Consistently low libido/ED

[Oscar777]

Long time lurker, first time poster hoping to find some direction with my constantly low libido.

I'm 37 and have been on TRT for five years, all of which have been very hit or miss in terms of sex drive (same while blasting, though I've only been at TRT doses for the last three years as I'm trying to figure this problem out). The only way I can usually get periods where I function normally is to take a quarter of an exemestane pill daily (6.25mg) along with 5mg daily cialis.... but without those two combined, my dick may as well be a piece of rubber for no purpose other than urinating. I've tried doses up to 300mg per week and as low as 80mg per week, once a week injections all the way down to daily 12.5mg shots.... no difference, without the exemestane and cialis, zero drive and ED.

One really interesting thing I need to note is my last blast was a very small one purely for a recomp, 350mg Test E per week, I had liquid exemestane but I accidentally calculated the dose wrong and for four months I tanked my e2, it came out at 6pg/ml in my post bloodwork, but the entire time I felt amazing, mood was great, libido was extremely high, none of the things I would associate with tanked e2.

This is my last bloodwork on 100mg per week of Test E. and nothing else:
Total T: 807 ng/dl
Free T: 21 pg/ml
E2 (sensitive): 32 pg/ml
SHBG: 28.2 nmol/L

To me these look like solid trough numbers, but I have no libido and ED... is there anything else that I should get tested that could be causing this? I can regularly rely on popping some exemestane if I have a date, but I'd rather not have constantly tanked E2.

 

[hevi-head]

Get your prolactin checked. My friend was miserable for years with sexual problems that contributed to ending his marriage. Also was having gyno symptoms.
He was going to doctors and I kept telling him to ask them to check prolactin. Several of them blew it off and he finally got one to do it even though he thought it was an odd request. It came back through the roof. He had a tumor on his pituitary and it was fucking him up. A script of cabergoline and he was good to go and him and the new girl were fucking like rabbits lol.

 

[BigNJ]

Add in say 150mg of Masterone and you should be ok.

 

[cage99]

I’m with HH, prolactin needs to be checked.

Cage

 

[Oscar777]

I'm ordering the prolactin test right now, it's something I've never had tested. I do randomly get gyno flare ups even with E2 kept at pretty reasonable levels, so this should hopefully provide some insight.

 

[hevi-head]

Add in say 150mg of Masterone and you should be ok.

That’s just throwing darts at the problem bro, I’d be looking at the root cause because he shouldn’t need mast to have a sex drive

 

[hevi-head]

I'm ordering the prolactin test right now, it's something I've never had tested. I do randomly get gyno flare ups even with E2 kept at pretty reasonable levels, so this should hopefully provide some insight.

He was the same way. Gyno flare ups on low test and he would take adex and it wouldn’t touch it because it was prolactin gyno.
Hope it works

 

[JuicedMayhem]

Try 100mg zinc a day

 

[johnjuanb1]

Everyone is right about testing prolactin. If that turns out to not be the issue add some melanotan II. I have a big erections all damn night from it. Been on it for 2 weeks. I started with 150mcg daily and kept going up. I’m on 400mcg daily now and that’s a real good boner dose. I have a great tan after only two weeks too. I also take tadalifil preworkout. I use masteron to control estrogen in a low doseZ

 

[beastmode121]

Everyone is right about testing prolactin. If that turns out to not be the issue add some melanotan II. I have a big erections all damn night from it. Been on it for 2 weeks. I started with 150mcg daily and kept going up. I’m on 400mcg daily now and that’s a real good boner dose. I have a great tan after only two weeks too. I also take tadalifil preworkout. I use masteron to control estrogen in a low doseZ

Did you turn black on that dose? That’s pretty high

 

[johnjuanb1]

Did you turn black on that dose? That’s pretty high

I have a real nice tan actually. I went in the sun I think 4 days in the last two weeks for 30-50 minutes each time.
I did 150mcg the first week, then 300mcg for 4 days, and 400mcg the last 3 days. I don’t get nauseas anymore. The first week it felt horrible after the shot! The big erections didn’t start until 300mcg and are much better at 400mcg.

 

[jstrong20]

That’s just throwing darts at the problem bro, I’d be looking at the root cause because he shouldn’t need mast to have a sex drive

This! You should find the root of the problem. Your on trt so I assume you get blood work so cholesterol and blood pressure should be fine. Plaque can cause it and can be an early sign of heart troubles down the road. Like I said though you probably already get yours checked. I have heard of dhea helping people on trt with this but I have no experience with it myself.

 

[BLang]

The fact that crushing your E2 worked def lends credence to it being a prolactin issue, you very likely have elevated prolactin and crushing your E2 brute forced it into range.

 

[DrZaius7]

I would also get your progesterone checked. That can mess with your sex drive if it’s out of line.

 

[taz]

masteron doesnt always help though. been taking 300mgs weekly and saw no difference in my own drive or desire. Once I added proviron I started noticing a higher drive and more frequent desire. still run into ED though sometimes that even the vialis (combo of viagra and cialis) doesnt help with.
I am going to add in more zinc but I think I may have a prolactin issue also. I dont have health insurance right now so I have to figure out that whole testing thing. But the fact that others have experienced the same stuff I have and that seems to be an issue, that gives me some real hope.
It sucks going from feeling like a superstud jackhammer able to go every day (some days twice) to only once a week, it is a mental killer.