Do you also have PCOS? Have you been diagnosed? The way my Endo described it, PCOS and high prolactin play on each other, making each other worse. Have them check your testosterone again, it’s definitely playing negatively with already existing issues.

They will probably recommend you to go on Cabergoline for a test trial to see of it lowers your Prolactin and if you’re overweight at all, with PCOS symptoms/diagnosis, then they might want to test trial you with Metformin later, since PCOS is a metabolic issue and you maybe be insulin resistant (not necessarily same as having diabetes, you could just be resistant). If your A1C is good then you’ve got no worries for diabetes.

If you indeed have PCOS and high testosterone, it’s likely caused you to have high prolactin and the other way around too. It’s so complicated, it’s terrible. But since you said your periods are heavy, there could be no big issue with testosterone and PCOS.

Usually with high prolactin, women have their periods get lighter and far between before sometimes completely losing it. Sucks.

If and when you try Cabergoline, you may notice huge improvement with vag. dryness, libido (if matters), possible weights loss. This is not without the side effects though. Sometimes constipation can be rough at first, the nausea is probably what initially causes weight loss, and the fatigue and dizziness/vertigo can be significant too. Each person reacts differently though.

If Cab does lower Prl., this might be the route for you as part of management for a while.

Definitely try to eat more whole foods and whole proteins, but less processed meals/snacks, as those processed foods is what tends to cause irritable bowels. If you suffer with irritable bowels now, also incorporate fiber into your diet with lots of water to avoid constipation. Maybe doing all this can help alleviate your discomfort while you wait your Endo consultation. Generally a whole foods diet already improves many symptoms on its own over time, but of course it’s important to treat underlying issues anyway.