8 months of libido issues. Need help

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Thekanezzi

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Hi dudes. Got myself into some libido trouble and need advice. For about 8 months my libido has been almost non existent which all started around a scrotal testosterone experiment. I use defy for my trt. I never had any libido or Ed issues prior to trt even at levels in the 200s. On trt multiple rounds and daily sex was the norm. E2 will seem low but I’ve always felt best at a T:E around 80-90.


Current protocol is and has been for ~4 years.

40mg test cyp eod sq
250iu hcg eod sq
.25mg adex


Can’t explain the variability you’ll see in my test levels but it has been my norm for the last 4 years. I don’t change dosages.



10/22/19 felt great. Started scrotal test cream because I’m dumb. Don’t fix what ain’t broke kids. Was seeking the calm confidence that many report with DHT and DHT like compounds. Initially felt amazing. Libido and energy great. Confidence up.

Inability to orgasm started after about 2 months. Suspected low e2 or pseudo low e2 from the DHT. Dropped scrotal test cream, adex for 6 weeks starting in April.

10/22/19
Testosterone, 1129 ng/dL 264-916

Free Testosterone 25.0 pg/mL 8.7-25.1

Dihydrotestosterone 87H ng/dL

DHEA 149.0 ug/dL 102.6-416.3

TSH 1.610 uIU/mL 0.450-4.500

Insulin-Like Growth Factor I 216 ng/mL 88-246

Estradiol, Sensitive 13.7 pg/mL 8.0-35.0

SHBG , Serum 27.6 nmol/L 16.5-55.9




5/18/20
Felt good libido and sexual function awful. Anorgansmia. Off scrotal testosterone for 1 month. Working out a lot. Good energy. Good attitude.

Testosterone 489 ng/dL

Free Testosterone 22.8 pg/mL

DHEA 254.0 ug/dL

TSH 1.630 uIU/mL

IGF 1 204 ng/mL

Vitamin D, 25-Hydroxy 65.1

Estradiol, Sensitive 25.5

Sex Horm Binding Glob, Serum 23.8 nmol/L




6/19/20. After the preceding months lab I bumped up my test dose by taking 3 shot extra for a total 250mg over 2 weeks. Still symptomatic and in addition to very low libido some ED developed. Felt like shit. Elbow tendonitis. Couldn’t work out. Grumpy. Ordered cialis 3mg qhs and started adex at regular dose and regular dose testosterone. Tried to get back to normal schedule but added cialis. Sleeping like SHIT


Testosterone, Serum 1220 ng/dL

Free Testosterone 29.3

Dihydrotestosterone 69

Estradiol, Sensitive 46.8



8/12/20

After those last labs I just stuck to the old faithful routine that I should have many months ago.

Cialis helped with ED but still have anorgasmia. Still going soft mid sex and very small libido. Weak orgasms when I can make it happen. 3 days before this test i started on 100mg or php and 400 vitamin E at night.

Feel a bit better here. Slightly more libido. Okay energy. Anorgasmia.

Testosterone 684

Free Testosterone(Direct) 19.9

Dihydrotestosterone 60

Prolactin 6.6 ng/mL 4.0-15.2

Estradiol, Sensitive 7.6


Please help me with some direction here. I plan to reach out to defy but want some ideas first.

Thanks!
 
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