Did the addition of Testosterone through an HRT program improve your sexual function?

[flatscat]

Fellas,

Please add your comments as to libido and/or improvement of E.D. - Did it help? Is it still helping? Are there other factors that you think are contributing to the improvement? Do you think it was a placebo effect?

Let's blow the roof off of this one...

Flats

[BigIce]

When I started Testogel it did improve, but most likely just the placebo effect since it did not last.

I am starting Nebido TRT so I´ll hold my vote for now

[gixxerboy1]

i never had ed problems but my libido was going more

[Signmaker]

I really don't think that the placebo effect has been the culprit in my case. I have been on Fortesta gel for two weeks and I know what the charts say, but I can't deny my experience.
So far this is what I have noticed while on TRT...

-Increased sex drive and stamina (my wife says Im much harder and bigger than ever before)
we have had sex for the past 4 days where before might have been 1-2 times a month. She also
says she has been extra turned by me.

-Before, I would tire and wear out very quickly...now, I feel like I could go for much longer and I feel
much stronger

-I have morning wood

-I have had 3 wet dreams since I started TRT (Last time that ever happened was when I was a teen)

-I have even noticed my complexion and hair look healthier. Sounds strange but I have always had to put lotion on
my face after a shower bc of dry skin,.... I haven't needed to in 5 days. My wife also says my hair looks and feels
fuller and healthier.....?

Not sure what those last ones are about but I'm not complaining.

I know thats a bit more than what you asked for but I'm pretty blown away by it. Im not saying that there is not a mental factor involved, but
the physical changes that have occured seem like a direct effect of TRT.

I wonder if my results of TRT, in such a short amount of time, are due partly to how extremely low my TEST was to begin with??

[JohnnyVegas]

I never had ED problems, but my libido had declined a LOT. TRT brought it back up.

[steroid.com 1]

Increased libido and erection quality are far more complex a process then just adding exogenous testosterone to our bodies. The subsequent conversion of Testosterone to DHT seems to have the biggest impact on libido. The sympathetic and parasympathetic pathways are extremely interdependent and very complex. If simply adding Testosterone cured all men's sexual problems it would take off like a wild fire.

For me personally, I didn't see any real change; and that is an honest response.

I posted this link in another thread yesterday but it's still relevant here: http://www.webmd.com/sex-relationshi...y-not-treat-ed

There are other studies on the subject that can be found on pubmed if you're interested in learning more.

I found one study that indicated that 30% of men improved erectile function on Test alone, another 30% improved with Test and an PDE5-I and the rest had no improvement whatsoever. So it seems, like everything else, that it's very individual.

Read the study above.

[JohnnyVegas]

^^^^ Thanks for posting that. I am constantly surprised by how complicated the human body is.

The Test had a big effect on me. I had gone a long time with little interest in sex. I had morning wood (I always feel 12 when I say that) about half the time. A few weeks of TRT kicked things into high gear and I started getting erections just seeing my wife do things around the house. I also noticed that I was a lot more selective about the women I noticed when I had low Test. I am glad I am not single and drinking at bars now as I think my standards have dropped significantly.

[bass]

I never had ED problems, but my libido had declined a LOT. TRT brought it back up.

same here! but once on TRT my wife started hiding from me, then it leveled out and my libido is normal at 100 mgs test ew, not too crazy like when i was on 200 mgs! one thing i noticed now compared to before TRT it takes longer to ejaculate! and when i was on deca my erections were somewhat weak, not anymore since I'm on test only protocol.

[steroid.com 1]

Improved Sexual Function with Testosterone Repla***ent Therapy in Hypogonadal Men: Real-World Data from the Testim Registry in the United States (TRiUS).

Khera M, Bhattacharya RK, Blick G, Kushner H, Nguyen D, Miner MM.


Source

Scott Department of Urology, Baylor College of Medicine, Houston, TX, USA Department of Internal Medicine, University of Kansas Medical Center, Kansas City, KS, USA Circle Medical LLC, Norwalk, CT, USA Department of Biometrics, Auxilium Pharmaceuticals, Malvern, PA, USA Department of Medical Affairs, Auxilium Pharmaceuticals, Malvern, PA, USA Miriam Hospital Men's Health Center, Warren Alpert School of Medicine, Brown University, Providence, RI, USA.


Abstract

Introduction.  Up to 30% of erectile dysfunction (ED) patients treated with phosphodiesterase type 5 (PDE5) inhibitors do not show improved sexual function, which may be due in part to low serum testosterone. Hypogonadal patients already receiving testosterone repla***ent therapy (TRT) likewise can still suffer from symptoms of sexual dysfunction. In these patient populations, augmenting with, or switching, TRT treatment may improve sexual function. Aim.  To determine if 12-month treatment with a testosterone gel improves sexual function in hypogonadal men, as measured by the Brief Male Sexual Function Inventory (BMSFI), and in subgroups defined by low testosterone, PDE5 inhibitor use, and prior TRT. Methods.  The Testim Registry in the United States (TRiUS) was a large (N = 849) multicenter registry of hypogonadal men treated with Testim (testosterone 1%) topical gel and followed for 12 months. Main Outcome Measures.  Data collected at suggested visits (baseline; 1, 3, 6, and 12 months) included total testosterone (TT), free testosterone (FT), BMSFI scores, physical exam, and body measurements. Results.  TRiUS had 271 patients with baseline testosterone and BMSFI measurements. At 12 months of TRT, TT and FT levels significantly increased from baseline (P < 0.001), with mean ± standard deviation final TT = 17.37 ± 8.61 nmol/L (500.6 ± 248.2 ng/dL) and FT = 240.1 ± 296.0 pmol/L (69.2 ± 85.3 pg/mL). The mean total BMSFI score significantly increased from baseline at 12 months (27.4 ± 10.3 to 33.8 ± 9.8, P < 0.001) and at each visit in all domains (sex drive/libido, erectile function, ejaculatory function, level of bother), overall and for all subgroups. Regression analysis indicated that increased total BMSFI score was significantly associated with increased TT levels at 6 months. Conclusions.  In hypogonadal patients, 12-month administration of topical testosterone gel resulted in increased TT and FT levels and significantly improved sexual function. All subgroups studied, including men taking PDE5 inhibitors for ED and those previously on TRT, demonstrated significant improvement in sexual function from baseline scores. Khera M, Bhattacharya RK, Blick G, Kushner H, Nguyen D, and Miner MM. Improved sexual function with testosterone repla***ent therapy in hypogonadal men: Real-world data from the Testim Registry in the United States (TRiUS). J Sex Med 2011;8:3204-3213.

© 2011 International Society for Sexual Medicine.

[steroid.com 1]

Testosterone repla***ent therapy in males with erectile dysfunction.

Jacob BC.


Source

Department of Pharmacy Practice, College of Pharmacy and Health Sciences, Mercer University, Atlanta, GA, USA. [email protected]


Abstract

Erectile dysfunction (ED) is defined as the inability to achieve or maintain an erection sufficient for satisfactory sexual performance. Endogenous testosterone is critical for normal libido; however, studies have also demonstrated a potentially important role with respect to the erectile process. The prevalence of testosterone deficiency ranges from 1.7% to 35% in patients with ED, and age is a common factor linking ED and testosterone deficiency. By 2025, global estimates are that there will be 356 million men >65 years. Age-associated testosterone deficiency is characterized by symptoms such as ED, and low serum testosterone. Randomized, placebo controlled studies have established the utility of testosterone repla***ent therapy (TRT) for the restoration of serum testosterone levels to the normal range in hypogonadal males; however, well designed studies are limited with respect to specific evaluation of the role of TRT as monotherapy in improving erectile function. In addition, recent literature suggests a possible role for TRT in combination with phosphodiesterase-5 (PDE-5) inhibitors for men with ED. The following review describes the potential roles of testosterone in erectile physiology, examines the relationship between testosterone deficiency and ED, and reviews published literature evaluating the use of TRT in hypogonadal males with a diagnosis of ED.


PMID: 21676853 [PubMed - in process]

[flatscat]

Increased libido and erection quality are far more complex a process then just adding exogenous testosterone to our bodies. The subsequent conversion of Testosterone to DHT seems to have the biggest impact on libido. The sympathetic and parasympathetic pathways are extremely interdependent and very complex. If simply adding Testosterone cured all men's sexual problems it would take off like a wild fire.

For me personally, I didn't see any real change; and that is an honest response.

I posted this link in another thread yesterday but it's still relevant here: http://www.webmd.com/sex-relationshi...y-not-treat-ed

There are other studies on the subject that can be found on pubmed if you're interested in learning more.

I found one study that indicated that 30% of men improved erectile function on Test alone, another 30% improved with Test and an PDE5-I and the rest had no improvement whatsoever. So it seems, like everything else, that it's very individual.

Read the study above.

While your research is great, and is very helpful, the problem with cutting and pasting studies is that we sometimes overlook what the criteria for the participants were. All participants were 60 and older and borderline low t - so of course they may have more going on. We know nothing of body comp, other health issues, and physical condition.

I know that it did not take 6 weeks for me to feel the effects on my sexual function when I first started, more like a week. I can also to this day pin point my increase/decrease in libido as my t levels rise and fall.

btw, I would have loved to reached my 60's and have had borderline t levels. I know there are a few fellas here over 60, but not the vast majority. Not so sure that study applies to this audience. But if you find some more, let's see them... maybe there are only a few of us that it effects that way.

[flatscat]

beat me to it G, at least there are differing opinions in your posted studies

[steroid.com 1]

beat me to it G, at least there are differing opinions in your posted studies

Yea, that was the point. My research seems to find conflicting results. I have seen men state it didn't do any thing for them and others like yourself flats where the impact has been very noticeable. For me, increase in libido and erectile function were modest to say the least.

[Fred40]

Did the addition of Testosterone through an HRT program improve your sexual function?

Function? No (but I have never had ED issues)

Libido - Yes.....not super dramatic but enough to notice a nice positive change.

[flatscat]

for this thread - libido and/or ed = function, comprende? premature ejaculation is not mentioned here.... jk bro

[flatscat]

14 replies and 7 votes - come on now step up. This is an important topic.

[dfwo]

Well, I don't really have enough time in to say for sure. But the first three or four days I felt humping the mattress 24/7.

[kelkel]

Made a difference for me. Then again, I was at a 59 T level. Think dead wood, not morning wood.

[biggymrat]

I voted yes because when I first started TRT I noticed a huge increase in sex drive. Every time I saw my wife I was ready to go. However, now it almost seems like I'm back to my old normal self. I do notice more morning wood though.

[Fred40]

for this thread - libido and/or ed = function, comprende?

Well personally I think it's a huge distinction and should probably be addressed as two separate issues.

Does TRT help with ED? &

Does TRT help with libido?

And I can't come to grips with libido relating to function.

Personally I think TRT helps most to some degree with libido and very few ED issues. But that's just my inference from a fair amount of reading.

[JD250]

For me it helped with both, here's why I say that, My libido was rock bottom, could I get a hard on, absolutely but when you really don't give a shit it does affect your function, maybe not in the way that most think of ED, It's like this......if you're not turned on, why would it stay hard?

Within a week of starting trt my wife had a terrified look on her face in the mornings because she didn't know what the hell was going on, now she's a huge advocate of TRT.

I started using low dose cialis very recently for the N.O. effects, now instead of staying hard for an hour with no problem I swear it's nearly an "on demand" 24/7 kinda deal.

The only time in the last year that I even remotely experienced ANY drop in libido was when I ran Deca, took low doses of cabor and took care of it right away.

[steroid.com 1]

For me it helped with both, here's why I say that, My libido was rock bottom, could I get a hard on, absolutely but when you really don't give a shit it does affect your function, maybe not in the way that most think of ED, It's like this......if you're not turned on, why would it stay hard?

Within a week of starting trt my wife had a terrified look on her face in the mornings because she didn't know what the hell was going on, now she's a huge advocate of TRT.

I started using low dose cialis very recently for the N.O. effects, now instead of staying hard for an hour with no problem I swear it's nearly an "on demand" 24/7 kinda deal.

The only time in the last year that I even remotely experienced ANY drop in libido was when I ran Deca, took low doses of cabor and took care of it right away.

I as well JD and not just for the increase in N.O. as it has a ton of other health benefits. But, I do get much better morning wood and yesterday took an extra 5 mgs and had great sex.

For me, TRT combined with a low dose PDE5-I seems to do the trick

[zaggahamma]

always had good libido

when started trt (gels) wood off and on all day long...day dream-wood...nap-wood

even like someone stated above i think i even had a wet dream lmao

since though back to just regular libido but i always wonder when your bangin out shots almost everyday its hard to always be wantin to

no complaints

[dfwo]

I started using low dose cialis very recently for the N.O. effects, now instead of staying hard for an hour with no problem I swear it's nearly an "on demand" 24/7 kinda deal.

What is N.O.?

[devildog1967]

Since i started sex drive has been good (Some of the time) .. But i have to keep messing around with the amount of test and AI as i seem to crash very easy and end up with no interest in sex at all. So yes TRT has made the difference ..

Think i have now found the sweet spot..

[JD250]

What is N.O.?

Nitric Oxide

[steroid.com 1]

[QUOTE=devildog1967;5802116]Since i started sex drive has been good (Some of the time) .. But i have to keep messing around with the amount of test and AI as i seem to crash very easy and end up with no interest in sex at all. So yes TRT has made the difference ..

Think i have now found the sweet spot..[/QUOTE]

FINALLY! Keep your fingers crossed and lets hope you stay there.

Very small adjustments now if needed at all.

Happy for you devildog!

[NOSUPERMODEL]

I never had ED or libido problems. I would say that when I first got on the sex was happening more often. Maybe because I kept telling the wife that testosterone would drive up my libido and she felt like we had to do it more often. Now everything seems back to normal.

Before I started I had a buddy telling me about it and he said yeah you have sex and get done and your immediately ready for another round. Well I never experienced that, but I will say in the very beginning I did notice and increase in libido, but now its back to the way it was before I started TRT. Which it was never bad to begin with.

[steroid.com 1]

I never had ED or libido problems. I would say that when I first got on the sex was happening more often. Maybe because I kept telling the wife that testosterone would drive up my libido and she felt like we had to do it more often. Now everything seems back to normal.

Before I started I had a buddy telling me about it and he said yeah you have sex and get done and your immediately ready for another round. Well I never experienced that, but I will say in the very beginning I did notice and increase in libido, but now its back to the way it was before I started TRT. Which it was never bad to begin with.

This seems to be a recurring theme...I hear it a lot as well being in the same position.

[flatscat]

I definitely don't feel the need to nut it out every 5 hours anymore either like I did when I first started. I think a lot has to do with how low you were when you started, and how long you were low.

I do think that once we have settled into our protocol ( and especially those that have been on for years), we may tend to forget just how bad things may have been before. This is why some quacks suggest coming off trt periodically. They think it will enhance the overall experience and improve treatment outcomes.

Sexual function in the vague sense is used as a determining factor (along with bw of course) probably more so than any other condition to justify trt.

For you guys like Devine, who did not have an issue here, what were your symptoms and deciding factors to start? B/W only? Other goals? Other health benefits? Just curious... thanks

[zaggahamma]

I definitely don't feel the need to nut it out every 5 hours anymore either like I did when I first started. I think a lot has to do with how low you were when you started, and how long you were low.

I do think that once we have settled into our protocol ( and especially those that have been on for years), we may tend to forget just how bad things may have been before. This is why some quacks suggest coming off trt periodically. They think it will enhance the overall experience and improve treatment outcomes.

Sexual function in the vague sense is used as a determining factor (along with bw of course) probably more so than any other condition to justify trt.

For you guys like Devine, who did not have an issue here, what were your symptoms and deciding factors to start? B/W only? Other goals? Other health benefits? Just curious... thanks

b4 trt i was working out intensely cardio and weights with a decent diet with calories controlled and in deficit and had lost weight but platued with still a lot of fat to lose...well over 20% bf overall...somehow found out low T could b reason...and this is the sole reason i searched...got tested and sure enough...levels at age 36 were in the 200's...got on gel and immediately started shedding fat, gaining strength, energy....nothing short of amazing

[flatscat]

thanks JP. it is a miracle for a lot of us and in many ways....

So you measure yet? 19????

[zaggahamma]

thanks JP. it is a miracle for a lot of us and in many ways....

So you measure yet? 19????

naw maybe i'll look for a tape

lol

[l2elapse]

Just started TRT 5 days ago..will know soon

[NOSUPERMODEL]

I definitely don't feel the need to nut it out every 5 hours anymore either like I did when I first started. I think a lot has to do with how low you were when you started, and how long you were low.

I do think that once we have settled into our protocol ( and especially those that have been on for years), we may tend to forget just how bad things may have been before. This is why some quacks suggest coming off trt periodically. They think it will enhance the overall experience and improve treatment outcomes.

Sexual function in the vague sense is used as a determining factor (along with bw of course) probably more so than any other condition to justify trt.

For you guys like Devine, who did not have an issue here, what were your symptoms and deciding factors to start? B/W only? Other goals? Other health benefits? Just curious... thanks

A friend mentioned it to me that he was on TRT, and he started telling me about it. I said what made you start it. He told me all the symptoms and I thought to myself that is the way I feel a lot of the times. So I decided to just go get blood work done. And sure enough I had low T. Started from there.

[subnet]

Like some others here, I never really had any ED or libido issues, even though my Test levels were in the low 200's. On TRT, definitely have higher libido - yes my wife is scared of me too!

Speaking about morning wood, I had high E2 before starting injections and didn't even realize that I wasn't having any. One of those things that you don't notice if something's not there anymore. But on Test and Adex, morning wood came back and life's good

[Nofinshline]

Cia + test does the trick for me... with test alone I have inconsitent erection quality.