Erectile Dysfunction problems

[pmd]

Been on TRT for quite a while. Maxed out at 100ml e5d. Blood work perfect.

Jumped up and ran a cycle for 7 weeks of 500ml every week, pinning Tuesday and Friday and 1mg arimidex daily.

I know the arimidex is high but I estrogenize the test quite easily.

Had OK gains, maybe needed to eat more. Tore my forearms had to discontinue cycle and dropped back to 100ml e5d. Currently on 75ml e5d and feel decent.

The problem is I experienced ED just before week 7 on cycle. Embarrassing. I got it up but couldn't seal the deal and wife thought it was her. Here I am about 8 weeks since I went off cycle and I still have ED and weak erections. My libido is there but not like I normally am.
I can beat the meat to completion just can't with the wife.

Please help. I plan on mentioning it to doctor, but months ago I mentioned HCG and he said he is not that kind of doctor.

 

[Milton]

interested to see your blood work results. can you post it?

 

[pmd]

interested to see your blood work results. can you post it?

Out of Range (7)
HDL CHOL...
33
Low In Range
> OR = 40 mg/dL

BUN/CREA...
28
Low In Range High
6-22 (calc)

UREA NIT...
29
Low In Range High
7-25 mg/dL

MPV
11.7
Low In Range High
7.5-11.5 fL

MCHC
31.2
Low In Range High
32.0-36.0 g/dL

MCH
26.6
Low In Range High
27.0-33.0 pg

FREE TES...
229.8
Low In Range High
35.0-155.0 pg/mL

Additional Results (5)
LYMPHOCYTES
17.3 %

NEUTROPHILS
69.2 %

BASOPHILS
0.4 %

EOSINOPHILS
1.4 %

MONOCYTES
11.7 %

In Range (41)
CHOLESTE...
141
Low In Range High
125-200 mg/dL

TRIGLYCE...
111
In Range High
<150 mg/dL

LDL-CHOL...
86
In Range High
<130 mg/dL (calc)

Desirable range <100 mg/dL for patients with CHD or
diabetes and <70 mg/dL for diabetic patients with
known heart disease.
CHOL/HDL...
4.3
In Range High
< OR = 5.0 (calc)

NON HDL ... 108
Target for non-HDL cholesterol is 30 mg/dL higher than
LDL cholesterol target.
eGFR NON...
87
Low In Range
> OR = 60 mL/min/1.73m2

eGFR AFR...
101
Low In Range
> OR = 60 mL/min/1.73m2

GLUCOSE
79
Low In Range High
65-99 mg/dL

Fasting reference interval
CREATININE
1.03
Low In Range High
0.60-1.35 mg/dL

CARBON D...
22
Low In Range High
20-31 mmol/L

CALCIUM
9.4
Low In Range High
8.6-10.3 mg/dL

SODIUM
136
Low In Range High
135-146 mmol/L

POTASSIUM
4.5
Low In Range High
3.5-5.3 mmol/L

CHLORIDE
103
Low In Range High
98-110 mmol/L

BILIRUBI...
0.3
Low In Range High
0.2-1.2 mg/dL (calc)

ALKALINE...
76
Low In Range High
40-115 U/L

BILIRUBI...
0.1
In Range High
< OR = 0.2 mg/dL

ALBUMIN/...
1.5
Low In Range High
1.0-2.5 (calc)

GLOBULIN
2.8
Low In Range High
1.9-3.7 g/dL (calc)

BILIRUBI...
0.4
Low In Range High
0.2-1.2 mg/dL

PROTEIN,...
7.1
Low In Range High
6.1-8.1 g/dL

ALBUMIN
4.3
Low In Range High
3.6-5.1 g/dL

ALT
31
Low In Range High
9-46 U/L

AST
30
Low In Range High
10-40 U/L

WHITE BL...
5.9
Low In Range High
3.8-10.8 Thousand/uL

RED BLOO...
5.14
Low In Range High
4.20-5.80 Million/uL

HEMOGLOBIN
13.7
Low In Range High
13.2-17.1 g/dL

HEMATOCRIT
43.8
Low In Range High
38.5-50.0 %

ABSOLUTE...
24
In Range High
0-200 cells/uL

ABSOLUTE...
690
Low In Range High
200-950 cells/uL

ABSOLUTE...
83
Low In Range High
15-500 cells/uL

ABSOLUTE...
4083
Low In Range High
1500-7800 cells/uL

ABSOLUTE...
1021
Low In Range High
850-3900 cells/uL

PLATELET...
154
Low In Range High
140-400 Thousand/uL

RDW
13.7
Low In Range High
11.0-15.0 %

MCV
85.3
Low In Range High
80.0-100.0 fL

HEMOGLOB...
5.5
In Range High
<5.7 % of total Hgb

According to ADA guidelines, hemoglobin A1c <7.0%
represents optimal control in non-pregnant diabetic
patients. Different metrics may apply to specific
patient populations. Standards of Medical Care in
Diabetes-2013. Diabetes Care. 2013;36:s11-s66

For the purpose of screening for the presence of
diabetes
<5.7% Consistent with the absence of diabetes
5.7-6.4% Consistent with increased risk for diabetes
(prediabetes)
>or=6.5% Consistent with diabetes

This assay result is consistent with a decreased risk
of diabetes.

Currently, no consensus exists for use of hemoglobin
A1c for diagnosis of diabetes for children.
TSH W/RE...
0.79
Low In Range High
0.40-4.50 mIU/L

PSA, TOTAL
0.5
In Range High
< OR = 4.0 ng/mL

This test was performed using the Siemens
chemiluminescent method. Values obtained from
different assay methods cannot be used
interchangeably. PSA levels, regardless of
value, should not be interpreted as absolute
evidence of the presence or absence of disease.
ESTROGEN...
92.9
Low In Range High
60-190 pg/mL

The total estrogen assay is not recommended for use in
pre-pubertal children.
TESTOSTE...
919
Low In Range High
250-1100 ng/dL

 

[oldmusclemike]

Stats ??

With age

 

[joecoolredbarron]

Dudes on here are far more qualified than me (case in point musclemike above)

Know that you're not alone though, I did have damn near the same issue when dialing in my protocol...I was at 60.1 estradiol in pg/ml. Got my E down in the 40's felt better than to the 20's which is my sweet spot - no issues now g2g. For reference my T was ~975 for these tests. Not sure what estrogen test you got, can't make sense of those reference ranges tried google too. Again, someone smarter than me will likely chime in.

How long have you been off cycle, and why didn't you return to your regular 100mg e5d protocol?

Good luck, hope you get this figured out.

 

[pmd]

I am 46 yo. The reason I didn't return to 100mg e5d is because I was at 1400 test on a trough. So doctor dialed me down some. I used to do 200mg e10d, but at the advice of people on this site I changed to 100mg e5d unbeknownst to my doctor. The end result is more consistent test levels throughout the week and higher troughs.

With the e10d protocol it was rollercoaster ride.

ED sucks! I used to wake sporting wood that I could chisel through a wall with. Now I wake up erect but sort of soft.

 

[IMT staff]

Thats total estrogen your looking at. Bet your E2 is buried and thats why you have no sex drive.

This is very common, everyone freaks out about E issues and takes too much Adex.

 

[IMT staff]

PS how often are you giving blood your HCT is pretty low for being on T? Got any prior medical conditions related to Anemia?

And TSH does not look good.

 

[pmd]

PS how often are you giving blood your HCT is pretty low for being on T? Got any prior medical conditions related to Anemia?

And TSH does not look good.

I was giving blood once a month. I was in the 51-52 HCT range on 100mg e5d which I thought was ok, but I am no Dr.
The plan became to drop me to 75mg e5d and donate once a month until HCT at or about 43. No anemia history.

I have always had total Estrogen tested. Never had E2 tested.

 

[oldmusclemike]

Wait till ya try to control E2 when your Test is > 10,000ng/dL

 

[IMT staff]

Once a month is WAY too much to give blood. You need to test your Iron. Start supplementing Iron and Vitamin C right away. Take them together.

Total estrogen is irrelevant to us, you DEF want to test your E2 specifically.

Im sure its low.

 

[IMT staff]

This is a mess, you need to take a step back and decide if who you are getting your info from has any experience with TRT at all.

 

[pmd]

I just checked my TSH for all my labs. I believe the reason is as follows:

It took a huge downturn in late March of this year when I went on a cut diet. I did HIT cardio on my off days and steady state cardio on my on days for about and hour each time. The HIT was only 20 minutes of the total 60 minutes devoted to that on those days. I cut my carbs severely to about 50-75 g a day. I continued training hard and started my cycle in mid June also adding in Gaspari's new Halodrol and just about doubled my protein intake. Made ok gains.
By August my forearms were shot and ed became apparent.

Since then I have not been training and eating 75 percent clean and I have been craving sweets like crazy, which I have never before in my life. I prefer savory carbs.

Sounds logical?

 

[pmd]

This is a mess, you need to take a step back and decide if who you are getting your info from has any experience with TRT at all.

I agree. My hope was to manage myself with information on this forum and just use the doctor for the script which my insurance pays for.

 

[IMT staff]

I would be more worried about my Iron count and low E2 at the moment. 1mg of adex per day?

Your bones are literally tuning into styrofoam.

 

[pmd]

I have tried to taper my arimidex down throughout my treatment and my total estrogen has been in the 130-150's. Not sure how this relates to E2.

But at my current dosing the only way to keep my total estrogen within range is 1mg adex a day.

How do I get my E2 checked?

 

[IMT staff]

Total E is not important. You just have to request an E2 test or "estradiol"

You should consider stopping the Adex and seeing if symptoms are alleviated.

 

[oldmusclemike]

Total E is not important. You just have to request an E2 test or "estradiol"

You should consider stopping the Adex and seeing if symptoms are alleviated.

This ^^^
There are 3 estrogens:

estrone (E1)
estradiol (E2)
estriol (E3

You are concerned with Estradiol (E2)