TRT and ED

Rhino 2.0

Member
When does one start noticing improved erectile function when starting TRT? Would they notice improvement the first week or does it take a few weeks or a month?
 
You may still have to improve upon your protocol and find the range at which you respond best.

Let's say for a moment your protocol is perfect for you and will land you in a range that's optimal for you, changes in erections/ejaculations may require up to 6 months.
 
Erectile function, much like libido, is multi-faceted. Appropriate levels of testosterone are necessary - but not always sufficient - to provide the degree of success you seek. Thes six months that Systemlord quoted is a reasonable estimate. But like everything in this process, each of us is different
 
Erectile function is not a guarantee of TRT. I was told this when I started on Test and, at least in my case, it is correct. I do have the desire that TRT gives and this makes the pde5s work phenomenally. I did get some improvement, but why not go all in? Low dose Cialis dose wonders combined with TRT and the effects on vascularity and workouts is a huge upside. Keep in mind you need desire for the pde5s to work so the combination of the two is magnified.
 
and what would you say those optimum levels would be? I just went back on anastrozle and feel much better!
For me in the low mid 30s. However I cannot stay up there because I get gyno. Also my libido was so insane that it wasn’t really good. My estradiol now sits mid-high 20s and libido is great and erection quality amazing. Estradiol is directly involved in nitric oxide production in endothelial cells
 
Erectile function is not a guarantee of TRT. I was told this when I started on Test and, at least in my case, it is correct. I do have the desire that TRT gives and this makes the pde5s work phenomenally. I did get some improvement, but why not go all in? Low dose Cialis dose wonders combined with TRT and the effects on vascularity and workouts is a huge upside. Keep in mind you need desire for the pde5s to work so the combination of the two is magnified.
So does testosterone have any chemical affect that makes a guy get an erection or does it just give them the desire and libido?
 
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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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