Sex Issues on TRT

[FeelingLost]

Feelinglost defy said free t should be 35 at a trough? Or did you mean 25? 35 seems high for a free at trough. That would take over 200 mg a week for me. I'm at 200 mg a week split 3.5 days and I'm only ever high 20's at trough.

They told me 35 but I am on a daily 20% compounded cream so there really isn't a tough. Maybe my low/normal SHGB allows them to shoot for that. I honestly don't know. I could have easly misunderstood what the Docotr said cell phone consults can be a challenge.

 

[at15]

Feelinglost defy said free t should be 35 at a trough? Or did you mean 25? 35 seems high for a free at trough. That would take over 200 mg a week for me. I'm at 200 mg a week split 3.5 days and I'm only ever high 20's at trough.

35 will bring in a lot more money than 25. if you care about your health you dont go with defy.

 

[sportsfan8724]

Defy seems to have a very good reputation. 35 free t on a cream makes more sense. Vince what do they tell you they want your free t at? I know you never have trouble pulling a great free t number probably since you naturally are a low converter to e2. Just curious if they ever gave you a free t goal number though.

 

[at15]

Defy seems to have a very good reputation. 35 free t on a cream makes more sense. Vince what do they tell you they want your free t at? I know you never have trouble pulling a great free t number probably since you naturally are a low converter to e2. Just curious if they ever gave you a free t goal number though.

this is so delusional and weird man think about what your doing. free test high 20's there basically no natural men walking the earth right now with those levels.

 

[madman]

a lot of those people are also on a light cycle not trt. We have data showing at 25, 50, and 125 mg per week there was no significant difference in sexual activity or sexual desire. Consider the 25 and 50 groups had trough levels in the 200's and 300's. Im not saying this is the case for everyone especially the older guys 60+ but trough around 500 and free test top end would not alarm me.

@TRTinNY, Proviron will fix your issue, but you may have to mail order if you cannot convince your doc.

Where do you come up with the fact that people on trt with a trough well north of the sub-500 range are also on a light cycle and not trt? There are many on trt protocols 100-150mg testosterone/week (various injection frequency) that hit 800-1000 total t trough! Overall the poster stated he feels well except for the one issue, sure his lower total t trough 492 with a free test near the top end (which is more important than his total) seems descent but due to his low shbg he may need a dose increase to bump up his total/free as he may need a higher free t value but even than his estradiol is some what low and may need to bring it up lightly as it may help his issue (sensitivity).

 

[TRTinNY]

Where do you come up with the fact that people on trt with a trough well north of the sub-500 range are also on a light cycle and not trt? There are many on trt protocols 100-150mg testosterone/week (various injection frequency) that hit 800-1000 total t trough! Overall the poster stated he feels well except for the one issue, sure his lower total t trough 492 with a free test near the top end (which is more important than his total) seems descent but due to his low shbg he may need a dose increase to bump up his total/free as he may need a higher free t value but even than his estradiol is some what low and may need to bring it up lightly as it may help his issue (sensitivity).

I mean...I'm doing 25mL every other day....which is 150-200mg per week...how much higher do I go unless I switch to every day?

Also...I got SHBG back today which is 14....also got bioavailable back for both total and free...total was 363 and free was 23.8

 

[TRTinNY]

Was prolactin evaluated/discussed at any point in your workup or since?

I mentioned it was 4.8 which is a bit low but he didn't seem impressed. Not sure I agree or not.

 

[FeelingLost]

I mean...I'm doing 25mL every other day....which is 150-200mg per week...how much higher do I go unless I switch to every day?

Also...I got SHBG back today which is 14....also got bioavailable back for both total and free...total was 363 and free was 23.8

WOW! Isn't the SHBG range 19.3 to 76.4

I mentioned it was 4.8 which is a bit low but he didn't seem impressed. Not sure I agree or not.

When my prolactin comes back a (5) I do the snoopy happy dance. I've had an 18 before.

 

[DaveK22]

Curious what does accutane have to do with this? I took it during teen years and always blamed it for having low t at a young age. Just curious why you brought it up?

https://rxisk.org/accutane-30-years-of-trading-our-sex-lives-for-clear-skin/

 

[madman]

I mean...I'm doing 25mL every other day....which is 150-200mg per week...how much higher do I go unless I switch to every day?

Also...I got SHBG back today which is 14....also got bioavailable back for both total and free...total was 363 and free was 23.8

I would try daily injections before increasing dose.

 

[sportsfan8724]

Davek thanks for the link definitely makes sense after reading it and may explain why libido even after trt has never been the same since darn accutane.....

 

[TRTinNY]

I would try daily injections before increasing dose.

So I was doing 25mL every other day...should I just do 12.5 mL every day? Do I need to worry about e2 dropping doing that? Should I.consider switching to prop

 

[madman]

So I was doing 25mL every other day...should I just do 12.5 mL every day? Do I need to worry about e2 dropping doing that? Should I.consider switching to prop

You mean .25ml EOD and try .125ml daily ( insulin syringes are 1ml) ? More frequent injections with smaller doses may lower ones e2 but it is not a given and if you are already EOD doubtful switching to daily will make a huge difference. Try daily for 6 weeks and see how you feel overall/how it affects blood work and worst case scenario if you do not notice ant improvement look into increasing your dose.

 

[CSI007]

Ah yes the sensitivity question. I have been chasing this problem since before TRT. It's part of the reason I started HCG and then TRT. Mine faded away and then the ED started. TRT has improved the situation for me but I seem to have slipped past the "sweet" spot. Since I don't get labs every week I am not sure what is the missing part of the puzzle. When my T was up in the 700s and total T in the low 20s and my E2 was in the low 30's I felt the best in this department, dare I say almost normal. Since then, T values have been consistent but the E2 skyrocketed to above 60 (now down in to the low 50s? - I will know in the next several weeks once I get a complete look at my blood work.) Now the sensitivity has been reduced along with ED issues again. Not as bad as before TRT but still not as good as it was a couple of months ago. So difficult determining what is causing the problem. Cialis helps with erection quality and arousal and I feel like it may help with climax too. Doesn't feel real great to climax with a semi.

 

[Vitamin_C]

https://rxisk.org/accutane-30-years-of-trading-our-sex-lives-for-clear-skin/

I took it when I was 16 for a round. I would go back and time and not take it, but I was never effected by this drug other than a dry, red face. Thank God I never had any sexual sides, I was unbelievably horny all throughout my teenage years and could get an erection if a girl touched my leg, mood was also amazing. I guess some dudes are just protected from these effects, some aren't.

To the OP, total test isn't optimal, also need SHBG checked.

 

[TRTinNY]

Guys...

Could use some thoughts...my progress has been great. A lot more energy in general, been feeling good overall but have an issue.

I am 37 years old. I have a hard time reaching orgasm during sex as many times i feel desensitized. I have read through the forums spoken with my doctor and haven't gotten a great answer.

Most of the time i am able to get hard but many times i am not able to finish and can just keep going.

I just had my most recent blood work done on a trough right before my next shot was due. I do 25ML EOD Test Cyp and 250 IU E3D of HCG.

The results are as follows:

Luteinizing Hormone - <0.1 IU/L
Prolactin - 4.8 ng/mL - Reference Range - 4.1-18.4
Progesterone - 0.2 ng/mL
Testosterone Total - 492.2 ng/dL - Reference Range - 264.0-916.0
Testosterone Free - 22.8 pg/dL - Reference Range - 8.7 - 25.1
Estradiol (Ultrasensitive) - 26 pg/mL - Reference Range - < OR = 29
DiHydrotestosterone - 39 ng/dL

My doctor has had my try 5mg of Cialis every day. It seems to be a bit better but no where near what i should be.

Does anyone have any thoughts of what I can do to fix this issue?

Hi Guys...so an update...i changed my protocol...

About a 10-12 days doing .12mL daily TC and still doing 250 HCG MWF

I am having issues with desensitization and more recently (last few weeks) even maintaining an erection which is really getting depressing.

Doctor suggested lowering dose to .9mL daily and possibly doing HCG daily or upping dose to 500 MWF.

I am starting to be at a loss but i am 37, in pretty good shape and hate to be on cialis at this age. Prolactin still a bit low at 4.8 which has me a little concerned...i think my DHT is ok so dont know what to do.

Any thoughts on this? Wouldn't mind Nelson's opinion on this.

 

[JPB]

the hcg does not agree with everybody