Lack of Orgasm and Weak ejaculation on testosterone injections.

adshan · Feb 7, 2018

I had mumps as a baby. I have been on testosterone injections for many years. I do not experience orgasm and my ejaculation volume and force is low and weak. I often do not even realize that Ive cum. I need to get sensation back and have a good orgasm. This is driving me crazy.

Ive read about Cabergoline and am willing to do anything to help. Recommendations????

Here are my lab values.

Prolactin
1.1LOW
Reference Range: 4.0-15.2 ng/mL

Estradiol
66.9HIGH
Reference Range: 7.6-42.6 pg/mL

Prostate-Specific Ag, Serum
Thyroglobulin, Antibody
<1.0
Reference Range: 0.0-0.9
.
LH
<0.2LOW
Reference Range: 1.7-8.6

FSH
<0.2LOW
Reference Range: 1.5-12.4
Reverse T3, Serum

Vince · Feb 7, 2018

I see you live in Nashville, you should be able to get the sensitive estradiol test for men. Then you could get a true reading of your estradiol levels. I'm also wondering what is your current protocol. Is it possible for you to post all your labs.

adshan · Feb 7, 2018

Hemoglobin A1c
5.5
[SUP]NORMAL[/SUP]
Reference Range: 4.8-5.6 %
. Increased risk for diabetes: 5.7 - 6.4 Diabetes: >6.4 Glycemic control for adults with diabetes: <7.0

DHEA-Sulfate
228.5
[SUP]NORMAL[/SUP]
Reference Range: 71.6-375.4 ug/dL

Prolactin
1.1
[SUP]LOW[/SUP]
Reference Range: 4.0-15.2 ng/mL

Estradiol
66.9
[SUP]HIGH[/SUP]
Reference Range: 7.6-42.6 pg/mL
Roche ECLIA methodology

Thyroid Peroxidase (TPO) Ab
24
[SUP]NORMAL[/SUP]
Reference Range: 0-34 IU/mL
Prostate-Specific Ag, Serum

Thyroglobulin, Antibody
<1.0
Reference Range: 0.0-0.9

Prostate-Specific Ag, Serum
Prostate Specific Ag, Serum
0.9
[SUP]NORMAL[/SUP]

IGF-1
Insulin-Like Growth Factor I
110

Reference Range: 67-205 ng/mL
Triiodothyronine,Free,Serum

Triiodothyronine,Free,Serum
3.5
[SUP]NORMAL[/SUP]
Reference Range: 2.0-4.4 pg/mL
Reverse T3, Serum

LH
<0.2
[SUP]LOW[/SUP]
Reference Range: 1.7-8.6

FSH
<0.2
[SUP]LOW[/SUP]
Reference Range: 1.5-12.4

Reverse T3, Serum
17.7
[SUP]NORMAL[/SUP]
Reference Range: 9.2-24.1 ng/dL
Vitamin D, 25-Hydroxy

Vitamin D, 25-Hydroxy
50.2
[SUP]NORMAL[/SUP]
Sex Horm Binding Glob, Serum

Sex Horm Binding Glob, Serum
19.0
[SUP]LOW[/SUP]
Reference Range: 19.3-76.4 nmol/L

Cortisol - AM
18.3
[SUP]NORMAL[/SUP]
Reference Range: 6.2-19.4 ug/dL
TSH+Free T4
Comment:
Adult male reference interval is based on a population of lean males up to 40 years old.
Testosterone, Serum
619
[SUP]NORMAL[/SUP]
Reference Range: 348-1197 ng/dL

Free Testosterone(Direct)
24.2
[SUP]HIGH[/SUP]
Reference Range: 7.2-24.0 pg/mL
Lipid Panel

TSH
2.640
[SUP]NORMAL[/SUP]
Reference Range: 0.450-4.500 uIU/mL

T4,Free(Direct)
1.44
[SUP]NORMAL[/SUP]
Reference Range: 0.82-1.77 ng/dL

Nashtide · Feb 7, 2018

adshan said:
Hemoglobin A1c
5.5
[SUP]NORMAL[/SUP]
Reference Range: 4.8-5.6 %
. Increased risk for diabetes: 5.7 - 6.4 Diabetes: >6.4 Glycemic control for adults with diabetes: <7.0

DHEA-Sulfate
228.5
[SUP]NORMAL[/SUP]
Reference Range: 71.6-375.4 ug/dL

Prolactin
1.1
[SUP]LOW[/SUP]
Reference Range: 4.0-15.2 ng/mL

Estradiol
66.9
[SUP]HIGH[/SUP]
Reference Range: 7.6-42.6 pg/mL
Roche ECLIA methodology

Thyroid Peroxidase (TPO) Ab
24
[SUP]NORMAL[/SUP]
Reference Range: 0-34 IU/mL
Prostate-Specific Ag, Serum

Thyroglobulin, Antibody
<1.0
Reference Range: 0.0-0.9

Prostate-Specific Ag, Serum
Prostate Specific Ag, Serum
0.9
[SUP]NORMAL[/SUP]

IGF-1
Insulin-Like Growth Factor I
110

Reference Range: 67-205 ng/mL
Triiodothyronine,Free,Serum

Triiodothyronine,Free,Serum
3.5
[SUP]NORMAL[/SUP]
Reference Range: 2.0-4.4 pg/mL
Reverse T3, Serum

LH
<0.2
[SUP]LOW[/SUP]
Reference Range: 1.7-8.6

FSH
<0.2
[SUP]LOW[/SUP]
Reference Range: 1.5-12.4

Reverse T3, Serum
17.7
[SUP]NORMAL[/SUP]
Reference Range: 9.2-24.1 ng/dL
Vitamin D, 25-Hydroxy

Vitamin D, 25-Hydroxy
50.2
[SUP]NORMAL[/SUP]
Sex Horm Binding Glob, Serum

Sex Horm Binding Glob, Serum
19.0
[SUP]LOW[/SUP]
Reference Range: 19.3-76.4 nmol/L

Cortisol - AM
18.3
[SUP]NORMAL[/SUP]
Reference Range: 6.2-19.4 ug/dL
TSH+Free T4
Comment:
Adult male reference interval is based on a population of lean males up to 40 years old.
Testosterone, Serum
619
[SUP]NORMAL[/SUP]
Reference Range: 348-1197 ng/dL

Free Testosterone(Direct)
24.2
[SUP]HIGH[/SUP]
Reference Range: 7.2-24.0 pg/mL
Lipid Panel

TSH
2.640
[SUP]NORMAL[/SUP]
Reference Range: 0.450-4.500 uIU/mL

T4,Free(Direct)
1.44
[SUP]NORMAL[/SUP]
Reference Range: 0.82-1.77 ng/dL

Your E2 may be the culprit. Get the sensitive E2 test. I live in Franklin. Who are you using for TRT?

adshan · Feb 7, 2018

Low T in Brentwood. Who do you see?

Vince · Feb 7, 2018

The first thing I would do is get your estradiol levels checked, you need to use the proper testing. The sensitive estradiol test for men will give you a proper reading.
Why All Men Should be Tested with the Sensitive Estradiol Test
https://www.excelmale.com/forum/sho...d-be-Tested-with-the-Sensitive-Estradiol-Test

Nashtide · Feb 7, 2018

adshan said:
Low T in Brentwood. Who do you see?

West Connor at DCA pharmacy in Franklin.

CoastWatcher · Feb 7, 2018

You can order the sensitive estradiol test on your own if your doctor won't agree to test you appropriately (www.discountedlabs.com). Many of us rely on that service to monitor the progress of our protocols.

As as for cabergoline, your prolactin is low - very, very low. Since cabergoline is used to reduce that value, it would be counterproductive to initiate it at this point. Has your prolactin level typically been that low? Elevated prolactin impedes libido, can contribute to erection issues...but bargain-basement levels are no good either.

meanbreen · Feb 7, 2018

With prolactin that low, maybe you were (are) hypopituitary? What were your pre-TRT levels (including LH)?

adshan · Apr 26, 2018

Updated labs

Hi Vince,

Updated labs:

Thyroids T3 T4 normal
estradiol. 32
Sensitive 17.6
sex binding. 12
Testosterone. 749
Free Test. 22.9 ng/dL
DHT 332 pg/ml

Vince · Apr 26, 2018

adshan said:
Hi Vince,

Updated labs:

Thyroids T3 T4 normal
estradiol. 32
Sensitive 17.6
sex binding. 12
Testosterone. 749
Free Test. 22.9 ng/dL
DHT 332

How are you these levels are you feeling at these levels.

Systemlord · Apr 26, 2018

You still have not describe your protocol, how must test and how often are you injecting?

Your SHBG suggests you should be injecting smaller doses EOD or perhaps ED.

blitzen · Apr 26, 2018

Are you using HCG?

OMI100 · Apr 26, 2018

adshan said:
Hi Vince,

Updated labs:

Thyroids T3 T4 normal
estradiol. 32
Sensitive 17.6
sex binding. 12
Testosterone. 749
Free Test. 22.9 ng/dL
DHT 332 pg/ml

Thyroids T3 T4 normal
Normal does not tell the story.
What was your reading and what is the range.
Most DRs treat to ranges and not OPTIMAL.
Range can be 1 to 10, and you are at 2 and you are within range (normal) BUT most people may feel the best at 8 (OPTIMAL).
http://www.tiredthyroid.com/optimal-labs.html

OMI100 · Apr 27, 2018

Orrin Israel said:
Thyroids T3 T4 normal
Normal does not tell the story.
What was your reading and what is the range.
Most DRs treat to ranges and not OPTIMAL.
Range can be 1 to 10, and you are at 2 and you are within range (normal) BUT most people may feel the best at 8 (OPTIMAL).
http://www.tiredthyroid.com/optimal-labs.html

My bad.
I saw your ranges stuck in the long list.
FT4 @ 65% of range
and
FT3 @ 63%
Both Great numbers.
BTW Tiredthyroid.com is still a great site

adshan · May 3, 2018

Thank you for your reply. Ill check out that site.

adshan · May 3, 2018

yes, 30 units per day

adshan · May 3, 2018

340 each week. and that puts my level now at 700

adshan · May 3, 2018

Still not feeling the orgasm or the ejaculation. I can tell Im going to cum but don't feel it coming out.

adshan · May 3, 2018

I don't have the records that far back.

Lack of Orgasm and Weak ejaculation on testosterone injections.

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