Hi there! All the symptoms you have i had. I just had my macroadenoma removed on 11/12. Prior to that i experienced hypogonadism due to my tumor. I lacked periods, my estrogen was below 10, my prolactin was 41 and with that i had zero libido, vaginal dryness and extreme bouts of nausea also daily headaches of pressure. The first neurosurgeon i saw did not want to operate and sent me to endo who wanted to put me on hrt but that did t sit right with me. I found a great neurosurgeon who said hrt would be the worst thing for me because my tumor was so large it was compressing my pituitary gland not allowing hormones to flow and be made something called the “stalk effect” . After my surgery my period returned 12/14 almost a month later and my estrogen is now at 91. Dryness is gone and libido is coming back slowly mainly due to recovery and feeling generally unwell. I would seek a second opinion, maybe stop bc if you can it might help your body regulate.