Latest results. Low libido

[kenb]

I had recent blood work done and below are the results. Energy wise I feel good but morning erections come and go and so does my sex drive. Most days I don't wake up with a morning erection and most days I'm not horny.

Testosterone,Free and Total
Testosterone, Serum 970 ng/dL 348 - 1197

DHEA-Sulfate 286.8 ug/dL 102.6 - 416.3

TSH 2.390 uIU/mL 0.450 - 4.500

Luteinizing Hormone(LH), S
LH <0.2 Low mIU/mL 1.7 - 8.6

Estradiol 51.0 High pg/mL 7.6 - 42.6
Roche ECLIA methodology

Progesterone 0.2 High ng/mL 0.0 - 0.1

I currently take 160mg weekly and .25mg of anastrozole but I don't recall if I took it the week I tested. I'm not currently on HCG but I have been in the past.

My doctor prescribes me the Testosterone but won't prescribe me the HCG or Anastrozole so I have an appointment to get a physical in February to start seeing Defy Medical again to supplement where my doctor won't. Also there may be a chance that he lowers my dosage the next time I see him.

In the meantime, any thoughts on something I can try?

 

[CoastWatcher]

Wrong estradiol test was run. You want the sensitive, LC, MS/MS, estradiol test. Are you injecting the testosterone once a week or in divided doses? What is your SHBG? It's a dose that is somewhat high (though within the realm of TRT).

 

[kenb]

Hmm I told my doctor Sensitive. Dang it. I inject once a week as I was forgetting too often. On a once a week testosterone. I also think 970 is pretty high.

 

[Vince]

Were your labs done on injection day before you injected. Do you feel you need an AI. You could try Cialis for better erections and penis sensitivity.

 

[johndoesmith]

When were these tests taken relative to injection?

How long have you been on TRT?

Where are you getting the AI from if your doctor won't prescribe it?

 

[kenb]

I've been on TRT for 2 years but had to stop while I moved to Western Washington from July to September. I was on 80mg test cyp., 500ui HCG, and .25mg Anastrozole two times weekly subq. I've always had a problem with compliance and would often only inject once a week. Until I moved I was being "seen" by defy medical. Once I moved and got settled I called defy and they wanted new labs and a physical. I got labs and no walk in would give me a physical for TRT.

Anyways I finally for the RX for testosterone but couldn't get one for the rest but had quite a bit of anastrozole left and have been using it for the last while. I haven't always taken the Anastrozole since getting back on it since so many people are against it and I wasn't sure it was needed anymore.

So long story short. Previous non compliance resulted in excess Anastrozole.

Having said all this, I felt better before then I do now even if I was forgetting to take my 2nd injection mid week.

 

[kenb]

Test was 24 hours before I inject

 

[kenb]

Oh and I haven't tried Cialis bit Viagra gives me a headache

 

[johndoesmith]

I've been on TRT for 2 years but had to stop while I moved to Western Washington from July to September. I was on 80mg test cyp., 500ui HCG, and .25mg Anastrozole two times weekly subq. I've always had a problem with compliance and would often only inject once a week. Until I moved I was being "seen" by defy medical. Once I moved and got settled I called defy and they wanted new labs and a physical. I got labs and no walk in would give me a physical for TRT.

Anyways I finally for the RX for testosterone but couldn't get one for the rest but had quite a bit of anastrozole left and have been using it for the last while. I haven't always taken the Anastrozole since getting back on it since so many people are against it and I wasn't sure it was needed anymore.

So long story short. Previous non compliance resulted in excess Anastrozole.

Having said all this, I felt better before then I do now even if I was forgetting to take my 2nd injection mid week.

Well, non compliance will make any protocol unsuccessful.

Labs should be done at trough.

I don't understand why "seen" is in quotations. A phone consult is a valid method of consulting with a doctor regarding hormones. Maybe not an orthopedic surgeon or dentist but for all intents and purposes it works.

I assume you're no longer a patient of defy?

What's your protocol now?

 

[kenb]

I don't have an issue with defy at all. I mentioned above I'm going back to them in February after I can get a physical. I only put seen in quotes because you don't actually see them in tele-medicine.

160mg of test cyp. Once weekly and I often take .25mg of anastrozole but I'm almost out.

 

[kenb]

Any thoughts? Does the low LH come from not being on HCG? Also if I take the Anastrozole, will that help my libido and night time erection?

 

[CoastWatcher]

Any thoughts? Does the low LH come from not being on HCG? Also if I take the Anastrozole, will that help my libido and night time erection?

The low LH is the result of your TRT protocol. Exogenous testosterone suppresses LH and FSH. Lowering your estradiol may help libido and erectile function, but as was noted above, you measured estradiol with the incorrect/standard test; your level is likely to be lower. Yet, the anastrozole was prescribed by Defy and, if you are consistent with the balance of your protocol, also from Defy, it would make sense to take it until you have your next consultation.

 

[Vince Carter]

I would say that you should be fine to inject once per week if that's all the compliance you can manage on your own, I mean you pulled a 970, that means your SHBG is def not low.

Use the proper UltraSensitive Eastradiol test, look further in to your Thyroid, a TSH of 2.3 is not that good, should be <2. Also stop testing LH/FSH, you're on Test now so you're suppressed and just wasting money testing those.

No matter who is treating you will fail if you can't be compliant and if you can't remember from one-time to the next if you took something, or not.