Still trying to find libido

Thread starter #1
I’ve been on topical cream (not applied to testicles) and now shots. I was on the 100mg dose of cream and that brought my dht up but not my t. So I switched to shots. I’ve been taking daily shots now for 6 weeks at 150mg per week. My shbg is 15, e2 47, t-778, ft- 159 (max is 155). It seems one doctor in particular preaches cream applied to testicles, which I did while on shots just to try it out, and it didn’t do anything for my libido, but instead gave me high e2 symptoms like moodiness. I’ve tried supplements like horny goat weed with limited success. Has anyone out there switched from shots to testcular application only and received better results as far as libido??? I can’t seem to find anyone who has, just the doctor who preaches it. Also my erections are still weak.
 
#3
So I see a few things that are an issue right off the bat. You have a very low SHBG, which means you should be injecting EOD at most. Injecting ED would be where you will see the best results, both subjectively in how you feel and libido, as well as objectively in your blood work.

The other thing is that your E2 isn’t very high, but for a guy with a SHBG of 15, an E2 of 47 could be way too high for you. So you might want to try and get your E2 closer to the 20-35 range. I’ve seen one or two guys on here that had similar SHBG levels that reported doing well with E2 in the teens.
 

Nelson Vergel

Founder, ExcelMale.com
#4
How high was your DHT on the cream?

Are you going through depression, stress, fatigue, or just plain boredom in your life. Most of the time libido has little to do with hormones unless they are obviously low.
 
Thread starter #5
Dht was 100 on the cream. Had maybe slightly more sex drive at the time than I do now but not by much. Also I’m thinking I need cialis because I have weak erections but I’m only 36.
 
Thread starter #7
no I cited the range above. it's the quest diagnostics range. 100 was actually high. I just read the posts with that one dude saying that he uses a combo of shots and cream. I tried that before, but I may try it again with a lower dose applied to my balls, and maybe a script of Cialis. I really don't want to take an e blocker.
 
Thread starter #9
nelson, I'm so confused, everyone on this site thinks they know what's best, and yet so many people are still having issues with libido on t therapy. why don't we have proviron or dht cream or some other thing that increases dht in America. because the only thing about applying it to the scrotum is that some of that is going to go to estrogen which may cause more issues. this is frustrating. what do you think of Keith Nichols protocol? do men seem. to respond better to his method than shots?
 

Nelson Vergel

Founder, ExcelMale.com
#10
no I cited the range above. it's the quest diagnostics range. 100 was actually high. I just read the posts with that one dude saying that he uses a combo of shots and cream. I tried that before, but I may try it again with a lower dose applied to my balls, and maybe a script of Cialis. I really don't want to take an e blocker.
It was probably ng/dL then
 
#13
You're Estrogen is way too high for your SHBG. Even assuming you had the proper LC/MS/MS testing @ 47 this is much too high. Your SHBG being low means much more of your hormones, T and E, are free to work in your body, there is much less that is bound and inactive.

Your E is much too high. Should probably be closer to your SHBG value. Be it injections, inj plus cream, or cream alone, if your E is too high you will have problems.
 
Thread starter #14
What do you suggest I do? Should I lower my t dose or take an e blocker? I’m not sure I want to take an e blocker because of all the side effects of that and long term problems. When I was taking just 100mg of injection I didn’t have a good libido then either. At that time my t was 500 and my e was 28. I may consider 125mg cypionate and 25mg cream applied to nut sack. I think there is something to this dht thing.
 
#15
I agree with DHT.
I didn't suggest a dose reduction as your Free T is already under the lab range.
Do not fall in the anti-AI trap. If you need it, then that's what you do. Any sides and long-term possible problems is from suppressing E too far, not use of an AI in and of itself.
Some guys aromatase a lot and can't get around that with out suppressing it to a healthy, for them, a healthy level. A number is not a healthy level, be it 47, or 28.
 
Thread starter #16
I agree with DHT.
I didn't suggest a dose reduction as your Free T is already under the lab range.
Do not fall in the anti-AI trap. If you need it, then that's what you do. Any sides and long-term possible problems is from suppressing E too far, not use of an AI in and of itself.
Some guys aromatase a lot and can't get around that with out suppressing it to a healthy, for them, a healthy level. A number is not a healthy level, be it 47, or 28.
My free t was high. Just over the top of the range. I test with quest diagnostics
 
Thread starter #18
this is what you posted
If you have a more current result what is it?
That’s my current result. I just got tested last week. I’m thinking of asking for an e blocker and then staying at my t cypionate dose of 150 per week. And then adding 25 mg t cream to my balls daily. And maybe ask for cialis. Is this too much for a trt regimen?
 

Nelson Vergel

Founder, ExcelMale.com
#20
That’s my current result. I just got tested last week. I’m thinking of asking for an e blocker and then staying at my t cypionate dose of 150 per week. And then adding 25 mg t cream to my balls daily. And maybe ask for cialis. Is this too much for a trt regimen?
Do not mess with an AI if you want your libido back. And, as Vince Carter said, one change at the time will help you assess what works.
 
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