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Did my TRT poop out or am I depressed?

AVelasques911

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I have to preface by saying I faced a long history of PTSD and resulting anxiety as a young kid (not military, witnessed something) and due to that I'm relatively low-income and the docs my insurance provides are HORRIBLE at TRT, I'm talking 200mg shots every 4 weeks, no checking for e2 etc.... so I decided to take matters into my own hands about three years ago since my libido was very low, I did blood work and sure enough my test was at about mid 200's.

After tinkering and dialing in, 2016-2017 I finally felt amazing. Great energy, sex every night, libido on point, happy etc. This was with 200mg of Test E. and 500iu HCG split into two weekly shots, and research chemical exemestane at 6.25mg daily.

About a year ago I went through a divorce that just devastated me. I mean I was so down and out and for about two months just basically isolated myself. Around this time was also the whole research chemical ban, so I went ahead and ordered some actual exemestane from a very good sponsor here (same one I get my test from).

Well, after 3-4 months I started casually dating again. And BIG problem, I couldn't for the life of me get an erection. At first I thought maybe I'm just feeling guilty about moving on, but over and over again same thing. Started taking daily low-dose cialis AND a viagra beforehand and still, not even slightly hard.

I did a blood draw on just the 200mg test and HCG with no AI to determine a baseline. Came out great. At trough I was at 950 test and 30 e2.
I lowered too 100mg test and HCG (still, no AI) for the last 4 weeks to get a baseline at that level and also test my SHBG, I'm getting that today so we will see.

I'm just feeling SO down guys. I mean I still miss and love my ex, always will, but it's been a year and I'm over the actual breakup. I've met some beautiful, smart, interesting women that I've really had a great time with and when it comes time for sex, I can't perform.

Being logical about this, only two things changed. I went through a very tough breakup and my exemestane source changed from RC to a pill form from a very old, trusted sponsor here. I just can't see it being the breakup at this point. As a sidenote which I think is important, now that I've dropped to just 100mg of test, I still feel the same BUT I'm at least getting some nighttime erections that wake up, but when it coems to sex or even masturbating it's the same issue, I just go totally limp. Regardless, I still find that interesting.... maybe I do better on e2 much lower than 30, maybe I'm a low SHBG guy, who knows.

I don't know if anyone has any advice. After this blood test, which I'm mainly doing because I'm curious about my SHBG in relation to my e2, I just don't have the means to be getting regular hormonal bloodwork (proper, with sensitive e2, SHBG etc.). It just makes no sense, I was perfectly dialed in for over a year and then out of nowhere I can't even have sex.

Sorry so long and TMI but it happened again with like the 14th partner and I really don't think I can take any more embarrassing moments, this last one is a really good, quality lady too and it sucks that this will likely ruin it.
 
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danieltx

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I bet it's in your head. You're getting nighttime erections so clearly it works.

Feedback loops can be a viscous thing. You can't perform once, then next time you get a chance you start worrying that you won't be able to and you're right, you can't. More worry, more frustration, more non-performance the next time. Maybe try alcohol or whatever you prefer to loosen up next time.
 

Kaladryn

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When you started the exemestane you tanked your E2 and lost your sex drive. Dialing in AI dosage on a low dose cycle is very hard but you will have to use physiological dosages to NOT use an AI successfully. 200mg/week of real test is usually about 1.5-2x physiological test levels.

I would either try 60-80mg twice weekly or 10-12mg daily, no AI.
 

AVelasques911

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When you started the exemestane you tanked your E2 and lost your sex drive. Dialing in AI dosage on a low dose cycle is very hard but you will have to use physiological dosages to NOT use an AI successfully. 200mg/week of real test is usually about 1.5-2x physiological test levels.

I would either try 60-80mg twice weekly or 10-12mg daily, no AI.


Have any of you any experience on whether there is more benefit to say a higher 150-200mg dose with enough AI to adjust e2 to wherever it needs to be vs a very low 60-80mg weekly dose with no AI as suggested?

Like most of you I'm on the paranoid side about losing muscle and really wanted to try out men's physique this winter but that's going on hold for now. I haven't done gear in 8 years and don't want to mess with anything or even contest prep right now until my health is in check.

I get my blood drawn today so I can compare 200mg vs 100mg weekly with no AI. I still can't perform, at all, not even masturbate. BUT I do get some nighttime wood here and there with the 100mg, with the 200mg even in my sleep I was limp.... so I'm definitely open to the idea of perhaps lower being the answer.

I'm all ears and sincerely appreciate the advice, the 12mg daily subq dose is very appealing at the moment and it may be what I try next, pending on how my bloodwork comes back.
 

johnjuanb1

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I wonder if your prolactin is high?
I think there’s a sponsor selling transdermal PGE-1?
That may be worth a try.
Like others mentioned your estrogen may just need time to come up a bit. Perhaps the AI crashed it too much for your sexual performance.
 

carbs

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When you started the exemestane you tanked your E2 and lost your sex drive. Dialing in AI dosage on a low dose cycle is very hard but you will have to use physiological dosages to NOT use an AI successfully. 200mg/week of real test is usually about 1.5-2x physiological test levels.

I would either try 60-80mg twice weekly or 10-12mg daily, no AI.

this is good advice...

I was on trt 200mg a week... started getting same issues... depression,no se drive, no boners ect... tried arimidex to lowere estrogen things got worse couldnt get it right.

since dropped to 100mg a week no AI... libido back feel fine

your not taking anything else like propecia by any chance?
 

AVelasques911

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this is good advice...

I was on trt 200mg a week... started getting same issues... depression,no se drive, no boners ect... tried arimidex to lowere estrogen things got worse couldnt get it right.

since dropped to 100mg a week no AI... libido back feel fine

your not taking anything else like propecia by any chance?

No nothing else. I should get my bloods tomorrow, I'm really curious about SHBG and my sensitive e2.

While I've been on 100mg with nothing but HCG for a few weeks, I'm still having the same issues. BUT at least on 100mg I do get some erections at night, on 200mg I got absolutely nothing, ever. Still can't get hard with a partner or even with myself, but at least there seems to be some merit to perhaps going lower.
 

AVelasques911

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this is good advice...

I was on trt 200mg a week... started getting same issues... depression,no se drive, no boners ect... tried arimidex to lowere estrogen things got worse couldnt get it right.

since dropped to 100mg a week no AI... libido back feel fine

your not taking anything else like propecia by any chance?

No nothing else. I should get my bloods tomorrow, I'm really curious about SHBG and my sensitive e2.

While I've been on 100mg with nothing but HCG for a few weeks, I'm still having the same issues. BUT at least on 100mg I do get some erections at night, on 200mg I got absolutely nothing, ever. Still can't get hard with a partner or even with myself, but at least there seems to be some merit to perhaps going lower.
 

southoftheborder

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Have you tried just taking 200mg a week with nothing else?

I doubt the estrogen buildup at such a low test does would be an issue... but then again blood test would be the answer... and a experienced TRT doctor to guide you....
 

trekrider215

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Have you checked Prolactin? I would make this a top priority.

While it could be all in your head, or it could be crashed E2, or about a dozen other things... Elevated Prolactin is definitely a known cause of erection issues. High prolactin doesn't just cause weakened erections, it can cause ZERO erections no matter what you try. It really could be that.

Worst case scenario, it wouldn't hurt to at least narrow down the list of potential causes.


Don't think for a second that just because all you've been using for a while is a TRT dose that you're prolactin can't be super high. It most definitely can.
 

SWOLNUTZ

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I had a problem like this a long time ago. It's a bitch to sort out but the fact is for me, more test was not the answer. Strangely, less test was the answer. I also dropped the HCG and then lowering my aromatase inhibitors helped a lot too. This route took me about 1-2 months to completely get back right.

But the thing that seems to have been the best reset switch of all for me was simply doing 2-4 IUs of HGH a day which I'd take as a single dose at night.

And one other thing that seemed to make a big difference for me, and I'm gonna get some folks arguing with this one but I only took Test E once every 10-11 days. I know that makes your levels go up and down more, but for me my body needed this up and down.

To sum up; 2-4 IU HGH (all at once, at night before bed) and then testosterone every 10 days.
 

11sh11

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Since the previous posters have your trt questions answered, i have a different perspective...
Not knowing your age either...
Seems like youre putting a lot of pressure on yourself to be partnered up. And as youve mentioned ptsd amd divorce, and failed attempts with 14 partners...

Why not try reevaluating personal health, emotionally and spiritually. Traumas that are buried become layers of dysfunction. Why not take time to heal, instead of dragging your baggage from person to person? If a good, honest, solid relationship is what you want, you have to become that first. Wherever you are personally is what youll keep attracting.

With age also comes a desire for real connection and intimacy, which in turn makes the sex even better. You cant get that if you dont have it to offer... a 'good woman' is going to want a 'good man'.
All things in nature have ebb and flow... its not realistic or natural to believe that we should be all up and happy and smiling for the picture all of the time. Cut yourself a break, work on you, and in the meantime keep pursuing health answers and any needed corrections
 

AVelasques911

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Thanks for the responses,

I do think there is some psychological effect. I'm not the type of guy to sleep around, I like being in a relationship with one person or at least just be dating one person. With that said, I have had one-night stands in the past with absolutely no issues, I know I still care for my ex but this seems oddly unusual especially since even by myself I get nothing.

My prolactin I have actually NEVER had tested, it really never occurred to me. I'm trying to only get the most crucial tests as I said I'm strapped for cash, but I will be getting my prolactin checked as it sounds really important now that I think about it. This is a scary one for me as I suppose the treatment would be something like caber, which used long-term causes dependency?

And lastly, 200mg of test on it's own with no AI did nothing at all. I stayed on that for a while just to see how my bloodwork would turn out, 100mg is pretty much just as bad TBH. I can get a bit of nighttime and morning erections by popping any AI, especially letro. Obviously this isn't something I'm doing regularly as I would just totally tank my e2, but just an interesting note.
 

Phidias

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CAVERJECT.

No matter the cause, you just can't fail with it. Which (finally "performing" again) should greatly decrease the psychological pressure you're putting on yourself ATM, and in the end helps things go back to normal without even realizing it or changing anything in your TRT approach.

At this point, (over)thinking about it 24/7, your mind is so obsessed with that ED issue and convinced you won't make it in bed next time, it's almost guaranteed that no matter what you indeed won't.

Solve the problem with caverject on your next date, then RELAX and give yourself a chance to give your life a new start by getting rid of all negative thoughts... and that includes your past (therefore your ex).

Keep us updated, as I'm sure things will get better soon. :)
 

poohead

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I’m going to offer a suggestion, and it’s just that, a suggestion. Take whatever test dose that brings you into a high “normal” range, and make sure your injections are at least 2x a week, 3 is even better to keep stable levels. If your E2 is normal, don’t take an AI. You’ve mentioned SHBG a couple times now, and it’s possible that while your test levels (total) are just fine, your free test may not be. I’d suggest low dose Masteron or Proviron bro. It will not only bind to your SHBG and free up your testosterone, but also increase your libido, and give you stronger erections.

This shit can get into your head and feed off itself, but once you start getting raging boners, you’ll forget all about your problems, and you won’t have any problems. Skip that viagra/cialis stuff too bro, that stuff just increases blood flow for people that aren’t having problems with their sex drive. If you have no sex drive, increased blood flow will do nothing for you.
 

AVelasques911

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Thank you for all the support guys, I got my bloodwork in and would like to share it..... i did two 6 week trials, one (the latest) on just 100mg test and HCG, the previous with 200mg test and HCG, both with no AI or anything else.

On 100mg Test E./500iu HCG (Split into Mon/Thurs), at trough:
Total Test: 790
Free Test: 21
E2 (Sensitive): 33
SHBG: 28.2

On 200mg Test E./500iu HCG (Split into Mon/Thurs), at trough:
Total Test: 950
E2 (non-sensitive): 29
(Didn't get SHBG/Free-Test)

I found it odd that my sensitive e2, on 100mg Test, was higher than my non-sensitive E2 on 200mg Test.

Overall I'm very happy with a nearly 800mg test level at trough on 100mg. My RBC and Hematocrit were fine on 200mg but I think 700-900 is a really good range.
I personally feel my e2 might be a tad high and perhaps I do better closer to the lower 20's

I don't know much about SHBG or free-test but they seem ok?
 

lesserevil665

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It’s not always the drugs bro. I'm forty and my dick has done a lot of thinking fsl me-Nit always the wisest decisions. I’m a single Dad and ran threw a slew of women-many of them downright frumpy-in the hopes of getting a loyal good girl. I don't drink and in retrospect we are talking fours and fives. ND issus.

Started seeing a girl who was quite possibly the most gorgeous woman I’ve ever seen in person. She loved my daughter, was marriage minded, was there for my baby, had a great job and understood the juice thing as well as me using cannabanoids for anxiety(legitimately)

As I got healthier my desire for her got less and less-I wasn’t anxious I just knew I wasn’t in love and it was worse than meaningless sex. Justwasnt ready. No shit-it was the old
‘It’s not you it’s me and I need to work on myself” thing.

Was celebrate for dagger near a year, went to therapy-forgave myself and the absentee mother of my kiddo too.

I’m currently pear shaped and pudgy- been off try entirely for nearly a year. I abused anabolic for two decades and the doc was quick to put me on 200mg/wk when I came off “real” juice.

I’m probably about to get back at it-energy levels are definitely low and such....but my beautiful fiancé absolutely gets me going. It’s a non issue and you’d thing I was on a gram of test weekly and a bottle of brown liquor at bedtime.

Just had to healfirst


so I guess either taAe some time ts heal or alternately up the fucking dose And Sodomize fours and fives playing''will it fit?" With whatever combo of orafaces, appendages or objects you deem feasible.

Probably not an estrogen or prolactin thing though.
 

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