Do i have low testosterone im a 22 year old

Patient

Q: Do i have low testosterone im a 22 year old girl i cant orgasm and have low libido and cant be aroused and i have elivated prolactin levels

Symptoms:  Low libido , no orgasms , cant become aroused and elevated prolactin
Doctor

A:   Hello,
Thanks for the query to ATD,
As mentioned that you have high prolactin levels which indicate hyperprolactinemia and is the likely cause of amenorrhoea and also decreased libido as it blocks the steriodogenesis pathway for testosterone and hence lower libido. Get yourself examined to rule out any prolactinoma with an MRI and if ruled out then you can be placed on dopamine agonists like bromocryptine to decrease your prolactin levels and hence indirectly improve your libido.
Regards

Comments / Follow Ups

Patient: thank you im taking cabergoline 0.5 mg im suposed to take it 2 time weeky but intead im taking half a pill everyday on my own recognizance

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