What all can affect sex drive/erections?

[Fetch]

I'm at a complete loss. I'm on TRT, 120mgs/week. I've tried Arimidex at varying doses, and at one point I got blood work and my Test came in around 1000, with E2 in the 50s. I shouldn't be having these issues, so I ask the question, what else can I be tested for that would be affecting my sex drive and lack of erection quality?

E2
Test
SHBG

Anything else that could affect it? My doctor sucks and I have no other options right now, so I have to tell him what to test for, and I want to be get everything tested that could be at fault.

[lvs]

First Post in above sticky, Finding a TRT Physician will tell you what tests to order.

[bass]

your e2 is high normal and that could be part of the problem. how about your free T? and what was your SHBG level? post your BW with ranges.

[Fetch]

Ive tried varying my arimidex anywhere from .25/day to .75mg/day to no effect. Never had SHBG tested, that was one I looked at getting tested. I just wanted to know exactly what all I need to suggest him testing, as he doesn't know himself. (Endocrinoligist, but only typically does diabetes) Ill see if I can find my last batch of tests when I get home from work and post the results. It was only Test and E2, though.

[steroid.com 1]

DHT (especially) and Prolactin amoung a host of others.

Start out with a complete and thorough hormonal panel and see where you stand (see sticky).

E2 at 50 can be a problem...some men have complained about libido and erection problems even in the 30's!

[kelkel]

You might want to have him write you Cialis 5mg for daily use if your insurance covers it also. It comes with a host of benefits beyond the obvious.

[Mr Tick]

Have you ever tired letro? It is supposed to be note potent then adex and sometimes works better for some people.

[ecdysone]

Like the idea of just trying letro and doing nothing else first.

Almost hate to say this because it generally ignored, but there are three endocrine systems in your body, you may be addressing the main one, but don't forget about thyroid or adrenal - the symptoms are about the same.

[Black]

Like the idea of just trying letro and doing nothing else first.

Almost hate to say this because it generally ignored, but there are three endocrine systems in your body, you may be addressing the main one, but don't forget about thyroid or adrenal - the symptoms are about the same.

I would be interested to see your T3, T4 and TSH levels just to rule out the thyroid.

[Fetch]

Here is my last batch of tests, done in De***ber

T3 - 81 ng/dL
T4 - 6.1 mcg/dl
TSH - 1.37 mIU/L
E2 - 32 pg/mL
Free Test 285.6 pg/mL
Total Test 1031 ng/dL

I was mistaken, my E2 at that point was 32.

[Fetch]

You might want to have him write you Cialis 5mg for daily use if your insurance covers it also. It comes with a host of benefits beyond the obvious.

I have tried Cialis, doesn't affect me at all now. Viagra either. They both used to work well, before TRT.

When I was 17 I was diagnosed with low T, but didn't treat it. I could get an erection decently at times, not so well at other times. Viagra/Cialis worked well. I knew I was destined for TRT at some point. For several years in my early/mid 20s I used steroids , and always cycled properly with PCT. At all times, Cialis worked well for me. After a particular cycle, I just never recovered and had no sex drive at all. Thats when I started TRT. A few weeks into it and I was getting erections fine, then all of a sudden they just stopped. Now, Cialis/Viagra does nothing for me.

[steroid.com 1]

Here is my last batch of tests, done in De***ber

T3 - 81 ng/dL
T4 - 6.1 mcg/dl
TSH - 1.37 mIU/L
E2 - 32 pg/mL
Free Test 285.6 pg/mL
Total Test 1031 ng/dL

I was mistaken, my E2 at that point was 32.

Fetch - Ranges please.

E2 is fine and you can rule this out.

Thyroid (sans reference ranges) looks fine so you can rule this out.

Free and Total look fine as well.

Still need to see a complete hormonal picture. It could be anything and possibly not hormonal related.

Sympathetic and Parasympathetic pathways are very complex and both need to be in harmony.

Can you get an erection watching porn? If so, can you climax? This is important to know.

[bullshark99]

I'm sure you would of mentioned it Fetch, but no Deca use recently??

[lovbyts]

try to get your total and free test down for a while. More is not always better.
I have always steered away from V and C since I didnt need it but have because I had fear it may stop working at some point.

[steroid.com 1]

try to get your total and free test down for a while. More is not always better.
I have always steered away from V and C since I didnt need it but have because I had fear it may stop working at some point.

OT - Cialis/Levitra/Viagra are PDE5-I antagonists; they inhibit the enzyme from doing its function of limiting NO production. The drug just doesn't "stop working" if taken over time...it does what it does.

Add a low dose alpha-1 blocker to the mix and erection quality can be fantastic!

If ED problems present themselves where the PDE5-I once did its job the likelihood of it being something else is much much greater then the drug "just not working anymore".

[flatscat]

I doubt it is your E2 - even at 50. and with numbers like you have and no effect with v or c, my initial guess is that it is not a physical problemo (remember you have to have the desire for v and/or c to work). Without a prolactin and shbg lab results it will be difficult to say though. One thing you did say puzzled.... you said vary the adex from .25 to .75.

You need to get a new baseline on a complete panel like the good bro's have said above and stick to a decent and conservative protocol on your ai until you get your next panel done, There is a HUGE difference between .25 and .75mg's of adex.

ADDED...

You may have lowered your E2 too much there broski...

[endus]

I have a same problem - been going on for a year now and I'm starting to find my target spot, ED wise. My normal protocol is 150mg per week but I've been doing 300mg test e for last month and a half.

My problem was high estrogen - and Arimidex wasn't doing it (tried 3 different brand, so it couldn't be all bunk). I've started getting Gyno symptoms and my jr was completely dead, even with HCG , Nolva at 20mg and Arimidex - from .25 to .75mg.

All these helped a little but someone suggested that I switch over to Aromasin and drop the Arimidex - bam, few days later, my gyno (nodule under nipple and sensitivity) was gone. And next morning, I had the longest morning wood ever - like nearly an hour.

So I think I'm getting somewhere with ED wise - the problem that is still occuring is not in the morning, its at night. Its not as strong at night and I really don't want to take Viagra/Cialis if I don't have to.

My last blood test had E2 bit high and test elevated, everything else normal. I just did blood work this morning, so hopefully it will tell me more. I did privateMD deluxe male panel testing - is there anything else that I could test on my own also. It would be great if I could get this figured out without resorting to Cialis for night time. By the way, cialis/viagra works for me at 1/3 dose but I get a headache from both.

[PPC]

I would second giving low dose alpha blocker like doxazosin a trial, along with daily cialis. Some guys who do not respond to cialis will do so once the alpha blocker is able to relax the pelvic area. I'm no expert on this of course but have read of amazing turnarounds with this combo. Usually 2 mg is sufficient.

[Fetch]

I doubt it is your E2 - even at 50. and with numbers like you have and no effect with v or c, my initial guess is that it is not a physical problemo (remember you have to have the desire for v and/or c to work). Without a prolactin and shbg lab results it will be difficult to say though. One thing you did say puzzled.... you said vary the adex from .25 to .75.

You need to get a new baseline on a complete panel like the good bro's have said above and stick to a decent and conservative protocol on your ai until you get your next panel done, There is a HUGE difference between .25 and .75mg's of adex.

ADDED...

You may have lowered your E2 too much there broski...

I'll post ranges soon, I need to get ahold of the actual labs for the ranges, I just had the numbers handy.

I didn't vary the Adex day to day, I gave it 2 weeks between switching. As I understand it, the blood levels should be stable by that point. Should I wait longer? I will be quitting the ADex 2 weeks out from my next lab workup to see where I stand.

So, SHBG, Prolactin, and DHT should be tested my next go round? Aside from that, doxazosin may be able to help?
I don't know what else this could be but a physical problem. I have plenty of desire, have a live in girlfriend, etc. I simply never feel 'in the mood,' and I get weak erections, whether looking at porn or being with the girlfriend.

[steroid.com 1]

Low dose Doxazosin 2 mg and 5 mg Tadalafil. Both have long half lives so desired effect lasts all day and night.

Significant impact on erection quality.

Take both before bed.

Morning erections are impressive...like a teenager.

[Fetch]

Where would one find Doxazosin? Is it something typically stocked on research chem sites, or Rx only? If the latter is the case, I may be in trouble, my doctor doesn't give anything but Test for treatment.

[steroid.com 1]

It's RX but can be purchased online without a scrip.

IM me your email address and I will send you an online Pharma I use who are totally safe and 100% legit Fetch.

More: http://www.rxlist.com/cardura-drug.htm

[OutLaw8.5]

Subscribing. Just had to switch to self trt. Find this relatable for me personally

Thank you guys