My doctor wants me to get an MRI after my blood work. I wanted to get a second opinion, and I have attached my blood results. My prolactin is 20.4 (above normal), total testosterone is 269.3 (below normal), free testosterone is 8.9 (normal), FSH is 3.7 (normal), LH is 2.9 (normal). I have had a history of low testosterone, and it was 150 and 130 in the last two years. This recent test was done this month. I have no low libido or erection problems with my wife. I do notice that I am not waking up with a morning erection. But if my wife arouses me in the morning, I immediately get an erection. I must admit that I was eating a lot and not exercising as much, but I started to change that. Do you think an MRI is needed? Should I see another local physician or urologist? Or should I just get medicines to lower my prolactin level?
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Thanks for your advice. Do you think it could be something life-threatening? I know there can be a tumor on the pituitary, which is usually benign and can be treated with medication. But I noticed that when a tumor is there, the levels are usually really very high. I am just nervous. Also, can you have low testosterone and high prolactin without any of the symptoms? What concerns me is not having the morning erections.
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