<s>[INST] dear doctor, please what is the way forward for a 23 year old boy that has been diagonised of hypogonadism?. fsh low(6) lh high(23) testotesterone low(2.3) and prolactin level high(25). i have not noticed a significant change in my sex organ since i was small. i have being placed on parlodel since more than a year now but i havee not noticed difference. i am gaining fats all over my body always weak~, weak muscles; changes in body complexion. please i need your help. thanks for your concern [/INST] Hi, Parlodel is for a prolactic secreting growth in the brain. The prolactic would gnerally be very high. Mostly someone is going to need testosterone if the testosterone and the testosterone stimulating hormones are low. Surgery fixes prolactin-secreting growths but a head scan would be needed to see it. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Matt Wachsman, Addiction Medicine Specialist </s>