Penis smaller after TRT

[Gman86]

I was experiencing similar issues....penis didn't "hang" but shrunk up like I was in a cold bath, lousy erections, and low sensitivity. Even with cialis regimen and low dose caber (have slightly elevated prolactin) I wasn't getting much help. Added HCG (300 iu 3x wk, so 900iu total) and I'm back to good hang, good erection...like I needed HCG to get everything else to work.....also had to up my anastrozole...high E can also be a contributing factor

What dose of ai were u using per week before, and what dose are u using currently per week?

 

[Gman86]

Interesting theory Neil and I think you are correct, but I know what the OP is talking about. My penis experiences shrinkage on TRT similar to getting into cold water. Often times very significantly. I was proud of my penis and would gladly oblige if a woman desired to reach for it but now I feel somewhat insecure about it and may even recoil from a woman's touch due to its smaller contracted appearance. Plus pde5i are much less effective. This change all happened when TRT was started.

Have u used HCG at all since being on TRT? Have u ever tried controlling E2 with an ai?

The best my penis has ever hung flaccid was while I was using HCG, but I was also using an ai. So not sure if it was the HCG, or if my E2 was just in a place my penis reacted well too. I’ve heard many guys say that when their E2 is too high, their testicles ride up and their flaccid penis shrinks up a bit. But when they get their E2 into a more favorable range, testicles drop back down and penis hangs better flaccid

 

[Toolbox]

I've been on trt for about 6 months. Currently at 180 MG q week IM.

I've noticed a decrease in girth and length.

I've started hcg this week and noticed it's fuller.


I'm not to concerned about the decrease in penile size. But the teste shrinkage has been very annoying.

 

[Neil]

Interesting about the HCG getting the penis to hang like it used to. So, HCG gets three votes. Can you all say where you get yours from? You may be on to something!

 

[Vince]

Interesting about the HCG getting the penis to hang like it used to. So, HCG gets three votes. Can you all say where you get yours from? You may be on to something!

Empower pharmacy. Through Defy medical.

 

[DixieWrecked]

Have u used HCG at all since being on TRT? Have u ever tried controlling E2 with an ai?

The best my penis has ever hung flaccid was while I was using HCG, but I was also using an ai. So not sure if it was the HCG, or if my E2 was just in a place my penis reacted well too. I’ve heard many guys say that when their E2 is too high, their testicles ride up and their flaccid penis shrinks up a bit. But when they get their E2 into a more favorable range, testicles drop back down and penis hangs better flaccid

I think you are dead on. Of all the relatively simple protocols I have tried, I have yet to try the cookie cutter Test + hcg + ai. I am going to do it. We shall see.

 

[PhilM7]

I use 12.5 mg of Clomid per day, along with my regular weekly testosterone injection to increase LH and FSH, and thus prevent the tight scrotum. Without Clomid, my scrotum is painfully tight. This may not work for everyone, because some guys don't tolerate Clomid well at all, and they feel bad when taking it, but I don't have that reaction to it.

 

[Cataceous]

I use 12.5 mg of Clomid per day, along with my regular weekly testosterone injection to increase LH and FSH, and thus prevent the tight scrotum. Without Clomid, my scrotum is painfully tight. This may not work for everyone, because some guys don't tolerate Clomid well at all, and they feel bad when taking it, but I don't have that reaction to it.

Unfortunately, independent of individual tolerance, Clomid does not resuscitate LH and FSH in most men on TRT. It seems that it cannot overcome the negative feedback of exogenous testosterone at the hypothalamus. In addition, Clomid is effectively half estrogen, which is fine if you need more, but not if you don't.

 

[Gman86]

Unfortunately, independent of individual tolerance, Clomid does not resuscitate LH and FSH in most men on TRT. It seems that it cannot overcome the negative feedback of exogenous testosterone at the hypothalamus. In addition, Clomid is effectively half estrogen, which is fine if you need more, but not if you don't.

Clomid is definitely hit or miss, and depends highly on the dose. I felt suicidal and just overall felt like death on 50mg/ day solo therapy.

So if PhilM7’s LH and FSH are most likely still suppressed, due to the exogenous T preventing the Clomid from stimulating his pituitary to make LH and FSH to send to his testicles, what do u think caused his scrotum to relax? Do u think that even though T is shutting down his HPTA, that the clomid he’s taking is still able to stimulate his pituitary to make a little bit of LH and FSH, just not as much as if he was not on exogenous T? Seems like his testicles are getting some type of stimulation from the Clomid. Unless the estrogen component of the Clomid is having a positive effect on his scrotum, which seems unlikely

 

[Gman86]

I think you are dead on. Of all the relatively simple protocols I have tried, I have yet to try the cookie cutter Test + hcg + ai. I am going to do it. We shall see.

If ur gonna add an ai, just make sure u start at a very low dose. I would recommend starting at 1/8 of a tab per week, 1/4 of a tab per week at very most. But u would personally start at 1/8 of a tab per week and titrate up if needed. U really can’t go by labs with E2. Supposedly all E2 conversion happens locally in specific areas of the body at different rates, and our E2 serum is just the excess spill over that the body is trying to excrete. So I would go by subjective symptoms and subjective things u notice, like a relaxed scrotum, ur penis hanging well while flaccid, morning wood, libido, mood, etc., over ur serum E2 levels. Titrate up very slowly, to see if u find a dose where everything seems to be working optimally

 

[Cataceous]

Clomid is definitely hit or miss, and depends highly on the dose. I felt suicidal and just overall felt like death on 50mg/ day solo therapy.

So if PhilM7’s LH and FSH are most likely still suppressed, due to the exogenous T preventing the Clomid from stimulating his pituitary to make LH and FSH to send to his testicles, what do u think caused his scrotum to relax? Do u think that even though T is shutting down his HPTA, that the clomid he’s taking is still able to stimulate his pituitary to make a little bit of LH and FSH, just not as much as if he was not on exogenous T? Seems like his testicles are getting some type of stimulation from the Clomid. Unless the estrogen component of the Clomid is having a positive effect on his scrotum, which seems unlikely

I can't say in his particular case that there's no LH or FSH. It would be interesting if he's measured them and found them to be non-negligible. However, Dr. Saya has said he's seen many examples of guys using Clomid while on TRT, and in every case LH and FSH were suppressed.

In these circumstances I'm not sure what non-estrogenic effects you'd see with Clomid. As you say, estrogen isn't expected to benefit the testicles.

 

[Gman86]

I can't say in his particular case that there's no LH or FSH. It would be interesting if he's measured them and found them to be non-negligible. However, Dr. Saya has said he's seen many examples of guys using Clomid while on TRT, and in every case LH and FSH were suppressed.

In these circumstances I'm not sure what non-estrogenic effects you'd see with Clomid. As you say, estrogen isn't expected to benefit the testicles.

Ya I agree, it would be interesting to see labs while on both. If the Clomid was in fact responsible for relaxing his scrotum, my guess would be that his LH and FSH would be lower than on Clomid monotherapy at 12.5mg/ day, but a bit higher than on T monotherapy. But again, only labs would confirm what’s actually going on while using both. Definitely curious tho

 

[Trip McNeely]

I think you are dead on. Of all the relatively simple protocols I have tried, I have yet to try the cookie cutter Test + hcg + ai. I am going to do it. We shall see.

Do it. For every bro in these forums constantly tweaking his protocol and overanalyzing every sensation in his body throughout the day, convinced if he just increased his injection frequency by one more shot a week or tweaked his dosage by 10mg he'd hit that elusive sweet spot, then abandoning his new protocol the first morning he wakes up without a boner or not feeling 100%, over and over again until he's so far gone inside his own head that the elixir of the gods couldn't bring him out of his funk, there are probably 500 guys at clinics across the country just taking their 200mg once a week, their HCG and their AI, not overthinking it and feeling great.

 

[Neil]

So, a question about HCG dosing. How many units on a standard E-100 syringe is 200iu anyway?

 

[DS3]

Do it. For every bro in these forums constantly tweaking his protocol and overanalyzing every sensation in his body throughout the day, convinced if he just increased his injection frequency by one more shot a week or tweaked his dosage by 10mg he'd hit that elusive sweet spot, then abandoning his new protocol the first morning he wakes up without a boner or not feeling 100%, over and over again until he's so far gone inside his own head that the elixir of the gods couldn't bring him out of his funk, there are probably 500 guys at clinics across the country just taking their 200mg once a week, their HCG and their AI, not overthinking it and feeling great.

I love everything about this post. I will add, though, that the various subjective effects on these hormones do express real world effects in terms of mood, energy, libido, and cognitive function. Guys on here do overanalyze, myself included. But, some of the stuff we overanalyze is actually real.

 

[Zibernet]

Do it. For every bro in these forums constantly tweaking his protocol and overanalyzing every sensation in his body throughout the day, convinced if he just increased his injection frequency by one more shot a week or tweaked his dosage by 10mg he'd hit that elusive sweet spot, then abandoning his new protocol the first morning he wakes up without a boner or not feeling 100%, over and over again until he's so far gone inside his own head that the elixir of the gods couldn't bring him out of his funk, there are probably 500 guys at clinics across the country just taking their 200mg once a week, their HCG and their AI, not overthinking it and feeling great.

I'd rather call it being in tune with one's body and listening to signs.
It makes one look and sound cool to be cavalier about everything and just "go on with it", but some of us just don't want to ignore signs that something is off.

I have self-diagnosed low hormone levels by "overthinking" things for years, because my doctors were underthinking.

 

[mike7]

My recommendation is to take arginine, citrulline, daily 5mg Cialis, and start banging or jerking away or get a vacuum cylinder that you can use for at least an hour a day. You can retrain and get back most of it...

From my pretty extensive research into VED's the most common recommendations and guidelines I've read all say to limit usage to no more than 30 minutes a day.

I will say, from personal experience, that utilizing one does increase your flaccid length and girth positively. You will also see positive increases in girth and length while erect as well. However, the length of time that the increases stay with you directly correlates to how long you have been using a VED, cumulatively. Meaning that the first few weeks the results may fade rather quickly but after several months the increases will be longer lasting.

After some amount of time, depending on the person, you can enjoy the positive benefits for several days, as in my case. At that point you can get by with "maintenance" sessions and keep those benefits 24/7.

EDIT: If you want any additional info please let me know. I would caution anyone interested in using a VED to start low and slow, think marathon and not a sprint.

 

[eli]

It's not your penis size, it's the blood flow, even with Viagra, your penis won't be as hard and thicker when blood flow is no good or lack of androgens.

 

[Wolverine]

I believe one of the major overlooked factors in this regard is norepinephrine. Thats why alpha blockers (dox, flomax) result in better hang/EQ.

 

[DixieWrecked]

in my opinion exogenous testosterone can cause a perpetual sympathetic state that restricts bloodflow. Not good for erections.