ED Issues and No Pump in the Gym

Hey fellas,

Im having issues and if anyone can relate or knows where I should go from here it’d be much appreciated, i’ve ran several aas cycles in the last decade and im in my mid 30s now, my last was trying some sarms(stupid looking back) in late 2017 for 12weeks. When I train i can no longer get a pump, no matter what I do, no matter the volume I can get no pump at all, my muscles dont inflate nor do they feel anything and when I have sex while I get an erection its a weak one thats not full of blood, same happens with my night erections. If I take cialis or viagra It doesn’t improve my pump in the gym but improves my erection quality slightly. My desire to have sex remains normal but my erections are weak where if my girl goes to get on top its falling out half the time its frustrating as shit

I’ve tried many natural supps including arginine, citriline, I’ve tried running a trt dose of test for 12months at 100mg a week which put me on the top end of normal and I managed my estrogen and prolactin within range, for the last 3months I tapered down to 80mg and split the dose up subq every second day hoping for a change. but it was the same, I figured maybe my prolactin is too high so I tried low dose cabergoline 6months ago for 2 weeks which got it down and my desire to have more sex improved but my erections were still the same as were my workouts. If I take 10-20mg of cialis, even mixed with some viagra my erections are slightly improved but my no pump in the gym remains. I do think they’re linked, I eat well and maintain 12-14% bodyfat year around, I do cardio and train but I also realised that when I train hard and intense for the next day or two my erections are much worse then before, if I take 2-3 days off the gym my erections are notably stronger. Could this be some issue around no2, thats what it seems like I have had many health checks from the docs and they’re stumped they just keep throwing more viagra at me and saying its not so bad at least it works enough to enjoy sex somewhat.

Im desperate for a fix, this started about 2 years ago and Im completely stumped. thanks lads my bloods are below, I know they’re on the low side but they always have been and when I cranked them up on TRT for 12months nothing changed

prolactin 295 miu/l (<300)
oestradiol 78pmol/l <150
Testosterone 17 nmol l (10-33)
Free Test 335 pmol/l (150-700)
SHBG 34nmol/l (13-71)

my full blood count is all normal except my MCV is 101, cholesterol all normal, iron normal ferratin normal

supps I take currently are 2.5mg cialis most days, 1g vitamin c daily, 6g arginine a day and a one a day vit d cap. no allergies that I know of

This very depends from person to person but i cant get a pump if my e2 is too low. And for me low is - within normal range.
I am much fuller when my e2 is two times over the norm… Maybe you just need more e2, so you can try to get back on TRT of 150mg/wk pinning e3d and just no estradiol control - let it get up… have anastrozole on hand if needed but dont use it if you dont feel like you need to use it.
When my e2 is in the middle of normal, i am flat as fuck and no pumps. When my e2 is 3 times the norm, my lower back gets pump even if i just walk a few steps :smiley:

Have you tried anything to lower this and see if it helps with the ED? Not sure it plays a part in NO production for the gym pump, but maybe? Also don’t see DHT on there

Man, your symptoms resonate with me. I don’t get much pump in the gym, and get occasional ED (I can always get it up, but sometimes lose it, which is pretty rough).

I can get a pump, same with erection, but I just lose it (both pump and erection) more quickly than I feel I should.

Just an N=1, but my prolactin is right in the middle of the range with these issues. Not saying that isn’t your issue, but I think it is unlikely that it is your issue.

I am going to try out cialis as soon as my order comes in. I hope I get better results than you.

Inability to get a good erection is one thing, but that coupled with no pump when working out means something systemic. If I was playing Dr. Yuppie I would be thinking vascular. For whatever reason you’re not making enough NO for vessels to smooth and widen. If you’re not getting anything from cialis or the OTC NO enhancers then something else is wrong. How’s your BP?

I have both of these issues, but I don’t think I have an issue with vessels not widening (just based on vascularity). Hopefully, they are not all clogged up or something, and that is why they are so dilated? My lipids are not great, but not terrible.

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This might be it. Mine is slightly elevated, but I wouldn’t think it would be enough to cause issues I am usually something like 128/78.

Just trying to find similarities with OP, as I think I have both of these thing (not much pump, and not ideal erections). Maybe if we have something in common, that might be a good area to look into?

On other thing I noticed is that my PSA in lab tests is always on the lower end of the range, and the prostate isn’t as firm as I would expect, but I have only felt my prostate lol. OP is this a similarity? Wouldn’t think this would impact muscle pumps though?

My bp is consistently 110/70ish, I agree and im talking no pump as in I can do a set of DB curls for 10, heavy and slow, put the dumbbells down and do barbell curls, put the bar down and do hammer curls and feel no pump. Its not just that my endurance is high cause I used to get big pumps, now nothing at all. very odd

Hi Getback, So you are saying you did AAS oral cycles but did not use T injections as your base cycling ingredient?
Did you run any kind of PCT post AAS cycles only?
What about blood tests? Do any of those? TT/FT/E2/prolactin/SHGB/HCT.
Post AAS cycle did you ever test your LH and FSH blood levels to see if you ever returned to normal?
If not you need to get your butt into a lab and get your blood tested.

I didn’t use test on my last sarms cycle in 2017, but otherwise I based my older cycles around test. I also went on TRT for 12months from 2018-2019, then on ceasing trt I took nolvadex/clomid and recovered after about 2months, my lh fsh levels are normal also but ill look for that bloodwork, my prolactin is on the high side of normal but I tried caber and it didn’t help . Thanks for your help

yeah psa was 0.8 (<2.5) not sure about my prostate but my nuts are shrunk to half the size from where they were a decade ago before ever touching aas, that said my levels are normal, for me it seems like its a link if I had to guess something to do with no2, maybe endothelial dysfunction, seems to be some issue around dilation. I’m seeing a cardiologist to get checked out but everyones stumped, I cant exactly show up and say do these tests cause the doc has their own ideas and I present as a healthy guy, I did a stress echo and that was cleared as fine

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P5P (50mg B6) is suppose to really help reduce prolactin.

Super Beets ( a powder you mix with water) is a really good NO2 booster.

Another mix I have used for NO2 boosting to improve Vascularity I don’t know why it would not help in your area is. Low dose Tadalafil (2.5mg) daily not for sex and 1-2mg of Doxazosin (alpha blocker)
Both are pretty inexpensive and could be worth a try. There is no reaching steady state if it works you will know in 24-48 hours. Best of luck I hope you and your doc can figure this out.

update??