Libido

Low libido is one of the most common reasons men turn to TRT, and also one of the most common complaints among men already on TRT who feel physically better but sexually flat. Discussions in this tag explore the multiple drivers: estradiol too high or too low, suppressed DHT, elevated prolactin, HPA-axis effects from long-term suppression, DHEA depletion, and protocol design choices like injection frequency. Members share what worked for them, including HCG addition, scrotal cream or DHT gel trials, PT-141, Cialis daily, and targeted E2 management.
  1. madman

    How Does My Metabolic Health Affect My Sexual Health?

    There are many benefits to maintaining strong metabolic health, including weight management, a strong immune system, and reduced risk for chronic disease. But what does your metabolic health have to do with your sexual health? Ask a Sexpert! In this video, Dr. Taylor Kohn unpacks the impact of...
  2. M

    Bloodtests and low libido, fatigue

    Im experiencing low libido and fatigue. Could these bloodtests be cause for the symptoms or is the problem likely elsewhere? SHBG 99 nmol/l, ref range 18-54 nmol/l free testosterone 369 pmol/l, ref range 220-800 pmol/l total testosterone 40,7 nmol/l, ref range 9,2-31,8 nmol/l estradiol 0,10...
  3. madman

    He Lost His Drive. Is It His Testosterone?

    You've watched him pull away and wondered if something is actually wrong with his body — and you were right to wonder. Dr. Arthur Burnett, Johns Hopkins urologist, breaks down exactly what testosterone does (and doesn't) do for men's drive, erections, and mood — and why a basic blood test isn't...
  4. J

    Have tried every protocol under the sun. No Libido, ED, good labs

    Good afternoon, I've been on TRT for little over 3 years and have tried every protocol under the sun, without ANY success. I am now in a phase where I realize I might need professional help, so if anyone has any online doctors that they would recommend and are ok with me doing UGL, please let...
  5. M

    Low libido and ED

    Hi All, New here so hopefully posting in the right bit. I've always struggled to stay hard like a rock but been on Citalopram for 6months and propranalol for a couple of years and now its worse than ever. I've attached my blood test results. Are there any red flags there? Im 35 years old...
  6. L

    ED + Libido issues on HCG monotherapy, desperate for help. Bloodwork included.

    Hey everyone, looking for input from people with experience on HCG monotherapy or similar protocols. Background: 31 year old male, healthy, fit, good diet, exercise regularly, sauna. No prior ED issues, could get and maintain erections for sex without any issues before starting. Protocol: HCG...
  7. madman

    Assessing the Decline in Libido: Hormonal Complexity, Vascular Health, and Psychosocial Stress

    https://www.bocaratontribune.com/bocaratonnews/2026/04/assessing-the-decline-in-libido-hormonal-complexity-vascular-health-and-psychosocial-stress/ ED is multifactorial and vascular issues are the most common cause. T plays a small role! * only about 5% or less of erectile dysfunction is...
  8. madman

    Estradiol is an essential metabolite of T: if you want to have a hard on you need ESTRADIOL!

    Important case study! Listen closely 10:40-40:35 * if you want to have a hard on you need ESTRADIOL! KEY POINTS * aromatase and estradiol are important for men's health * estradiol is an ESSENTIAL METABOLITE of T * I show you on this slide that most of the beneficial actions of...
  9. madman

    The Most Important Conversation You’ll Ever Hear About Women’s Health

    This episode is a MUST listen. Mel calls it one of the most important conversations she has ever had on The Mel Robbins Podcast. Most women don’t know this, and this information could save the life of a woman you love. If you are thinking you’re “fine,” while quietly suffering through...
    • madman
    • Thread
    • hormones Libido menopause Pelvic Floor Disorders sexual health
    • Replies: 0
    • Forum: HRT in Women
  10. S

    I have to switch from TRT to HCG monotherapy every 6 to 9 months to get my libido back. Does anyone know what is happening and how I can avoid this?

    As the title says... after years and years I have figured out this vicious cycle and I do not understand it. Every 6 to 9 months my libido just tanks and I need to go on HCG monotherapy for 3/4 weeks at 1000iu MWF. My sex drive begins to build by the end of week 1 and then comes raging back...
  11. C

    Post TRT - Libido is DEAD :(

    I was on TRT for 3 years and stopped 7 weeks ago. Since stopping, my libido has been completely dead. Symptoms: no wet dreams no morning erections zero libido zero interest in sex I can still get an erection if I want energy level is good Recovery meds: Clomid for 5 weeks past 2 weeks...
  12. phalloguy100

    Strattera side effects?

    Hi everyone! It's been a while! I recently started atomaxetin (strattera) for ADHD and to relieve minor anxiety. That is in addition to low dose concerta amd Wellbutrin (depression). At first, with low doses, I noticed a sudden increase in libido but only during the first week. A month later...
  13. madman

    Low Sexual Desire in Men: Treatments & GLP-1 Impact

    *This discussion explores why libido is frequently ignored and how it differs from arousal, performance, orgasm, and ejaculation. It highlights the brain as the primary sexual organ and explains how psychological factors such as stress, anxiety, depression, and chronic fatigue can significantly...
  14. madman

    FDA approves flibanserin for hypoactive sexual desire disorder in postmenopausal women

    * With the approval today, flibanserin becomes the first and only treatment of its kind for women younger than 65 years, Sprout Pharmaceuticals noted. Key Takeaways Flibanserin (Addyi) is now approved for treating HSDD in postmenopausal women, expanding its previous indication for...
    • madman
    • Thread
    • female viagra Flibanserin Hsdd Libido
    • Replies: 0
    • Forum: HRT in Women
  15. W

    Best Analysis of My Case

    After 30 years of struggling with libido and ED and seeing many top specialists and trying it all. I just received the best consultation I think I have ever had. A synopsis of exactly how I feel with a new approach clearly outlined - now to see if it will work. Who provided the consultation...
  16. R

    TRT Review - Low SHBG, High E2, Crashing Libido

    Hey guys, Looking for some advice on my TRT protocol. I'm 21, had testicular cancer last year (orchiectomy + chemo, now in remission). Been on TRT for about 3 months, trying to dial it in since I'm still having issues. Here's the situation: Complaint: Zero libido, some anhedonia, water...
  17. S

    Help with interpreting blood results

    Hi guys Further to the great support received previously I was hoping some of you would be able to look at the results from my recent bloods and offer some feedback. Overview- had numerous issues since starting TRT with little to no benefit. Following the great advice of some members I...
  18. J

    Telmisartan impact on TRT

    I recently started taking 40 mg of Telmisartin 2 1/2 weeks ago. My blood pressure has been extremely high since I got Covid at the end of July. It topped out at 170/100 on my doctors visit three weeks ago, and it was time to start some meds as always, I come here because the people on here seem...
  19. madman

    Menopause, Myths, and the Fight for Women’s Dignity

    What if aging wasn't about being discarded, but about reclaiming your dignity and power? In this powerful episode of Innovate and Elevate, host Sharon Kedar sits down with her personal doctor, Dr. Rachel Rubin, a board-certified urologist and sexual medicine specialist. Dubbed "The Women's...
    • madman
    • Thread
    • hrt Libido Menopause/aging testosterone
    • Replies: 0
    • Forum: HRT in Women
  20. 4

    ED/low libido even with TRT

    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...
  21. madman

    The Little Pink Pill & The Big Fight for Women’s Sexual Health

    Cindy Eckert, CEO and Founder of Sprout Pharmaceuticals, made history by bringing Addyi — the first and only FDA-approved drug for hypoactive sexual desire disorder (HSDD) in women, also known as low libido — to market. In 2015, Eckert sold Sprout Pharmaceuticals for a record-breaking $1...
  22. madman

    Sexual Health Myths Busted: Libido, Erections, Ejaculation & Men’s Wellness

    Its all about jacking that FT up though BRUH.....LMFAO! Hitting the nail on the head here! * 02:46 Understanding Libido and Erection Myths In this episode, Dr. Joshua Gonzalez discusses various myths surrounding sexual health, including misconceptions about libido, erections...
  23. M

    My protocol managing hct and libido

    Not sure if I shared this but I have been on this for years: Protocol: 18mg sustanon EOD FSH 75 EOD HCG 500 EOD Also I use Wellbutrin 150 lx (from time to time) although affects your sleep a bit but the benefits and extreme pleasure I get when climax happens equals a bomb. I wrote a post about...
  24. madman

    The Truth About Low Sex Drive in Men: Testosterone, Stress, and Psychology Exposed

    In this episode, Dr. Brandon and Dr. Morgentaler talk about low libido in men, and how psychological, physical, and emotional factors can all play a role in a guy’s desire—or lack thereof. Chapters 00:22 – Understanding Low Libido in Men Low libido means not feeling the urge for sex, even...
  25. S

    How can I regain my libido without side effects?

    I'm suffering from low libido. I've tried Clomid which helped but it caused hair loss where i saw my hairs in the shower tub. I'm hesitant in trying it again. What can I do in order to regain my libido without causing any hair loss? When it comes to low libido, should I consult with a uro or...
  26. J

    Does anyone else have zero libido without HCG?

    I have had no libido in all my 10 years of trt after trying every dose and frequency. I accepted my date that I will never have a libido again until I ran across a post by Nelson vergel by him only able to regain his libido by using hcg so a month ago I started, I may have the first real libido...
  27. madman

    Hormone Replacement Therapy in Menopause: Risks, Benefits, & Myths

    Menopause isn’t just a diagnosis—it’s a transition, and the way we treat it needs to change. Dr. Kelly Casperson joins Dr. Suzette Sutherland in this urogynecology crossover episode of BackTable to challenge outdated beliefs about menopause and hormone replacement therapy (HRT). They revisit the...
    • madman
    • Thread
    • hrt Libido Menopause/aging testosterone
    • Replies: 5
    • Forum: HRT in Women
  28. madman

    Testosterone/Estradiol Ratio: The Hidden Key to Low Libido in Men with Sexual Dysfunction?

    Poster 149: Testosterone/Estradiol Ratio and Low Libido in Men with Sexual Dysfunction Title TESTOSTERONE: ESTRADIOL RATIO A STEP FORWARD TOWARDS THE UNDERSTANDING OF LOW LIBIDO IN MEN WITH SEXUAL DYSFUNCTION Authors Rodrigo Freddi, Rubens Neto, Joao Gismondi, Romulo Nunes, Jose de Bessa...
  29. madman

    How Women Can Have Better Sex: The Truth About Libido & Intimacy with Dr. Amy Pearlman

    What does it really take for women to have better sex? From shifting hormones to low libido to emotional connection, we’re breaking down the science around women’s sexual health. Miami urologist Dr. Amy Pearlman is back for another podcast episode to explain how WOMEN can have better sex. It's a...
    • madman
    • Thread
    • Intimacy Libido sex sexual health
    • Replies: 0
    • Forum: HRT in Women
  30. S

    Please check out my testosterone test results!!

    I received my T results among other test results posted below and want to know if theyre normal for a man of 54 years of age suffering from ED and low libido... Testosterone: 506 Prostate-Specific Ag: 2 Hemoglobin A1c: 5 ALT (SGPT): 8 Alkaline Phosphatase: 73 Bilirubin, Total: 0.7 Globulin...
  31. madman

    Dr. Susan Davis' Revolutionary Work on Menopause and Hormones

    Breaking Barriers in Women's Health: Dr. Susan Davis' Revolutionary Work on Menopause and Hormones Key Insights: Dr. Susan Davis, a trailblazing endocrinologist and researcher, is dedicated to advancing the understanding of women's health, focusing on menopause and hormone therapy. Her...
    • madman
    • Thread
    • hrt Libido Menopause/aging testosterone
    • Replies: 0
    • Forum: HRT in Women
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Libido

Libido Low libido is one of the most common reasons men turn to TRT, and also one of the most common complaints among men already on TRT who feel physically better but sexually flat. Discussions in this tag explore the multiple drivers: estradiol too high or too low, suppressed DHT, elevated prolactin, HPA-axis effects from long-term suppression, DHEA depletion, and protocol design choices like injection frequency. Members share what worked for them, including HCG addition, scrotal cream or DHT gel trials, PT-141, Cialis daily, and targeted E2 management.

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