Low T/ ED - Need Help

bosshogg1202

New Member
Just want to get some thoughts on my situation. I’m 34 years old, 6’1” and 278lbs currently. At 19 I was diagnosed with Thyroid Cancer and had my thyroid removed and underwent two rounds of radiation, been clean ever since and take a daily hormone replacement (Levothyroxine 250 mcg).

About a 1.5 years ago I was fooling around with my girlfriend (now wife) and noticed some erctile issues. We talked about it and I went to a T Clinic the next week where my levels came in at 337 ng/DL however my PSA level was elevated at like 2.1 in December 2016 so I was referred to a Urologist. Was check again in April 2017 and levels were 212 ng/DL with a 1.7 PSA. For the next year they monitored my PSA and even did a MRI of my prostate with it coming back normal. They then proceeded to put me on 100mg of T-Cip last November.I noticed a big difference almost immediately with erections and libido. However the doctor called in late December and asked me to stop as my PSA was still elevated. Since we were about to move I kept taking my dose as I was half way through and would need a new urologist. Needless to say I finished script end of January and I can’t get so much as a wiggle down below not even with taking 20mg of Tadalafil, which is not good for my new marriage. Went to a new urologist who said he would put me back on the same dose as it seemed to help but when I asked him about the side effects as far as having a child, my wife and I would like to try later this year, he said if you want kids then stay off the T.

What do I do here?!? We want kids so I’m afraid to keep taking the T but can’t seem to have sex without it. I read about mixing in HCG and then maybe Clomid when we want to conceive but not sure what the best plan of action is. Can anyone provide any insight.
 
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Pro Tip for the PSA test: you need to refrain from sex/orgasm at least 24 if not 48hrs prior as you can get a false elevated reading. Did you do that?
 
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Lots of guys use HCG together with TRT to remain fertile, surprised your doctor hasn't mentioned it. Suggest he's clueless and it's time for a doctor that knows what he's doing.
 

hCG Mixing Calculator

HCG Mixing Protocol Calculator

TRT Hormone Predictor Widget

TRT Hormone Predictor

Predict estradiol, DHT, and free testosterone levels based on total testosterone

⚠️ Medical Disclaimer

This tool provides predictions based on statistical models and should NOT replace professional medical advice. Always consult with your healthcare provider before making any changes to your TRT protocol.

ℹ️ Input Parameters

Normal range: 300-1000 ng/dL

Predicted Hormone Levels

Enter your total testosterone value to see predictions

Results will appear here after calculation

Understanding Your Hormones

Estradiol (E2)

A form of estrogen produced from testosterone. Important for bone health, mood, and libido. Too high can cause side effects; too low can affect well-being.

DHT

Dihydrotestosterone is a potent androgen derived from testosterone. Affects hair growth, prostate health, and masculinization effects.

Free Testosterone

The biologically active form of testosterone not bound to proteins. Directly available for cellular uptake and biological effects.

Scientific Reference

Lakshman KM, Kaplan B, Travison TG, Basaria S, Knapp PE, Singh AB, LaValley MP, Mazer NA, Bhasin S. The effects of injected testosterone dose and age on the conversion of testosterone to estradiol and dihydrotestosterone in young and older men. J Clin Endocrinol Metab. 2010 Aug;95(8):3955-64.

DOI: 10.1210/jc.2010-0102 | PMID: 20534765 | PMCID: PMC2913038

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