Post TRT - Libido is DEAD :(

[choppie]

I was on TRT for 3 years and stopped 7 weeks ago.
Since stopping, my libido has been completely dead.


Symptoms:

• no wet dreams
• no morning erections
• zero libido
• zero interest in sex
• I can still get an erection if I want
• energy level is good

Recovery meds:

• Clomid for 5 weeks
• past 2 weeks: enclomiphene 12.5mg day , last week was on 6.5mg daily.

Labs while on TRT (13 Jan 2026):

• Total testosterone: 563.6 ng/dL
• SHBG: 22.3 nmol/L
• Prolactin: 6.74 ng/mL
• Estradiol: <13 pg/mL
• TSH: 0.95

Post-TRT labs (2 Mar 2026, noon):

• Total testosterone: 318 ng/dL
• SHBG: 16.1 nmol/L
• LH: 4.57 mIU/mL
• Prolactin: 15.3 ng/mL
• Estradiol: 25.5 pg/mL

Post-TRT labs (7 Mar 2026, 8:03 AM):

• Total testosterone: 429 ng/dL
• FSH: 3.55 mIU/mL
• Albumin: 4.90 g/dL
• Total protein: 8.17 g/dL

Question:
How can libido be completely dead with these numbers?

 

[Cataceous]

What were things like under TRT? It looks as though you've had a pretty decent recovery, probably getting free testosterone into the healthy normal range. That new prolactin level is high enough to cause problems for some men. If there are no other obvious problems then you could run a trial with very small doses of cabergoline. But you might first want to give things another month or two.