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Testosterone Replacement, Low T, HCG, & Beyond
When Testosterone Is Not Enough
Ideas for Fixing Chronic ED / Poor Sensitivity?
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<blockquote data-quote="mjones104" data-source="post: 210039" data-attributes="member: 43144"><p>Hi guys,</p><p></p><p>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.</p><p></p><p>My initial bloodwork (September 2018) only included a few tests, with the below results:</p><ul> <li data-xf-list-type="ul">TSH: 1.61 (0.35 – 5.00 mIU/L)</li> <li data-xf-list-type="ul">LH: 4.3 (1.7 – 8.6 IU/L)</li> <li data-xf-list-type="ul">FSH: 2 (2 – 12 IU/L)</li> <li data-xf-list-type="ul">Testosterone: 8 (7.6 – 31.4 nmol/L)</li> <li data-xf-list-type="ul">Free testosterone: 162 (196 – 699 pmol/L)</li> <li data-xf-list-type="ul">Estradiol (standard): 77 (<159 pmol/L)</li> <li data-xf-list-type="ul">Prolactin: 13 (<18 ug/L)</li> </ul><p>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.</p><p></p><p>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.</p><p></p><p>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.</p><p></p><p>[ATTACH=full]17026[/ATTACH]</p><p></p><p>Two questions I have are:</p><ol> <li data-xf-list-type="ol">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?</li> <li data-xf-list-type="ol">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.</li> </ol><p></p><p>Any help or ideas would be much appreciated gents.</p></blockquote><p></p>
[QUOTE="mjones104, post: 210039, member: 43144"] 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: [LIST] [*]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) [/LIST] 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. [ATTACH type="full" width="613px" alt="Picture1.png"]17026[/ATTACH] Two questions I have are: [LIST=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? [*]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. [/LIST] Any help or ideas would be much appreciated gents. [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
When Testosterone Is Not Enough
Ideas for Fixing Chronic ED / Poor Sensitivity?
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