Could my long-term use of psychiatric medications like Pari (paroxetine), Frext (fluvoxamine), and Olanzapine be causing my low testosterone, elevated prolactin, and symptoms like fatigue, weight gain, and erectile dysfunction, and how should these side effects be medically managed?

Yes, your symptoms are known, manageable side effects of your medications. Olanzapine can elevate prolactin, which lowers testosterone, leading to erectile dysfunction, fatigue, and weight gain. Additionally, SSRIs like paroxetine and fluvoxamine commonly contribute to fatigue and sexual difficulties. Please do not stop your medications abruptly, as this can cause withdrawal. These side effects are highly treatable. You should consult your psychiatrist and an endocrinologist. They can safely manage this by adjusting your dosages, switching to alternative medications with fewer hormonal side effects, or prescribing treatments to balance your hormone levels.