Calling All Long-Term TRT Users! How is Your Libido and Sexual Function?

[Dreamamine]

I wanted to give some of you long-term users a quick quiz, just so we can develop some neat anecdotal data points from this forum.

If you have the time, please answer the following questions: (I apologize if they're a touch personal)


1. What is your age?

2. How long have you been on TRT?

3. What's your current protocol?

4. How is your libido/desire for sex? Either rate out of 10, or describe in your own words.

5. How is your erection quality? Either rate out of 10, or describe in your own words.

6. How is your orgasm strength? Either rate out of 10, or describe in your own words.

7. How is your ejaculate volume? Either rate out of 10, or describe in your own words.


Thanks so much for taking the time! I appreciate every response.

 

[Vince]

I started trt at age 60, I'm 66 now. I been on trt for 6 and 1/2 years. My libido is very strong and my erections are very strong. I do use Cialis and Viagra. My semen very low, it doesn't bother me or my wife. Too old to have kids, now I have grandkids and great grandkids. I'll post my labs for you.

 

[Vince]

My Most Recent Labs.

My protocol, 16 mg of testosterone cypionate daily, 500 iu of hcg twice weekly and no AI. Pregnenolone 10 mg and 25 mg of DHEA. My last injection before labs, about 28 hr.s. Labs are from LabCorp. Testosterone, Serum 1319 ng/dL range 264-916 Free Testosterone 47.9 ng/dL range...

www.excelmale.com

 

[ERO]

57 years old. TRT for 10 years, no libido at all, tried all known protocols except injectable pellets. Quad Mix works but with no libido, I don't even care.

 

[DixieWrecked]

I feel like this is my future lol. F*** it.

 

[Willyt]

Lousy. I've experienced a few flashes of libido on TRT, but nothing sustainable. Lack of libido on TRT seems to be the #1 problem on this forum. Exogenous T is definitely not the panacea for libido as the marketing would have you believe. As @Nelson Vergel always says, libido is more complex than just low T.

It's always encouraging though to hear success stories like Vince and others. Gotta keep trying...

 

[bumpy]

Age:54
TRT: 12 years
250 mgs/week (2 125 mg injections week)
HCG : 250iu’s 2x week (500 iu’s)
Citrulline Malate, beta alanine, taurine, icariin, beet powder
5mg tadalafil daily
Libido: 15
Erection quality: 15- Can knock down buildings with a single swing
Orgasm strength: 20 (can orgasm 2 times consecutively sometimes)
Ejaculate volume: 10, woman comment on the large amount of ejaculate. Pre-cum just being around my girlfriend ruins my pants (no sexual stimulation, just the thought of having sex). It’s embarrassing and I can’t control it.

I do cycle AAS during the year (Tren, Superdrol, Test) and it takes my libido to a whole other level that it becomes an unhealthy distraction.

 

[madman]

Age:54
TRT: 12 years
250 mgs/week (2 125 mg injections week)
HCG : 250iu’s 2x week (500 iu’s)
Citrulline Malate, beta alanine, taurine, icariin, beet powder
5mg tadalafil daily
Libido: 15
Erection quality: 15- Can knock down buildings with a single swing
Orgasm strength: 20 (can orgasm 2 times consecutively sometimes)
Ejaculate volume: 10, woman comment on the large amount of ejaculate. Pre-cum just being around my girlfriend ruins my pants (no sexual stimulation, just the thought of having sex). It’s embarrassing and I can’t control it.

I do cycle AAS during the year (Tren, Superdrol, Test) and it takes my libido to a whole other level that it becomes an unhealthy distraction.

Libido 15
Erection quality 15
Orgasm strength 20

Would be far-fetched to most and you are truly one of the lucky few to experience such!

Drop the daily tadalafil and get back to me on how stellar your erections are.

Sounds like a 20-year-old kid bragging.


I do cycle AAS during the year (Tren, Superdrol, Test) and it takes my libido to a whole other level that it becomes an unhealthy distraction.

This has absolutely nothing to do with hrt let alone maintaining long-term health.

Grown ass man 5-6 years shy of 60 still blasting/cruising let alone f***king with those compounds!

 

[SSHSSA74]

Age:54
TRT: 12 years
250 mgs/week (2 125 mg injections week)
HCG : 250iu’s 2x week (500 iu’s)
Citrulline Malate, beta alanine, taurine, icariin, beet powder
5mg tadalafil daily
Libido: 15
Erection quality: 15- Can knock down buildings with a single swing
Orgasm strength: 20 (can orgasm 2 times consecutively sometimes)
Ejaculate volume: 10, woman comment on the large amount of ejaculate. Pre-cum just being around my girlfriend ruins my pants (no sexual stimulation, just the thought of having sex). It’s embarrassing and I can’t control it.

I do cycle AAS during the year (Tren, Superdrol, Test) and it takes my libido to a whole other level that it becomes an unhealthy distraction.

No AI?

 

[madman]

Lousy. I've experienced a few flashes of libido on TRT, but nothing sustainable. Lack of libido on TRT seems to be the #1 problem on this forum. Exogenous T is definitely not the panacea for libido as the marketing would have you believe. As @Nelson Vergel always says, libido is more complex than just low T.

It's always encouraging though to hear success stories like Vince and others. Gotta keep trying...

Unfortunately, everyone is so caught up on higher T = raging libido/titanium erections.....LMFAO!

If it were only so simple.


post# 6

Testosterone and erectile function

I was speaking with a doctor and he said testosterone has nothing to do with erectile function/ strength. He just said testosterone affects libido. Is he correct ? Would love to hear opinions.

www.excelmale.com

Key points

■ Testosterone levels can reflect perturbations in all three dimensions (organic, intrapsychic, and relationship) of erectile dysfunction (ED)

■ Testosterone is important not only in controlling the mechanical process of penile erection but also controls male sexual behavior and attitudes

■ Testosterone replacement therapy (TRT) should be considered the first-line treatment in hypogonadal patients with ED

■ TrT monotherapy might not be adequate in all cases of ED because of the multifactorial pathophysiology of this disorder

■ In these cases, combination therapy with phosphodiesterase 5 inhibitors might improve outcomes indirectly, several of the mechanisms that lead to erection and detumescence



post #14

my TRT dilemma

34 Years old guy.. had lifelong erectile dysfunction, I have to use 40mcg of caverject to obtain an erection. Without the erection dies as soon as I stop stimulating Had doppler test done, normal tried t3 for a year, no effect hormones, normal.. except.. I have high levels of SHBG. I read a...

www.excelmale.com

CONCLUSIONS

Overall, available data indicate that T represents an important modulator of all the steps involved in the regulation of the male sexual response cycle. This association is attenuated in the epidemiologic studies because, besides hormones, other factors including organic, relational, and intrapsychic determinants can modulate androgens’ role. Evidence arising from interventional studies confirms a possible role of TRT in ameliorating several aspects of sexual functioning including libido, erectile function, and overall sexual satisfaction. Conversely, data on the role of TRT in improving orgasmic function are more conflicting and analyzed only in a limited number of RCTs. It is important to recognize that, whatever outcome is considered, the effects of TRT are clearly evident only in the presence of hypogonadal status (ie, total T < 12 nmol/L), whereas the positive effects of TRT are no longer confirmed for higher T levels. In addition, TRT alone can be effective in restoring only milder forms of ED, whereas the combined therapy with other drugs is required when more severe vascular damage is present.


*TRT alone can be effective in restoring only milder forms of ED, whereas the combined therapy with other drugs is required when more severe vascular damage is present.


post#10

Pharmacology and perspectives in erectile dysfunction in man

Abstract Penile erection is a perfect example of microcirculation modulated by psychological factors and hormonal status. It is the result of a complex neurovascular process that involves the integrative synchronized action of vascular endothelium; smooth muscle; and psychological, neuronal...

www.excelmale.com

For those that lack the understanding of the complexity of ED/libido.....a long but informative read!

So much more involved than simply having healthy hormones (testosterone, estradiol, DHT, prolactin, DHEA-S).


*Penile erection is a perfect example of microcirculation modulated by psychological factors and hormonal status. It is the result of a complex neurovascular process that involves the integrative synchronized action of vascular endothelium; smooth muscle; and psychological, neuronal, and hormonal systems. Therefore, the fine coordination of these events is essential to maintain penile flaccidity or allow erection; an ALTERATION OF THESE EVENTS leads to erectile dysfunction (ED).

erectile dysfunction due to cavernovenous leakage

Ultrasonography after pharmacological stimulation of erection for the diagnosis and therapeutic follow-up of erectile dysfunction due to cavernovenous leakage Summary The goal of this work was to demonstrate that Doppler ultrasound (DUS) after pharmacological stimulation of erection (PSE)...

www.excelmale.com

Erectile dysfunction (ED) is defined as the permanent or recurrent inability to achieve or maintain an erection of sufficient rigidity to permit satisfactory sexual activity. It is a frequent symptom more and more widely recognized and treated in numerous populations. Its prevalence increases with age insofar as it presently affects more than 30% of men under 40 and more than 50% of men from 40 to 70 years of age [1]. It is a multifactorial pathology involving a mixture of functional (psychogenic) and organic (metabolic, neurovascular et endocrinal) aspects.

Contemporary Considerations in the Pathophysiology of Low Sex Drive in Men

Contemporary Considerations in the Pathophysiology of Low Sex Drive in Men (2020) Daniela Wittmann, PhD, Mohit Khera, MD, Landon Trost, MD, and John Mulhall, MD DEFINITION The term libido, which, in Latin, denotes “desire” or “lust”, is firmly ensconced in the field of sexual medicine...

www.excelmale.com

CONCLUSION

Assessment and treatment of HSDD in male patients require taking a multifactorial perspective. Educating men about all potential factors that may be affecting their SD is critical to their recognition that multiple approaches to treatment may need to be used. This approach fosters REALISTIC EXPECTATIONS and will likely lead to more SATISFACTORY OUTCOMES.

Does TRT Really Improve Sex Drive and Function in Older Men?

Controversial aspects of testosterone in the regulation of sexual function in late-onset hypogonadism Abstract Background: Testosterone (T) plays a pivotal role in coordinating a series of psychological, cognitive, and physical events that might (or might not) culminate in male sexual...

www.excelmale.com

post #2

Long-term treatment of ED: beyond the purely symptomatic use of PDE5I

Thinking About Pathomechanisms and Current Treatment of Erectile Dysfunction—“The Stanley Beamish Problem.” Review, Recommendations, and Proposals ABSTRACT Introduction: Up to 50% of all men over 50 years of age suffer from erectile dysfunction. Since the late 1990s erectile dysfunction has...

www.excelmale.com

*A normal erection is based on a meticulous interplay of hormonal, neuronal, and vascular processes, which can be compromised at the genetic, molecular, and microanatomical levels.

*We hope to contribute to a better therapeutic approach to the multifactorial genesis of erectile dysfunction and, in the medium term, to shift the therapy of erectile dysfunction away from a purely symptomatic character toward a more regenerative and perhaps curative approach.

*It has been scientifically shown that the development of erectile dysfunction is a multifactorial process that is associated with conditions like metabolic syndrome, coronary heart disease, diabetes mellitus, hyperlipidemia, hypogonadism, trauma, prostate hyperplasia, depression, and numerous other psychological and physiological states which negatively affect nerve activity, hormone secretion and perception, blood supply and disposal, biochemical processes, and microanatomical structures.

 

[seppuku]

What i'd be interested to know is, are the people having libido / erection problems on trt having them BECAUSE of going on trt, or did they have these problems before starting, and the trt just hasn't helped?

 

[bumpy]

No AI?

No sir.

 

[bumpy]

Libido 15
Erection quality 15
Orgasm strength 20

Would be far-fetched to most and you are truly one of the lucky few to experience such!

Drop the daily tadalafil and get back to me on how stellar your erections are.

Sounds like a 20-year-old kid bragging.


I do cycle AAS during the year (Tren, Superdrol, Test) and it takes my libido to a whole other level that it becomes an unhealthy distraction.

This has absolutely nothing to do with hrt let alone maintaining long-term health.

Grown ass man 5-6 years shy of 60 still blasting/cruising let alone f***king with those compounds!

I don’t think I’m one of the lucky few. I’ve been engaging in high intensity resistance training since I was 16 years old. I think it’s a combination of my decades in health and fitness coupled with the proper supplementation and diet that has kept me healthy libido wise. I did go through a period when I used compounds that ruined my libido. I’ve been around the block and seen and felt it all. If you think I’m bragging I’m not. I am sharing my personal experience as asked in the OP. I’ve been on the dark side (low libido and ED) so being on the other side is a giant win worth sharing. That’s what we are all here for.

By the way I don’t blast/abuse AAS. I take very low doses of these compounds when I do use them. I don’t want to get off topic but did want to address that wrongful accusation.

 

[madman]

I don’t think I’m one of the lucky few. I’ve been engaging in high intensity resistance training since I was 16 years old. I think it’s a combination of my decades in health and fitness coupled with the proper supplementation and diet that has kept me healthy libido wise. I did go through a period when I used compounds that ruined my libido. I’ve been around the block and seen and felt it all. If you think I’m bragging I’m not. I am sharing my personal experience as asked in the OP. I’ve been on the dark side (low libido and ED) so being on the other side is a giant win worth sharing. That’s what we are all here for.

By the way I don’t blast/abuse AAS. I take very low doses of these compounds when I do use them. I don’t want to get off topic but did want to address that wrongful accusation.

I don’t think I’m one of the lucky few.

Maybe if you stated:

Libido 10
Erection quality10
Orgasm strength 10

Rare anyone using trt doses let alone achieving a healthy FT level is going to have a raging libido let alone titanium erections.

Again much more involved than simply having healthy T levels.


By the way I don’t blast/abuse AAS. I take very low doses of these compounds when I do use them.

No one stating you are abusing AAS!

We are on trt here using therapeutic doses of T to achieve healthy T levels let alone the only other compounds commonly used in therapeutic doses for hrt is nandrolone or oxandrolone which are considered mild as far as sides when it comes to AAS.

Blasting/cruising T let alone other compounds have no place in trt/hrt let alone in maintaining long-term health.

I stated that you are blasting/cruising and regardless even if the doses used are considered much lower than what many may take those other compounds (trenbolone/superdrol) have no place when it comes to maintaining long-term health regardless of the dose used.

Tren is a harsh compound compared to many other injectable AAS!

Superdrol is a c-17 alpha-alkylated oral and is much stronger than what would be considered the milder c-17 orals such as oxandrolone, stanozolol.

C-17 alpha-alkylated orals are notorious for driving down HDL/SHBG and increasing LDL let alone are known to stress the liver.

 

[Dreamamine]

Rare anyone using trt doses let alone achieving a healthy FT level is going to have a raging libido let alone titanium erections.

Why is that rare? Is that not part of the goal? To restore libido and function to teenage levels?

 

[madman]

Why is that rare? Is that not part of the goal? To restore libido and function to teenage levels?

This is F**King UNrealistic for most!

Libido 15
Erection quality 15
Orgasm strength 20


Unfortunately, when it comes to libido let alone ED they are multifactorial and there is much more involved than just having healthy hormones (TT, FT, estradiol, DHT, prolactin).

Underlying vascular health is critical!

Having healthy testosterone levels is beneficial to one's libido/erectile function but it is far from the only thing that is required to having a healthy libido.

Thyroid/adrenals, neurotransmitters, insulin sensitivity, stress (mental/physical), quality of sleep, diet, underlying vascular health to name a few can all have a big impact on one's libido/erectile function.

Libido/ED is much more complex than simply having healthy testosterone levels.

Even then when it comes to trt and libido many tend to get caught up in thinking that it will be through the roof once they hop on trt and get to the point of so-called dialed in let alone cure any ED issues they may have.

When you find that happy place you should have a healthy libido not raging, savage, insane.

There are many men who will see an improvement in libido, others will continue to struggle, some may even end up worse off than before trt and some of the lucky ones will see a drastic improvement.

I think too many get caught up in expecting to feel great 24/7 once on trt as if testosterone is going to cure all that ails them.

 

[DorianGray]

....*Penile erection is a perfect example of microcirculation modulated by psychological factors and hormonal status. It is the result of a complex neurovascular process that involves the integrative synchronized action of vascular endothelium; smooth muscle; and psychological, neuronal, and hormonal systems. Therefore, the fine coordination of these events is essential to maintain penile flaccidity or allow erection; an ALTERATION OF THESE EVENTS leads to erectile dysfunction (ED)...

Unlike injecting T-Cyp, scrotal application of cream has recaptured considerable libido for me, yet it is still like a yo-yo, not always there when you want or expect it, unpredicatible, not correlated to erection quality. Madman's example is precisely why I'll trade this damn Rube Goldberg mechanism for reincarnation as a female. Just open legs, go to town.

 

[Dreamamine]

There are many men who will see an improvement in libido, others will continue to struggle, some may even end up worse off than before trt and some of the lucky ones will see a drastic improvement.

I think too many get caught up in expecting to feel great 24/7 once on trt as if testosterone is going to cure all that ails them.

Do you mind answering my survey questions in the OP? I'm assuming you're a long term user yourself.

The more data points the better.

 

[tropicaldaze1950]

This is F**King UNrealistic for most!

Libido 15
Erection quality 15
Orgasm strength 20


Unfortunately, when it comes to libido let alone ED they are multifactorial and there is much more involved than just having healthy hormones (TT, FT, estradiol, DHT, prolactin).

Underlying vascular health is critical!

Having healthy testosterone levels is beneficial to one's libido/erectile function but it is far from the only thing that is required to having a healthy libido.

Thyroid/adrenals, neurotransmitters, insulin sensitivity, stress (mental/physical), quality of sleep, diet, underlying vascular health to name a few can all have a big impact on one's libido/erectile function.

Libido/ED is much more complex than simply having healthy testosterone levels.

Even then when it comes to trt and libido many tend to get caught up in thinking that it will be through the roof once they hop on trt and get to the point of so-called dialed in let alone cure any ED issues they may have.

When you find that happy place you should have a healthy libido not raging, savage, insane.

There are many men who will see an improvement in libido, others will continue to struggle, some may even end up worse off than before trt and some of the lucky ones will see a drastic improvement.

I think too many get caught up in expecting to feel great 24/7 once on trt as if testosterone is going to cure all that ails them.

@bumpy might be a shining exception but don't you like to hear success stories? I do. They give us hope. If I could tolerate a PDE-5 inhibitor,I'd take them daily. I understand the complexity of erectile function and the interplay of neurotransmitters, vascular health, general health and psychological factors...BUT...there are men; men who have health issues or emotional/psychiatric problems/issues, taking T in various forms, some using a PDE-5 inhibitor or ancillaries, such as PT-141, and having the time of their lives. madman, sometimes I think you're too critical and too negative.

We get enough shit from our wives or gf, family, work and the general stress level that exists . As Oddball said "Don't hit me with those negative waves!" Let's be happy for someone who's getting a Louisville Slugger erection. Being analytical has its place in the discussions, here, but sometimes, just let it go.

 

[madman]

Do you mind answering my survey questions in the OP? I'm assuming you're a long term user yourself.

The more data points the better.

46

Almost 5 years

100-150 mg T/week split (50-75 mg every 3.5 days) + 500IU hCG (twice weekly) never used an AI

Healthy libido 8

Erectile function 8 and I would say a 10 since the addition of daily Cialis (5 mg) six months ago.

Never had any major ED issues other than when I had low testosterone (the late 30s/early 40s) - lack of nocturnal/spontaneous erections.

Orgasm strength varies 8-10

Ejaculate volume varies 8-10