Low libido and e.d. in primary guys

Wean · Jul 1, 2020

I'm starting to think there is a big correlation between primary hypogonadisim and low libido and e.d. and low s.h.b.g. even after trt I almost find no guys who are true primary getting along sexually vibrantly without working testicles. Any primary guys care to share?

Wean · Jul 3, 2020

Anyone?

Vince · Jul 3, 2020

I am primary. No issues

Wean · Jul 3, 2020

Vince said:
I am primary. No issues

What's your shbg and has it changed over years? What caused your primary hypogonadisim? I'm starting to think varicoceles are a different breed of damage.

Vince · Jul 3, 2020

Wean said:
What's your shbg and has it changed over years? What caused your primary hypogonadisim? I'm starting to think varicoceles are a different breed of damage.

I lost a testicle

Vince · Jul 3, 2020

Testosterone, Serum 1118 Reference Range: 264-916 ng/dL
Free Testosterone(Direct) 27.3 Reference Range: 6.6-18.1 pg/mL
Estradiol, Sensitive 19.8 Reference Range: 8.0-35.0 of/mL
SHBG 47.7 Reference Range: 19.3-76.4 nmol/L
DHEA-Sulfate 424.8 Reference Range: 30.9-295.6 ug/dL (age adjusted)
Albumin 4.3 Reference Range: 3.6-4.8 g/dL
Tru T 38.46 range 16-31 ng/dL

Wean · Jul 4, 2020

Vince said:
Testosterone, Serum 1118 Reference Range: 264-916 ng/dL
Free Testosterone(Direct) 27.3 Reference Range: 6.6-18.1 pg/mL
Estradiol, Sensitive 19.8 Reference Range: 8.0-35.0 of/mL
SHBG 47.7 Reference Range: 19.3-76.4 nmol/L
DHEA-Sulfate 424.8 Reference Range: 30.9-295.6 ug/dL (age adjusted)
Albumin 4.3 Reference Range: 3.6-4.8 g/dL
Tru T 38.46 range 16-31 ng/dL

How do you keep e2 so low? Mine was 48 at trough

Vince · Jul 4, 2020

Wean said:
How do you keep e2 so low? Mine was 48 at trough

I really don’t know why estradiol that low. I could say a bunch of things, but truthfully I don’t know why.

Wean · Jul 4, 2020

Vince said:
I really don’t know why estradiol that low. I could say a bunch of things, but truthfully I don’t know why.

Your in shape I assume as well not over weight and don't you inject daily?

Vince · Jul 4, 2020

Wean said:
Your in shape I assume as well not over weight and don't you inject daily?

My current protocol is 16 mg of T cypionate daily and 500 iu of HCG twice a week. No AI

antelopers · Jul 4, 2020

Vince said:
My current protocol is 16 mg of T cypionate daily and 500 iu of HCG twice a week. No AI

Did you abandon the nandrolone experiment? What were your takeaways?

Vince · Jul 4, 2020

antelopers said:
Did you abandon the nandrolone experiment? What were your takeaways?

Yes I just abandoned my nandrolone, I may go back to it later. I just had my cholesterol lipid panel, before stopping the nandrolone. I’ll like to see what results I get. Then make a decision on it. Choices choices choices LOL

joemorgan · Jul 4, 2020

Vince said:
Testosterone, Serum 1118 Reference Range: 264-916 ng/dL
Free Testosterone(Direct) 27.3 Reference Range: 6.6-18.1 pg/mL
Estradiol, Sensitive 19.8 Reference Range: 8.0-35.0 of/mL
SHBG 47.7 Reference Range: 19.3-76.4 nmol/L
DHEA-Sulfate 424.8 Reference Range: 30.9-295.6 ug/dL (age adjusted)
Albumin 4.3 Reference Range: 3.6-4.8 g/dL
Tru T 38.46 range 16-31 ng/dL

Vince, you seem a little over treated with those levels. How do you determine what the level should be when you are reading your labs. Just picking a number to shoot for is not a valid method for determining the level you need.

Vince · Jul 4, 2020

joemorgan said:
Vince, you seem a little over treated with those levels. How do you determine what the level should be when you are reading your labs. Just picking a number to shoot for is not a valid method for determining the level you need.

Hi joemorgan. For me it’s usually what level I feel best at. Also I like to keep my hct in a good level and not have to donate blood. I know this sounds pretty simple, but why complicate things.

DorianGray · Jul 5, 2020

That's right @Vince. Clinical results, how the patient feels is the key to treatment. For me however, I can't really say I feel better on TRT, so I know how the OP feels. Another concern is when I have come off TRT (first injections then Clomiphene), my natural T came back at lower levels. Is it possible exogenous T kills off a bit of your own cellular over time permanently? However, at my age it could well be a race against time occurring anyway.

Vince · Jul 5, 2020

DorianGray said:
That's right @Vince. Clinical results, how the patient feels is the key to treatment. For me however, I can't really say I feel better on TRT, so I know how the OP feels. Another concern is when I have come off TRT (first injections then Clomiphene), my natural T came back at lower levels. Is it possible exogenous T kills off a bit of your own cellular over time permanently? However, at my age it could well be a race against time occurring anyway.

It can be a race against time. For most is it does seem that lower levels work best for most. Unless your goal is to just get a bigger physique.

Wean · Jul 5, 2020

DorianGray said:
That's right @Vince. Clinical results, how the patient feels is the key to treatment. For me however, I can't really say I feel better on TRT, so I know how the OP feels. Another concern is when I have come off TRT (first injections then Clomiphene), my natural T came back at lower levels. Is it possible exogenous T kills off a bit of your own cellular over time permanently? However, at my age it could well be a race against time occurring anyway.

What's your story man age reason treatment so far?

Jason Sypolt · Jul 5, 2020

See my recent reply here. Libido is not as simple as testosterone, or often hormones for that matter.

DorianGray · Jul 6, 2020

Wean said:
What's your story man age reason treatment so far?

First noticed, three-four years ago, slight loss of muscle mass and strength, particularly in legs, creeping loss of libido and erection quality. As Vince said, it is a race against time. But, I've been lucky to have been healthy all adult life, naturally muscular, never been overweight. I'll be 70 this year.