Found the source of my problem, now what?

[hammerheart]

2mm microadenoma? Wow that's hard to diagnose even with a MRI.

If I were you, I wouldn't go for TRT. I'd definitely try to restart first. PRL is inhibitory to the HPTA, but even if caber gets rid of the (moderate) hyperprolactinemia you have, the axis might not be able to resume its normal function, so a restart is needed.

However, I'm not sure if clomiphene will be of help, as your E2 is already low, but personally I think it's worth trying.

[Youthful55guy]

2mm microadenoma? Wow that's hard to diagnose even with a MRI.

However, I'm not sure if clomiphene will be of help, as your E2 is already low, but personally I think it's worth trying.

I disagree with the latter part of the comment! Clomiphene is an selective estrogen receptor blocker. It's very selective to blocking the negative feedback loop to the HPTA for LH/FSH secretion. With no E2 (per your tests) to provide negative feedback what's the point of taking clomiphene?