Low T a Year After Steroids. Hypogonadism, ED, Low Libido

That PCT is simply wrong bro-science and bat shit stupid.

See HPTA restart sticky.

When you create high LH receptor stimulation with high SERM induced LH [and FSH] or high dose hCG and then transition to having the testes work on their own, there is a huge drop in LH receptor stimulation, which signals the testes to do less right when you want them to do the opposite. Meanwhile this LH receptor over-stimulation typically leads to high T–>E2 inside the testes and very high serum E2 levels. The lingering E2 shuts down the HPTA when the SERM is gone and E2 is unmasked. Note that anastrozole does not work against T–>E2 inside the testes.

Do not stack SERMs or SERM+hCG!

Some guys simply have high or low SHBG. Your past use of gear could have done that. There will be less non-bioavailable SHBG+T and then TT underestimates your T status.

Your blood is too thick and will be a major problem with higher T levels.
Avoid iron fortified vitamins, breads, cereals, rice, pasta etc. Read labels.
Do not get dehydrated.
Use mini aspirin and fish oil.
Donate blood if you are able to.

You have secondary hypogonadism. The top end of your HPTA works, testes do not. Testes may have been damaged by use of gear without hCG and/or bad PCT practices and outcome. If testes are going to recover, may take time for tissue changes to occur. But TRT might be your only option.

Low SHBG is often associated with diabetes. You have not shown fasting serum glucose.

Liver looks good.

TSH better nearer to 1.0
fT3 is the active hormone and well above mid-range, which should depress TSH. Suspect that rT3 may be blocking some fT3 action.
Oral body temperatures may be depressed, see below and check.

Many in UK are not getting enough in UK. Iodized salt is not in most shops and you are expected to get iodine in sea food and from dairy food.


Please read the stickies found here: About the T Replacement Category - #2 by KSman

  • advice for new guys - need more info about you
  • things that damage your hormones
  • protocol for injections
  • HPTA restart
  • finding a TRT doc

Evaluate your overall thyroid function by checking oral body temperatures as per the thyroid basics sticky. Thyroid hormone fT3 is what gets the job done and it regulates mitochondrial activity, the source of ATP which is the universal currency of cellular energy. This is part of the body’s temperature control loop. This can get messed up if you are iodine deficient. In many countries, you need to be using iodized salt. Other countries add iodine to dairy or bread.

KSman is simply a regular member on this site. Nothing more other than highly active.

I can be a bit abrupt in my replies and recommendations. I have a lot of ground to cover as this forum has become much more active in the last two years. I can’t follow threads that go deep over time. You need to respond to all of my points and requests as soon as possible before you fall off of my radar. The worse problems are guys who ignore issues re thyroid, body temperatures, history of iodized salt. Please do not piss people off saying that lab results are normal, we need lab number and ranges.

The value that you get out of this process and forum depends on your effort and performance. The bulk of your learning is reading/studying the suggested stickies.