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Testosterone Replacement, Low T, HCG, & Beyond
When Testosterone Is Not Enough
Penile fibrosis after long time without morning erections?
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<blockquote data-quote="Simbarn" data-source="post: 230477" data-attributes="member: 44021"><p>“<em>So i cant be sure if the levels would remain high but its a good indication that i recovered</em>.”</p><p>It does appear that your testosterone recovered. However, you did not do any labs at the end of this time period (that you are not sure about) when you had stopped the Clomid, to see where your testosterone was at that critical point?</p><p>This is very odd and in my opinion not good medicine! Why did the doctors not test you at this time to see what your hormone levels were before they put you onto TRT? They must have.</p><p>Trying to restore sexual function with a SERM when your T levels had already recovered is also not justified. This is not what Clomid does. Your doctors should have known this and that Clomid can cause sexual dysfunction itself, while you are on it and as I said before, for some time afterward.</p><p></p><p>You mention you tried to recover your sexual function over 3 years, but most of this time was spent on SERMS! So in effect you did not give your body a real chance to fix itself. It is quite clear from your last post that you instigated TRT purely from the standpoint of your erectile function and possibly libido not working as it should, NOT because of insufficient testosterone. This is also in my opinion bad medicine. For a start it has not fixed your initial complaint and you have subsequently embarked on self-medicating with very high doses of T trying to “hack” your own system to fix something exogenous testosterone will not fix in this manner.</p><p>Sexual function is very complex. AAS in many ways throws this system into disarray. The way in which our neurotransmitters work and how our hormones function within our cells, specifically the receptors for all of these chemical messengers, most likely become either desensitised or down regulated such that time and patience is required for our body to readjust and create a more normal receptivity for these messengers on a cellular level. I think the more drugs we put into our body the more it complicates this process. Sometimes it just needs to be left alone to finish this recovery.</p><p></p><p>You are also trying to warrant the use of TRT by the fact that it has apparently ameliorated a form of depression you have, possible insulin resistance and stopped you from abusing alcohol! Depression needs to be managed as with insulin resistance with the appropriate medical care and lifestyle changes and diet, not with TRT when your hormones are at healthy levels. Abstaining from alcohol also requires will power and sometimes professional help.</p><p></p><p>Testosterone can work as a “band-aid” for these things, it does not mean it fixes or treats these conditions in the correct manner. Sacrificing ones hormonal milieu in order to treat the conditions you mention is not something any competent doctor would condone.</p><p>I would not be surprised that your depression symptoms will return if you lower your Testosterone dose down to where it most likely should be: around 80 mgs per week, more closely mimicking what your natural levels were. Thus undoing the masking effect the higher level of T can have on depression. High levels of T can elevate certain neurotransmitters such as dopamine. Over time this can change and anxiety can develop from excessive testosterone.</p><p>At 125mg per week your trough level was 650, I wonder what your peak was in this case? Even your trough here is more than your natural morning peak level of 500 pre AAS use.</p><p>As I have mentioned before, TRT can be very good at increasing the libido feeling we have in our mind, it can however, be not good at increasing the libido drive in our loins, the sexual feeling we experience in the genitals themselves. Erectile function is closely tied with this genital libido urge and will suffer in many men when this is absent or muted. I feel much of this is due to a loss of our gonadotropins and the natural ebb and flow of our endogenous T production.</p><p></p><p>“<em>Thats why i wanted to make my question as specific as possible. I am looking for help with ed which seems to appear either on trt or not</em>”</p><p>I am mentioning TRT with regard to your erectile dysfunction because the two are related to each other, with regard to what you have been doing in the past and what you are doing now. If you have damaged your erectile tissues in your penis with the cycles of AAS and the subsequent long courses of Clomid that you took over a three year period, using TRT will NOT fix this. There is more chance that you penis will work properly if all your natural hormones are in place, such as LH, FSH, GNRH, Testosterone, Estrogen, DHT etc. Good erectile and sexual function depends on the delicate balance of all our hormones to be in order. This is why I keep saying it is ALWAYS better for young men to have their natural hormones working for sexual function to work at its best, as we just cannot replicate this with TRT.</p><p></p><p>IMO, your erectile function was never given an adequate chance to recover after all the “hormone manipulation” caused firstly by AAS use and then the continued onslaught of SERM therapy and then another shut down caused by TRT, followed by further excessive T use.</p><p></p><p>If someone has a genuine case of low T and they require T replacement, then and only then may it be of benefit, and it may restore “some” of their sexual function to a point that is acceptable. There will most likely be shortcomings as it does not create the same mechanism that was there before. This is the best medicine can do at this point in time. Some doctors are much better at doing this as can be seen on this forum with further advances in hormone medications and tweaking what is available to us now.</p><p></p><p>Taking supra-physiologic doses of testosterone, will not cure ED, it just makes it worse. Taking physiologic doses of T when your natural T is normal will also not cure ED.</p></blockquote><p></p>
[QUOTE="Simbarn, post: 230477, member: 44021"] “[I]So i cant be sure if the levels would remain high but its a good indication that i recovered[/I].” It does appear that your testosterone recovered. However, you did not do any labs at the end of this time period (that you are not sure about) when you had stopped the Clomid, to see where your testosterone was at that critical point? This is very odd and in my opinion not good medicine! Why did the doctors not test you at this time to see what your hormone levels were before they put you onto TRT? They must have. Trying to restore sexual function with a SERM when your T levels had already recovered is also not justified. This is not what Clomid does. Your doctors should have known this and that Clomid can cause sexual dysfunction itself, while you are on it and as I said before, for some time afterward. You mention you tried to recover your sexual function over 3 years, but most of this time was spent on SERMS! So in effect you did not give your body a real chance to fix itself. It is quite clear from your last post that you instigated TRT purely from the standpoint of your erectile function and possibly libido not working as it should, NOT because of insufficient testosterone. This is also in my opinion bad medicine. For a start it has not fixed your initial complaint and you have subsequently embarked on self-medicating with very high doses of T trying to “hack” your own system to fix something exogenous testosterone will not fix in this manner. Sexual function is very complex. AAS in many ways throws this system into disarray. The way in which our neurotransmitters work and how our hormones function within our cells, specifically the receptors for all of these chemical messengers, most likely become either desensitised or down regulated such that time and patience is required for our body to readjust and create a more normal receptivity for these messengers on a cellular level. I think the more drugs we put into our body the more it complicates this process. Sometimes it just needs to be left alone to finish this recovery. You are also trying to warrant the use of TRT by the fact that it has apparently ameliorated a form of depression you have, possible insulin resistance and stopped you from abusing alcohol! Depression needs to be managed as with insulin resistance with the appropriate medical care and lifestyle changes and diet, not with TRT when your hormones are at healthy levels. Abstaining from alcohol also requires will power and sometimes professional help. Testosterone can work as a “band-aid” for these things, it does not mean it fixes or treats these conditions in the correct manner. Sacrificing ones hormonal milieu in order to treat the conditions you mention is not something any competent doctor would condone. I would not be surprised that your depression symptoms will return if you lower your Testosterone dose down to where it most likely should be: around 80 mgs per week, more closely mimicking what your natural levels were. Thus undoing the masking effect the higher level of T can have on depression. High levels of T can elevate certain neurotransmitters such as dopamine. Over time this can change and anxiety can develop from excessive testosterone. At 125mg per week your trough level was 650, I wonder what your peak was in this case? Even your trough here is more than your natural morning peak level of 500 pre AAS use. As I have mentioned before, TRT can be very good at increasing the libido feeling we have in our mind, it can however, be not good at increasing the libido drive in our loins, the sexual feeling we experience in the genitals themselves. Erectile function is closely tied with this genital libido urge and will suffer in many men when this is absent or muted. I feel much of this is due to a loss of our gonadotropins and the natural ebb and flow of our endogenous T production. “[I]Thats why i wanted to make my question as specific as possible. I am looking for help with ed which seems to appear either on trt or not[/I]” I am mentioning TRT with regard to your erectile dysfunction because the two are related to each other, with regard to what you have been doing in the past and what you are doing now. If you have damaged your erectile tissues in your penis with the cycles of AAS and the subsequent long courses of Clomid that you took over a three year period, using TRT will NOT fix this. There is more chance that you penis will work properly if all your natural hormones are in place, such as LH, FSH, GNRH, Testosterone, Estrogen, DHT etc. Good erectile and sexual function depends on the delicate balance of all our hormones to be in order. This is why I keep saying it is ALWAYS better for young men to have their natural hormones working for sexual function to work at its best, as we just cannot replicate this with TRT. IMO, your erectile function was never given an adequate chance to recover after all the “hormone manipulation” caused firstly by AAS use and then the continued onslaught of SERM therapy and then another shut down caused by TRT, followed by further excessive T use. If someone has a genuine case of low T and they require T replacement, then and only then may it be of benefit, and it may restore “some” of their sexual function to a point that is acceptable. There will most likely be shortcomings as it does not create the same mechanism that was there before. This is the best medicine can do at this point in time. Some doctors are much better at doing this as can be seen on this forum with further advances in hormone medications and tweaking what is available to us now. Taking supra-physiologic doses of testosterone, will not cure ED, it just makes it worse. Taking physiologic doses of T when your natural T is normal will also not cure ED. [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
When Testosterone Is Not Enough
Penile fibrosis after long time without morning erections?
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