2.5 Years of TRT Not Working that Well

[2pacshaq]

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.

 

[appleton111]

they gave you a MRI brain scan just due to your prolactin level? lol. they just love going after every penny that they can get out of you and the most expensive test of all. Im sure they damaged your brain more with those cancer causing scans. Those things put out more radiation than your microwave at home.
those damn wanna be doctors and hospitals where people only go to die, before they drain your bank account though.
Did they check your prostate, adipose tissue, skin, and immune cell for your prolactin levels?
in a perfect world there are no doctors,
there are only dieticians.

 

[Mycelium]

Do you have any estrogen or estradiol levels?

 

[Mycelium]

Just a quick copy/paste about high prolactin


Causes of Abnormal Prolactin Levels

Normally, men and nonpregnant women have just small traces of prolactin in their blood. When you have high levels, this could be caused by:

Prolactinoma*(a*benign tumor*in your pituitary gland that produces too much prolactin)

Hypothyroidism*(your*thyroid*gland isn***8217;t producing enough hormones)

Diseases affecting the*hypothalamus(the part of the*brain*that controls the pituitary gland)

Anorexia*(an*eating disorder)

Drugs*that are used to treat*depression,*psychosis, and*high blood pressureChest injury or irritation*(for example, scars,*shingles, or even a bra that***8217;s too tight)

Also,*kidney disease,*liver failure, and*polycystic ovarian syndrome*(a hormone imbalance that affects ovaries) all can affect the body***8217;s ability to remove prolactin.

 

[themotherload]

Do you have any estrogen or estradiol levels?

for real, we need those numbers too. what caused your levels at the start?

 

[2pacshaq]

No I didnt test e2 levels. Do you guys see my bioactive testosterone? Its very high, maybe im aromatizing alot to estrogen cause of the high bio test?

 

[2pacshaq]

they gave you a MRI brain scan just due to your prolactin level? lol. they just love going after every penny that they can get out of you and the most expensive test of all. Im sure they damaged your brain more with those cancer causing scans. Those things put out more radiation than your microwave at home.
those damn wanna be doctors and hospitals where people only go to die, before they drain your bank account though.
Did they check your prostate, adipose tissue, skin, and immune cell for your prolactin levels?
in a perfect world there are no doctors,
there are only dieticians.

No they only did MRI

 

[Mycelium]

No I didnt test e2 levels. Do you guys see my bioactive testosterone? Its very high, maybe im aromatizing alot to estrogen cause of the high bio test?

Your TT is also at the top of the range. Total testosterone is exactly that
All testosterone bound and unbound. Testosterone has to be unbound to aromatize into estrogen. Estrogen production decreases testosterone. Test + aromatase = estrogen.

 

[themotherload]

No they only did MRI

oh my Heavens sake man. totally raped you. is your insurance paying or you? to go straight to those test is financial rape, the most expensive test of all first??
i would go to your HRT doc and kick him in the balls around 1 million times each day. because all said and done he is doing it to you and draining your wallet dry.

 

[2pacshaq]

oh my Heavens sake man. totally raped you. is your insurance paying or you? to go straight to those test is financial rape, the most expensive test of all first??
i would go to your HRT doc and kick him in the balls around 1 million times each day. because all said and done he is doing it to you and draining your wallet dry.

No problems mate, its all "for free" in my country, we pay the medical shit with taxes so its "free".


But do you guys think I might need a much lower dose of testosterone, due to my low shbg? Cause when I use these dosages, it seems like my bioactive testosterone is so high, maybe resulting in a shit ton of estrogen?

 

[themotherload]

No problems mate, its all "for free" in my country, we pay the medical shit with taxes so its "free".


But do you guys think I might need a much lower dose of testosterone, due to my low shbg? Cause when I use these dosages, it seems like my bioactive testosterone is so high, maybe resulting in a shit ton of estrogen?

oh, well in that case, they should be sorting you out. not telling you recovery is impossible. thats what they tell you in the good old US of A so they can keep making money off of you.
your lucky man. hope they can fix you right up.

 

[scorob777]

It was reasonable to do the MRI to look for a tumor on the pituitary gland. That's a good choice for high prolactin without any other obvious cause.

Your results are not that meaningful without estrogen. To get free testosterone and SHBG they are already doing advanced tests (compared to just TT), why the heck not include E2???

The erections and libido I think are E2 and prolactin related, so you need that E2 number. The other thing to look at would be thyroid, but I can't help you there.

So the first things I would do would be get all those same tests (TT, free T, SHBG, prolactin) plus add E2. If E2 is out of what go after that with an asin or adex. I would also go after the prolactin with something like caber to see 1) if I could knock it down, and 2) if it comes back up after you stop, and 3) if that has any effect on the sex life.

During all this I'd try to stay at some steady and reasonable TRT dose, like say 125 to 150 mg/wk Test E, so that variable is held constant while you mess around with E2 and prolactin.

And press them for a full thyroid panel, that might be pretty valuable