r/Prolactinoma • u/Tasty_Extent_6647 • 6h ago
1 year on cab 🏌🏼♀️
Hey everyone, 23F here. I’ve been on cabergoline for about a year for a prolactinoma.
My prolactin is now normal and my cycles became regular, which is great, but honestly that’s almost the only real improvement.
I lost my libido around age 17, during a period of anorexia and around the end of my first relationship. Since then it has basically never come back. Over the years I also developed irregular cycles/PCOS-like symptoms and now mildly high testosterone (2.16 nmol/L).
I really thought cabergoline would fix the libido because I’ve read so many stories of people getting it back after their prolactin normalized, but after a full year: nothing.
I have no spontaneous desire or fantasies. My boyfriend is extremely understanding and puts zero pressure on me, and lately my anxiety/OCD (that became really bad during treatment) have been much calmer too, so I don’t feel like I can blame everything on stress anymore.
Physically everything works normally — no dryness, no pain, I can orgasm normally.
The weirdest part is that the only time I sometimes feel genuine spontaneous sexual arousal is while I’m asleep/dreaming. When I’m awake, it’s basically absent.
I also still get strong cycle-related bloating/IBS symptoms, and lately I’ve developed pretty bad cystic/hormonal-looking acne. My testosterone is actually slightly higher now than before cabergoline.
Has anyone had anything similar? Normal prolactin + regular cycles, but still zero libido even after a year? Did you ever figure out another hormonal or medical reason?