[quote]Saskman84 wrote:
I did not yet see the results for the Prolactin. I know it was ordered before but maybe the lab oversaw it and made a mistake, I will make a note of it for the urologist in a couple of weeks.
If Clomid and bioactive testosterone are not good, what do you suggest?
I have no libido and it prevents me from marriage, I am in good health (other then this) and not overweight. I do fitness regularly. I probably sufferer ed since a teenager.
I feel stronger on Clomid and believe I made muscle gains, dont have much more libido though there are days it seems to be getting better.[/quote]
You understood bit wrong what i meant with bioactive testosterone.
I mean how much your body can use the testosterone you have available.
From what i understood your doctor wants to keep you on clomid because you possibly want kids but with clomid and generally you have weak libido / erection. How bad ED? Need to know exactly, weak erection, it lasts 2 mins and it’s gone? What about ejaculation with partner, can you ejaculate other than when masturbating?
The reason your doc wants you to use clomid instead is that testosterone injections will cause infertility to majority of males, but it’s definitely not 100% and cannot be considered as mean of protection like condoms etc. You could still possibly have kids while on TRT. My now old dad even had my sister while he was on D-Bol and other stuff back in the mid 80’s.
However, clomid will not affect your swimmers aka sperm, on the contrary. It increases sperm count and mobility.
The downside with long term clomid use is that it’s bound to cause ED symptoms. Not helping if you’ve had ED from teenager ( propably always low testosterone level ).
I’m not trying to patronaze you if you get that expression btw. 
Estrogen = Female hormone
Testosterone = Male hormone
To put it simply and somewhat bluntly:
- clomid will raise your testosterone production considerably.
- One! thing clomid does is that it blocks estrogen in the pituitary.
- Pituitary now sees little estrogen and tells your body to make more LH.
- LH makes leydig cells in your testicles to make more testosterone
- Your testosterone levels will start to raise
- The more testosterone you develop ( doesn’t matter if injection or your body naturally ), the more estrogen you will make.
your body, bluntly:
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Your body loves homeostasis in almost everything ( things are balanced )
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Mess with something, and some good and equally negative thing will happen.
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Negative can out do the positive, and vice versa, more often the negative.
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Most estrogen in male body comes from testosterone through enzyme called aromatase.
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Raise your testosterone and your estrogen levels will raise aswell because your body likes homeostasis ( i repeat this one too ).
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Aromatase enzyme starts to make estrogen out of your testosterone through process called biosynthesis. I wish it could turn lead to gold too but nah.
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High estrogen will result to testosterone not being able to do its work.
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All the amount of testosterone in the world won’t make any difference if
it cannot bind and therefore act. -
High estrogen levels as well as really low ( specificly estrogen called E2/estradiol ) is linked to ED and loss of libido. This is the reason you want it controlled and to know lab test results.
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This is why people use AI ( aromatase inhibitors ) to limit the amount of estrogen being converted from testosterone, or Serms, like clomid for small amounts of time. Not year round. For example, bodybuilders uses excessive amounts of testosterone going far beyond what human physiology can manufacture naturally, hence without control through other medication their estrogen levels as an example will raise off the roof because again your body wants to balance things out = aromatase makes it from testosterone.
If you are not planning to have kids now, you could aswell aim for traditional TRT which is testosterone injection. Combine with small amounts of AI and HCG ( you have to look them up yourself better ).
I’m not qualified to tell you dozes.
All in all my friend, we need to know the latest lab results before any real speculation and advice can be given about your state in specific.
Was ED the only problem in your sex life or was there any infertility issues already known? I don’t know about your sperm count and stuff, but clomid doesn’t guarantee 100% fertility, in some studys males with infertility issues had around 37% success rate to make it ( while using Clomid ).
Well, naturally erection and fertility are very different things.
All the best!