introduction

Hello guys, my name is Francesco, I am italian, 32 years old. I do not speak English well , i use the google translator and so I will be brief.
When i was 18 i began to suffer of psychiatric disorders. In late 2010 I took Efexor for only one month, and I stopped it because was causing impotence and since then I have PSSD. My main problems are the lack of libido and sensitivity.
Two weeks ago I started taking zinc, I hope to give my contribution ...

Welcome to the forum.

Hello again, I would say something more about me. I started to suffer from auditory hallucinations, hear voices that were only in my mind but I thought they were real and so delirious...
I started psychotherapy and antipsychotics, the drug caused me lack of clarity and sexual problems so i stopped it and my sexual functions came back. At present i don' t hear the voices more but suffer from obsessive compulsive disorder and for that I was prescribed Efexor. Doctors say those suffering from hallucinations has a brain that produces greater amounts of dopamine or dopamine receptors have more sensitive than normal, in fact I've always been very energetic. After Efexor've become the 'exact opposite of myself ...

Hello everyone, I'm still taking 50 mg zinc per day (but I've never measured my levels of testosterone) and I also started taking vitamin b6 40mg per day, but I'm not having special improvement and I feel tired all the time without power even after resting for a long time and I have trouble concentrating, I recommend something natural to take for this?

Well you can try choline and huperzine. A lot of the other things we have tried here would not be for you considering your past problems, but you should be ok with choline and huperzine.

Hello, I'm going to make a series of analyzes to investigate the problem, I believe that a urologist is the professional most suited for this, you have some suggestions about specific examination to be done?

No, I'm not a doctor. I'm just an amateur researcher. I think if you just make an appointment, the urologist will take it from there though.

Hello sonny, I is happening in the morning to have a stomach ache this morning I also threw up, but then slowly during the day I feel better.
I do not make breakfast in the morning, the 'only thing is I am ingesting omega-3, 200mg of vitamin B6 and 50 mg of zinc. you think it could be one of those supplements to get hold of this annoyance?
zinc are now 3 months that I take every day, should I discontinue? I would not want to stop taking vitamin b6.
Or believe that these supplements have nothing to do with my bad tummy? thanks sonny

Are you taking a multivitamin? That can irritate your stomach and must be taken with food. You should eat breakfast.

Hello sonny, this morning I picked up the analysis, I wanted to test only the values ​​of total testosterone and prolactin and the results are these:

prolactin 22.97 males from 1.6 to 18.8

total testosterone 462.02 males from 300 to 1100

So high prolactin and low testosterone.
is considered that 4 months I have been taking 50mg of zinc and 300mg of vitamin B6 a day,

please answer my questions:
Is the high prolactin that cause low testosterone?
what would be the right therapy for me? dopamine agonists?
is there any other test that I could do?

That prolactin level is pretty high. Chances are your testosterone is on the low end of normal because of low levels of luteinizing hormone. This all has to do with your pituitary gland. Assuming you are not on any dopamine antagonists, like anti-psychotics, I would think you most likely have a prolactinoma. This is a small benign tumor on the pituitary gland. The cause of these are unknown, but they increase prolactin, and can cause other issues with the pituitary gland, like low LH, which in turn causes lower testosterone. You may also have problems with cortisol and other hormones.

Typically these are treated with a dopamine agonist like cabergoline. The goal is to lower prolactin, and reduce the size of tumor. This will in turn correct your LH levels and increase testosterone. There are cases where treatment fails and surgery is required, but that is unlikely. I would think your prolactin levels would be much higher if that was going to be a worry.

So if possible get a prescription for cabergoline from your doctor. If there is some reason you can't do that, I guess go for the research chemical. You should test your levels again every couple of months. You may be able to come off cabergoline after 6 months or so, but you would be better off getting the advice of an actual endocrinologist at that point. I have an extensive knowledge of the topic all things considered, but an endocrinologist would have even more.

Hi sonny, i bought ropinirolo 0,25. Do you think ropinirolo its good like cabergolina for my high prolactin or its better cabergolina?

The diagnosis of a prolactinoma is confirmed by demonstrating persistently elevated blood levels of prolactin. A prolactin level of over 150-200 ng/ml is almost always due to a prolactin secreting pituitary adenoma. In all patients with suspected pituitary tumors, a complete pituitary hormone evaluation should be performed. This testing is especially important in patients with potentially large tumors who are likely to have some degree of Hirnanhangsdrüse failure (hypopituitarism). It is important to note that moderate elevations of prolactin (30 - 200 ng/ml) can occur as a result of several other causes, which must be excluded prior to invoking a pituitary tumor. The most common causes are listed below:

pregnancy or in the post-partum period
stress (discomfort, exercise, low blood sugar)
low thyroid function (hypothyroidism)
kidney failure
liver failure
medications (such as anti-ulcer and antidepressants)
"stalk effect"

https://www.pituitary.org/disorders/prolactinomas.aspx

A prolactinoma is very uncertain. Talk with an endocrinolgist to make thinks clear!
You should be very, very careful with dopamine agonists. You have a history with hallucinations and psychotic symptoms and this drugs can trigger these symptoms by itself. They can worsen you're OCD too.

If you don't have a prolactinoma, this drug will not cure you. Maybe it can be a fix for you, as long as you take it, but I definitely wouldn't stay long term on this medications with a psychotic history and without medical supervision.

But if you really want to try it, the ropinirole has a shorter half-life (5-6 hours) than the cabergoline (63-69 hours). If you will experience psychotic symptoms/hallucinations again, ropinirole will be faster out of your system.

Good Luck

if cabergoline has a half-life so long why sonny suggests to take it daily?