New Labs - Still Lacking Libido

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DJ87

Member
Hey all,

Just received my latest lab work from Lab Corp. I was expecting some different results since I have been having some libido issues. Not sure where to go from here, everything looks like it is in an acceptable range or better. Trying to figure out the missing puzzle piece to my libido. Not sure what else to test or where to go from here. Any thoughts on what can be improved regarding my results or anything else to check? Thanks!

Protocol:
M/W/F injections
150mg test cyp per week
200 iu HCG at the time of injection for atrophy

Blood Test Results:

TT - 1101 ng/dl (264 - 916)
FT - 29.2 pg/ml (8.7 - 25.1)
Prolactin - 12.0 ng/dl (4.0 - 15.2)
DHT - 59 ng/dl
IGF-1 - 243 ng/ml (88-246)
Sensitive Estrogen - 40.5 pg/ml (8.0 - 35.0)
SHBG - 20.5
 
Defy Medical TRT clinic doctor
Hey all,

Just received my latest lab work from Lab Corp. I was expecting some different results since I have been having some libido issues. Not sure where to go from here, everything looks like it is in an acceptable range or better. Trying to figure out the missing puzzle piece to my libido. Not sure what else to test or where to go from here. Any thoughts on what can be improved regarding my results or anything else to check? Thanks!

Protocol:
M/W/F injections
150mg test cyp per week
200 iu HCG at the time of injection for atrophy

Blood Test Results:

TT - 1101 ng/dl (264 - 916)
FT - 29.2 pg/ml (8.7 - 25.1)
Prolactin - 12.0 ng/dl (4.0 - 15.2)
DHT - 59 ng/dl
IGF-1 - 243 ng/ml (88-246)
Sensitive Estrogen - 40.5 pg/ml (8.0 - 35.0)
SHBG - 20.5
My last DHT level tested at 114 ng/dl, and Defy was happy with it there for libido purposes. You might want to try and bump yours up a bit, but you'd probably need to use testosterone cream on your scrotum to make that happen since the injections aren't getting you there.
 
If you don't have erectile problems or porn problem, 90% of libido is in mental status. Stress, relationship issues big impact. But, if you want to experiement with something else outside the box-try some PT 141.
 
I would suggest your E2 might be too high for you. I know if I get that number much above 32, my erections suffer along with libido. I feel the best sexually around 20. It is different for everyone, but that is worth looking at. (Some guys do better on higher E2 numbers. Its very personal) Also, agree with the other poster, your DHT could come up quite a bit and that is a big driver of libido.
 
I would suggest your E2 might be too high for you. I know if I get that number much above 32, my erections suffer along with libido. I feel the best sexually around 20. It is different for everyone, but that is worth looking at. (Some guys do better on higher E2 numbers. Its very personal) Also, agree with the other poster, your DHT could come up quite a bit and that is a big driver of libido.
And I think if he brings the DHT up, then I understand that it can help also help limit his E2 production at the same time. Two birds with one stone.
 
Thanks for the input guys. I will try and bring my DHT naturally at first to see if that works to avoid the daily cream if I can. I have heard mixed reviews on creatine and sorghum which is worth a try to see and then pull labs again. Golfboy, will throw some more CDG or dim into the mix and try to lose some body fat...sitting at 15% lower cant hurt if I bust my balls to get it. Would like to avoid an AI but have my E2 at least in lab range.
 
I would suggest your E2 might be too high for you. I know if I get that number much above 32, my erections suffer along with libido. I feel the best sexually around 20. It is different for everyone, but that is worth looking at. (Some guys do better on higher E2 numbers. Its very personal) Also, agree with the other poster, your DHT could come up quite a bit and that is a big driver of libido.

What is your SHBG level?
 
If raising DHT naturally doesn’t budge ur level, would definitely look into a small dose of cream daily to ur testicles. I need DHT at least around 100 to feel optimal sexually. I definitely wouldn’t have the best libido at ur level. And I agree with the guy above, the cream would increase DHT nicely, which would inhibit E2 a bit, which would absolutely allow u to avoid needing an ai. I think adding a small dose of test cream to ur testicles is the perfect answer. If I were u, I wouldn’t even waste time trying to get it up naturally, and just have Defy prescribe u some cream. Even if u raise it naturally, what’s best case scenario, getting it up to 65?
 
My SHBG is 20.5

I knew urs already lol. Was just wondering what his was because he prefers his E2 on the lower side. Was just wondering if he had a lowish SHBG as well. I would assume he does if his sexual function starts to suffer when his E2 is above 32
 
If raising DHT naturally doesn’t budge ur level, would definitely look into a small dose of cream daily to ur testicles. I need DHT at least around 100 to feel optimal sexually. I definitely wouldn’t have the best libido at ur level. And I agree with the guy above, the cream would increase DHT nicely, which would inhibit E2 a bit, which would absolutely allow u to avoid needing an ai. I think adding a small dose of test cream to ur testicles is the perfect answer. If I were u, I wouldn’t even waste time trying to get it up naturally, and just have Defy prescribe u some cream. Even if u raise it naturally, what’s best case scenario, getting it up to 65?
Good point, I have never actually seen any bloods seeing if any natural way to increase DHT actually work or not. Will check with Defy to see what they think especially if it would also take down my E2 at the same time.
 
I knew urs already lol. Was just wondering what his was because he prefers his E2 on the lower side. Was just wondering if he had a lowish SHBG as well. I would assume he does if his sexual function starts to suffer when his E2 is above 32
Jumped the gun on that Gman. You think DHEA has any effect? Everytime I test low at around 139, but haven't messed with it because I dont want my E2 any higher.
 
Jumped the gun on that Gman. You think DHEA has any effect? Everytime I test low at around 139, but haven't messed with it because I dont want my E2 any higher.

Haha no worries. DHEA isn’t usually associated with sexual function, but I’m sure it has some effect. I wouldn’t currently address ur low DHEA level tho. I would eventually try to supplement with DHEA in the future tho. But for now, I would definitely focus on dht and E2. And lucky for u, applying a small amount of cream to ur testicles will address both at the same time, all while avoiding an ai. U really want to avoid using an ai at all costs, imo. It’s definitely a last resort type mediation. Again, imo. I would just get the cream prescribed and call it a day. I was on the cream for 2 months. It was kind of a pain to apply it to my testicles twice a day, but u would just need a small dose once a day, which isn’t bad at all. Just apply it quickly after u take a shower in the morning. After that u don’t have to worry about it for the rest of the day
 
Good point, I have never actually seen any bloods seeing if any natural way to increase DHT actually work or not. Will check with Defy to see what they think especially if it would also take down my E2 at the same time.

Ya just trying to save u some time. I’ve been down this road with SHBG. Spent a long time and a lot of money trying to get it down, with no luck. Got on testosterone and boom it went down by 10+ points right away
 
Hey all,

Just received my latest lab work from Lab Corp. I was expecting some different results since I have been having some libido issues. Not sure where to go from here, everything looks like it is in an acceptable range or better. Trying to figure out the missing puzzle piece to my libido. Not sure what else to test or where to go from here. Any thoughts on what can be improved regarding my results or anything else to check? Thanks!

Protocol:
M/W/F injections
150mg test cyp per week
200 iu HCG at the time of injection for atrophy

Blood Test Results:

TT - 1101 ng/dl (264 - 916)
FT - 29.2 pg/ml (8.7 - 25.1)
Prolactin - 12.0 ng/dl (4.0 - 15.2)
DHT - 59 ng/dl
IGF-1 - 243 ng/ml (88-246)
Sensitive Estrogen - 40.5 pg/ml (8.0 - 35.0)
SHBG - 20.5
I have a similar SHBG but I take less T meaning both my TT and E2 are lower - and I don’t take HCG. You might want to look into that as well. My libido is pretty good now. Also your prolactin seems highish, have you had sex within 24h prior the blood draw? If not it might be worthwhile investigating. I’d say drop some T, maybe to 136-140mg EOD or something which should fix both TT and E2 and probably your libido and reconsider what you are taking the HCG for.
 
I have a similar SHBG but I take less T meaning both my TT and E2 are lower - and I don’t take HCG. You might want to look into that as well. My libido is pretty good now. Also your prolactin seems highish, have you had sex within 24h prior the blood draw? If not it might be worthwhile investigating. I’d say drop some T, maybe to 136-140mg EOD or something which should fix both TT and E2 and probably your libido and reconsider what you are taking the HCG for.
Thanks for the reply Test. I have considered dropping my dosage slightly and may do that if all else fails, but other than libido I am feeling good for the most part at this level. Gotta still roll with the HCG, I did a test run without it and 2 weeks in my balls were raisins and in pain. Didn't have sex with 24hrs of the bloods, but will take a look at some ways to lower prolactin to see if that helps.
 
Beyond Testosterone Book by Nelson Vergel
Thanks for the reply Test. I have considered dropping my dosage slightly and may do that if all else fails, but other than libido I am feeling good for the most part at this level. Gotta still roll with the HCG, I did a test run without it and 2 weeks in my balls were raisins and in pain. Didn't have sex with 24hrs of the bloods, but will take a look at some ways to lower prolactin to see if that helps.
Yeah the pain in the undercarriage was a little concerning at first. I thought it was my hernia repairs bursting open! I even blamed the Cialis I was testing out at the same time to the point that I stopped it haha. Didn’t regret it actually, it does next to nothing for me and sex is actually nicer without. Anyway, the pain/aching go away. I found at first they pull up tightly and worryingly fast but then it stops and they kinda drop a little again. Yup still quite a bit smaller than before, no question but chances are nobody else would notice. I don’t show my balls around anyway and my wife couldn’t care less. I believe the omission of HCG made it possible for me to be nearly dialed in already, after only 1/2 year in. I say nearly because I guess I should wait for for the next blood draw to see if my labs are still consistent with my perceived improvements. My logic was to first get dialed in with T only and then, if needed adding HCG. That way I can see exactly the effects of it and adjust it more effectively. The thing is though, I’m actually quite happy without it. I literally have no reason to add it right now. If I did then I would only do it to make the balls drop again, just for fun. But what if I don’t like it? Then I’d have to go through the uncomfortable atrophy process again. Nah can’t see adding it. Everything seems to be just right at the moment including that illusive libido and I refuse having big balls get in the way!
 
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