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

    Libido, Dryness, Hormones & UTI's

    Do you struggle with low libido? Vaginal Dryness? UTI's? This episode is one of our most comprehensive conversations on women's sexual health. We speak with Dr. Rachel Rubin about all this and more. Dr. Rubin is a Urologist, Sexual Medicine Specialist, and assistant clinical professor in...
    • madman
    • Thread
    • hrt Libido sexual health utis Vagina
    • Replies: 1
    • Forum: HRT in Women
  2. madman

    Sexual Health and Perimenopause and Menopause

    Andrea Donsky, Nutritionist, Research and Menopause Educator, and Co-Founder of We Are Morphus, interviews Dr. James Simon. He's a board-certified obstetrician, gynecologist, and reproductive endocrinologist. He answers many of the questions you may not have asked about your sexual health in...
    • madman
    • Thread
    • Libido Peri-post Menopause sexual health
    • Replies: 1
    • Forum: HRT in Women
  3. madman

    Dr. Khera highlights TRAVERSE trial of testosterone replacement therapy

    "So far, we have only 2 published, which is the cardiovascular results, which showed no increase in cardiovascular events, and the sexual function results, showing improvements in libido, but not erectile function, in up to 2 years," says Mohit Khera, MD, MBA, MPH...
  4. E

    Would it be a mistake to try TRT? Attached bloodwork. 30 YO disappointing libido

    30 YO. 5’11” 150 lbs. workout 4x/week. Married with 2 kids. Experiencing a disappointingly low libido. I’ve been using Gene’s NO stack (Citrulline, Tadalafil) daily for the last few years to combat this successfully for the most part, but recently libido has been declining to a disappointing...
  5. madman

    Is There a Role for Topical or Oral PDE-5 Inhibition in Treating Female Sexual Dysfunction (FSD)?

    • madman
    • Thread
    • Clitoris Libido Pde-5i sexual dysfunction
    • Replies: 12
    • Forum: HRT in Women
  6. J

    Stanozolol for Sexual Function?

    I have post-finasteride sexual issues. I put them in 3 categories: 1. ED, 2. loss of libido, and 3. loss of sensitivity/increased refractory period/anorgasmia. The ED resolved on its own with time but the other 2 issues persisted. My doc suggested Stanozolol 2% Cream applied to the scrotum...
  7. madman

    What is new in female sexual medicine?

    https://www.issm.info/meetings/issm-podcasts/issm-podcast-season-1-episode-17 Listen to the latest ISSM Podcast. Sue Goldstein, the current President of the International Society of the Study of Sexual Health (ISSWSH), joins ISSM Podcast host Sameena Rahman to discuss "What is new in female...
    • madman
    • Thread
    • Arousal Desire hrt Libido orgasm testosterone
    • Replies: 2
    • Forum: HRT in Women
  8. madman

    The Secrets of Desire, Arousal & Sexual Well-Being

    Alexandra Stockwell interviews Dr. Rachel Rubin, a board-certified urologist and sexual medicine specialist, about desire, arousal, and sexual well-being. They discuss the importance of taking a biopsychosocial approach in sexual medicine and getting a thorough patient history. Dr. Rubin...
  9. L

    Mysterious libido issue after starting TRT

    Hi everyone, Curious to get some input as to what may be going on here. 28 male prior to TRT mostly very low energy and libido. Was at 270 total and 41 free test. Estrogen was fine. Started at 100 mg weekly spread across two doses. In weeks 4-5 I noticed a decent improvement in libido. I...
  10. madman

    Decreased Sexual Desire

  11. K

    Permanent ED from tamoxifen?

    Hello. So my doctor gave me tamoxifen for low t and I only took 5 pills (20mg) eod. Didn’t help with the symptoms only gave me severe loss of libido, ed and anhedonia. Then we changed to sustanon 250mg every 10 days. My doctor said symptoms of tamoxifen will go away in “couple of weeks” And I...
  12. L

    Why TRT are ruining my libido? Need help

    Hi, my name is Juan 35yo (M). I don't know if anybody can relate to me and my problem but everything started around 8 months ago when suddently, after three years on testosterone replacement, I lost my libido. It did never happened for three years till it happened. So for 8 months I've been...
  13. G

    What is the Salt Trick for Men ? : Salt, Healthy Blood Pressure Levels, and Libido.

    I just finished reading the book The Salt Fix, and it addresses many topics which have come up in various threads here so I am posting some highlights, along with a few other items not covered in the book. The book has been out about ten years and I have heard many podcasts with the author, but...
  14. madman

    How Testosterone and Libido Are Connected... But It's Complicated

    Megyn Kelly is joined by Dr. Mohit Khera, professor of urology and men's sexual health expert, to discuss the connection between testosterone and libido, how antidepressants can affect libido, the different ways to take testosterone, and more.
  15. FunkOdyssey

    Does hCG boost libido by stimulating 5-alpha-reductase?

    I started a previous thread to unravel the mystery of why hCG improves libido in some men, which generated some good discussion but didn't reach any firm conclusions: https://www.excelmale.com/forum/threads/libido-hcg-vs-higher-t-e2.25785/ Now comes a youtube video from Cortex Labs that claims...
  16. madman

    Four Questions You Should Ask About Sexual Health

    https://www.medscape.com/viewarticle/994553?form=fpf
    • madman
    • Thread
    • Arousal Libido orgasm pain sexual health
    • Replies: 0
    • Forum: HRT in Women
  17. J

    Addyi Experience

    I have post-finasteride sexual issues. I put them in 3 categories: ED, loss of libido, and loss of sensitivity/increased refractory period/anorgasmia. The ED resolved on its own with time but the other 2 issues persisted. I started Addyi and it's working very well for libido. I'd highly...
  18. madman

    Menopause & Your Sex Drive

    https://www.issm.info/meetings/issm-podcasts/issm-podcast-season-1-episode-14 Host Shelly Varod talks with Tami Rowen, a renowned obstetrician, and gynecologist, about menopause's impact on a woman's sex drive. Valuable insights shared.
    • madman
    • Thread
    • estrogen hrt Libido menopause testosterone
    • Replies: 0
    • Forum: HRT in Women
  19. A

    DHEA cures my libido but bloats me like crazy

    Basically title. DHEA levels came back low and started supplementing 25 mg nightly ( DEFY empower pharmacy ). Noticed a huge improvement in libido, but currently look like a bloated slob and confidence is shot. Gained 10 lbs in the two weeks since starting trt. 150 mg cyp/ week and .125 adex 2x...
  20. D

    HELP! Adjusting TRT Protocol-Acne, Libido, Low Free T

    Hello, I am 35 175lbs 5’11 and have been on TRT for 2 years. I have been trying to find my sweet spot and get dialed in the majority of the 2 years. I work out 6 days a week and eat very healthy etc…My current issues are: Back acne Oily face Low libido Testes and penis always feel cold and have...
  21. B

    6 months into TRT - minimal effects - no libido - thinking of stopping?

    So I'm going to preface this. Now that I know what I know from researching myself rather than just listening to doctors- I don't think I should have ever been put on TRT. About 4 years ago I started having massive fatigue, loss of motivation, couldnt bring myself to the gym, couldnt lose...
  22. B

    Having a rough time since I lowered my Test dose....

    I lowered my dose from 120mg (was on for over a year) slowly down to 90mg a week over a few months, just recently (2 weeks ago) split it into 3 times a week MWF 30 mgs per. SInce then I feel more emotional, depressed, anxious, my nipples are really sore, I am more TIRED and ACHY all over...
  23. Abonicex

    Can you give me feedback on my lab results? Why is my libido zero?

    You may have seen my other thread where I explained how I was feeling. These tests are pre TRT. I still don-t have post TRT results... I will get them soon. But maybe these can hint at what-s wrong with me? I have taken 3 shots by now. it's supposed to be 1 ml 250mg enanthate every 3 weeks...
  24. S

    Low Libido, crap erections

    I've spent two years on TRT. My numbers are dialed in at around 1000 T and about 38 E. I pin twice a week, sub-q, adding in HCG as well. No AI. I work out 4x a week, and take lots of walks. I sleep well. I still have very little sex drive anymore, and my ability to get an erection, which I...
  25. Y

    Low LH and Libido

    Long story short..I was on TRT for about a year with virtually no positive results. My primary goal was to increase my libido which it did not. I'm 55, about 180 pounds and generally in good health. I'm recently divorced and have been dating a very attractive young woman for about a year. For...
  26. T

    Dead dick , started TRT, help!

    So i’ve been having to use viagra pretty much every time I have sex, hide it from my girlfriend , as it’s pretty embarrassing to have to rely on. lately tho i’ve taken up to 100mg and it does diddly shit but give me wicked heart palps and high heart rate . I’ve also had no motivation and low...
  27. FunkOdyssey

    Kisspeptin Dosage

    Kisspeptin is looking increasingly promising for improving libido and sexual function. Check out this new study: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9898824/ Can anyone (@readalot ?) help me figure out what 1 nmol/kg of kisspeptin translates to in micrograms? That is the dose per...
  28. madman

    Truth About Testosterone and Your Libido

    https://www.yahoo.com/lifestyle/truth-testosterone-libido-185000725.html?soc_src=social-sh&soc_trk=tw&tsrc=twtr As an expert on andrology and sexual dysfunctions, urologist Andrew Y. Sun, M.D., sees plenty of patients who’re struggling with low libido. And most are pretty sure they already...
  29. madman

    First testosterone patch for menopausal women

    https://www.theguardian.com/society/2023/apr/03/first-testosterone-patch-for-menopausal-women-to-begin-clinical-trials-this-year
    • madman
    • Thread
    • Libido menopause Testosterone/hrt
    • Replies: 5
    • Forum: HRT in Women
  30. madman

    PART 2 - Hypoactive Sexual Desire in Young Women: What Women Want

    Presentation by Prof. Annamaria Giraldi at the ESSM 2023 congress round table: Hypoactive Sexual Desire in Young Women: What Women Want Prof. Giraldi is a Senior Consultant in Psychiatry in the Sexological Clinic at Psychiatric Center Copenhagen and Professor of Clinical Sexology at the...
    • madman
    • Thread
    • female viagra Flibanserin Hsdd Libido
    • Replies: 0
    • Forum: HRT in Women
  31. madman

    PART 3 - Hypoactive Sexual Desire in Young Women: What Women Want

    Introduction and presentation by Prof. Linda Vignozzi at the ESSM 2023 congress round table: Hypoactive Sexual Desire in Young Women: What Women Want Prof. Vignozzi is an Associate Professor of Endocrinology at the University of Florence and the president-elect of the International Society for...
    • madman
    • Thread
    • female viagra Flibanserin Hsdd Libido
    • Replies: 2
    • 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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