I have been taking trt for a while and have had Ed for a while. I was taking 200mg but when I got bloods done around 4 weeks ago my test was very very high. I have now lowered the dose to 125mg one time a week, it’s been nearly 5 weeks and there is no change in the ED at all. ( I must note on the results my prolactin was also slightly high)
I am looking to get this sorted can anyone advise my next step, I can get bloods done again which I’m planning. However has anyone got any advice? It will be greatly appreciated
Share your blood work. Both at 200mg and at 125mg. We can’t possibly know what’s going on without it. Do you still get nocturnal erections (morning wood)? You may, but still not notice it. As least if you do, you can rule out physical disfunction.
Here are my results from 200mg, I haven’t taken bloods on 125mg yet it’s been just over 4 weeks now. Hmmm morning I still get it sometimes. But less less frequent.
Obviously, your Test is very high. Some guys don’t handle that well. E2 looks fine especially with the Test being that high. Your prolactin concerns me, its low.
Low Prolactin Is Associated with Sexual Dysfunction and Psychological or Metabolic Disturbances in Middle-Aged and Elderly Men
The half-life of testosterone cypionate is 5 to 7 days, so steady states are achieved in 6 weeks not 5. It may also take longer for your body to start adapting and also utilize those hormones, but if you are constantly changing your dosage, that will never happen.
Hormones don’t work fast like prescription drugs. It doesn’t give you an instant maximum effect right away. Your gene CAG repeat number (androgen sensitivity) will determine how fast testosterone affects your tissues.
Get your hormones to the top 25 percentile or slightly higher and leave them there for six months, then come back and tell us how you’re doing.
As for your low prolactin, that very well could be your problem with erectile function, so, my next question is, do you smoke?
Smokers tend to have lower prolactin and deranged CBC labs. You increase prolactin by abstaining from smoking for at least 6 months or maybe longer. Men typically start to see improvements at 6 months.
I’m pretty healthy and not on any meds. Just testosterone, and caffeine lol. I have quit smoking today hopefully in the long run that helps. I suppose I have to be patient as it’s only been 5 weeks from my dose change, I’ll give it another two weeks and go get my bloods redone.
I do have 5000iu hcg to hand, but was trying to only take testosterone. Although in the past
I have felt amazing on hcg. Also what I was wondering if I was to stop trt, what are the chances of recovery? I’m 34 been using trt for about 2 years, I have hcg novladex to hand. If I can’t dial in I’m debating coming off. I’m aware I may not recover but it would be nice to try.
Looking at your Test to E2 ratio, it appears you are on an AI? If so, try stopping/decreasing the AI. Your E2 is too low for that level of Test. I would suspect this is causing your problem.
If you are not on an AI, you still need to get your E2 higher relative to the Test. Lower the Test blood level to 600-700 and see if this fixes it (your Test level is not TRT - its a small cycle).
Some will laugh at this but one “experiment” to try to confirm its E2: drink some beers one night and see how your wood is in the morning. The beer will temporarily increase your E2 and, if E2 is the issue, you should see a slight, temporary improvement in wood the next morning.
