ED/low libido even with TRT

42HRT

Member
I have been on 110mg a week of test cyp
and add 1500iu for HCG a week split in two doses for both.

I still have low libido/desire.
Last readings had be at total T of 770 at trough and E2 at 51.
I believe it may be more of a sensitivity issues than anything.
As I have noticed when I take THC gummies sensitivity and libido increases.
So its not a physical issue getting hard. More of getting to that point.
I also notice a numbness when I do orgasm since TRT.

Anybody else had this and found a solution?
 
What you are describing is more common than you might think. A few things come to mind that may help. For one, that is a very large dose of HCG. You would be better off to break it into 3-4 weekly doses of 250-300 IU's.

You didn't mention your age.

Have your prolactin levels checked, elevated prolactin can cause those symptoms. If they are high, schedule an appointment with your doctor to explore the possible cause.

Are you on any depression meds? Make a list of all of your medications and supplements and do research on side effects.

It sounds like a possible neurotransmitter issue. Here are some easily to source things to try:

1. 500 mg of L Tyrosine taken with B6
2. Yohimbine HCL
3. Mucuna Pruriens (after you get your prolactin checked, not before)
4. Bacopa

Your E2 seems high, but you didn't provide the type of test and the testing method so that's just a guess. Elevated E2 can cause those symptoms as well.

This is just a start. You need to provide a bit more info.
 
What you are describing is more common than you might think. A few things come to mind that may help. For one, that is a very large dose of HCG. You would be better off to break it into 3-4 weekly doses of 250-300 IU's.

You didn't mention your age.

Have your prolactin levels checked, elevated prolactin can cause those symptoms. If they are high, schedule an appointment with your doctor to explore the possible cause.

Are you on any depression meds? Make a list of all of your medications and supplements and do research on side effects.

It sounds like a possible neurotransmitter issue. Here are some easily to source things to try:

1. 500 mg of L Tyrosine taken with B6
2. Yohimbine HCL
3. Mucuna Pruriens (after you get your prolactin checked, not before)
4. Bacopa

Your E2 seems high, but you didn't provide the type of test and the testing method so that's just a guess. Elevated E2 can cause those symptoms as well.

This is just a start. You need to provide a bit more info.
I’m 44.
My prolactin was checked prior to trt and it was 8. Lower middle of range.
I might try to lower hcg. But that’s likely not the cause as I had this going on before hcg
No depression meds.
The test was estridol and yes it’s higher than pre trt. Which was in the 20s.
I just took another estrogen test today. Will post results.
Thanks for the supplement advice
 
I had another estrogen/estriol test.
it was 49.7 pg/ml
High, but probably not high enough to cause ED considering total T is 770 at trough
@BadassBlues Per your advice. I started 500 mg L Tyrosine per day taken on empty stomach in morning. What is the theory of adding B6? And how much B6?
Thank you
 
I had another estrogen/estriol test.
it was 49.7 pg/ml
High, but probably not high enough to cause ED considering total T is 770 at trough
@BadassBlues Per your advice. I started 500 mg L Tyrosine per day taken on empty stomach in morning. What is the theory of adding B6? And how much B6?
Thank you
The active form of B6 is P-5-P:


Role as a coenzyme​

PLP acts as a coenzyme in all transamination reactions, and in certain decarboxylation, deamination, and racemization reactions of amino acids.<a href="Pyridoxal phosphate - Wikipedia"><span>[</span>6<span>]</span></a> The aldehyde group of PLP forms a Schiff-base linkage (internal aldimine) with the ε-amino group of a specific lysine group of the aminotransferase enzyme. The α-amino group of the amino acid substrate displaces the ε-amino group of the active-site lysine residue in a process known as transaldimination. The resulting external aldimine can lose a proton, carbon dioxide, or an amino acid sidechain to become a quinonoid intermediate, which in turn can act as a nucleophile in several reaction pathways.

In transamination, after deprotonation the quinonoid intermediate accepts a proton at a different position to become a ketimine. The resulting ketimine is hydrolysed so that the amino group remains on the complex.<a href="Pyridoxal phosphate - Wikipedia"><span>[</span>7<span>]</span></a> In addition, PLP is used by aminotransferases (or transaminases) that act upon unusual sugars such as perosamine and desosamine.<a href="Pyridoxal phosphate - Wikipedia"><span>[</span>8<span>]</span></a> In these reactions, the PLP reacts with glutamate, which transfers its alpha-amino group to PLP to make pyridoxamine phosphate (PMP). PMP then transfers its nitrogen to the sugar, making an amino sugar.

PLP is also involved in various beta-elimination reactions such as the reactions carried out by serine dehydratase and GDP-4-keto-6-deoxymannose-3-dehydratase (ColD).<a href="Pyridoxal phosphate - Wikipedia"><span>[</span>8<span>]</span></a>

It is also active in the condensation reaction in heme synthesis.

PLP plays a role in the conversion of levodopa into dopamine, facilitates the conversion of the excitatory neurotransmitter glutamate to the inhibitory neurotransmitter GABA, and allows SAM to be decarboxylated to form propylamine, which is a precursor to polyamines.

Effects on Prolactin

Once vitamin B6 is converted to P-5-P, it increases dopamine in the brain. The rise in dopamine lowers prolactin [43].

Bodybuilders report benefits from P-5-P during or after cycles. Anecdotally, it helps prevent gynecomastia (abnormal breast growth) by lowering prolactin levels. Some prefer it over taking L-DOPA.

One pilot study suggests they might be right. In six healthy people, vitamin B6 infusions before exercise increased growth hormone levels and decreased prolactin levels, compared with placebo.


Try 250 MG of P-5-P and 500 MG of L-Tyrosine. Avoid other stimulants while taking this as it may exacerbate the effects. This really helps with orgasm intensity.
 
The active form of B6 is P-5-P:


Role as a coenzyme​

PLP acts as a coenzyme in all transamination reactions, and in certain decarboxylation, deamination, and racemization reactions of amino acids.<a href="Pyridoxal phosphate - Wikipedia"><span>[</span>6<span>]</span></a> The aldehyde group of PLP forms a Schiff-base linkage (internal aldimine) with the ε-amino group of a specific lysine group of the aminotransferase enzyme. The α-amino group of the amino acid substrate displaces the ε-amino group of the active-site lysine residue in a process known as transaldimination. The resulting external aldimine can lose a proton, carbon dioxide, or an amino acid sidechain to become a quinonoid intermediate, which in turn can act as a nucleophile in several reaction pathways.

In transamination, after deprotonation the quinonoid intermediate accepts a proton at a different position to become a ketimine. The resulting ketimine is hydrolysed so that the amino group remains on the complex.<a href="Pyridoxal phosphate - Wikipedia"><span>[</span>7<span>]</span></a> In addition, PLP is used by aminotransferases (or transaminases) that act upon unusual sugars such as perosamine and desosamine.<a href="Pyridoxal phosphate - Wikipedia"><span>[</span>8<span>]</span></a> In these reactions, the PLP reacts with glutamate, which transfers its alpha-amino group to PLP to make pyridoxamine phosphate (PMP). PMP then transfers its nitrogen to the sugar, making an amino sugar.

PLP is also involved in various beta-elimination reactions such as the reactions carried out by serine dehydratase and GDP-4-keto-6-deoxymannose-3-dehydratase (ColD).<a href="Pyridoxal phosphate - Wikipedia"><span>[</span>8<span>]</span></a>

It is also active in the condensation reaction in heme synthesis.

PLP plays a role in the conversion of levodopa into dopamine, facilitates the conversion of the excitatory neurotransmitter glutamate to the inhibitory neurotransmitter GABA, and allows SAM to be decarboxylated to form propylamine, which is a precursor to polyamines.

Effects on Prolactin

Once vitamin B6 is converted to P-5-P, it increases dopamine in the brain. The rise in dopamine lowers prolactin [43].

Bodybuilders report benefits from P-5-P during or after cycles. Anecdotally, it helps prevent gynecomastia (abnormal breast growth) by lowering prolactin levels. Some prefer it over taking L-DOPA.

One pilot study suggests they might be right. In six healthy people, vitamin B6 infusions before exercise increased growth hormone levels and decreased prolactin levels, compared with placebo.


Try 250 MG of P-5-P and 500 MG of L-Tyrosine. Avoid other stimulants while taking this as it may exacerbate the effects. This really helps with orgasm intensity.
The Neurotransmitter Stack: Pyridoxal-5'-Phosphate + L-Tyrosine

L-Tyrosine is a precursor to L-DOPA, and L-DOPA gets converted to dopamine by AADC:


AADC is a P5P dependent enzyme. Thus, by combining L-Tyrosine with P5P, dopamine synthesis will be even more efficient.

In essence, they work synergistically. I have personally had great success with this stack. I have used it for years. But, as stated above, be cautious with other stimulants while taking it. L Tyrosine also increases thyroid output. Too much T3 is no bueno for sex. Also... if you are prone to temper outbursts be mindful of your mood. The combo is good by itself, just be careful of caffeine and energy drinks.
 
I had another estrogen/estriol test.
it was 49.7 pg/ml
High, but probably not high enough to cause ED considering total T is 770 at trough
@BadassBlues Per your advice. I started 500 mg L Tyrosine per day taken on empty stomach in morning. What is the theory of adding B6? And how much B6?
Thank you
Aside from the supplements, the information you are stating regarding your testosterone and estradiol (hopefully not estriol) test results are not enough to draw any kind of conclusion. To oversimplify, it's the amount of free testosterone that isn't bound to SHBG that matters. Total T levels are misleading.

It's up to you as to how much info you want to provide, but posting your labs or typing them in with the testing method used and the actual results would be beneficial as then we can see what type of tests were done (it matters) and the overall picture. If you post your labs, please remove any personal data.

@Cataceous
@madman
@FunkOdyssey
 
To oversimplify, it's the amount of free testosterone that isn't bound to SHBG that matters. Total T levels are misleading.
Yes, he needs to retest with SHBG. That E2 of 47, in a low SHBG context, could certainly be high enough to cause ED and loss of libido in some men. Then he'd be looking at dose reductions to sort that out, preferably starting with reducing or eliminating hCG as a first experimental step.
 
The Neurotransmitter Stack: Pyridoxal-5'-Phosphate + L-Tyrosine

L-Tyrosine is a precursor to L-DOPA, and L-DOPA gets converted to dopamine by AADC:


AADC is a P5P dependent enzyme. Thus, by combining L-Tyrosine with P5P, dopamine synthesis will be even more efficient.

In essence, they work synergistically. I have personally had great success with this stack. I have used it for years. But, as stated above, be cautious with other stimulants while taking it. L Tyrosine also increases thyroid output. Too much T3 is no bueno for sex. Also... if you are prone to temper outbursts be mindful of your mood. The combo is good by itself, just be careful of caffeine and energy drinks.
Too much T3 can decrease sexual function? I had no idea this was a thing. Very interesting. Do u have any info or vids that talks about this? Would love to check them out if u have them handy. If not it’s all good. I trust that u research stuff very well before making an assessment on something. Is there a specific aspect of sexual function that it can affect negatively?
 
Too much T3 can decrease sexual function? I had no idea this was a thing. Very interesting. Do u have any info or vids that talks about this? Would love to check them out if u have them handy. If not it’s all good. I trust that u research stuff very well before making an assessment on something. Is there a specific aspect of sexual function that it can affect negatively?
You may have read too much into that statement. Properly balanced T3 is essential for sexual function. L Tyrosine can increase thyroid levels and can cause hyperthyroid symptoms. This is dose dependent and selective among those who may be predisposed.


Hyperthyroidism​

In males, hyperthyroidism may increaseTrusted Source levels of the hormone SHBG, which can lead to increased levels of estrogen and reduced levels of circulating testosterone.
Some possible effects of hyperthyroidism in males include:
  • erectile dysfunction
  • premature ejaculation
  • psychiatric disturbances, such as irritability, depression, and anxiety

It is mainly anxiety and potential ED symptoms I was referring to.
 
@42HRT u could alway look into selegiline. It’s a drug that increases dopamine within the body. Dopamine and prolactin have an inverse relationship. Where if one goes down, the other goes up, and vice versa. Selegiline can enhance sexual function via it increasing dopamine, and again, thus usually lowering prolactin. I take it, and @BadassBlues takes it as well

It also has the added benefit of supposedly being one of the few drugs that actually increases longevity
 
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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.

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