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HRT + Hcg, No Libido, Full Bloodwork inside, Help

npcout

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250mg/test E a week
500iu HCG EOD
Tamoxifen: 10mg daily (Nips get sensitive, had gyno surgery in past, cautious)
***Really care about Fertility

I have no libido, I can't even keep an erection. Cialis keeps failing me, and its not fake cialis, its my same container I have for a while. Its like a 200ml homebrew lol. Its because my desire just isn't there? It sucks, I got a new girl who is freakin gorgeous and fit.

I just got a full panel of bloods, Cbc, Cmp, Thyroid, hormones, etc. Everything, was spot on, every organ. But for our purposes.

Total Test: 1248
Free Test: Over 50
Estradriol: 39
Prolactin: 9

----------------------------------------------------------------------------------

My estrogen is prolly to high and killing me, right? I'm thinking of starting 6.25mg of aromasin EOD? Opinions?
 

danieltx

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Might have answered your question yourself - if desire isn't there, it can be very hard to perform. The mind is extremely powerful no matter what's going on in the body.
 

dale338

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Nothing is extraordinarily off, but in my humble opinion your estrogen is still a bit high. Anytime mine gets above 35 my libido sinks. When it’s in the low 20s it’s through the roof. Basically doing the same thing you are.
 

suppdude

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Do you have labs of when you’re libido was fine to reference what your hormones were saying then?




Sent from my iPhone using Tapatalk
 

notorius

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Nothing is extraordinarily off, but in my humble opinion your estrogen is still a bit high. Anytime mine gets above 35 my libido sinks. When it’s in the low 20s it’s through the roof. Basically doing the same thing you are.

did you use an AI to fix that and what dosage?
 

Kaladryn

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500iu EOD might be too much, I'd just go with twice per week and maybe 200-300iu

It might be the nolva, I would recommend a low dose AI (.25mg arimidex) 2-3 times per week instead.
 

gungalunga

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Hire a really hot prostitute and see if that helps....And if it doesn't help....it couldn't hurt either......
 

Sides

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The HCG increases the activity of the aromatase enzyme, so more of your test is aromatizing into estrogen. But since fertility is a big concern, you need the HCG. Nelson Montana and other experts have said that you need at least 500iu of HCG every other day for best results maintaining or increasing sperm counts; Dr Larry Lipshultz's studies at Baylor also seem to show the best results for maintaining sperm count and intra-testicular testosterone at 500iu EOD.

I would try adding a low-dose anti-aromatase like letrozole at .5mg EOD, or Arimidex at .25mg EOD. Don't take too much AI because you don't want to lower your E2 levels too much, as that low E2 also leads to low libido and poor erections. So finding an appropriate balance is key, but where exactly the best number is varies from individual to individual.
 

Thebigone

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Your estrogen is not too high especially for how high your test levels are. Highly doubt estrogen is the culprit here.

Get pregnenolone and progesterone tested as they both play a huge role in libido. hrt is known to negatively impact them.
 
Last edited:

npcout

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My nipples are frequently sore, which is why I started tamoxifen.

Should nipples be sore with an estrodriol at 39? If not, than maybe I’m more sensitive than others? Maybe my body likes a lower estrogen?
 

suppdude

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My nipples are frequently sore, which is why I started tamoxifen.



Should nipples be sore with an estrodriol at 39? If not, than maybe I’m more sensitive than others? Maybe my body likes a lower estrogen?


Run an AI. You’re aromatizing more than others especially with the HCG. 6.25mg Aromasin ED.


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pickapeck

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Here's what works for me during my TRT: my protocol.

Friday 1000 iu HcG; 20 mg Cialis; 12.5 mg Exemastane
Saturday 100-150 mg Test C; 12.5 mg Exemastane

That's it. Cialis once a week. This works great for me. Boners through Tuesday then the member is a bit slack but works.
 

Bigd50

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Add some Proviron.
 

Sides

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Add some Proviron.

As fertility is a big concern for him, adding Proviron may help him or may hurt him. There are some studies that show it increases sperm count and quality, other studies that show it decreases sperm count and quality. So adding Proviron would be a gamble for fertility.
 

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