TRT (200mg/wk) bloods 4 weeks in - why the mild ED?

Pharma / TRT
1

Hi - for those who are well-versed in this can you see anything that is significantly ‘off’ in below results?
Total- to Free-T ratio is 3%, so happy with that (I am surprised the T level at 200mg Sustanon/wk is that high, tbh) and I’ve had markedly improved drive, energy and focus.

BUT - having mild ED the last 10days due to lower ‘dick-sensitivity’, mental libido seems ok (but not as high as I expected it to be..)
Total T came at 1220 ng/dL (in Europe they use nmol/L however)

Ref. ranges on the right, start values in brackets:
TOTAL-T 42,30 nmol/L (was 15.5) 8,64 - 29,00
SHBG 21,6 nmol/L (was 34) 18,3 - 54,1
FREE-T 1,286 nmol/L (was .314) 0,198 - 0,619
E2 81 ng/L (not tested) ≤43
Prolactin 19,4 µg/L (was 7.6) 4,0 - 15,2

I’m going to lower to 150mg/wk and inject E3.5 days a opposed to E7D, hoping this might stabilize and improve things.

Have also not been sleeping well - is this common on fairly high-dose TRT?

BP is fine (130/90), cardio bloods were v good and never had any history of ED or cardiovascular issues.
44 years old - been on TRT for 4 weeks now

2

Your blood values were fine. Why did you hop on TRT?

3

Mostly for the energy and drive reasons - had far higher T six years ago -(25 nmol/L , pre-kids…) and was not happy with the drastic reduction from 38yrs to 44yrs
It has definitely cleared my brain fog, increased focus and energy both mentally and physically.
Tow caveats are that my sleep and erections have declined significantly…

4

I can’t speak for you but if this was my blood work and knowing how my body functions, I would try lowering my e2 and possibly prolactin. I never got along with prolactin on the higher end.

1 Like
5

Thanks, sounds worth a shot.
Currently looking for a well-dosed B6 (P5P) to try to get prolactin down.