Hi, guys!
I'm 24 years old, I go to gym at least 4x per week. I have a muscle body and energy to do exercises. I would say I'm a healthy person.
The last year has been a bit difficult to me. I got a gynecomastia and my libido went down!
I will explain my history since everything has started:
In January/2017 I moved to Europe and I started to use ecstasy, that was the first drug I had tried and I loved it but didn't know the risks. Now it's too late to judge me. I have used this from
January to July, taking it every weekend around 6 pills per weekend (it's really too much).
In July I decided to stop completely (and it was easy) but then on
August I started to feel my nipples sensitive and painful, my nipples was getting bigger and I could feel a kind of small rock inside. Also, I started to feel less interest in sex and difficult to keep erection.
I went to doctor straight way and he asked for a blood exam:
See the results:
Test:
TESTOSTERONE
Testosterone 23.2 nmol/L 7.1-31.1
Test:
FBC
White Blood Cells 7.31 x10^9/L 3.50-11.00
Red Blood Cell 4.91 x10^12/L 4.50-5.50
Haemoglobin 15.3 g/dl 13.0-18.0
Haematocrit 0.441 L/L 0.400-0.500
Mean Cell Volume 89.8 fl 80.0-100.0
Mean Cell HB 31.2 pg 27.0-32.0
Mean Cell HB Conc. 34.7 g/dl 30.0-36.0
Red Cell Dist. Width 12.0 % 11.0-15.0
Platelets 229 x10^9/L 150-400
Test:
ESTRADIOL
Oestradiol 121 pmol/l 40-161
Test:
THYROID FUNCTION TEST
Free T4 14.6 PMOL/L 9.0-20.0
TSH 0.80 mIU/L 0.35-4.94
Test:
RENAL PROFILE
Sodium 143 mmol/l 133-146
Potassium 3.2 mmol/l Below low normal 3.3-5.0
Chloride 105 mmol/l 95-108
Total CO2 NA mmol/l
Urea 3.8 mmol/l 2.8-8.6
Creatinine 76 umol/l 65-107
Anion Gap NA mmol/l
eGFR >60 ml/min/1.73m^2
Test:
BONE PROFILE
Albumin 42 g/l 35-50
Calcium 2.28 mmol/l 2.18-2.60
Corrected Calcium 2.28 mmol/l 2.20-2.60
Phosphate 0.83 mmol/l 0.74-1.52
Alkaline Phosphatase 72 I.U./l 30-130
Test:
LIVER PROFILE
Total Protein 70 g/l 65-83
Albumin 42 g/l 35-50
Globulin 28 g/l 26-39
Bilirubin 15 umol/l 5-24
Alkaline Phosphatase 72 I.U./l 30-130
ALT 25 I.U./l 0-55
Gamma-GT 21 I.U./l 11-67
Test:
LH 2.8 IU/L 1.4-6.5
The doctor told me I would be fine after few months and I shouldn't worry about it.
On
March I realized it hasn't improved and had got worse than before. so I decided to go to another doctor again. I went to endocrinologist and he asked many blood exams.
See the results attached to this topic.
The doctor said my exams was fine and I should go to a breast specialist. I went to breast specialist and he asked for a mammography and testicle ultrasound and both was fine (I got the result of both on
June). So he said me I should just go home and take 2000mg of Evening primrose oil per day during one month and 1000mg per day during two more months and stop the caffeine and chocolate. I stopped the caffeine and I've noticed a small improvement, but I haven't started the Evening primrose oil as I saw many people saying it could generate gynecomastia.
The resume of the case:
January/2017 - Tried the first drug (ecstasy) and started to use in excess. Around 6 pills per weekend.
July/2017 - I got bored and stopped the drugs. Since then, I haven't used anymore, any kind of drug.
August/2017 - Started to feel the nipple painful and some signal of gynecomastia. I went to doctor.
March/2018 - I went again to doctor as I haven't seen any improvement and actually it was worse than before.
June/2018 - I did mammography and testicle ultrasound and both are normal.
I'm worried about many things:
The Prolactin in my second exam (on March) was high and maybe the doctor hasn't noticed. Can this Prolactin cause the gynecomastia or even the less interest in sex?
Should I take the Evening primrose oil or it could make the gynecomastia get bigger?
I've seen many article saying Vitamin E and B6 can lower Prolactin, should I try it?
Is my testosterone low for my age?
Has the chance of this gynecomastia become smaller or disappear?
Thank you so much. I appreciate any kind of tip, as I don't really know what to do.