@physioLojik would 20mg / day of Tamoxifen be a reasonable method to help preserve fertility for a 29 year old about to begin TRT? We want to try for kids in a couple years. Or would it be better to wait until we start trying to add the tomoxifen?
You mentioned your protocols don’t involve HCG. Do you believe HCG helps with penile sensitivity or libido?
I am thinking about adding some hcg to my protocol in the near future.
@roscoe88 ignore anyone saying the issue is with your penis lol. I read that in another thread. The issue is probably low estrogen in relation to test. Try using 20mg tamoxifen a day and
Tell me how you feel in a few weeks. Sorry for th delay.
I"ll research tamoxifen. Thank you greatly for the time for reply.
I’ve often thought I needed higher estrogen levels, but my body doesn’t seem to aromatize very much. More estrogen (while keep test somewhat the same) would decrease that ratio in a beneficial way.
@roscoe88 anytime man. What’s your current dosage? Do you use zinc ?
Current dose is 40mg text cyp e3d. I just lowered it from 50mg e3d, where e2 was at 28.
At that level (50 mg e3d) TT is 860 and FT is just slightly high out of range. DHT high as well), so I thought maybe a bit lower test may lower e2 a tad.
I did try raising test with 60mg e3d, but I felt irritable very fast. So I think my estrogen needs to be closer down to lower 20’s. Hoping this may yield a libido as well.
If you just lowered you dosage and change the protocol, this would more than explain the ED. In 6 weeks I’m sure thing will be different. I’m a week into my new protocol, I got ED as well. However in 4 weeks I won’t, usually by week 4 erections are back.
No. I have ED bc I have zero sex drive. It’s been going on 20 + years.
I’m trying to find libido on trt and thus, help ed.
@roscoe88 exactly. Libido and ed are vastly differnt. Libido is a function of estrogen and neurotransmitters 
I can get erections with Viagra. I just cant get a good one and/or maintain it with gf. I feel its because I have no libido.
Like I said, the attraction is there. It’s that inner rush you get that makes you wanna pursue the gf that isn’t.
What’s your SHBG like.
Also, on the 50mg twice a week. The 28 number for e2, which lab was it…
I tried this and it seems to help. There are some studies that it increases dopamine. @physioLojik knows more about this
Research shows that acetyl-l-carnitine increases the natural production of both serotonin and dopamine and helps stress tolerance. In a study in rats, just seven days of supplementation with acetyl-l-carnitine was enough to increase dopamine and serotonin levels in the nucleus accumbens. When dopamine binds to this part of the brain, there is a response that is involved with feelings of pleasure, reward, and addiction.
@roscoe88 estrogen is involved in nitric oxide production as well. These are important factors
@anon10230041 I’m so glad you took my advice and got it!!!
Viagra gave me erection too but I felt I lost sensation on it. Like a rubbery dick. But I was hard ASF. Btw I use daily Cialis now may no longer need to Ed but I like it’s other benefits.
Shbg is appx 23.
Also my e2 test was sensitive
So perhaps my e needs to go up while test stays the same, I.e decrease the t/e ratio ?
Are you a worrier? I mean, I guess I would be constantly worried about this issue if it were affecting me.
The reason I ask is because I have bad anxiety/ptsd issues. I worry ALOT. I noticed, if I am preoccupied with being worried, I NEVER have a libido. Whens the last time you went on a vacation?
Anyway, your numbers look good. I think you should stay at 50mg twice a week and stick with it for a while, but FORGET your troubles. See if letting go of the issue puts your mind at rest, maybe let you relax a little and enjoy life.
Just a thought. Maybe you are KILLING your libido with worry.
It’s possible I suppose. It’s just that it’s been going on way too long.
It just feels like something is missing. I get very little blood flow to my penis w a woman. Viagra helps tremendously. And like I said, no drive to pursue. The “drive” I speak of is when your gf is kissing you and your body responds by lighting up inside. It pushing you to pursue sex. I don’t get that feeling.
It’s not fair dammit, people achieving such concentrations on these doses!!!