TRT & sex drive

[johndoesmith]

Yes
No, he said I could stop anytime I wanted.

Not without risk of impairing your natural testosterone levels.

 

[ocman]

Are most people not using an AI?

 

[johndoesmith]

Are most people not using an AI?

Generally, most guys take measures to avoid an AI. It adds complication and another drug into the mix. In your case, you shouldn't be on testosterone or an AI.

 

[ocman]

In your case, you shouldn't be on testosterone or an AI.

The doc said if I ever wanted to stop I just needed to run hCG for a couple weeks and that was it.

 

[johndoesmith]

The doc said if I ever wanted to stop I just needed to run hCG for a couple weeks and that was it.

Yeah that'll stimulate the testes, but doesn't address the H or P part of the HPTA which is needed to get back online to signal the testes to produce testosterone. Not to mention the risk that it doesn't bring back your previous testosterone levels.

The longer you're on, the bigger the risk.

 

[ocman]

Do I need to do a PCT?

 

[johndoesmith]

Do I need to do a PCT?

Basically that's what you'll do. For the exact drugs and doses, that I can't help you with. I'd recommend a qualified physician to consult for this.

I'd love to maintain natural levels of 700 and 36 E2. I'm honestly not that far from that even on TRT! 914 total and 29 E2 as my trough. A bit different if you consider area under the curve, but not having to inject and take medication would be awesome!

 

[HarryCat]

Low energy and stamina for the most part

Did you have a thyroid panel and 4 x salivary cortisol test done? As others have mentioned, with your T levels prior to TRT it would not appear that T is where your problem lies.

 

[ocman]

Is it possible that it could be something else and not the arimidex?

 

[ocman]

Did you have a thyroid panel and 4 x salivary cortisol test done?

I had my TSH checked.

 

[johndoesmith]

Is it possible that it could be something else and not the arimidex?

Highly unlikely. Low E2 is a known cause of low libido in men.

 

[ocman]

Highly unlikely. Low E2 is a known cause of low libido in men.

I don't know why the doc wants the E2 between 15-20?

 

[Vince]

Yes, sex drive was fine when I started TRT.

I had full labs done on 7-22-16 and E2 checked on 10-14-16.

You said you started trt on August, these labs are from July? Are these Labs before you started trt?

 

[johndoesmith]

I don't know why the doc wants the E2 between 15-20?

Hormones are not one size fits all. So while guy A may feel great there, you may feel terrible. Numbers matter less than how you feel, assuming it's not a ridiculous number or one that is associated with negative health consequences.

Let me ask you this, do you feel better at 20 in october, or 36 in july?

 

[Vince Carter]

I had my TSH checked.

Your TSH of 4.X is NOT good, you need a full panel, T4/T3/Reverse T3/Antibodies

 

[Vince Carter]

Classic overdose of Anastrozole, 1mg even .5mg EOD is wayyyyyyyyyyyyyy too much and an E range of 15-20 would be too low on most counts.

 

[ocman]

Are these Labs before you started trt?

Yes, it took a month to see the doc.

 

[Jay]

ocman,

I would seriously consider going with Defy and have them help you with a PCT, as you can at least get back to they way you were before TRT...I think you said sex drive was great correct before TRT?

If so, you can try clomid to help reset everything. I think HCG stimulates the testies to produce more T but does not reset your system to produce T on its own. Either way Defy can set you up and it is very inexpensive.

 

[Vince]

Yes, it took a month to see the doc.

I really don't understand, if your labs were so good before starting TRT, why did you start?

 

[HarryCat]

I had my TSH checked.

OK, I see that in your labs now. Your TSH is too high and you free T4 and free T3 are both in the lower half of the reference ranges. This is indicative of subclinical hypothyroidism. See if you can get your doc to prescribe some NDT.