Advise for 40s guy

[SashaWW]

Hi all

I am 46years old. I believe that I've always had a high libido, but thing started to change when I got to about 40 years old. I still think my levels are not low, but I want to get back to the days when I would have spontaneous erections in the street for example and not just morning wood. I'm single at the moment and I really need some more drive when I look at a woman these days I don't have the same feeling as a few years ago before, I need some extra motivation to flirt and approach these women.

My ejaculations also are not as good as before, unless I have been active at the gym, it can just dribble out with a disappointing orgasm.

Also my cock feels like a useless piece of skin between my legs these days.

Also, my drive at the gym has suffered, less energy, more inclination not to push myself and quite early.

As far as my mood goes, not good - I feel like I'm returning to the point I was at 25 years ago as a miserable youth. I also have more brain fog and can take me a few seconds to remember names and words now.

I know the general advice is "don't do it unless you are low". I did just a regular test recently and it was 500 and something Ndl? Not low. But still I'd rather go back to the same levels as 10 years ago.

Any advice appreciated.

 

[Systemlord]

I did just a regular test recently and it was 500 and something Ndl? Not low.

Not so fast, you didn't check the free testosterone, the Free T is the active stuff.

As men age, the Total T and SHBG rises, Free T lowers and this puts you at risk for developing prostate cancer and more aggressive prostate cancer and even delays the disease.

 

[SashaWW]

Not so fast, you didn't check the free testosterone, the Free T is the active stuff.

I checked it a couple years ago, I can't remember the reading, but it was almost at maximum in the range

 

[Systemlord]

checked it a couple years ago, I can't remember the reading, but it was almost at maximum in the range

You'd be surprised how fast things can change.

 

[SashaWW]

You'd be surprised how fast things can change.

Yeah it seems I should get free testosterone tested again. Also I am lifting lighter than a few years ago because some back issues started a couple of years ago. But even before that I was noticing the changes and started to feel more indifferent with regard to pursuing women

 

[Systemlord]

Yeah it seems I should get free testosterone tested again.

Add estrogen to your list of testing, estrogen is very important for erectile strength and libido.

You might even add prolactin to your list.

 

[SashaWW]

Add estrogen to your list of testing, estrogen is very important for erectile strength and libido.

Thanks, noted

 

[Systemlord]

Testosterone (Total + Free), Ultrasensitive Estradiol plus Hematocrit

This economical lab test panel includes the four tests more frequently ordered by men on TRT: Total Testosterone, Liquid Chromatography/ Mass Spectrometry (The most accurate testosterone test with no lower or upper limit).-Free Testosterone, Equilibrium D

www.discountedlabs.com

 

[Phil Goodman]

Low sex drive - check

Decreased motivation - check

Worsening erections - check

Muscle loss - check

Brain fog - check

Worsened sense of well-being - check




I’d be way more concerned about all of those symptoms than I would about a single snapshot of where my hormone levels are at a particular time.

 

[FangFang]

Get blood work. Don't start changing things! Get high resolution testing also. Post your results and let's go from there. You do not need to live like this whatsoever.

 

[SashaWW]

Yeah I have had enough, I'm going to see what's what then make a plan.

 

[xcraider37]

lol, good luck let me know if you find this magic elixir, trust me from experience trt is not going to get you back to walking in the wind erections @ 46. Let me know I’ve been looking to get back to my teen/twenty something self, hell I would even settle for my Pre 40’s self. Good luck in your quest/journey as we all are different.

 

[SashaWW]

lol, good luck let me know if you find this magic elixir, trust me from experience trt is not going to get you back to walking in the wind erections @ 46. Let me know I’ve been looking to get back to my teen/twenty something self, hell I would even settle for my Pre 40’s self. Good luck in your quest/journey as we all are different.

Well, I would be happy for things to be similar when I was about 38. That's when I considered that I had hit my peak as a man, physically and mentally. I still had a good sex drive then, I was dating women half my age, going to nightclubs regularly, approaching women on the street. Now I just can't be bothered.

 

[savefoxes]

Well, I would be happy for things to be similar when I was about 38. That's when I considered that I had hit my peak as a man, physically and mentally. I still had a good sex drive then, I was dating women half my age, going to nightclubs regularly, approaching women on the street. Now I just can't be bothered.

Yeah, you're getting older. Luckily, you can reverse it with the help of trt

 

[Aging Disgracefully]

I checked it a couple years ago, I can't remember the reading, but it was almost at maximum in the range

Higher ("almost at maximum") SHBG means lower free T.

 

[SashaWW]

Hi all

As promised, I got my total and free testosterone levels tested at last

My total testosterone is 14.3 nmol/l or 412 ng/dl

Free testosterone is 16.02 pg/ml with ref range 5.70 - 30.70

And to remind folks i'm 46 years old

What do you think?

thanks

 

[Golfboy307]

I had all of your same issues with a 350 -400 reading and Free T down around 10-12. Going on TRT helped me immensely.

 

[Systemlord]

My total testosterone is 14.3 nmol/l or 412 ng/dl

Studies show loss of libido and vigor below 15 nmol/L.

This study showed that the prevalence of loss of libido or vigor increased at testosterone concentrations below 15 nmol/L.

Recommendations on the diagnosis, treatment and monitoring of hypogonadism in men - PMC

Hypogonadism or Testosterone Deficiency (TD) in adult men as defined by low levels of serum testosterone accompanied by characteristic symptoms and/or signs as detailed further on can be found in long-recognized clinical entities such as Klinefelter ...

www.ncbi.nlm.nih.gov

 

[Systemlord]

Higher ("almost at maximum") SHBG means lower free T.

Maybe not.

what is the 2 % of Total Test

 

[BadassBlues]

Hi Sasha,

This is an interesting thread; you are now an official member of the "club". The club is made up of aging men looking to regain their youthful vigor. I too am a member, although just a bit older...

Testosterone is only a part of the equation, an important one, but not necessarily the silver bullet. Overall health, mental and emotional state, lifestyle, bad habits and other factors are key factors.

One thing I have determined about TRT is that exogenous testosterone alone has a propensity to alter emotional state. For lack of a better way to put it, it deadens emotional joy. I have experienced this, and years of reading this same story from other guys has solidified my opinion.

When Exo T is introduced to the body the pituitary stops making LH. The signal is broken due to the feedback loop being shut down. There are LH receptors located in other parts of the body and studies have shown a direct correlation to the central nervous system:

Neural actions of luteinizing hormone and human chorionic gonadotropin​

Z M Lei 1, C V Rao
Affiliations expand

• PMID: 11394198
• DOI: 10.1055/s-2001-13917

Abstract​

Luteinizing hormone (LH) and its homologue, human chorionic gonadotropin (hCG), are able to elicit multiple effects in the central nervous system (CNS) through binding to their receptors. Specific receptors for LH/hCG have been identified in the hippocampus, dentate gyrus, hypothalamus, cortex, brain stem, area postrema, cerebellum, choroid plexus, ependymal cells, glial cells, neural retina, pituitary gland, and neuron processes of the spinal cord. Neurotropic effects of LH and hCG have been demonstrated in fetal rat brain, where the expression of LH/hCG receptors is developmentally regulated. Administration of hCG has been found to be beneficial in restoration of transected spinal cord function in rats. In adult rat brain, LH and hCG are involved in the feedback regulation of synthesis and secretion of gonadotropin-releasing hormone (GnRH) in the hypothalamus and LH in the pituitary gland. LH and hCG also induce several behavioral and other changes that are associated with the hippocampus, which contains the highest density of LH/hCG receptors. Many of the behavioral changes induced by hCG in rats parallel those in pregnant women. Some of these behavioral effects are correlated with changes of eicosanoid metabolism induced by LH and hCG in the brain. The LH/hCG receptors present in the choroid plexus, brain vessels, and perihypophyseal vascular complex may be involved in the modulation of transport of LH, hCG, and GnRH into the CNS. Thus, the CNS is one of the specific target tissues for LH and hCG, by which LH/hCG act as pleiotropic hormones that regulate several reproduction-related as well as reproduction-nonrelated functions in the CNS.

In short, the lack of LH signaling to other parts of the body can in theory create a deficit in other functioning. Anyone who has ever used HCG can attest to the feeling of well being after injection.

IMHO... TRT without HCG as an adjunct is only half of the process.

As I mentioned though, other factors are also involved;

1. Drug and alcohol use.
2. Porn.
3. Nutrition.
4. Poor mental and emotional state, depression.
5. Overall lifestyle.

One of the best things I have ever done for myself was to learn to meditate and incorporate it into my daily routine. I also have stopped obsessing over things and just keep looking for the sunshine. I am not 20 anymore, but now I have days where I still feel like I am...

Just my 2 cents from a club member...