Zero libido & Severe ED on TRT - HELP!

Hi everyone,

I am desperately looking for some answers and direction here as doctors so far are unable to help or work out what's going on regarding my non existent libido and ED.

Below I have detailed a brief history to assist

• I am 25yo and currently on TRT, prescribed by an endocrinologist in Australia. I was diagnosed with ASIH (Anabolic steroid induced hypogonadism), after being unable to recover my natural testosterone following a competitive bodybuilding career.
• A pituitary MRI came back all clear, before I was put on HCG therapy for 3 months at 1500IU 3x a week. During this time my total testosterone went from 7 to 10 on a reference range of 12-32. Physically I felt no improvements and then was escalated to taking 1500IU of HCG daily for 2 weeks. After 2 weeks it increased to 20, but this was not sustainable and I continued to experience the same sexual dysfunction I had all along.
• Interestingly my testes did not 'blow up' in response to HCG, in the way they did several years prior when using it alongside anabolic steroids. The endo suggested there may be some testicular leydig tissue damage present that could explain this.
• In the past I have taken antidepressants and finasteride, but have been off these for some time. I am taking no other medications. It is important to note that the libido & ED issues were pre-existing for a long time before I ever took finasteride. Thyroid tests (FT3, FT4, TSH & antibodies) have all come back in the normal range. I have undertaken a testicular ultrasound to rule out any abnormalities, this came back all clear.
• My current protocol is 250mg of Primoteston (Testosterone Enanthate) administered once every 2 weeks. However, I was advised that weekly administration would be more beneficial, as I would avoid the peaks and troughs associated with the ester. I am currently following this.
• No attention has been paid to DHT or estrogen during my consults, and upon raising these concerns they were quickly dismissed. Prolactin was checked early on and was determined to be normal.
• I have been prescribed Viagra & Cialis during the process. Viagra did not touch me at any dose, but Cialis was mildly effective in terms of blood flow. Unfortunately sex is still impossible due to lack of desire.

At present I am looking for another specialist/endo in Australia who is willing to take me on and has the knowledge and expertise to help. Unfortunately we lack the technology and experience on TRT compared to the U.S, which poses serious problems when it comes to tweaking/fine tuning the regime to suit each individual.

Any and all opinions, suggestions or thoughts would be greatly appreciated.

Thank you in advance

regarding estradiol/dht
you should inject less but more often (100mg every week is more than enough to battle low T in some cases more is needed but 100mg weekly is good starting point) this will get rid of e2 and dht problems (mind you you might have low dht on testosterone injections it happens sometimes hence why some doctors prescribe addition testosterone cream/gel applied to scrotum if dht is indeed to low on your testosterone shots)
regarding your ed and libido issues
you have taken finasteride and antidepressants both knows to kill erections and libido finasteride can cause very long lasting effects that stay even after quitting drug post finasteride syndrom is real thing and some get it even from few pills.
us guys who have ASIH don't have stable success in regards to libido and erections with synthetic testosterone especially if you are young.. trt works better for older guys who have low t because of age or pituitiry, testicular dysfunction we have more libido on natural t even if it's lower but other low t symptoms (muscle gain, better outlook on life, more energy) we get them resolved better with trt thats my experience

lowe2sucks said:

regarding estradiol/dht
you should inject less but more often (100mg every week is more than enough to battle low T in some cases more is needed but 100mg weekly is good starting point) this will get rid of e2 and dht problems (mind you you might have low dht on testosterone injections it happens sometimes hence why some doctors prescribe addition testosterone cream/gel applied to scrotum if dht is indeed to low on your testosterone shots)
regarding your ed and libido issues
you have taken finasteride and antidepressants both knows to kill erections and libido finasteride can cause very long lasting effects that stay even after quitting drug post finasteride syndrom is real thing and some get it even from few pills.

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Hey mate,

I only took the finasteride for 28 days (1 month), then decided to discontinue in the interests of ruling out this as a variable. I was experiencing libido and ED problems long before I ever took finasteride, but I gather it would not have helped matters regardless. Just edited the original post to reflect this. Apologies for not clarifying earlier.

there are guys who took fina only for 3 days and got symptoms
example https://forum.propeciahelp.com/t/bad-mental-sides-only-took-drug-for-3-days/9404
if you indeed deal with pfs you shouldn't be on trt.. you will never get well on trt if the cause for you feeling off is pfs.. even guys with strong endocrine system and working glands have trouble recovering from it on trt it's 0 chances

I am one of those that crashed. I took the pill for 15 days in November, stopped it on the 17th. Felt like shit the next two weeks with adrenal fatigue symptoms (I had this from 2014-2016, that's why I was on testosterone cream with preg and t3). But the 3rd week after stopping I was back to my normal self, in the gym, productive week as a human being with night erections again.
Week 4, I started feeling shitty again- pregnenolone doses gave anxiety, and testosterone cream didn't feel the same. I noticed blood pressure (which I had been monitoring) moved from the 120-130 range to the 140-150 range. Yea something was up.
Week 5: Panic attacks, major anxiety, loss of nocturnal erections, loss of libido, crippiling fatigue, the worst racing thoughts and anxiety you could ever imagine.
This was around December 15th now. I decided to stay off drugs except my HRT and 5a-dhp for the rest of the month as I got bloodwork done. January was HRT with a mix of antidepressants (cyproheptadine, abilify omg this was hell, tianeptine), saw Jacobs who went right to his “ATIVAN- THE CURE FOR PFS” speech.

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my bad I didn't see you had libido and ed issues before fina.. in that case i have no idea but I am similar to you (ex bodybuilder) with ASIH. trt has not solved my libido and ed issues as I expected it to but resolved other low t symptoms. as I said I think for as ASIH young guys natural T works better for libido and erections but you will have other low t symptoms

zentech said:

Hi everyone,

I am desperately looking for some answers and direction here as doctors so far are unable to help or work out what's going on regarding my non existent libido and ED.

Below I have detailed a brief history to assist

• I am 25yo and currently on TRT, prescribed by an endocrinologist in Australia. I was diagnosed with ASIH (Anabolic steroid induced hypogonadism), after being unable to recover my natural testosterone following a competitive bodybuilding career.
• A pituitary MRI came back all clear, before I was put on HCG therapy for 3 months at 1500IU 3x a week. During this time my total testosterone went from 7 to 10 on a reference range of 12-32. Physically I felt no improvements and then was escalated to taking 1500IU of HCG daily for 2 weeks. After 2 weeks it increased to 20, but this was not sustainable and I continued to experience the same sexual dysfunction I had all along.
• Interestingly my testes did not 'blow up' in response to HCG, in the way they did several years prior when using it alongside anabolic steroids. The endo suggested there may be some testicular leydig tissue damage present that could explain this.
• In the past I have taken antidepressants and finasteride, but have been off these for some time. I am taking no other medications. It is important to note that the libido & ED issues were pre-existing for a long time before I ever took finasteride. Thyroid tests (FT3, FT4, TSH & antibodies) have all come back in the normal range. I have undertaken a testicular ultrasound to rule out any abnormalities, this came back all clear.
• My current protocol is 250mg of Primoteston (Testosterone Enanthate) administered once every 2 weeks. However, I was advised that weekly administration would be more beneficial, as I would avoid the peaks and troughs associated with the ester. I am currently following this.
• No attention has been paid to DHT or estrogen during my consults, and upon raising these concerns they were quickly dismissed. Prolactin was checked early on and was determined to be normal.
• I have been prescribed Viagra & Cialis during the process. Viagra did not touch me at any dose, but Cialis was mildly effective in terms of blood flow. Unfortunately sex is still impossible due to lack of desire.

At present I am looking for another specialist/endo in Australia who is willing to take me on and has the knowledge and expertise to help. Unfortunately we lack the technology and experience on TRT compared to the U.S, which poses serious problems when it comes to tweaking/fine tuning the regime to suit each individual.

Any and all opinions, suggestions or thoughts would be greatly appreciated.

Thank you in advance

Click to expand...

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zentech said:

Hi everyone,

I am desperately looking for some answers and direction here as doctors so far are unable to help or work out what's going on regarding my non existent libido and ED.

Below I have detailed a brief history to assist

• I am 25yo and currently on TRT, prescribed by an endocrinologist in Australia. I was diagnosed with ASIH (Anabolic steroid induced hypogonadism), after being unable to recover my natural testosterone following a competitive bodybuilding career.
• A pituitary MRI came back all clear, before I was put on HCG therapy for 3 months at 1500IU 3x a week. During this time my total testosterone went from 7 to 10 on a reference range of 12-32. Physically I felt no improvements and then was escalated to taking 1500IU of HCG daily for 2 weeks. After 2 weeks it increased to 20, but this was not sustainable and I continued to experience the same sexual dysfunction I had all along.
• Interestingly my testes did not 'blow up' in response to HCG, in the way they did several years prior when using it alongside anabolic steroids. The endo suggested there may be some testicular leydig tissue damage present that could explain this.
• In the past I have taken antidepressants and finasteride, but have been off these for some time. I am taking no other medications. It is important to note that the libido & ED issues were pre-existing for a long time before I ever took finasteride. Thyroid tests (FT3, FT4, TSH & antibodies) have all come back in the normal range. I have undertaken a testicular ultrasound to rule out any abnormalities, this came back all clear.
• My current protocol is 250mg of Primoteston (Testosterone Enanthate) administered once every 2 weeks. However, I was advised that weekly administration would be more beneficial, as I would avoid the peaks and troughs associated with the ester. I am currently following this.
• No attention has been paid to DHT or estrogen during my consults, and upon raising these concerns they were quickly dismissed. Prolactin was checked early on and was determined to be normal.
• I have been prescribed Viagra & Cialis during the process. Viagra did not touch me at any dose, but Cialis was mildly effective in terms of blood flow. Unfortunately sex is still impossible due to lack of desire.

At present I am looking for another specialist/endo in Australia who is willing to take me on and has the knowledge and expertise to help. Unfortunately we lack the technology and experience on TRT compared to the U.S, which poses serious problems when it comes to tweaking/fine tuning the regime to suit each individual.

Any and all opinions, suggestions or thoughts would be greatly appreciated.

Thank you in advance

Click to expand...

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For starters more frequent lower dose T injections, many here use daily injections.