Low libido and e.d. in primary guys

Wean

New Member
I'm starting to think there is a big correlation between primary hypogonadisim and low libido and e.d. and low s.h.b.g. even after trt I almost find no guys who are true primary getting along sexually vibrantly without working testicles. Any primary guys care to share?
 
Testosterone, Serum 1118 Reference Range: 264-916 ng/dL
Free Testosterone(Direct) 27.3 Reference Range: 6.6-18.1 pg/mL
Estradiol, Sensitive 19.8 Reference Range: 8.0-35.0 of/mL
SHBG 47.7 Reference Range: 19.3-76.4 nmol/L
DHEA-Sulfate 424.8 Reference Range: 30.9-295.6 ug/dL (age adjusted)
Albumin 4.3 Reference Range: 3.6-4.8 g/dL
Tru T 38.46 range 16-31 ng/dL
 
Testosterone, Serum 1118 Reference Range: 264-916 ng/dL
Free Testosterone(Direct) 27.3 Reference Range: 6.6-18.1 pg/mL
Estradiol, Sensitive 19.8 Reference Range: 8.0-35.0 of/mL
SHBG 47.7 Reference Range: 19.3-76.4 nmol/L
DHEA-Sulfate 424.8 Reference Range: 30.9-295.6 ug/dL (age adjusted)
Albumin 4.3 Reference Range: 3.6-4.8 g/dL
Tru T 38.46 range 16-31 ng/dL
How do you keep e2 so low? Mine was 48 at trough
 
Did you abandon the nandrolone experiment? What were your takeaways?
Yes I just abandoned my nandrolone, I may go back to it later. I just had my cholesterol lipid panel, before stopping the nandrolone. I’ll like to see what results I get. Then make a decision on it. Choices choices choices LOL
 
Testosterone, Serum 1118 Reference Range: 264-916 ng/dL
Free Testosterone(Direct) 27.3 Reference Range: 6.6-18.1 pg/mL
Estradiol, Sensitive 19.8 Reference Range: 8.0-35.0 of/mL
SHBG 47.7 Reference Range: 19.3-76.4 nmol/L
DHEA-Sulfate 424.8 Reference Range: 30.9-295.6 ug/dL (age adjusted)
Albumin 4.3 Reference Range: 3.6-4.8 g/dL
Tru T 38.46 range 16-31 ng/dL
Vince, you seem a little over treated with those levels. How do you determine what the level should be when you are reading your labs. Just picking a number to shoot for is not a valid method for determining the level you need.
 
Vince, you seem a little over treated with those levels. How do you determine what the level should be when you are reading your labs. Just picking a number to shoot for is not a valid method for determining the level you need.
Hi joemorgan. For me it’s usually what level I feel best at. Also I like to keep my hct in a good level and not have to donate blood. I know this sounds pretty simple, but why complicate things.
 
That's right @Vince. Clinical results, how the patient feels is the key to treatment. For me however, I can't really say I feel better on TRT, so I know how the OP feels. Another concern is when I have come off TRT (first injections then Clomiphene), my natural T came back at lower levels. Is it possible exogenous T kills off a bit of your own cellular over time permanently? However, at my age it could well be a race against time occurring anyway.
 
That's right @Vince. Clinical results, how the patient feels is the key to treatment. For me however, I can't really say I feel better on TRT, so I know how the OP feels. Another concern is when I have come off TRT (first injections then Clomiphene), my natural T came back at lower levels. Is it possible exogenous T kills off a bit of your own cellular over time permanently? However, at my age it could well be a race against time occurring anyway.
It can be a race against time. For most is it does seem that lower levels work best for most. Unless your goal is to just get a bigger physique.
 
That's right @Vince. Clinical results, how the patient feels is the key to treatment. For me however, I can't really say I feel better on TRT, so I know how the OP feels. Another concern is when I have come off TRT (first injections then Clomiphene), my natural T came back at lower levels. Is it possible exogenous T kills off a bit of your own cellular over time permanently? However, at my age it could well be a race against time occurring anyway.
What's your story man age reason treatment so far?
 
What's your story man age reason treatment so far?

First noticed, three-four years ago, slight loss of muscle mass and strength, particularly in legs, creeping loss of libido and erection quality. As Vince said, it is a race against time. But, I've been lucky to have been healthy all adult life, naturally muscular, never been overweight. I'll be 70 this year.
 

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TRT Hormone Predictor Widget

TRT Hormone Predictor

Predict estradiol, DHT, and free testosterone levels based on total testosterone

⚠️ Medical Disclaimer

This tool provides predictions based on statistical models and should NOT replace professional medical advice. Always consult with your healthcare provider before making any changes to your TRT protocol.

ℹ️ Input Parameters

Normal range: 300-1000 ng/dL

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Results will appear here after calculation

Understanding Your Hormones

Estradiol (E2)

A form of estrogen produced from testosterone. Important for bone health, mood, and libido. Too high can cause side effects; too low can affect well-being.

DHT

Dihydrotestosterone is a potent androgen derived from testosterone. Affects hair growth, prostate health, and masculinization effects.

Free Testosterone

The biologically active form of testosterone not bound to proteins. Directly available for cellular uptake and biological effects.

Scientific Reference

Lakshman KM, Kaplan B, Travison TG, Basaria S, Knapp PE, Singh AB, LaValley MP, Mazer NA, Bhasin S. The effects of injected testosterone dose and age on the conversion of testosterone to estradiol and dihydrotestosterone in young and older men. J Clin Endocrinol Metab. 2010 Aug;95(8):3955-64.

DOI: 10.1210/jc.2010-0102 | PMID: 20534765 | PMCID: PMC2913038

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