I also forgot to mention that you can also go to a lab and check your sperm count. Here in Arizona you don’t need in order to get any blood work done at Sonora Quest Laboratories. I don’t know where you are but here in Arizona you can order your own blood work. They have a cash for service menu which is pretty reasonable without insurance. I can tell you HCG at the moment is pretty tough to find through legal channels. I have a prescription and the pharmacist is having difficulty finding it nationwide. However I know that there is a lot of HCG out there if you’re resourceful. You can also pick it up in Mexico with or without a prescription. Just saying. I don’t know what types of doctors you were seeing though you may have spoken about it earlier but I can tell you oh, I’ve been in healthcare for 23 years now and I can assure you that there are a lot of practitioners out there that have no business being in healthcare . Not to say that there not educated in their craft but at the same time it’s the system that develops their methodology and practice . And many doctors tend to dumb down over the years . It’s very rare to find doctors that know what they’re talking about specifically related to the subjects that you’re talking about and having trouble with . But I would not be wasting my time with a general practitioner or internal medicine doctor unless they’re credentialed in these types of modalities . I would most definitely seek out endocrinology and Urology . Hopefully, everything works out for you keep me posted! If I have any other thoughts about the matter I’ll be sure to reach out to you.
What?
WHAT!!!
Hello and thanks for taking the time to respond.
Unfortunately I ve done many of the things you suggested with no success…
Biggest disappointment was last July when I used hcg at 2500 iu per week for 4 weeks and still not much improvement. Multiple bloodworks all this time… Everything normal… Total t fluctuating at around 700-800…i ve seen e2 go high at 55 and low at 20…no difference… Shbg high at 55 dropped it to 30 still not much improvement. Prolactin normal at around 8. Lh above ranges most of the time probably due to serms… Fsh normal at around 5-6.
What I am looking for is an answer to this question… Do you know what could cause Ed and lower libido after a testosterone cycle of 700mg per week that persists after many pct s with both hcg and serms… And many blood work that show optimal levels.
Is there something I didn’t check?
All my blood works are for lh, fsh, total t, e2, shbg, prolactin. and I’ve checked Tsh a couple times
Can high t during cycle or low t after cause venous leak or something like that?
Or maybe I damaged my receptors with the high doses but that would affect other aspects too not just libido and erections.
Anyway I am at a loss…
Ps I don’t live in the USA but I have access to hcg clomid and Nolva. Also I ve seen like 6-7 different endocrinologist… Everyone had a different theory but 3 of them said desensitized receptors
There’s many things that affect libido & can cause ED. I know you finished a cycle so that’s what you’re focusing on, but if your hormone labs look ‘normal’ then it’s probably time to look at other things.
Like what? I’ve done a penis ultrasound (not doppler) and everything was normal. Plus everytime I try a pct and the meds kick in my libido raises for a couple of days and erections are almost normal (but that is from the fluctuation of androgens)… It’s like my body makes testosterone but can’t use it… Maybe my receptors are fried… I don’t know… And the watery clear ejaculation that started after the end of the cycle doesn’t show healthy hormones
I assume you also saw a urologist?
If not, you should.
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They can address watery ejaculate.
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Also ultrasound the testicles to see if the texture, size, shape, sperm ducts and overall health are normal! They can also run a camera up your penis to check for obstructions of the prostate and fluids it produces as well as the sperm ducts. You may have retrograde ejaculation.
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Have you tried Cialis???
I’m telling you, I love this stuff!!! 10mg lasts 3 to 6 days in the blood! Longer if you drink grapefruit juice.
It addresses the vascular deficiencies!
There nothing better sexually than an erection at 120% for stimulation!
It also helps with increased lung blood flow by decreasing any aspects of pulmonary pressure.
Hope this helps! I’ll keep you in mind and try and research things to consider.
Try Cialis!!!
I have been to a urologist but he didn’t seem very good at his job besides trying to take my money. I even asked for a psa test to check my prostate but he refused saying it wasn’t my prostate.
Unfortunately cialis helps but not completely. Nowhere near 120% erection. Maybe an improvement from 60 to 80%…i tried it daily for 3 months at 5mg Ed…
And at higher doses every once in a while.
I prefer viagra…I haven’t done any ultrasound on the testicles but that’s a good suggestion… Although it seems weird that retrograde ejaculation would start during pct and never recover after 2 years and many pct attempts… With clomid or Nolva there is an increase in volume but only for a couple of days when they kick in… Then back to watery. Sorry for being so graphic but it’s the only way to explain it.
And to further explain my situation it’s not that I can’t get hard at all… Sometimes when I take maca (which is the only supplement that had any effect) my libido is high and I want to have sex many times a day… But I get only to 70% erect and during intercourse without constant stimulation it fluctuates from 40% to 80%…
But perhaps it’s time to look at other reasons besides hormones since according to blood work they are optimal… I was thinking of getting a doppler ultrasound to see if with the trimix I can get 100% erect to rule out vascular issues.
Thanks for your time
Retrograde ejaculation can be because of medications, including those prescribed to treat enlarged prostate, high blood pressure, or depression.
BTW, Cialis works longer in the blood. 5mg is low dose. 10-20mg is better! I do well on 10mg. I would try 20mg in your case.
Vascular problems? ED is from venous leakage. It can also be Arterial flow if you have diabetes.
Try using a cock ring to block venous outflow. You notice a longer lasting erection. By adding a PDE5 inhibitor like Cialis, You have a good fix to a hopefully temporary problem.
I hate doctors that half step patients!!! This pisses me off! Total BS the uro doc dismissed you! Yes look at the epididymis on ultrasound as well as the testicles! Very important! Also is possible, trans rectal prostate ultrasound. Uro doc should also do a sperm count and Cystosopy evaluation!!!
Also,
T/E2 ratio is a balance that is important!
High estrogen is bad and so is low
for sex drive and erections.
Also AnY MeNtaL pressure OR Stress… whether you are aware of it or not… is the number one issue of ED! YOUR BRAIN is a Very powerful inhibitor! Your Physical health, mental health, hormonal health… all play a huge roll in ED. Hopefully you have good nutrition as well as plenty of rest! Rest is, in my opinion one of the hugest factors in ED health.
I have tried cialis at higher doses but unfortunately I can’t afford 20mg ed. Plus the few times I tried it at that dose there wasn’t any significant difference…
I’ve tried cock ring many times… Can’t say that it helps much… It gives a slightly better erection but I lose sensitivity so I lose my erection even faster cause I need constant stimulation to maintain it. . I will look into finding a urologist that specializes in fertility…
My diet isn’t on point and this issue has caused many psychological problems like low self esteem but again even when I am horny I can’t get to 100%…
I am seeing a psychiatrist and right now I am trying lamictal for depression since ssri cause sexual dysfunction themselves.
the penis ultrasound showed good bloodflow… But I wasn’t having an erection when tested and it wasn’t a doppler test.
At the moment the only thing I am trying to fix is erectile dysfunction… I don’t really care about the ejaculation thing unless they are related. I just point it out as another symptom that could show the cause…
And they both started during pct… The last time I got a 100% erection was in 2018 after mistakenly taking 6500iu of hcg (Ovidrell) and it was short lived… Ever since that I can get to a point of having intercourse with either viagra or cialis… I should also mention that I can get to 90% if am sitting but when laying on my back the max is 60%
Also when I was trying to lower my shbg from 55 with proviron I did get morning wood but I think that was again by the fluctuations of androgen cause it went away while still taking proviron and with lowered shbg at 30 and total t at 930
CIALIS 20MG Generic has dropped in price considerably here in the USA this past year and online. I wonder if you have rechecked the cost lately? I hope you have a break through soon.
I myself have noticed nutrition plays a roll in Ed. For some reason… Low carb increases symptoms of poor erections.
Good luck!
I Il have another blood work at the end of the month to see where I am at after my latest pct attempt with clomid and Nolva… What is a good estrogen level?
My t will probably come back normal high… Where should my estrogen be with a testosterone of 700…is 40 or 45 pg/ml of e2 high or is it just broscience.
I get that really high e2 with low total t is a problem but with normal high testosterone what is considered high e2 and could cause low libido and Ed?? Some say that high e2 is a good thing for libido but is there a limit?
During this 2 years I ve seen my e2 go as high as 55 and low at 27 (non sensitive test)…
Unfortunately there are no exact scientifically known correct ratio levels. However they do identify inverse ratios as being a problem that being estrogen higher than testosterone of course.
The male body needs estrogen no question. But too much estrogen also is an issue. It’s kind of like baking a cake. There are certain ingredients that are needed but an excess can be a problem.
The other aspect of consideration is that not everybody responds the same. Ultimately you have to identify where you benefit and your Therapies and try to further their Pursuit therapies that work and definitely research.
I’ve read studies where increasing the ratio of testosterone to estrogen seems to increase in libido and erections. And I’ve also read where suppressing estrogen causes decrease in libido and erection. But one common thing is agreed upon that it is important that estrogen for men is required in certain quantities. And that testosterone should remain dominant over estrogen. The closer the ratio is, the more problematic it becomes.
So to answer your question, your testosterone to estrogen ratio is that you discuss appears to be within reason. Let’s see what the lab work illustrates add try and determine if there are any values that need to be addressed. It’s also good to evaluate previous blood works by comparison and see where your trending. Keep us posted!
Hello again,
Next week I have an appointment with my doc and I will ask for blood work. I am already waiting the blood work results for all the basic stuff cholesterol triglycerides etc what exactly should I test cause I ve always tested the standard total t, e2, shbg, lh, fsh, prolactin, tsh.
What should I add to the list that could show the reason for low libido and Ed long time after steroid use. Dht? Dhea? Also I ve always only checked tsh which comes back close to 1. Should I do a whole thyroid panel too?
Thanks in advance
Total Estrogen. Estrogen plays a roll in male libido! Suppressing estrogen can be an issue. Also high estrogen can also be an issue. It has to be a balanced amount.
Cortisol
Oxytocin
α-melanocyte-stimulating hormone
Dopamine
vasopressin
All have rolls in desire.
Ok I will add those… Total estrogen is different than e2 blood work right? Should I include Dht and dhea or there is no need if I have good total t?
Yes total estrogen is a different test then estradiol. There’s nothing wrong with checking DHT and DHEA. I wish you good luck.
Let me tell you that you will not be like this forever. Just go through my post history, and you will realize how fucked my situation was. My dick stopped working on 250mg test after a LONG time of abusing AAS, and my girl left me because of it so I went insane for a bit. I literally drove to a cliff to kill myself. Fun times 
I got better, and fuck like a pornstar again.
The only advice I can give you is to try everything. Don’t just be fixated on fixing your E2. Yes, an E2 of 22 is most desirable with someone with your T levels, and yours seems high. Are you getting acne as well? Are you bloated?
Make sure your E2 test is SENSITIVE E2 AND NOT THE NORMAL TEST. Normal readings are usually all over the place.
Next try caber, incase your case is mental. What happened to me was a mix of high e2, and I was so used to fucking on huge amounts of AAS that I just couldn’t get aroused without tons of shit in my body, so it was mental as well. .5mg of caber every once in a blue moon fixed that. Keep in mind my prolactin levels came back elevated on my blood test.
There is some evidence of cabergoline helping with psychogenic ED:
Keep in mind Caber is a POWERFUL fucking drug. Get your prolactin tested before and right after taking it to see how you react. Don’t just get hooked on taking it either.
Best of luck, and this is just from my own experience.
Caber might help with this. Look at the article in my other reply.
Thanks… It’s good to hear someone fixed it… Unfortunately I can’t find a lab that does e2 sensitive e in my country. I have taken caber during this fucked up journey… But during my latest blood work my prolactin was low normal so I’ll skip it for now.
I ll update when I get the lab results
you refer that your free test was 17 pg/ml…and u have zero libido? and ed?..
your shbg is not high at all…
it seems to me its mental issue not hormonal issue…