog and forgetful, dizzy and spaced out and also lost my libido and could not get an erection.
I was diagnosed with Low T secondary hypogonadism caused my secondary empty sella syndrome.
This was diagnosed by, initial blood tests discovered high prolactin (just over double the normal range) and low T FSH and LH were low.
I went for an MRI suspected with a prolactinoma. The MRI was not very clear, they could not see any tumours BUT they could also not see much of my pituitary as it appeared damaged/ missing.
I have been on sustanon250 shots every 3 weeks for 6 months and felt appaling with it. Absolute rollercoaster ride. I am now on Testim Gel due to the shortage globally of Sustanon.
I have been feeling a bit better on Testogel.
But what I am asking for is, I know that high prolactin can naturally lower Testosterone. I would have been put on cabergoline if they had found a tumour. But apparently the MRI was not overly clear.
The endo said it was secondary hypogonadism and that my testes were probably ok but it was to do with having low LH and FSH. Could these (LH and FH) be lowered because of Prolactin?
I guess that what I am asking you guys is now after having been on TRT for over 6 months I recently had my bloods redone and my prolactin and doubled again in the last six months.
Should the endo have considered using cabergoline to lower my prolactin before just putting me on TRT? just to see if my T levels got closer to normal?
I would like to go back now and see if they could try and restart me naturally because I don't feel good on T therapy. Even if it was a long shot.. Is it worth me looking into it? Got a feeling that endo's nowadays just seem quite happy to dish out TRT too easily.
Please let me know what you thing guys.