Trt not working that well, 2.5 years now

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equel

Active Member
Was put on TRT in april of 2017 after results showing ranges from 6-9nmol many times (about 160-260ng/dl).

Prolactin was always high, around 400-500, which made them do a MRI on my brain, found nothing.

SHBG always lower-ish around 18-24.
Due to the shitty system in my country, given testogel, which didnt work well at all for me, I started to self medicating instead, I was about to do testosterone cycles anyway as Im a bodybuilder.

Ive tried many things ranging from:
175mg a week of test E
350mg a week of test E
500mg a week of test E
560mg a week of test P (around 80mg injected ED)
Ive tried trt dosages of 150mg a week, test E. 100mg a week, test E.
Ive tried doing it with AI, without AI.

Differences: Better muscle mass, stronger. However, energy is extremely fluctating depending on. which I assume is my “sweet spot”, or whatever.

Lately, I tried 20mg of test propionate injected every day, so 140mg a week. 20 hours post injection, I did labs. They showed:

Testosterone total: 26nmol (range 8-29)
Testosterone bioactive: 22nmol (range 6-13)
SHBG: 9 (range 10-70)
Prolactin: 500 miu/L (range 80-326)
What are my main issues?

LIBIDO and erection strenght.
Back when I had low T, I had decent libido and decent erections. If I went 1-2 days without cumming, I was horny and very easy to get erection.

Now? Ive been doing “no fap” for 5 weeks and my libido is bad, and erection strenght is very shitty, its difficult to get up and 20 seconds without stimulation, it goes down.

Where do I go from here? Is there anyone who have any darn idea what the F Im gonna do? These 2.5 years Ive pulled women home and havent been able to “do the deed” none of the times, as my arousal just “isnt there”.

Any suggestions what so ever?
As u can see, my prolactin is still high and 20mg of prop ED has crashed my already low shbg from around 20 to 9.

Any suggestions, much appreciated, this is no fun.
 
Defy Medical TRT clinic doctor
Why did you start trt to begin with. Was it just because your numbers were low. It almost sounds like you were doing better before you were on trt then after. If that's true? Maybe it's time for you to try to get off the testosterone?
 
cause of low energy, motivation, strenght. All that has gotten WAY WAY BETTER.

But libido got worse, so did erection strenght, that is the main issue here.
 
Beyond Testosterone Book by Nelson Vergel
I was under the impression that high prolactin would be a cause of your symptoms and yours is high at least from what you have listed

Also, I don't get the whole no fap thing. What specifically is that supposed to accomplish?
 
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