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His low testosterone was devastating as you can tell. How tragic that a physical malady could lead to the undoing of a marriage. However, he did write me back with some good news:
"Are you sitting down for my Prolactin reading? It was 200. Normal from what the doctor told me is 1 - 12. This is suppose to be curable from what I have heard so I am very exited as you can imagine. Thanks again."
Elevated prolactin is very anti-testosterone and often lead to hypogonadism.  His levels were astronomical and and thus it is not surprising that his testosterone was so adversely affected. (He was correct, of course, that normal prolactin levels are less than 12 ng/ml or maybe 15 ng/ml.) In his case, they did not find a prolactinoma or other tumor from an MRI, but put him on the standard medication and he got immediate results.
So, if you are wondering where your testosterone levels went, you may want to ask your doctor about getting a prolactin reading.
OTHER READING: I have another page that covers Causes of Low Testosterone and it covers the frequency of pitutitary tumors in men with low testosterone. Suffice it to say that the frequency is surprisingly high. I also want to point out a must read journal article called "Long-Term Management of Prolactinomas" that is must-read for anyone with a prolactinoma. It looks about long term safety and issues, both positive and negative, with the dopamine agonists that are standard therapy.
CAUTION: Read my link on The Importance of Avoiding Excitotoxins. Animals studies show that prolactin levels can be negatively affected due to excitotoxin damage to the hypothalamus. In addition, minoxidil is suspected of causing prolactinomas and elevated prolactin levels.  Minoxidil (Rogaine) is a common over the counter hair loss treatment.
CAUTION: If you have a medical condition or are on any medications, please discuss any changes with your doctor first. Certain supplements, foods and even juices can alter absorption rates of certain medications for example. Play it safe.
1) The American Journal of Medicine, May 1978, 64(5):782-787, "Serum prolactin levels in untreated primary hypothyroldism"
2) Psychiatr Serv, 51:983-985, Aug 2000, "Psychopharmacology: Galactorrhea and Gynecomastia in a Hypothyroid Male Being Treated With Risperidone"
3) N Engl J Med 1978; 299:847-852, "Prolactin-Secreting Tumors and Hypogonadism in 22 Men"
4) Rev Urol, 2000 Winter, 2(1):39–42, "Hyperprolactinemia and Erectile Dysfunction"
6) The Journal of Urology, 1997, 158(5):1764-1767, "Endocrine screening in 1,022 men with erectile dysfunction: clinical significance and cost-effective strategy."
7) Rheum Dis Clin North Am, 2000 Nov, 26(4):713-36, "Roles of prolactin and gonadotropin-releasing hormone in rheumatic diseases"
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