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Thanks, I’ll check DHT. Semen is thick and white.

How long on supplementation before you experienced increased sensitivity and restored orgasm quality?

Thanks, I should have stated in original post that I cycled off the HCG three weeks ago. I plan to take about six weeks off and restart unless I notice improvement while not taking it.

Thanks for this. Functional medicine doc monitored Vitamin D levels, along with a whole host of supplements. When I walked away from that clinic, I walked away from supplements and testing those levels. That is definitely worth a try! I have also experienced a strange cramping feeling in my...

Yes, correct, "ejaculation (semen flows out, with of without pulsations) but no orgasm (pleasure waves all over the body during pulsations)." Yes, pleasure during sex before ejaculation, but admittedly, that is reduced as well. Diminished penis sensitivity, and yet ejaculation still happens...

TL/DR: no longer having orgasms even though I ejaculate normally. Looking for advice, RE: lab work or other variables. I'll appreciate any helpful feedback. I've been on TRT for about 8 years, and have been on multiple protocols, injections and compounded creams, with variable results. For the...

SHBG at 29.3 (16.5-55.9 NMOL/L) [tested same time as e2 results above]

I was in almost the exact situation back in late Oct., 2019. It was miserable, both physically and emotionally! My e2 crashed to zero (unmeasurable on both regular and sensitive tests), and my Total and FT numbers were very similar to yours. I feel amazing now, but it took about 4 weeks to...

Guys, I appreciate in the input I have received. I've been on TRT for 4-1/2 years; first two years through PCP, then functional medicine hormone "specialist" for the last 2-1/2. I did far better back with my PCP prescribing, while I mostly self-regulated. I went to the specialist because I was...

This is my working theory of what may have caused my E2 crash. I feel like dog poo, no libido and very difficult erections. I had recent bloodwork from LabCorp expecting high E2. I‘ve never once taken an AI: TT >1500 (274-916) FT 44.4 (6.8-21.5) E2 sensitive <2.5 (8.0-35.0) Upon request...

Yes, I have been taking Cialis daily. Supplements: magnesium, omega 3, B-complex, Berbemycin timing of blood draw is the recommendation by my “functional medicine” hormonal specialist.

Thank you all. This is helpful info.

Thank you to those who responded. I’m discouraged and looking to figure out my next steps.

Previously, at 280 mg/wk, my total and free levels, along with SHBG, were in normal range. DHEA was 304 ug/dl (44-341) without any supplementation. Is there something else I need to have tested that would help explain why high TRT dosage appears necessary to reach those levels?

Yes, you understood correctly (350 mg/wk). I have tried 100-120 mg/wk and couldn’t get my total/free numbers high enough to be optimized. I believe my DR has my dosage way too high now, and the most recent lab results have only further confused me. Clearly total and free T need to come down...

Are any of these low E2 symptoms? — ”over the last month or so I have felt horrible: depression, no morning wood, trouble sleeping all night, and more persistent ED and loss of penile sensitivity.” I assumed I might have high E2 based on the symptoms, so the lab results were clearly a surprise...

And that is correct, I have never used an AI.

If there is an estrogen blocker, it’s not on the label. I’m not using compounded testosterone cyp, but instead using a standard 10ml vial purchased from a national pharmacy.

Hello, I‘m new here. I’ve read off and on for years, and searched recently through the forum and haven’t found a thread that fits my situation. First, a brief background: I’ve been on TRT (injections) since summer 2015, with a new “Functional Medicine” DR since mid 2017. She was willing to...