35 Years Old, No Libido ED

Pharma / TRT Testosterone Replacement
1

35 years old, no libido ED with labs
Two years ago a series of life happens moments I became super depressed. My libido dropped to zero, and I was having ED problems.

Flash forward two years later I continue to struggle with libido and ED. No difference if I am just by myself. ED meds help most of the time.

1s. Vist to urologist revealed my Test low 400s and high Estradiol
2nd Appoint Urologist gave Armidex to counter the Estradiol.
I have a 3rd appointment with a Urologist/TRT doc in twwo weeks.

I don’t know what to say. My test results appear normal. Maybe the stress and depression still lingers. I don’t know but at this point i’m not abvoe talking to a shrink about it.

I need some help, direction. Suggestions on additonal blood test that would be helpful. Whatever you can offer.

Tests: (1) TSH (004259)
TSH 1.490 uIU/mL 0.450-4.500

Tests: (2) Luteinizing Hormone(LH), S (004283)
LH 6.8 mIU/mL 1.7-8.6

Tests: (3) Estradiol (004515)
Estradiol 28.6 pg/mL 7.6-42.6

Tests: (4) Sex Horm Binding Glob, Serum (082016)
Sex Horm Binding Glob, Serum
33.6 nmol/L 16.5-55.9

Serum Testosterone (ng/dL): 670 Normals: adults Males 175 - 781 ng/dL

2

So those labs are on Arimidex/anastrozole?

When E2 is high, we need liver markers ALT/AST to look for a cause in the liver. The liver clears estrogens.

Read these stickies carefully:

  • advice for new guys - we need lots more data ← very important
  • thyroid basics
    – TSH is getting to be a concern
    – post your iodine intake and body temperatures as per the sticky !!!

Life events:

  • concern for adrenal fatigue
  • need AM Cortisol, do the lab work at 8AM!
  • need DHEA-s
  • describe how your body reacts to major stress events

SHBG is still elevated in response to E2 levels, can you increase your anastrozole dose by a ratio of 28.6/22?

How much Anastrozole? When do you take it?

Is your cholesterol below 180? Low cholesterol is a problem.

3

Awesome, some direction.

I take 1mg e3d. After 2 months, my wrist, arms, and knees starting to really ache. I have discontinued the armidex, maybe will go back .5 e3d.

I’m thinking stress as well, but fuck, I can’t figure it out at all. I don’t know if my brian has locked on this issue and refuses to let go. My labs look good, but I don’t ever get a morning errection. So I don’t know…

4

When not on TRT, 0.5mg per WEEK anastrozole should be your first dose. A liquid product is more suitable for small dose control. Please do not miss any of my points above.

5

Arlight,'ll see if the Armidex comes in .5 or .25 dosage. Look for a doctor that will run the test.

6

Brand name Arimidex is $$$, get anastrozole.

You still are not understanding what I wrote.