How many of you have had libido / ED issues while on TRT ?

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blitz_silvia

New Member
Just like to know how many guys have had libido or ED issues while on TRT, what was the issue and how or if you were able to resolve it, is it stable or do the issues fluctuate?

So many stories to read through I thought it could be simplified into a thread simply saying what the issue was and how it was resolved.

I have noticed on 125mg test e, every 5th day after the first few months libido dropped and EQ became weak, adding HCG seems to work at 250iu mon/wed/fri but i am not entirely sure why as I haven't had bloods yet,

Adding proviron did help, until i stopped the HCG.

My guess is that the T to E ratio became off, E prob too low. (proviron maybe helped push the E too low?)

Anyways please share your experience.
 
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CoastWatcher

Moderator
As Gene noted, and you surmised, it is more than likely an estrogen issue. You wrote that you ha en't had blood drawn, when is it due? If your testosterone and estradiol levels/ratio are imbalanced that will tell the tale. Splitting your 125mb injection of testosterone into smaller, more frequent injections can have a dramatic effect. Rather than 125mg every five days, have you considered 60mg every 3.5 days?
 

Vince

Super Moderator
Just like to know how many guys have had libido or ED issues while on TRT, what was the issue and how or if you were able to resolve it, is it stable or do the issues fluctuate?

So many stories to read through I thought it could be simplified into a thread simply saying what the issue was and how it was resolved.

I have noticed on 125mg test e, every 5th day after the first few months libido dropped and EQ became weak, adding HCG seems to work at 250iu mon/wed/fri but i am not entirely sure why as I haven't had bloods yet,

Adding proviron did help, until i stopped the HCG.

My guess is that the T to E ratio became off, E prob too low. (proviron maybe helped push the E too low?)

Anyways please share your experience.

Since starting TRT I've never had a problem with low libido, my libido has been very strong. I inject testosterone every 3 1/2 days along with 500 iu of HCG - no AI. I do use daily Cialis and it does made for great sex :)
 

ERO

Member
I have never had elevated E2, (I am a super low converter) but my low libido and ED have not appreciably improved on 5 years of TRT. I do have low SHBG though, which makes everything TRT related work less well that it would otherwise. Tri-Mix definitely works, but when your libido to moderate at best you don't have a burning need to use it. Daily Cialis as part of Gene's stack doesn't really do much for me, either.
 

HarryCat

Member
I've been on TRT for 3 years. I have normal SHBG, E2 has been managed to be in the optimal range, I've tried different TRT levels from mid range to the top of the range and I don't normally get any boost in libido or improvement in ED, except when I stop TRT for 1- 2 weeks to let my levels tank, and then restart again. A week or 2 after restarting I get good libido and zero ED issues for maybe 5 days before they disappear again. The only explanation I've gotten from a doctor is that my receptors just get easily overwhelmed with T and DHT and that by stopping they become re-sensitized to it.
 
ED seems to be the last and toughest piece and honestly I don't see many men that don't still require one of the PDE5 inhibitors in order to be successful in that area. I would hardly agree with any one that says my libido is strong and everything is great, if they still need PDE5's, that simply back peddles their own statement on the subject. I haven't seen many men that DON'T rely on PDE5s (or TriMix), I think that those meds simply work better and more reliably.
 

hdrider

Member
New to TRT (2 months in), and problems with both ED and libido, same as before TRT, although feel MUCH better otherwise.

Protocol is compounded T gel with DHEA, and daily HCG.

Still working to get dialed in. T levels are excellent, E2 (sensitive) tested high, and doc put me on anastrozole/DIM. But had some weird side effects. The doc cut the Anastrozole dose, and just restarted on that, so we'll see.
 

CoastWatcher

Moderator
ED seems to be the last and toughest piece and honestly I don't see many men that don't still require one of the PDE5 inhibitors in order to be successful in that area. I would hardly agree with any one that says my libido is strong and everything is great, if they still need PDE5's, that simply back peddles their own statement on the subject. I haven't seen many men that DON'T rely on PDE5s (or TriMix), I think that those meds simply work better and more reliably.

I agree with this. While TRT has restored my libido, there's no question that without Cialis I would be fighting, and possibly losing, the ED battle. PDE5s are a necessary cost of admission.
 

blitz_silvia

New Member
Usually a symptom of elevated estrogen.

What were your levels using the Sensitive asssy?

Not even sure i can get the sensitive done here in Phuket.

Here's something that might be interesting, before i had ever taken anything, TRT or steroids, I went to a doc in Australia to check my levels, My natural test level was somewhere around 450 and my e2 was almost at 100,

I had long suffered anxiety, mild depression, brain fog.

The doc put me on arimidex at 1mg ED for the first month, which got me down to around the 20 mark, (few years back now, bad memory)

Anyways, 1mg per day had no negative effect on my libido either. And yes i know its a huge dose.

I also felt better anxiety was way less, felt more like a man too haha.

The only thing I know now is that last blood test I had, off of everything for months came back with:
Test 327 ng/dL and Estradiol 6.9 pg/mL

Libido was non existent at this stage.

Seem like my estrogen was super low now even though my testosterone is slightly lower than it used to be, could the long term use of Arimidex change my bodys conversion permanently ??

Since being back on TRT ive had no real issues, but nothing crazy libido wise, however i recently ran some HCG and proviron for a couple weeks, libido went super high, and as soon as I stopped the HCG i had lost libido again.
 

CoastWatcher

Moderator
The sensitive assay the sensitive assay is almost impossible to come by outside of the U.S. Are you essentially doing a self-directed hormone replacement protocol?
 

blitz_silvia

New Member
The sensitive assay the sensitive assay is almost impossible to come by outside of the U.S. Are you essentially doing a self-directed hormone replacement protocol?

Yes I am, I dont trust any doctors here, or most things for that matter haha.

Would there be much point in splitting test enanthate into 60mg every 3.5 days? I figured a slow ester should be fine once every 5th day, Ive seen doctors administer 1ml (250mg) testosterone once a week or once every 2 weeks :/

I'm planning to cycle on and off of small doses of HCG as it worked for me last time, just having difficulty with supply at the moment, normally not a problem.

Failing that ill try smaller more frequent test injections, sub-q injects and lower doses also.

Failing that ill come off the test do a restart protocol and go back on the test, seems like I may have to do that once every 4-6 months.

I have a feeling stopping HCG and then bumping up the proviron was the culprit though.
 

CoastWatcher

Moderator
Yes I am, I dont trust any doctors here, or most things for that matter haha.

Would there be much point in splitting test enanthate into 60mg every 3.5 days? I figured a slow ester should be fine once every 5th day, Ive seen doctors administer 1ml (250mg) testosterone once a week or once every 2 weeks :/

I'm planning to cycle on and off of small doses of HCG as it worked for me last time, just having difficulty with supply at the moment, normally not a problem.

Failing that ill try smaller more frequent test injections, sub-q injects and lower doses also.

Failing that ill come off the test do a restart protocol and go back on the test, seems like I may have to do that once every 4-6 months.

I have a feeling stopping HCG and then bumping up the proviron was the culprit though.

Sixty milligrams every 3.5 days is an excellent protocol, it is the one I follow. I post total testosterone values slightly over 100o. My E2 measured via the sensitive test floats between 27 and 32 - no AI. feel great. Any doctor who administers testosterone every two weeks is a fool, and anyone administering 250mg to a patient every week is not very bright either. The goal of testosterone replacement therapy is to produce/reproduce physiological levels of testosterone, not to drive a man's levels into supraphysiological range. What was your testosterone level before the start of therapy? What prompted you to seek out TRT?
 

blitz_silvia

New Member
Sixty milligrams every 3.5 days is an excellent protocol, it is the one I follow. I post total testosterone values slightly over 100o. My E2 measured via the sensitive test floats between 27 and 32 - no AI. feel great. Any doctor who administers testosterone every two weeks is a fool, and anyone administering 250mg to a patient every week is not very bright either. The goal of testosterone replacement therapy is to produce/reproduce physiological levels of testosterone, not to drive a man's levels into supraphysiological range. What was your testosterone level before the start of therapy? What prompted you to seek out TRT?

Do you use HCG with that protocol?, sounds pretty good to me.

Before therapy I was at around 450 i think, but after a few years of steroid abuse it never seems to return higher than 327 and my libido has ever since been up and down.

The thing that worked best for me was HCG, just not sure if it will work in the long term.

My estrogen was naturally high but libido was always fine. Ill get some bloods done end of this month.
 
I for one have had very steady levels now for a couple years with TRT hcg etc. libido is good but still struggle with some ED Low dose cialis and doxasosin help but only 100% guarantee is trimix.
 
As Gene noted, and you surmised, it is more than likely an estrogen issue. You wrote that you ha en't had blood drawn, when is it due? If your testosterone and estradiol levels/ratio are imbalanced that will tell the tale. Splitting your 125mb injection of testosterone into smaller, more frequent injections can have a dramatic effect. Rather than 125mg every five days, have you considered 60mg every 3.5 days?

Since starting TRT I've never had a problem with low libido, my libido has been very strong. I inject testosterone every 3 1/2 days along with 500 iu of HCG - no AI. I do use daily Cialis and it does made for great sex :)
Vince, What is cialis ?
 

Vince

Super Moderator
Vince, What is cialis ?




Tadalafil is PDE5 inhibitor marketed in pill form for treating erectile dysfunction (ED) under the name Cialis, and under the name Adcirca for the treatment of pulmonary arterial hypertension. In October 2011 the U.S. Food and Drug Administration (FDA) approved Cialis for treating the signs and symptoms of benign prostatic hyperplasia (BPH) as well as a combination of BPH and erectile dysfunction (ED) when the conditions coincide. It initially was developed by the biotechnology company ICOS, and then again developed and marketed world-wide by Lilly ICOS, LLC, the joint venture of ICOS Corporation and Eli Lilly and Company. Cialis tablets, in 2.5 mg, 5 mg, 10 mg, and 20 mg doses, are yellow, film-coated, and almond-shaped. The approved dose for pulmonary arterial hypertension is 40 mg (two 20-mg tablets) once daily.
Tadalafil is also manufactured and sold under the name of Tadacip by the Indian pharmaceutical company Cipla in doses of 10 mg and 20 mg.
On November 21, 2003 the FDA approved tadalafil (as Cialis) for sale in the United States as the third ED prescription drug pill (after sildenafil citrate (Viagra) and vardenafil Hydrochloride (Levitra)). Like sildenafil and vardenafil, tadalafil is recommended as an 'as needed' medication. Cialis is the only one of the three that is also offered as a once-daily medication.
Moreover, tadalafil was approved in May 2009 in the United States for the treatment of pulmonary arterial hypertension and is under regulatory review in other regions for this condition. In late November 2008, Eli Lilly sold the exclusive rights to commercialize tadalafil for pulmonary arterial hypertension in the United States to United Therapeutics for an upfront payment of $150 million.https://en.wikipedia.org/wiki/Tadalafil
 

Superman

New Member
my ED issues stem from my penis being desensitized by something in my protocol. I was thinking it was adex but I stopped taking that a couple of weeks ago and I still have the issue so all that leaves is HCG or the Cyp. Dr makes tweaks whenever we have an appt but nothing has worked yet.
 
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