TRT not relieving my symptoms !

MRitter

New member
Hello everyone.
I need your help and guidance on my TRT protocol as it seems to give me no desired benefits.

Im a white male, 43 years old, living in Thailand, have been on self medicated TRT for 8 months now.
I started TRT due to symptoms which is low libido and weak erections.

But first a short background story:
When i was 19 i did a D-bol and Deca only cycle but had to stop it 5-6 weeks in because of serious testes pain in my testes. It felt like someone was stabbing me with icepicks!!! Scary shit so i quit and never touched steroids again only for this reason. Maybe that was a good thing because if that hadnt happende i am pretty sure i would have continued using for many years, as i have always been fascinated by bodybuilding.
After the cycle i didnt have any issues but they started when i was about 23, starting to loose my hair on the scalp and when i was 25 i started with the libido issues, weak erections, not lasting long , eventually lost all lust even i was with a hot girl. Had to rely on cialis and viagra and have ever since.
This brings me to today. I moved to Thailand 1.5 years ago and here it was possible for me to get hold of testosterone from Pharmacys and was excited to start my TRT routine, self medicating though but have researched this topic for years before, so i feel im very well oriented in this matter.

After starting my TRT protocol which consist of 200 mg Test Enanthate every week along with Anazole ( generic Arimidex) 0.5 mg twice a week, i felt eager to start feeling it helping my symptoms. I have learned that it takes app.6 weeks for the body to start showing results but these never came. My first blood test showed Total Test of 1300 and Estrogen at 25 pg/ml. I since tweaked my dosage of test to land in the 900 ish area.

Now to my main question. Last week i did an extensive bloodpanel to find out why my symptoms arent getting better. Still lack of libido, weak erections ( do often have hard morning wood though but i tribute that to the urge to pee/filled bladder)
My blood panel showed the following: Taken on the day of injection, in the morning fasted state.

Total Testosterone : 960 ng/dl ( 249-836)
Free Testosterone 26.7 ng/dl 2.8 %
Bioavailable Testosterone 672 ng/dl 70.10 %
Albumin 4.6 g/dl (3.5-5.20)
SHBG 21.05 nmol/l (18.3 - 54.1)
Estradiol 55.4 pg/ml (25.8 - 60.7 ) Note : The week leading up to the bloodtest i only took 0.5 Anazole, just to see where it would land in this.
Prolactin 15.53 ng/ml ( 4.04 - 15.2 )
Thyroid FT3 3.45 pg/ml ( 2.0 - 4.40 )

An extensive blood panel and very expensive!

As i interpret these numbers , the only thing i would say was out of range was Estradiol at 55, but i didnt feel any different when the level were at 25, which is optimal.

Som im very confused and dont know where to go from here. What can be tweaked?? I know Prolactin can cause my symptoms but i dont think the number is high, even on the higher side but still in the normal range.

I really need qualified advice here guys, hope you can help me out in this matter.

Kind regards. M.
 
First of all, lots of things can cause low libido and weak erections. So going on TRT without knowing that you were Hypogonadal was not a wise decision. You very well have created another problem instead of treated what actually ailed you.

Given your numbers, you should find out why your pprolactin is so high. It should be lower and it can be causing erection issues. Your estradiol may be a bit on the high side too so do a better job of monitoring and controlling it.
 
No bloodwork from before trt? No reason to believe you were low to start with brother.
Maybe PCT then wait a while and get bloodwork to develop a baseline? Since you just started I would do that immediately.

Good luck bro
 
No bloodwork from before trt? No reason to believe you were low to start with brother.
Maybe PCT then wait a while and get bloodwork to develop a baseline? Since you just started I would do that immediately.

Good luck bro

Hi,

my Testosterone tested in at 280 before i started, and around this level for a few tests during years proir, so only just scraping bottom. That is Hypogonadal in my book. Even not out of level on the low side i surely felt the symptoms, which is described everywhere. My doctor told me i was normal, as expected because they only refer to numbers :-/ Thanks for your response .
 
First of all, lots of things can cause low libido and weak erections. So going on TRT without knowing that you were Hypogonadal was not a wise decision. You very well have created another problem instead of treated what actually ailed you.

Given your numbers, you should find out why your pprolactin is so high. It should be lower and it can be causing erection issues. Your estradiol may be a bit on the high side too so do a better job of monitoring and controlling it.

Hi,

as i stated in my text, it has been around 25 since i started, now for this test i stopped a bit before just to see where it would land me. Some have told me 55 is not so bad even high, some says its way too high. I felt no different than now though but sure i waill go back to the 25 range, just to be carefull of prostate problems in the future.
Prolactin is high you think? I would have guessed it high if a bit out of range , now just in the top range of normal but i guess yes for some people it can affect things. I think i will try Dostinex to come down in level, what would you say is a healthy level with good function ?
I tested several times prior to my starting trt, i ws always scraping bottom with 280 and a little under some times, so i know i was hypo at that time as well. Thanks for your reply :)
 
Hi,

my Testosterone tested in at 280 before i started, and around this level for a few tests during years proir, so only just scraping bottom. That is Hypogonadal in my book. Even not out of level on the low side i surely felt the symptoms, which is described everywhere. My doctor told me i was normal, as expected because they only refer to numbers :-/ Thanks for your response .

Gotcha. And your saying that 200mg per week is not increasing your drive? That being the case there is obviously another issue. Maybe depression? Anxiety?
My doc claims the last thing that suffers ,when our test levels drop, is our sex drive and performance. Many men turn to test to fix sexual disfunction and find that it wasnt the issue. Maybe see an endocrinologist and see if they have any ideas. I'm really sorry bro. Wish I had some.info for ya
 
Your test level of 900 morning of the next shot is good - so no issue there. Are you doing 1x or 2x per week?

E2 at 55 is too high. I know from personal experience drive and performance are good in the 40's with that much testosterone in you - but I'd like to personally be in the mid 20's. So I'd suggest going back to the adex dosage that put you there.

Prolactin that high would be my biggest concern, given everything else you've said. As you probably know caber and prami can lower it. Perhaps you can get some pharma cabaser there in Thailand and try it at a low dose like perhaps 0.5 mg 2x per week. Try keeping your test at 900, E2 at 25, and the caber for a couple of months to see where that puts your figures and how you feel.

And I would also be using HCG at 500 IU 2x/wk - 1,000 IU/wk. Doing this will help in several ways, but will also boost your T and E2 levels, so may throw you out of whack on the 900 and 25 targets. I personally find HCG to be excellent for libido and performance.
 
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So basically your issues are balding, loss of libido, loss of erections and cumming to easy if it gets hard?

All ^^^^ posters are almost reference worthy and know what's going on.

edit:I have nothing to add. but want to follow along.
 
Your test level of 900 morning of the next shot is good - so no issue there. Are you doing 1x or 2x per week?

E2 at 55 is too high. I know from personal experience drive and performance are good in the 40's with that much testosterone in you - but I'd like to personally be in the mid 20's. So I'd suggest going back to the adex dosage that put you there.

Prolactin that high would be my biggest concern, given everything else you've said. As you probably know caber and prami can lower it. Perhaps you can get some pharma cabaser there in Thailand and try it at a low dose like perhaps 0.5 mg 2x per week. Try keeping your test at 900, E2 at 25, and the caber for a couple of months to see where that puts your figures and how you feel.

And I would also be using HCG at 500 IU 2x/wk - 1,000 IU/wk. Doing this will help in several ways, but will also boost your T and E2 levels, so may throw you out of whack on the 900 and 25 targets. I personally find HCG to be excellent for libido and performance.

Thanks man. Im doing once a week shots. I definitely will try some caber to see if theres any change . Also i will be doing a full thyroid bloodpanel next week to rule out theres any issues there, i was told that no TRT would work if any problems in that area. HCG i would want to wait with until i have been trying caber, if i do both on same time i woulndt know what have been working for me. Thanks for your reply :)
 
Gotcha. And your saying that 200mg per week is not increasing your drive? That being the case there is obviously another issue. Maybe depression? Anxiety?
My doc claims the last thing that suffers ,when our test levels drop, is our sex drive and performance. Many men turn to test to fix sexual disfunction and find that it wasnt the issue. Maybe see an endocrinologist and see if they have any ideas. I'm really sorry bro. Wish I had some.info for ya

Hey man. No , no anxiety or depression here, i live in Thailand, this is my paradise and im feeling great in all other ways :) I will be having a bloodpanel on thyroid hormones next week to rule out any problems there, after that try some caber, and later on some HCG. Its a process :-/ Thank you for your reply
 
You took too much anastrozole and drove your SHBG too low. Thats why you do not feel good. You need to lower your T dosage and stop the anastrozole for a bit so SHBG can recover.
 
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