Ideas for Fixing Chronic ED / Poor Sensitivity?

[Gman86]

I am finding the 5,000 mcg daily sublingual works great also

To increase ur libido?

 

[xcpatr922]

is there a study between B12 and libido/sexual function ?

What I can really feel is when I play soccer, there's a subtle difference when sprinting with B12 before and without B12. It's more stamina to me but TRT is also increased stamina. Prior to TRT I'm on regular B12, but the effect of B12 if I remember and feels is short-acting/less than 24 hours.

 

[M.J]

I am finding the 5,000 mcg daily sublingual works great also

Have you noticed libido improvement also with b12 ?

 

[mjones104]

Have you noticed libido improvement also with b12 ?

My B12 levels were very low. I am maybe feeling some libido improvements but finding most improvement to be in overall mood.

I am receiving my first orders of HCG (to inject 500iu 2x weekly) and Cialis (5mg daily) today. I will be adding these to my protocol and seeing if I get libido and ED improvements

 

[mjones104]

To increase ur libido?

Not sure if it's libido or just sensitivity down there. Either way feeling better overall. Definitely experiencing improved mood

 

[mjones104]

I have now been on daily 5mg Cialis for 5 days + I have administered 500iu of HCG twice. I am noticing things feeling much more normal down there in terms of blood flow, sensitivity, and no longer having that cold feeling in the penis. Testicles are beginning to look much better with HCG added (I recall Nelson mentioning this improvement should be noticeable within a week of HCG administration).

I also took some horny goat weed in addition to the cialis which seems to help with blood flow down there.

Quite a noticeable improvement in the last 5 days since adding these. Still not experiencing the strongest erections but hoping for continued improvement in the next few weeks.

 

[Gman86]

I have now been on daily 5mg Cialis for 5 days + I have administered 500iu of HCG twice. I am noticing things feeling much more normal down there in terms of blood flow, sensitivity, and no longer having that cold feeling in the penis. Testicles are beginning to look much better with HCG added (I recall Nelson mentioning this improvement should be noticeable within a week of HCG administration).

I also took some horny goat weed in addition to the cialis which seems to help with blood flow down there.

Quite a noticeable improvement in the last 5 days since adding these. Still not experiencing the strongest erections but hoping for continued improvement in the next few weeks.

What’s gonna be ur total HCG dose per week? U plan on doing 500iu once per week, or twice per week for a total of 1000iu’s/ week?

 

[mjones104]

What’s gonna be ur total HCG dose per week? U plan on doing 500iu once per week, or twice per week for a total of 1000iu’s/ week?

twice per week for 1000iu/week. In addition to 45mg cyp 2x weekly for 90.

 

[RickB]

I was like you until I started b12 5000mcg daily sublingual.

now sex can be daily, at least the desire for sex is daily for sure.and I wasn’t deficient in b12. I am not sure I need cialis anymore. But I am still checking this issue.

I'm going to try it. Roughly how long did it take to notice a difference?

 

[M.J]

I'm going to try it. Roughly how long did it take to notice a difference?

Two or three days I just don’t want to say the same day .
Give it sometime and see.

Note : when I changed my protocol everything went low. Still working my way up.

But b12 for sure helped me, I stopped it and libido went away, took it and libido came back, again stopped it and libido went away.

For me 100% it did a lot.

 

[Stpfan]

Hi guys,

I’m 30 years old living in Canada and I have been on TRT for approximately three years. The primary issue that got me started on TRT was lack of libido, bad ED (including total absence of morning wood), and a “numb” feeling / no sensitivity in the genitals.

My initial bloodwork (September 2018) only included a few tests, with the below results:

• TSH: 1.61 (0.35 – 5.00 mIU/L)
• LH: 4.3 (1.7 – 8.6 IU/L)
• FSH: 2 (2 – 12 IU/L)
• Testosterone: 8 (7.6 – 31.4 nmol/L)
• Free testosterone: 162 (196 – 699 pmol/L)
• Estradiol (standard): 77 (<159 pmol/L)
• Prolactin: 13 (<18 ug/L)

After reviewing this bloodwork the urologist I’m seeing started me on 5G taro-testosterone 1% gel. In the initial weeks my libido came back and ED went away, but this only lasted a few weeks.

I found ExcelMale and switched over to cypionate injections in the hope they would give me a long-term solution. Over the years I’ve tweaked protocols but in the last ~12-18 months feel I’ve been quite dialed in with good levels. My mood has been good, I feel I’m enjoying the benefits of TRT except for the libido and ED issues. I still get minimal / no morning wood. Even using 50-100mg of Viagra only gives me mediocre erections for sex, and the sensitivity of my genitals is almost nothing when I do use Viagra.

I’ve been injecting 90 mg/week of test cypionate, which I split into two doses of 45 mg every 3.5 days. I don’t use an AI or HCG. Below I pasted a summary table of some key metrics from bloodwork to show how my levels have been tracking for the past year. I have also posted the complete labs in case there are any markers worth reviewing more closely. Note: my doctor refuses to give me the sensitive estradiol test, so these are all standard estradiol tests unfortunately.

View attachment 17026

Two questions I have are:

1. Does it matter that my Total T generally looks in the mid-range if my free-T is high? I’ve always assumed only free-T matters for managing symptoms but maybe I’m wrong and my total T is too low?
2. Does it make sense to try HCG given my remaining symptoms? I’m not sure if this will do anything for me since I also can’t tell if I was primary or secondary based on the initial bloodwork FSH and LH.

Any help or ideas would be much appreciated gents.

Welcome to the forum! All of your symptoms sound identical to mine. I was about 37 years old when I felt something totally odd. I didn't go see a doctor for about 4 years. I thought having no erection was basically "normal aging". I've been on TRT for about 3 years now (44 years old...) erections are very poor. No libido. No sensitivity at all. Feels like everything is numb down there. I'll be keeping an eye on this thread to see if anyone points you in the right direction.

What has made things very worse... being on an AI. I know that much.

Everything is so bad now... it has definitely effected my mental outlook and confidence. A total disaster.

 

[bixt]

Hows your porn use? Can you get it up with certain fetishes and not normal stuff that used to work before? Use a lot of porn?

 

[Sergel]

Neither B12 or HCG has much influence on my libido/erections... I get morning wood ok, sensitivity is mostly my issue... I can go on for hours ... almost anorgasmic... I have been taking 5000mcmg of sublingual for years...

I do 84mg a week of Enanthate and 1000 week HCG... now HCG is funny, it makes my balls hang where they should but it also has a psychological effect... it makes me happy... that's the only way I can describe it... It elevates my mood for sure... going for blood work tomorrow so we will see where I am at... I to am in Canada... so poor labs...

Libido and sensitivity are difficult to pin down... I feel great, if I can just improve that that would be great... (I eat well, exercise, not over weight... so am at lost with regards to what to add or substract...)

 

[Stpfan]

Neither B12 or HCG has much influence on my libido/erections... I get morning wood ok, sensitivity is mostly my issue... I can go on for hours ... almost anorgasmic... I have been taking 5000mcmg of sublingual for years...

I do 84mg a week of Enanthate and 1000 week HCG... now HCG is funny, it makes my balls hang where they should but it also has a psychological effect... it makes me happy... that's the only way I can describe it... It elevates my mood for sure... going for blood work tomorrow so we will see where I am at... I to am in Canada... so poor labs...

Libido and sensitivity are difficult to pin down... I feel great, if I can just improve that that would be great... (I eat well, exercise, not over weight... so am at lost with regards to what to add or substract...)

Great post. I feel the same way as you do. I haven't tried the B12 yet... but I've tried several different combinations in regards to low dosages of Test and Deca. Just Test alone. High dosages of Test. High Test and Low Deca. HCG 350IU every 3.5 days. Been on AI.... been off AI. It just seems like there's no use to all of this. Even though my Estradiol was balanced perfectly at around 25-28 while using an AI.... just taking the AI to begin with screwed a lot of things up. Been doing this for about 3 years now. I don't want to give up... but I just believe this is just aging. Or whatever happened to me is irreversible. I check into this website just to see if there's something NEW or UPLIFTING... but... everyone has the same issues.

 

[M.J]

Great post. I feel the same way as you do. I haven't tried the B12 yet... but I've tried several different combinations in regards to low dosages of Test and Deca. Just Test alone. High dosages of Test. High Test and Low Deca. HCG 350IU every 3.5 days. Been on AI.... been off AI. It just seems like there's no use to all of this. Even though my Estradiol was balanced perfectly at around 25-28 while using an AI.... just taking the AI to begin with screwed a lot of things up. Been doing this for about 3 years now. I don't want to give up... but I just believe this is just aging. Or whatever happened to me is irreversible. I check into this website just to see if there's something NEW or UPLIFTING... but... everyone has the same issues.

This is interesting….cuz in my case when I stopped b12 things got quite and stayed like this for two weeks.Libido started moving again When I started taking b12 again.
I feel I am dialed in the urge for sex comes frequent. I do take occasionally cialis though. I am happy with my new protocol.