Hi all,
I am hoping for some guidance around libido and addressing low SHBG.
I have struggled for years on TRT in terms of Libido - I have zero. I wake up with morning wood most days but when it comes to sex I get ED a lot because I’m never actually horny. I have really poor sensitivity as well and it’s really having such a negative impact on my quality of life. I do occasionally get a whisper of libido so I know it’s there somewhere but it’s rare and definitely not normal.
It has been suggested that the issue is one of 2 things. Lower E2 or the fact my SHBG is so low.
Current strategies I am considering .
- Lower my test dose so my free test and androgen index comes into a normal range resulting in less SHBG suppression. I’ve heard from guys whose libido is better on 87mg compared to higher dosages.
- Take Clomid alongside my TRT as it apparently increases SHBG and E2
- Start taking e2 tablets, seems guys who have a good libido have e2 levels on the higher end of the scale
- Run a high dose of HCG with Nolvadex and T3 for a couple of weeks (this is an increase your SHBG protocol I’ve seen on line.
I really don’t know what to do, I’ve had no sex drive for 6 years now and I’m only in my late 30s
Any suggestions would be massively appreciated
140mg / week injected daily - 500iu HCG
SHBG - 15 (18.3 - 54.1) nmol/L
OESTRADIOL 62 (41 - 159 R) pmol/L
TESTOSTERONE 23.3 (8.64 - 29 R) nmol/L
FREE TESTOSTERONE -0.69 (0.2 - 0.62 R) nmol/L
FREE ANDROGEN INDEX 150.3 (24 - 104 R)
PROLACTIN 253 (86 - 324) mU/L
TSH 0.847 (0.27 - 4.2)
mIU/L
FREE T3 5.34 (3.1 - 6.8)
pmol/L
FREE THYROXINE
17.3 (12 - 22) R
pmol/L
