Good blood test results but low sex drive and ED - what to do ?

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hCG did not help you at any time with all those trials? How much T were you taking during those trials with hCG?
When you decided to start TRT, were your natural levels of T at the time very low and if so had you already been off AAS for some time? Did a doctor suggest your health problems were from low testosterone and or AAS use?
8 years is a considerable time to have been using AAS and the possible detrimental effects that may have occurred could be playing a part in your sexual issues now.
Did your sexual issues become evident during your period of AAS use and were never resolved?
As I mentioned before, the loss of our gonadotropins due to TRT can be a real issue for many guys sexually. Testosterone on its own is not enough to enable proper sexual functioning in some men.
Have you tried a low dose of T with hCG?
Hi,
Regarding HCG - I see sometimes some effects but (especially when I do not take HCG for a while and restart it) … but again - the effect is not great.

I felt low sex drive and I had ED on AAS but they were significantly less painful for me than now (on TRT). When I started to reduce the amount of juice (to move to TRT) - these problems were more visible.

I’ve moved to TRT to get rid of these problems ;) and it’s worse than before. I will try to reduce T dose and add HCG to it (eod). Should I take anything more ? (Pregnenolone, dhea, boron, chasteberry fruit, peony etc.)
 
Defy Medical TRT clinic doctor
Hi,
Regarding HCG - I see sometimes some effects but (especially when I do not take HCG for a while and restart it) … but again - the effect is not great.

I felt low sex drive and I had ED on AAS but they were significantly less painful for me than now (on TRT). When I started to reduce the amount of juice (to move to TRT) - these problems were more visible.

I’ve moved to TRT to get rid of these problems ;) and it’s worse than before. I will try to reduce T dose and add HCG to it (eod). Should I take anything more ? (Pregnenolone, dhea, boron, chasteberry fruit, peony etc.)
It sounds like you went from AAS use straight onto TRT, is this correct? Is a doctor treating you?
During the eight years of AAS use, did you have breaks (cycle off) and if so, did your symptoms resolve during these breaks?

hCG can have a “honeymoon” period when you first use it for many men, then it appears to stop working. I think this brief time of heightened sexual function is an initial side effect. After time on the correct dosage a more “normal” effect may occur if one is persistent with it. I also think the dose of testosterone needs to be significantly modified as I mentioned, due to the testes T production, this may be more than you think!
If you are on a moderately high dose (sometimes even less than that) of T and then add in hCG, it’s likely that you will suffer the effects of excessive T and not experience any positive sexual improvement at all, in fact quite the opposite, especially after a month or so; when the testes have resumed a higher level of function.
Urinary derived hCG, can be subject to inconsistency: batch to batch variation and impurities. Recombinant hCG does not have these issues and in my opinion is superior. However, what works for one person may not for another.
I use rhCG, twice a week. I don’t find taking it more frequently than that is necessary if used with exo T.
 
Last edited:
It sounds like you went from AAS use straight onto TRT, is this correct? Is a doctor treating you?
During the eight years of AAS use, did you have breaks (cycle off) and if so, did your symptoms resolve during these breaks?

hCG can have a “honeymoon” period when you first use it for many men, then it appears to stop working. I think this brief time of heightened sexual function is an initial side effect. After time on the correct dosage a more “normal” effect may occur if one is persistent with it. I also think the dose of testosterone needs to be significantly modified as I mentioned, due to the testes T production, this may be more than you think!
If you are on a moderately high dose (sometimes even less than that) of T and then add in hCG, it’s likely that you will suffer the effects of excessive T and not experience any positive sexual improvement at all, in fact quite the opposite, especially after a month or so; when the testes have resumed a higher level of function.
Urinary derived hCG, can be subject to inconsistency: batch to batch variation and impurities. Recombinant hCG does not have these issues and in my opinion is superior. However, what works for one person may not for another.
I use rhCG, twice a week. I don’t find taking it more frequently than that is necessary if used with exo T.
What dose of Ovidrel do you think someone with secondary hypogonadism should try for monotherapy? Something like 400iu E3D?
 
hCG did not help you at any time with all those trials? How much T were you taking during those trials with hCG?
When you decided to start TRT, were your natural levels of T at the time very low and if so had you already been off AAS for some time? Did a doctor suggest your health problems were from low testosterone and or AAS use?
8 years is a considerable time to have been using AAS and the possible detrimental effects that may have occurred could be playing a part in your sexual issues now.
Did your sexual issues become evident during your period of AAS use and were never resolved?
As I mentioned before, the loss of our gonadotropins due to TRT can be a real issue for many guys sexually. Testosterone on its own is not enough to enable proper sexual functioning in some men.
Have you tried a low dose of T with hCG?

What dose of Ovidrel do you think someone with secondary hypogonadism should try for monotherapy? Something like 400iu E3D?


IMO, you should take HCG e2d. Regarding the dosage - it's always an individual topic. I would start with 200iu.
 
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