New to TRT ED issues

marcsmith79

New Member
Sooooo I started TRT in March... at first it was awesome, libido, gym, energy all good..100mg of test/week 1 mg arimidex and 500iu hcg 2x per week.Now I have zero libido and couldn’t keep it up this morning. Just did some labs and waiting for the results. I’m lucky my wife is understanding...I am thinking my E2 is crashed cause I’ll sweat for no reason like I’m having hot flashes. Two years ago my former doc put me on Clomid cause my levels were low and my libido was super good on that, but he said it can’t be used long term just as a diagnostic tool. Don’t know what to do? Cialis? Also have no feeling down there, like I’ve lost all sensitivity.
 
Sooooo I started TRT in March... at first it was awesome, libido, gym, energy all good..100mg of test/week 1 mg arimidex and 500iu hcg 2x per week.Now I have zero libido and couldn’t keep it up this morning. Just did some labs and waiting for the results. I’m lucky my wife is understanding...I am thinking my E2 is crashed cause I’ll sweat for no reason like I’m having hot flashes. Two years ago my former doc put me on Clomid cause my levels were low and my libido was super good on that, but he said it can’t be used long term just as a diagnostic tool. Don’t know what to do? Cialis? Also have no feeling down there, like I’ve lost all sensitivity.

Wait for your blood test results cuz it also sounds like hi e2. You can probably safely cut your AI dose in half why you wait.
 
Your AI dosage is considered a high dose, most men take micro dose AI's .125-.250, there's even 0.050. You could always break up your Test and HCG injections to lower estrogen sides.
 
Thanks I’ve been in considering cutting my AI dose in half and my HCG. I already split the test into two doses. From all the other threads this seems to be a prominent issue. Should have my labs back Monday or Tuesday. I’m thinking it’s the Arimidex...
 
I would stop the AI and leave hCG to 500 IU twice per week plus TRT. I would also take 2000 mg per day of Citrulline for a few weeks.
 
Daily low dose Cialis is good (10 mg)..but be careful with side effects like indigestion, headache, back ache, sinus congestion ,etc
So it would make sense that on 5mg daily I would have sporadic issues. Sounds like 10mg may solve that.
I've been on daily Cialis for over a year. Also since August I was put on a low dose ARB and BB.

Btw @Nelson Vergel , it is your website that led me to Dr Rotman which has been taking care of me for a couple of years now. Thank you.
 

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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

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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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