Sexual Issues

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GA8314

Member
Hey guys!!

So, I realize I need bloodwork. But, humor me and please give me your opinion on what you THINK may be going on.

I've been on TRT for about 6 months now. 200mg/week of Test Cypionate. I've done as much as 400 mg/week as a cycle but let's not let that be a distractor for now. I did two 400mg/week cycles in the past 2 years and for up to 20 weeks. I know, I know......

Anyway, I feel GREAT on 200 mg/week Test Cyp. I was using about 0.25mg Arimidex every day. However, after reading some of the studies that Nelson and others have linked about possibly overtreating E2, I cut way back on the Adex. I went to 0.125 mg Twice per week.

As you all know, it's hard to control variables..... I also have been using about 375 IU of HCG every other day. It has prevented atrophy for me and I've done it since beginning TRT.

****The problem I've experienced is that I'm having some delayed orgasms. I don't have that "feeling" in my balls like I really need to cum etc. etc. It's hard to describe what it is that I'm experiencing but I'm trying. Maybe sensitivity is down a bit. It DOES seem to have worsened after cutting down on the Adex so I'm 2 weeks into GOING BACK UP on the Adex to 0.5mg twice per week. This seems to have helped.

However, I also did just begin Cabergoline 0.25mg twice per week as well. My first week I did 0.5 mg Biweekly. Now I'm down to 0.25 mg.

***I know, I know.... Labs are coming. Gonna get bloodwork done next week.

Anyone have a similar experience? TRT at 200 mg/wk has me feeling great. Great strength and overall wellbeing feelings. Very good LIBIDO but I've been dealing with an organic ED issue for over 10 years now which Viagra helps. I'm 40 yrs old. I'm feeling better all around.

My semen volume has decreased a bit, but after going back up on the Arimidex and starting the Cabergoline it seems to have gone back up a bit now.

I love sex, and have a girlfriend at the time. I only recently went back up on the Adex, but it does seem to have helped. I haven't been with my gf since making the change to increase the Adex yet, but we'll see tonight how it all works.

I should add that the "lessened sensitivity" and lack of "feeling coming from my balls" thing wasn't the case PRIOR to TRT. So, it's been the one disappointment I've had with TRT. Again, HCG seems to have helped prevent atrophy.

Also, notably and probably not a surprise to anyone here, is that at 400 mg/week Test Cyp (pharma grade for sure), the higher dose did NOT result in better sexual function at all. Actually it was worse. I feel way better at 200 than I did on 400 (again, I know I know.....). Just relaying my experiences with this self-experiment.

Cialis 5mg/daily still gets my face flushed. I'm willing to try 0.25mg/daily and will use a pill splitter for that, but I HATE the face flushed feeling which is why I usually just take Viagra before sex (still get flushed but it's always at night so I don't care as much).

I know this thread sounds immature but just curious if those experienced members and users of TRT can relate or have anything to add.

Thanks in advance (no lectures PLEASE!!!) LOL
 
Defy Medical TRT clinic doctor
Hi
On sensitivity issue are you taking any meds for pain? I know some have an effect on me and making it almost possible to release.
I have the same issues with Cialis and Viagra but I dont with just Tadalafil that I get (25mg) and its good for 3-4 days. I dont get the flushed feeling. If you have other side effects you can move to TriMix which is a shot in your manhood. :)
 
I totally advocate HIGHER E2 levels in men. Overuse of Anastrozole, E2 being viewed as "bad"...pending your test results that's where I'd go. I think it's worked for me. I'm totally off Anastrozole. It's not immature to state it that way...I know things as a horny sexually satisfied man is a happy man. We're all going through it. Me personally I've had to call offreceiving oral, my sex act of choice, when I couldn't orgasm and had much less sensitivity. As I say....Estrogen management, finding a spot for "you".
 
Thanks, guys, for the input.

Vince, while I agree that E2 must be optimized specific to each man, I think my E2 may have been too high. I really need labs, but that was the one major variable that I changed and it seemed that it negatively effected my sexual function (decreasing the Arimidex to 0.125 mg biweekly).

Now, that I've gone back up on the Arimidex, things seem to be a little better, but I also added Cabergoline around the same time, so it's a confounder.

Like I stated, TRT has been great. I'll admit that my Total T levels were 660 prior to starting TRT, and I'm going for a Hormone OPTIMIZATION and performance enhancing protocol. (I'm sure my TT and Free T are very high normal)

That being said, this is all pretty complicated. I wonder if endogenous LH AND FSH (which were normal prior to TRT) DO have some sexual (not just fertile) implications. Even in spite of HCG, I don't get that feeling in my balls the way I always did before.

This ALMOST has me wanting to go off TRT (as I believe my axis will be recoverable) and try Clomid mono therapy. However, reports of Clomid mono therapy haven't been stellar from what I've read.

Also, in every OTHER way, the 200 mg/week Test Cypionate has improved my life. More energy, strength, confidence, body recomposition changes (positive), and overall feeling of well being have been great.

But, let's face it. Sex is way up there in terms of priority for many of us. Don't get me wrong, it's not BAD. I just don't seem to have the same level of sensitivity and sensation that I had before.

How do I reconcile this?
 
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