Gentlemen,
I'm glad I found this group there's been a lot to learn so far and the forum has been an informative resource. Here's my story. I'm 43 and have I've been on TRT for around 1.5 years and have not had much success in consistently getting the erections I had Pre-TRT. My libido is through the roof but performance is seriously lacking. When I do get an erection that's suitable, its only a matter of time before I lose it. Along with ED issues, there is also a serious lack of sensitivity and extreme difficulty in achieving orgasm. I use Cialis or Viagra from time to time and it helps out minimally. I've mentioned this the whole time to my TRT Dr. at the clinic but she only suggested using Dim, taking vitamins, etc and says all my values are normal. I will be making changes to the clinic I visit soon because of the lack of help I've received thus far. I've also seen a Urologist who's also reviewed my bloodwork and see's no issues. My prostate checks good and normally sized along with a low PSA value. I did tell the urologist about my feeling of not being able to completely empty my bladder when urinating and they checked and confirmed that I'm still holding on to a few ounces. When I urinate it normally is a weak stream. The doctor had me go on Flomax, but it did not help. He believed my problem to be pelvic floor tension and suggested I do physical therapy. I did 6 weeks of physical therapy without improvement in urine voiding or erection quality. I feel there might be some relationship between erection quality and the urine voiding issue but I feel it may be more to do with other issues related to estrogen management, etc. My past bloodwork has always shown low SHBG usually in the high teens. My most recent bloodwork this past month is as follows:
Estradiol, serum 35.4 (standard estradiol test not ultra sensitive) Prolactin 26.0, DHEA Sulfate 181.1, Testosterone 652, (range 249-836) Free Testosterone 168.5 (Range 48-250) Free/Total Testosterone % 2.6 (range 1.3-2.9) SHBG 24.2, DHT 426. T4 1.42, T3 2.79. All other values within normal ranges on CBC.
Other info: 43 year old male, 6'2 Weight 195lbs, I'm in relative good shape otherwise.
Any help would be greatly appreciated. My current protocol is 150mg testosterone cypionate divided into 2 shots weekly with HCG 400IU taken 3x weekly.
Any help would be greatly appreciated.
Thank you
I'm glad I found this group there's been a lot to learn so far and the forum has been an informative resource. Here's my story. I'm 43 and have I've been on TRT for around 1.5 years and have not had much success in consistently getting the erections I had Pre-TRT. My libido is through the roof but performance is seriously lacking. When I do get an erection that's suitable, its only a matter of time before I lose it. Along with ED issues, there is also a serious lack of sensitivity and extreme difficulty in achieving orgasm. I use Cialis or Viagra from time to time and it helps out minimally. I've mentioned this the whole time to my TRT Dr. at the clinic but she only suggested using Dim, taking vitamins, etc and says all my values are normal. I will be making changes to the clinic I visit soon because of the lack of help I've received thus far. I've also seen a Urologist who's also reviewed my bloodwork and see's no issues. My prostate checks good and normally sized along with a low PSA value. I did tell the urologist about my feeling of not being able to completely empty my bladder when urinating and they checked and confirmed that I'm still holding on to a few ounces. When I urinate it normally is a weak stream. The doctor had me go on Flomax, but it did not help. He believed my problem to be pelvic floor tension and suggested I do physical therapy. I did 6 weeks of physical therapy without improvement in urine voiding or erection quality. I feel there might be some relationship between erection quality and the urine voiding issue but I feel it may be more to do with other issues related to estrogen management, etc. My past bloodwork has always shown low SHBG usually in the high teens. My most recent bloodwork this past month is as follows:
Estradiol, serum 35.4 (standard estradiol test not ultra sensitive) Prolactin 26.0, DHEA Sulfate 181.1, Testosterone 652, (range 249-836) Free Testosterone 168.5 (Range 48-250) Free/Total Testosterone % 2.6 (range 1.3-2.9) SHBG 24.2, DHT 426. T4 1.42, T3 2.79. All other values within normal ranges on CBC.
Other info: 43 year old male, 6'2 Weight 195lbs, I'm in relative good shape otherwise.
Any help would be greatly appreciated. My current protocol is 150mg testosterone cypionate divided into 2 shots weekly with HCG 400IU taken 3x weekly.
Any help would be greatly appreciated.
Thank you