How to optimize libido and erections on TRT?

[sawtooth]

I'm 32 and been on TRT since I was 25. My number were 300 or sub 300 and my doctor started me on injections 100mg twice per week with a small dose of an AI. I felt great for the first year and slowly my energy and libido and erection quality and physique faded. He never really did bloodwork unfortunately.

I've tried everything since. From 80mg a week in one injection to 160mg a week split into multiple, adding cream, etc. HCG, no hcg. Haven't used AI in a long time, e2 is never really high

It's not like I feel terrible, I feel ok. But my libido is just NOT what it used to be. I never have that feeling of being around a hot girl and FEELING a need to do something with her. If I went to a strip club right now I wouldn't get a semi or a desire to do anything from the hottest girl in the place giving a lap dance. It feels like trt has put a buffer on both my sexual drive and my drive in life. Even when I am with a girl, if I stop for a minute my erection is gone. Cialis doesn't help because the problem is just NO desire at all.

My e2 is never really above 40, dhea is normal, dht is always 55+ on the range of 30-85. Shbg is normal in 30s. Prolactin always between 12 and 15. I eat well and worko out 4 times a week and have sub 15% body fat and sleep decently


Idk what to do anymore. I've thought about coming off but when I tried it was an absolute disaster. Have any of you restored that ability to feel virile and aggressive and want to fuck everything you see? Honestly I feel numb to sex completely. Please help if you can.

 

[Chrander]

Wow. Great post sawtooth. I have EXACT the same concern. Looking forward hearing what people are saying. Good luck.

 

[bochinit]

Sometimes we need more E2 to fell high libido (libido decrease to a certain point with lower E2 levels in body), but you are already using a higher dose of testosterone than the usual. So it can be the oposite too.

Do you have body pressure problems?

 

[sawtooth]

Sometimes we need more E2 to fell high libido (libido decrease to a certain point with lower E2 levels in body), but you are already using a higher dose of testosterone than the usual. So it can be the oposite too.

Do you have body pressure problems?

By body pressure do you mean blood pressure? Mines always been normal. HCT normal..etc.

 

[Joey786]

If your not doing cardio that’s a big problem. Huge benefits for erections.

 

[sawtooth]

If your not doing cardio that’s a big problem. Huge benefits for erections.

I do some cardio 4 times a week after lifting. My erections are strong when I get them but they disappear quickly and much more importantly no libido at all. Hard to have erections no with no desire.

 

[Joey786]

If your dick is not hanging fat throughout the day you need to look at diet as well. Muscle gain diets are horrible for erections

 

[Joey786]

Ok sounds more hormonal than something wrong with penis

 

[Joey786]

What’s your current dose protocol ?

 

[sawtooth]

What’s your current dose protocol ?

Right now im trying an increase from 50cyp.e3d to.40 prop EOD. Just started. Also I eat only whole foods, mostly meats, some fish, eggs, etc.

 

[sawtooth]

If your dick is not hanging fat throughout the day you need to look at diet as well. Muscle gain diets are horrible for erections

I just saw this post. It used to when I used HCG or higher doses with more e2, but lately it seems that it's not hanging fat and loose

 

[Abuser200]

Do you have complete bloodwork?

 

[sawtooth]

Do you have complete bloodwork?

I have it from a few different protocols, none of which this problem was ever fixed on..what labs were you looking for? I can post.my numbers on any relevant blood markers

 

[Abuser200]

Total T, free T, thyroid

 

[sawtooth]

Total T, free T, thyroid

I've had my total T as low as 670 and as high as 921. Except when I tried 80mg once weekly it was 321. Free t was 13 on the lower end and 20 at the upper end. My full thyroid panel has always been normal. Free t3 right around 2.9 or so and rt3 around 17. Tsh is perfect.

 

[S1W]

I've had my total T as low as 670 and as high as 921. Except when I tried 80mg once weekly it was 321. Free t was 13 on the lower end and 20 at the upper end. My full thyroid panel has always been normal. Free t3 right around 2.9 or so and rt3 around 17. Tsh is perfect.

For what it’s worth (we’re all different) I don’t feel like I get much noticeable benefit from TRT at all until my FT is in the mid 20s or above. Mid 20s to low 30s seems to be where it works for me.

 

[Joey786]

I would try more test without ai. Don’t worry about e2. Free t3 isn’t great but if Tsh is good than thyroid isn’t an issue

 

[Joey786]

Agree with s1w, get that free test higher. Don’t block e2

 

[sawtooth]

For what it’s worth (we’re all different) I don’t feel like I get much noticeable benefit from TRT at all until my FT is in the mid 20s or above. Mid 20s to low 30s seems to be where it works for me.

I would try more test without ai. Don’t worry about e2. Free t3 isn’t great but if Tsh is good than thyroid isn’t an issue

Thanks guys I will try it. Do you think this could help with the lack of a sex "drive" and desire

 

[Starplex]

Stress can also effect libido. But I agree with others higher T could improve. My T is much higher with no AI and I can never get enough sex.