Hi Dr. Rotman,
Is this thread still open? I hope.
Do you ever see ED come and go while on TRT?
When I started TRT almost 1 year ago Viagra and Cialis had stopped working very well for me and I could barely have erections. About 10 days into TRT, my ED went away completely and I was back to functioning about like I was when I was 20. Full long lasting erections just thinking about sex. I was beyond thrilled. But this only lasted about 4 days, then in a few more days I was right back to baseline ED same as before I started. That continued until late November, when once again over the course of a few weeks my ED got better and better to the point where I could easily have sex without any medication, but then it has gone away again.
One positive change is that once I started TRT nocturnal erections completely returned and have never gone away.
I have been using Trimix for my ED and my Doc says the dose is very low which means I have good vascularity.
Here are all my stats:
49 years old, I eat healthy and workout a lot, not overweight, not under any stress.
Labs:
LH <0.07 mIU/ml
Pregnenolone 5.9 ng/dL
E2 27.4 pg/mL
DHEA 229.2 ug/dl
Total T 885 ng/dl
SHBG 36 nmol/L
Free T 19.75 ng/dL
Bioavail T 462.8 ng/dL
Cortisol 21.6 ug/dl
T3, free 3.6 pg/ml
T4, free 0.97 ng/dl
TSH 1.782 uIU/ml
I take:
76 mg cyp 2/week sub Q
HCG 500 IU 3/week sub Q
Pregnenolone 30mg/day
DHEA 50/mg twice a day
Cialis 5 mg/day
Neo40 nitric oxide 1/day
I have been taking anastrazole 1mg twice a week, but this I started about 3 months after I started TRT only because I still had ED and it was a guess at a solution. My E2 went to about 49 before the anastrazole. I have seen no affect whatsoever after taking it and I plan to stop and let my E2 go back up.
Because I have had these periods where I can get great erections, I get the feeling there is some little piece of the puzzle that is missing and if I find it my ED will go away.
