Erectile dysfunction, PCT and bloodwork

[gympsycho]

Hey guys. I'm 21 yo, have done a few cycles in the past, but nothing too serious.

This last one I just finished was 12 weeks sust. 500mg./wk. (for 12 weeks) and deca 100mg./wk. (for 8 weeks). Last sust. shot was on Jan. 6th.

I had bloodwork done on Jan. 9th (3 days after last shot) and my estrogen was high. Other than that everything was normal and both lh and fsh were <0.2

I decided to up my arimidex from 0.25 eod to 0.5 ED and I started experiencing hot flashes withing days. I lost a lot of water and then I panicked, because I thought I have overdone it, so I stopped it. Then a week later I started my pct (just giving some background).

I started PCT on Jan. 23rd. and it consists of - 50mg. clomid ed. and 20mg. nolva ed. From day one I started getting some bad headaches and random nosebleeds. I suspected high bp and on day 3 I got a reading of 165/95. I had to take some bp meds to make me feel better. All of that and the emotional side effects made me drop the clomid to see if I get better and it worked. I stopped it for like 5 days, but decided to add it again last night and keep it at 25mg. (taken at night before bed). For now I feel decent, but time will tell if I'll have to drop it completely again.

Anyways - what's bothering me is that my erections are just not strong. I do get hard and all, but not like I'm used to and I go limp very fast. My sex drive is a bit lower than on cycle (still jack off once a day tho), but the erections are the problem. Now that's kind of freaking me out and I want to get it sorted out ASAP.

I will be doing bloodwork in a few days and I would like to know which hormones I should get checked out. I think the most important ones atm are: test. ; estradiol ; lh ; fsh

 

[letsrun4it]

Don't worry about it. You didn't do enough gear to fuck with you long term so just give it a minute. Take a little cialis everyday until you're back. You wouldn't even need PCT to get ur mojo back, but it'll help..

Good luck but seriously you'll be fine.

 

[jw2031]

limp?

I would use HCG also along with Nolvadex.
Start the HCG along with Novadex the 3rd week in to your cycle, 3iu's every 3 days. Continue it throughout the cycle and 3 weeks after the cycle.
This will prevent your testicles from shrinking while your on thus your body will produce it's own testosterone preventing ED.

 

[gympsycho]

Alright, I got bloods done. Here are the results:

testosterone 7.18 ng/ml (range: 3 - 10.6)
estradiol: 47.95 pg/ml
lh: <0.10
fsh: <0.10
prolactin: 554.48 (range: 56 - 278)

My lh and fsh haven't budged and I guess that means my body has not started to recover yet. My test is decent, but it's probably dropping each day.

But what the hell made my prolactin so damn high? It was in range 3 days after my last shot (Jan. 9). Could it be from the nolva or clomid? Should I stop them?

I got myself some cabergoline and will be starting it today at 0.25mg. e3d. Is this a good dose? How long should I run it for?

Could really use some advice here bro's..

 

[Stewie]

Don't take the Caber. Go see your primary care provider, so then he will refer you to an endocrinologist.

The SERMS will raise prolactin, Not that much.

Take this in a serious way.

 

[mike036]

I know you stated you were only using 100mg/week of deca but damn , your prolactin is real high .i would do .5 mg caber every 3 days for 2 weeks and then lower it to .25mg every 3 days for at least 2-4 more weeks

 

[gympsycho]

Don't take the Caber. Go see your primary care provider, so then he will refer you to an endocrinologist.

The SERMS will raise prolactin, Not that much.

Take this in a serious way.

Dude, don't scare me like that, lol. Why do u think I shouldn't take the caber? It's supposed to reduce the prolactin and I need to do that, right?

 

[Stewie]

Dude, don't scare like that, lol. Why do u think I shouldn't take the caber? It's supposed to reduce the prolactin and I need to do that, right?

I took note of your original statement of Bad headaches then noted a Prl of 554. Which could be indicated by intracranial pressure. I'm not saying that you have a tumor, yet this is a common problem associated with prolactinomas.

Yeah any dopamine agonist would lower your Prl.

Do as you choose, I would highly recommend that you see your primary care provider tho.

 

[gympsycho]

I took note of your original statement of Bad headaches then noted a Prl of 554. Which could be indicated by intracranial pressure. I'm not saying that you have a tumor, yet this is a common problem associated with prolactinomas.

Yeah any dopamine agonist would lower your Prl.

Do as you choose, I would highly recommend that you see your primary care provider tho.

I appreciate your concern there bro, but I'm pretty certain the headaches were just from the high bp I got with clomid. Ever since I stopped it (and lowered the dose to 25mg) they disappeared.

I will look into it more now since you scared me like that, lol.

I do have another question though:

Would now be a good time to do a shot of triptorelin considering my lh and fsh are at rock bottom? Or I need to get the prolactin in range first?

 

[Stewie]

No doubt that hypertension can cause headaches.

Maybe this will put some clarification to my statement.

Prolactinomas | Disorders | Knowledge Base

In contrast, in men prolactinomas are usually not detected until they are large (macroadenomas), most have prolactin levels over 500 ng/ml. Most men diagnosed with a prolactinoma have some degree of loss of sex hormone production. They may also have visual loss (from compression of the optic nerves or optic chiasm) and/or headache. A minority of patients with large tumors may have bleeding into the tumor (pituitary apoplexy) causing relatively sudden onset of headache, visual loss, double vision, and/or pituitary failure.

I would have a pituitary MRI before I took anymore drugs.

Look, I'm not trying to scare you, there are several things that can elevate one's Prl. The only thing that will cause a significant increase of Prl, such as in your case is a prolactinoma. This is something that you should discuss with your primary care provider.

 

[gympsycho]

No doubt that hypertension can cause headaches.

Maybe this will put some clarification to my statement.

Prolactinomas | Disorders | Knowledge Base

In contrast, in men prolactinomas are usually not detected until they are large (macroadenomas), most have prolactin levels over 500 ng/ml. Most men diagnosed with a prolactinoma have some degree of loss of sex hormone production. They may also have visual loss (from compression of the optic nerves or optic chiasm) and/or headache. A minority of patients with large tumors may have bleeding into the tumor (pituitary apoplexy) causing relatively sudden onset of headache, visual loss, double vision, and/or pituitary failure.

I would have a pituitary MRI before I took anymore drugs.

Look, I'm not trying to scare you, there are several things that can elevate one's Prl. The only thing that will cause a significant increase of Prl, such as in your case is a prolactinoma. This is something that you should discuss with your primary care provider.

One thing I just noticed.. on your statement it says 500 ng/ml, while the one I just got is 554 ulU/ml. (range 56-278)

The previous bloods I got (on Jan. 9) used a different method and showed 16.78 ng/ml (range 3-25)

Not saying my prolactin is not crazy high, but these are 2 different measurings.

 

[Stewie]

One thing I just noticed.. on your statement it says 500 ng/ml, while the just got is 554 ulU/ml. (range 56-278)

The previous bloods I got (on Jan. 9) used a different method and showed 16.78 ng/ml (range 3-25)

Not saying my prolactin is not crazy high, but these are 2 different measurings.

Good eye Disregard my previous statements. Unless my math is wrong, this would convert to around 35.5 ng/ml.

I would run your Caber as planned. Sorry about the confusion, there wasn't any metrics to go off of. And assuming as ng/ml.

 

[gympsycho]

Good eye Disregard my previous statements. Unless my math is wrong, this would convert to around 35.5 ng/ml.

I would run your Caber as planned. Sorry about the confusion, there wasn't any metrics to go off of. And assuming as ng/ml.

Oh my God man, you have no idea how you had me freaked out. I actually just got a headache from worrying. I should have noticed that "little detail" earlier!

Anyways, thanks a lot for the input! I'll proceed as planned and keep you guys updated. For now I'm thinking of dropping both nolva and clomid since they've done nothing but lower my estro a bit and will replace it with 0.25 mg. arimidex eod (too much?).

Now can someone tell me if doing a shot of triptorelin is a good idea? I think I'm a perfect candidate for it. Thing is I'm not 100% sure I can get it yet (I want pharma grade), but will find out the following days. If I do get some, it will be my first time doing it. I can even do a log with it, like a true lab rat lol. What do you guys think?