Lacking Libido?

[MonsterMedic]

My question is very similar to DoubleEdge's recent post (found here: http://www.steroidology.com/forum/t...estosterone-feeling-better-but-no-libibo.html) but I did not want to hijack his thread...

I have only been back on testosterone replacement therapy (TRT) for about 2-3 weeks now with a fairly aggressive treatment schedule. While desire is present, I have not been able to achieve or maintain an erection. My bloodwork is included below and while everything appears to be in 'range' or is being treated, excepting the Luteinizing Hormone, I still do not have any.. ability to 'achieve or maintain.' Thoughts?

DHEA-Sulfate - 119.2 (160 - 449)
Free Testosterone - 3.6 (8.7 - 25.1)
Testosterone Serum - 75 (249 - 836)
Luteinizing Hormone - 0.1 (1.7 - 8.6)
Estradiol - 34.2 (7.6 - 42.6)
IGF-1 - 74 (115 - 307)

Medications/Treatment includes: Testosterone Cypionate, Nandrolone Decanoate (for joint issues), OTC DHEA, Omnitrope (hGH). By the way, my state of residence limits me to keeping only a month's supply of Medication on hand at any given time so AIs will be added if/when symptoms appear.

 

[TR2838]

Your free test and total test are extremely low! Your e2 is high. And your on deca as well! I would get on an Aromatase inhibitor (AI) immediately, take you test e5d and drop the deca until your libido comes back.IMHO.. You're completely estrogen dominant right now, if you just add test it won't get better.. And deca?? Idk man, sounds nuts.. But, you're only a couple weeks in so have patience..
200 test C e5d

1mg adex EOD Dont wait! Get it now!
No deca for now
this is what I would do? Best of luck
Better yet.. Just call Chip.. Let him get you dialed in..

 

[MonsterMedic]

Your free test and total test are extremely low! Your e2 is high. And your on deca as well! I would get on an Aromatase inhibitor (AI) immediately, take you test e5d and drop the deca until your libido comes back.IMHO.. You're completely estrogen dominant right now, if you just add test it won't get better.. And deca?? Idk man, sounds nuts.. But, you're only a couple weeks in so have patience..
200 test C e5d
1mg adex EOD Dont wait! Get it now!
No deca for now
this is what I would do? Best of luck

Yeah.. To quote my Doc, my levels are the lowest he's EVER seen. Not something I'm proud of.

Patience may just be the answer here.. I'm currently pinning E3D or E4D (Basically 2x week) and the symptoms were present before starting the current protocol. It's just very disconcerting to feel my desire making a come back since starting and not having everything working right down South.

However if there is an additional bloodwork issue I want to get it addressed at my next visit! The only High Estro symptom at the moment is ED.

 

[CHIP WADOWSKI]

yeah.. To quote my doc, my levels are the lowest he's ever seen. Not something i'm proud of.

Patience may just be the answer here.. I'm currently pinning e3d or e4d (basically 2x week) and the symptoms were present before starting the current protocol. It's just very disconcerting to feel my desire making a come back since starting and not having everything working right down south.

However if there is an additional bloodwork issue i want to get it addressed at my next visit! The only high estro symptom at the moment is ed.

medic.... No fucking reason in the world to be embarrassed about your levels. My levels were 49.5ng/dl years ago when i first started therapy, then made a career out of it. That is why you are in this forum, bro. This is a non-judgemental place.

 

[adrian2401]

medic.... No fucking reason in the world to be embarrassed about your levels. My levels were 49.5ng/dl years ago when i first started therapy, then made a career out of it. That is why you are in this forum, bro. This is a non-judgemental place.

Chip is right MonsterMed....WE ARE ALL HERE TO SUPPORT EACH OTHER SO PLEASE KNO THAT YOU CAN FEEL COMFORTABLE HERE! THIS IS WHERE YOU NEED TO BE BRO!

 

[cjw2021]

Looks like panhypopituitarism. You could potentially be deficient on all hormones.........wow. please check saliva am cortisol as well.

 

[MonsterMedic]

Thank you (Chip & Adrian) I really do apppreciate the sentiment here!

Cjw, I believe my official diagnosis is: "Dude. You're f*cked!" Lol!

It's definitely Hypopituataryism, fortunately Cortisol is one of the few hormones that are being produced and within the normal range at 8.4 ref range. (2.3 - 19.4). Testing was done late morning and my levels are fine for any time of the day!

HDL was oddly low as well but that's just going to increase my CAD risk. Not a significant issue or concern given my other lifestyle choices (diet, exercise, social history: drinking & smoking, etc.). My follow-up with the Doc is currently scheduled 9 days from now (3 weeks after start of current protocol) and may be moved out no more than an extra week to allow testosterone levels to normalize on the new protocol.

 

[TR2838]

Yea no judging here.. But, the title of your thread is 'lacking libido'.. Deca will mess up your libido better than anything.. Might want to
talk to your doc about that.. Keep us posted

 

[MonsterMedic]

TR: I'm only entering my second or third week of being back on testosterone replacement therapy (TRT) but the lack of libido/intermittent desire present for the past month or two + the ED are really bothering me.

Hopefully at the next visit, when I present with those two, persistent symptoms, plus high normal Estradiol, he'll put me on an Aromatase inhibitor (AI). His reasoning against one at my last visit was sound BUT.

 

[transcend2007]

Any updates MonsterMedic? I am considering the benefits of deca also but dont want libido issues that many report.

 

[MonsterMedic]

Transcend, Negative Libido and ED symptoms have begun to diminish as I entered my 4th week. No negative or adverse effects from the Deca, particularly in this department. For reference these issues date back to July/August while I was non-compliant due to Insurance issues and do not stem from the Deca portion of my protocol.

If you have joint issues, I would strongly recommend pursuing the Deca based on my own personal experiences and the experiences of a few friends. Otherwise, it would really not be indicated for TRT. If you do pursue this, your weekly Testosterone should exceed your weekly Nandrolone by at least 100mgs/week.

 

[MonsterMedic]

I go for bloodwork at my next Doctor's Visit, 11/11 and will post results after I receive them. About a week later.

 

[cjw2021]

Those labs were pre treatment...right? I would take sublingual dhea...15-25mg/day in the AM. the oral stuff doesn't work.

 

[MonsterMedic]

Those labs were pre treatment...right? I would take sublingual dhea...15-25mg/day in the AM. the oral stuff doesn't work.

Indeed they were.

The oral does work, you just have to take into account the partial destruction of the compound that will take place in the stomach unless you are lucky enough to find an Enteric Coated Oral DHEA. Allowing it to survive the Stomach and be fully absorbed in the GI tract. Along with the rest of your nutrients.

Thank you for the suggestion. I've been taking 50mgs orally every day, in the morning, as part of this protocol and will likely experiment with sublingual after I finish my current supply to see if it has a better effect. So far, I have not been able to find studies advocating for one over the other.

 

[cjw2021]

the oral doesnt work for me, and most people I know that actually are DHEA deficient and have bloodwork done show that they have to take 400mg of oral dhea to do what 25mg of sublingual will do on blood lab tests.