Major ED issues - blood work attached

[Yobie]

Hey guys,

looking for a little help. I've been on trt for around 3 years and I'm coming into major ED and libido issues. I'm used to having sex daily and now can hardly get it up without major stimulation and even with cialis it's not working. It literally feels dead, very little feeling or sensation just feels like I strapped a limp hot dog between my legs and is really stressing me out.

I'm on 40 mg (.2ml) eod subq and no ai. I have outlined my blood work and hope one of you can take a look and let me know what my next step is. Any help would be appreciated as nothing is standing out to me except lower than I expected test levels on 160mg weekly.

I can't seem to pinpoint the issue as I've tried an ai (no change), I've tried hcg (works for about a week) and different dosage. Funny thing is I went off completely for 3 months early this year and I had amazing sex drive and dick got hard as a rock all the time.


Shbg - 26. (10-50)
Estradiol - 32 (<39)
Hemoglobin - 17.6 (13-17)
T4 - 1.3 (.9 -2.2)
TSH - 2.08 (.4 - 4.50)
Test - 504 (250-827)

[liftsiron]

Personally I require higher test levels. Maybe you could also try proviron at 50mgs ed for awhile.

[A.B]

Few tests missing that can be an issue. Funny enough a guy on another forum had the same circumstances as you and he ended up testing prolactin which way high just on test. Got on caber and fixed the issue. Maybe a few more tests to do to narrow it down.

In the mean time proviron has worked wonders on libido for me. It assists with SHBG and acts as a minor AI but seeing yours are in normal range.

[AlphaMale]

Few tests missing that can be an issue. Funny enough a guy on another forum had the same circumstances as you and he ended up testing prolactin which way high just on test. Got on caber and fixed the issue. Maybe a few more tests to do to narrow it down.

In the mean time proviron has worked wonders on libido for me. It assists with SHBG and acts as a minor AI but seeing yours are in normal range.

I also suspect high prolactin may be the issue here.
Even on TRT, over a long period time if you don’t use an AI to keep estrogen in check it can in turn lead to a gradual buildup of prolactin.
0.5mg Caber once or twice might do the trick.
If you’re having a lack of sensitivity down there then it’s likely not estrogen but prolactin that is the culprit.

[Yobie]

You guys are great, I appreciate the advice. I was curious about the prolactin thing and will look into that asap. I'll update bthe thread as well in case anyone else is in this situation.

On a side note 160mg and only being at 500 test levels seems weird to me. I'm nervous about other side effects of bumping my test up such as estrogen and dht. If it is high prolactin what's a good weekly dose of caber (makes me feel like shit) to start at and should I do that weekly moving forward? Seems I was fine for the first few years on trt.

I'm 6'2 at 200 lbs 8-9 percent bodyfat if that makes a difference. I don't cycle and would like to maintain healthy levels all around. I see guys I know on lower dosages with higher levels than me all the time so don't want to push it too far.

[AlphaMale]

Prolactin can build up very slowly over a long period of time so I’m not surprised if it’s never been an issue before but has for you just recently.
Caber is one of those drugs that you don’t really need to take weekly.
Typically, you would want to take a couple half milligram or even better, a quarter milligram doses a few days apart and then see how your junk responds.
Yes, Caber makes me feel tired and sometimes nauseous too but keeping your dose at 0.5mg or less should limit those sides.
Pramipexole also works like Caber but it gives me even worse sides so I always use Caber if I have a choice.
After you take a couple doses, I predict you won’t need to take it again for awhile.
Maybe 0.25-0.5mg every two weeks for maintenance purposes.
If you’re into peptides, PT-141 also increases penile sensitivity and ability to ejaculate.

[Darkness]

In addition to the Prolactin problem that would have a caber Solution, I offer the following suggestion:

Do you use HCG? Your balls make other hormones and precursors other than testosterone that will effect your libido over time when your HPTA is shut down from the trt. I get gradually lower libido over time on trt and cycles. Every couple of months I did that by adding 250 Iu HCG 2d EW. that fixes it every time. I’ll run the 5000 iu vial out over a couple months then do it again when I feel I need to.

Another thing my doc, who knows his shit, suggests straight trt patients do every now and then is to ramp up and down your test dose so your receptors suddenly see a lot of change that they haven’t seen in years. Now bro science would say stable blood levels are better, but a few of us here have tried this experiment, now believe that once though solid bro science to be bullshit, and had results with not only increased libido results over time, but also increased mood and energy and better lean body composition.

The example below would be if you were scripted 200mg test per week like me:

Week 1 100mg
Week 2 100mg
Week 3 300mg
Week 4 300mg
Repeat back to week 1 and so on...

Your weekly dose would be 80 and 240 if you wanted to try this in your current script if I understand it correctly. I’d check prolactin first but you won’t die if you try hcg and/or this dosing method first.

For this reason we believe unstable blood levels can be friend for a few months at a time too. I gain ten pounds of meat when I do this plus better cognitive skills plus a hard dick.

[AlphaMale]

Excellent observation Darkness.
HCG does a lot more than just make your balls grow.

[Dakota]

First thing I thought of was prolactin, these guys are already all over it. My own experience is to use 1/2 tab caber every couple days (it is powerful) and very low daily doses of HCG daily for a while.

[kriegernindo]

What medications are you on if any?

[jrod]

����Are you on any other prescription medication?

[AlphaMale]

����Are you on any other prescription medication?

My therapist put me on antidepressants (SSRI) years ago and they made my dick limp.
So I asked her how is not having a sex life supposed to make me feel better.

[jrod]

In addition to the Prolactin problem that would have a caber Solution, I offer the following suggestion:

Do you use HCG? Your balls make other hormones and precursors other than testosterone that will effect your libido over time when your HPTA is shut down from the trt. I get gradually lower libido over time on trt and cycles. Every couple of months I did that by adding 250 Iu HCG 2d EW. that fixes it every time. I’ll run the 5000 iu vial out over a couple months then do it again when I feel I need to.

Another thing my doc, who knows his shit, suggests straight trt patients do every now and then is to ramp up and down your test dose so your receptors suddenly see a lot of change that they haven’t seen in years. Now bro science would say stable blood levels are better, but a few of us here have tried this experiment, now believe that once though solid bro science to be bullshit, and had results with not only increased libido results over time, but also increased mood and energy and better lean body composition.

The example below would be if you were scripted 200mg test per week like me:

Week 1 100mg
Week 2 100mg
Week 3 300mg
Week 4 300mg
Repeat back to week 1 and so on...

Your weekly dose would be 80 and 240 if you wanted to try this in your current script if I understand it correctly. I’d check prolactin first but you won’t die if you try hcg and/or this dosing method first.

For this reason we believe unstable blood levels can be friend for a few months at a time too. I gain ten pounds of meat when I do this plus better cognitive skills plus a hard dick.

I like to change up as well. Keep my receptors guessing.

[jrod]

My therapist put me on antidepressants (SSRI) years ago and they made my dick limp.
So I asked her how is not having a sex life supposed to make me feel better.

I had mine put me on Wellbutrin XR. It can have opposite effect. Its not an ssri rather it inhibits the reuptake of dopamine.
It works well for me.

[Yobie]

Just a follow-up. My prolactin tested at 11.2 out of normal range 2-18 ng/ml.

I'm on no other medication, never have been. Seems like prolactin is in range. Would it be worth trying caber .25 per week at this point? Not sure where to go from here. Higher test? Try caber? Lower my estro?

I appreciate you guys assisting with this.