Need help - Please review my blood work

[cj33]

I am really hoping that someone here could please review my blood work and offer some suggestions.

Background:
I took Propecia 2 years for only 3 days. On the 3rd day my body was completely rocked by side effects. Most noticeable was a numbness feeling to my genitals. Penis size shrunk dramatically, testicle size down in size, inability to move my penis, penis was cold and white looking. All sex drive was completely erased and was no longer able to obtain an erection.

After a couple months of no change or improvement in my condition, I visited multiple doctors for opinions. They told me the side effects listed online associated with Propecia weren’t real, despite me having them all. I eventually got blood work and my Test levels were tanked and my DHT was very low. Unfortunately, I don’t have those test results on me, but that is the summation of the results that I can recall.

My doctor put me on Test gel. After being on it for months, nothing was improving for me sexually. I did feel more awake though having been constantly feeling tired throughout the day. I showed my blood work to some experienced bodybuilders who said Test gel was bullshit and they suggested I run some Proviron and Sustanon for 8 weeks followed by a PCT of clomid and nolvadex. *I was unable to secure HCG at the time. This was intended to bump my DHT and reboot my system.

While on cycle, I was able to have sex for the first time in nearly 18 months, but it was nothing like before. After the PCT I feel much better in terms of energy and awakeness, but still have serious sexual dysfunction.

Side effects that still remain:
-No sex drive at all. No desire and not a single erection unless serious arousal and stimulation
-Severely shrunken penis: while flaccid, appears like a micro penis as opposed to what used to be a full, long, lose and floppy penis. It is now constantly shrivelled and feels tight and firm
-Erection size is nearly 2 INCHES smaller than what it was. I know this is true because I’ve had the same wife for the last 4 years.
-Testicle size is very small. They don't hang lose, but are constantly in a high and tight position
-I can now get somewhat of an erection, but it is not long lasting at all without constant stimulation and while being smaller in length, it’s much thinner and not nearly as hard

While my doctor didn’t agree with my cycle, he now says my levels are normal across the board. How can this be with my current difficulties that I’m experiencing?

I don’t have a great understanding of these numbers, but some guys from my gym suggested I need to do a restart with HCG, which I now have with some clomid and nolvadex. They have heard of similar cases with Propecia side effects and the HCG was able to bring the size of penis and testicles back to their original size.

The PCT ended over 2 months ago and I just had this blood work done last week.

This is ruining my life and putting serious strain on my marriage. Please offer some suggestions of what I could take, how much and for how long. Thank you

I’m 28, 215lbs, 10%bf


Free Testosterone 51.9 31.0 – 94.0 pmol/L

Dyhydrotestosterone 2320. 860 – 3406 pmol/L

TSH 2.34 0.35 – 5.00 mIU/L

T4 Free 20. 12 – 22 pmol/L

FSH 2. 2 – 12 IU/L

Sex Hormone Binding Glob. 38. 16 – 56 nmol/L

Testosterone 25.6 M: 7.6 – 31.4 nmol/L

Prolactin 17. < 18 ug/L

Estradiol 91. < 157 pmol/L

[kelkel]

Estrogen test needs to be an E2 Sensitive assay next time.
Prolactin is at the top of the chart and will impact libido dramatically. Dostinex (Cabergoline) at .25 x 2 per week would help greatly, imho.
Keep an eye on your TSH as well. That's an old range on your labs. More current is .3 - 3.0 and anything over 2 should be looked at.
Consider low dose daily cialis. I do 5mgs x 2 per day. Great supplement for a ton of reasons other than just libido.
Keep your head in the game and don't always think the worst is going to happen when the time comes...

Welcome to the forum! More will chime in.

[cj33]

Estrogen test needs to be an E2 Sensitive assay next time.
Prolactin is at the top of the chart and will impact libido dramatically. Dostinex (Cabergoline) at .25 x 2 per week would help greatly, imho.
Keep an eye on your TSH as well. That's an old range on your labs. More current is .3 - 3.0 and anything over 2 should be looked at.
Consider low dose daily cialis. I do 5mgs x 2 per day. Great supplement for a ton of reasons other than just libido.
Keep your head in the game and don't always think the worst is going to happen when the time comes...

Welcome to the forum! More will chime in.

Kelkel,
Thanks for the suggestion. After reading, the Dostinex looks interesting. How would I know how long to run it for? I just don't know if I'll be able to get my hands on it at this point.

My doctor prescribed me Cialis months ago and it did nothing for me at all. I'm hesitant to try it again because it didn't work initially and the cost of each pill.

[cj33]

I began running some HCG this week. My intention was to run 400iu M/W/F. After 2 pins, I am feeling a little better and have noticed a slightly better erection. I am definitely not feeling the bump I would in the past though where my nuts would almost instantly blow up and I had a crazy sex drive. Neither of these things have happened thus far.

Some of the guys I know from the gym who compete suggested that I bump up the dosage per pin. Would this be okay? Some suggested 1000iu eod because they said if my nuts didn't spring back to life, I have to wake them up.

As well, could I consider running some Proviron with it? I've read about some guys that struggled with the same side effects that I have from Propecia ran Proviron in a PCT to get their genitals back to size. Apparently, it is used sometimes in pre-puberty males to get their genitals up to size if they are abnormally low. I was thinking 75mg to 100mg per day. Incorporating this alongside HCG has helped some guys return to size.

I found this previous post from the forum on the benefits of using Proviron in a PCT to get things in a good place:
*It won't let me post a link, but the thread is titled "Use PROVIRON during PCT!" and it was posted by Swifto.

I was planning on using HCG/Proviron for 3 weeks and then running some clomid.

Would some please let me know what they think? Thank you for your help

[kelkel]

First, know that HCG is suppressive long term of your natural test production. Your hypothalamus/pituitary will sense it does not need to produce it and suppress it's own production. Don't think you want that? I would not listen to your gym buddies. Don't think they've thought this through.

As previously stated I'd ask your doc for a caber script and reduce your prolactin. I'd bet that would solve your issue. Don't over complicate things with hcg, clomid, etc. Your test production is fine. It's your prolactin and / or estrogen level. What you posted is the wrong E test so not really sure where your level is but prolactin will elevate when E does.

Also take a look at ar-r.com under prolactin antagonizers. You can run low dose caber basically indefinitely. I'm scripted for it and love it. I run .25mg twice per week most of the time.

[cj33]

First, know that HCG is suppressive long term of your natural test production. Your hypothalamus/pituitary will sense it does not need to produce it and suppress it's own production. Don't think you want that? I would not listen to your gym buddies. Don't think they've thought this through.

As previously stated I'd ask your doc for a caber script and reduce your prolactin. I'd bet that would solve your issue. Don't over complicate things with hcg, clomid, etc. Your test production is fine. It's your prolactin and / or estrogen level. What you posted is the wrong E test so not really sure where your level is but prolactin will elevate when E does.

Also take a look at ar-r.com under prolactin antagonizers. You can run low dose caber basically indefinitely. I'm scripted for it and love it. I run .25mg twice per week most of the time.

Kelkel,
Thanks again for replying. Would you please let me know what the normal range for my prolactin should be so that I can go to my doctor and tell him why it's too high? I must be able to go to him with a reason if he feels as though it is in the normal range.

Without having the proper E test, what about taking some Arimidex or Nolvadex to try and lower my e2 levels?

Thanks for the link.

[kelkel]

Lab ranges are based on generalities and don't necessarily apply to all. Too many people, doctors included, treat people by numbers on a chart. Don't accept this. Know that Prolactin doesn't really do much in men other than cause issues like you're having if elevated. Your doc should know this but since your level is still barely within this arbitrary range he is dismissing it. As if it will only start causing problems when it goes above the magic number at the top of the range.

Adex will lower E2. Nolva's a serm and will not lower them. Before you attack your estrogen I'd obtain an E2 Sensitive Assay. I can provide proper Labcorp codes if you need them. As it stands right now I'd leave E alone and work on prolactin. Pick up some from the site sponsor. I'm betting that will make a big difference for you in a relatively quick manner.