Testosterone and Ed Issues

Pharma / TRT Testosterone Replacement
1

I hope that someone out there can help me with my issues and current challenges that I have been facing. I was diagnosed with low testosterone a while back and have been on TRT now for a while. My levels at the beginning for total testosterone were in the 200 range and I was 38 at the time.

My doctor started me on Androgel and I took that for a while and my levels increased to the 510 area. When I had my blood work done after one year my levels dropped to 190???

I became frustrated with this and pursued Testosterone Cypriote shots. My initial dose started a 160 per week and increased to 190. The problem with the shots were that they were causing ED. The doctor claimed it was my estrogen and started me with Arimidex. THis helped a little bit but they could never get the levels balanced. This went on for a year.

This lead up to a period where I could not even get a erection with Viagra. Then I freaked out and went back to the doctor to have my levels tested and try Androgel again. When the blood work came back my total t was 810 and my free t was 310. The doctor thought the free t level was too high and then wanted me to see a urologist.

The bottom line is that it seems no one knows what the hell is going on and doesn’t understand hormones.

Below are the levels from my most rent blood panel:

Total Testostrone 510
LH <1.0
FSH <1.0
Free Testostrone 326
SHBG 13
Prolactin 18

2

Did they check E2 and DHT? Those would sure be helpful. You could try running your E2 into the ground and then stop the AI and let it rebound. If you end up passing through the sweet spot and have a good day or two then you know it’s just dialing in the doses.

3

If you aren’t using an AI, and you are on that much T, chances are your E2 is really high.

The other thing that sticks out is your Prolactin level. After sex, prolactin is the substance that
relaxes you, and makes it so you cant just get hard right away again and go for another round.
If your level is elevated it could be the thing preventing you from getting it up even with V.

Not to freak you out, but many times when a man has a very high level of prolactin and low T it is
due to a tumor called a prolactinoma. It causes the very symptoms you have. Don’t freak out though, its
treatable with drugs. Search prolactinoma on this site, and for sure see a urologist, the high level
on your test should have have been a huge red flag to your Doc to have you tested for it.

Good Luck

4

Your SHBG level looks low - what was the reference range for the test ?