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

LostInTRT

New Member
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 monotherapy, started a few months ago. Original goal was improving mood and libido which were low. Have tried different doses, currently on 3 x 500 IU per week.

Bloodwork at trough (just before injection):
  • Current testosterone: 19 nmol/l / 548 ng/dl
    • Baseline testosterone: 13 nmol/l / 375 ng/dl
  • Current estradiol: 136 pmol/l / 37 pg/ml
    • Baseline estradiol: ~50 pmol/l / ~14 pg/ml (nearly 3x increase)
  • SHBG: 25 nmol/l
  • Prolactin: not yet tested
Current issues since starting HCG:
  • Unable to maintain erections for sex despite mental desire (tried with different girls, told them I had issues, they were really understanding so the anxiety I had left disappeared after that. Still having issues though.
  • Tadalafil (15mg) largely ineffective (before HCG I could get insane hard on 2.5-5mg Cialis). Even Viagra didnt do anything last time. Like, nothing.
  • Precum present without erection during arousal — never experienced this before HCG
  • Morning wood weak and only partial (50%) only there with tadalafil assistance
  • Original goals of improved mood and libido not achieved, only achieved more energy and muscle mass
  • Mood swings
Key observations:
  • Testosterone increased ~46% from baseline
  • Estradiol increased ~170% from baseline
  • Good circulation, healthy lifestyle rules out vascular causes
  • Seeing endocrinologist Monday, but I don't have mucht faith in his expertise. He only looks at the testosterone value and said: you're test is good so it's mental.
This issue is ruining my dating life/potential for a relationship, even though the girls are very understanding. I've read a lot of stuff on T:E2 ratio, elevated estrogen levels, dampened dopamine response from the HCG etc. It's a giant rabbit hole. I'm desperate, looking for some expertise and someone with experience.

Hope someone can save me out if this situation, thank you very much in advance.

Please let me know if there's any more information needed (have some more bloodwork available).
 
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