TRT but still lacking urge for sexual desire at times

[ruffcute]

I made another post about some of my cortisol levels being low, but thought I would split this and ask this question on another thread, as this predates the Cortisol levels coming down.

I’ve been on TRT for a while now and take the following meds regularly.

Current meds I’m on:
Test Cyp - 0.3ml x 2 times a week 200 mg/ml
HcG - 300 ui x 2 times a week
Anastrozole - 0.5mg x 2 times a week

I’ve noticed that I have been lacking in sexual desire most of the time. I can still get hard and erections are pretty solid but sometimes the desire to do the deed just isn’t there, until the act begins.

I’m confident that this is a TRT thing as I have noticed one strange factor, my desire picks up the further I get from my shot. Strange I know, I can’t think why that would be.

Backstory- I had a undescended testicle that I had removed in my mid 20’s. Bloodwork later on showed my Test levels just barely in the range it should be in.
I always wonder if having low test so long, let my body get use to getting sexual around a lower test range, and the more my shot tapers off the more I’m getting back to that low level range. I’m in my mid 30’s now.

Not sure if shit works that way, but always thought to ask, so finally asking.

[Cylon357]

Pull blood work. I think you will find your estradiol is low.

Drop or at the very least cut back that adex. That is likely WAY too much for 120mg T per week. The proper amount is probably closer to zero mg adex.

[< <Samson> >]

This is why I don’t run a ai

The high e2 is what keeps me horny af - my e2 numbers are in the high double digits

[Fit4Florida]

This is why I don’t run a ai

The high e2 is what keeps me horny af - my e2 numbers are in the high double digits

X3 on the AI killing your Estradiol. I’ve been in the 120-130’s on this current cycle. No sides at all and horny as a 20yr old virgin at a strip club.

[ruffcute]

Pull blood work. I think you will find your estradiol is low.

Drop or at the very least cut back that adex. That is likely WAY too much for 120mg T per week. The proper amount is probably closer to zero mg adex.

Oh damn, I did not know that.

I don’t think I have a recent Estradiol but my most recent ones were:
Aug 2020 - 73 nmol/L
Feb 2021 - 74 nmol

Been a few months since I saw my doc last so will get some new blood work done soon, but I’m sure he wanted me to be less than 80 nmol/L for Estradiol.
What kind of number should I be trying to keep it at?

[< <Samson> >]

Last I checked, mine was 9x

I do feel great, but the long term negative effects do scare me a bit

[Test Monsterone]

Agree with the guys. Think about it, the test you inject takes time to be fully absorbed and some of that converts to estrogen. Many things affect desire, but I would start by lowering or removing the AI.

[ruffcute]

Agree with the guys. Think about it, the test you inject takes time to be fully absorbed and some of that converts to estrogen. Many things affect desire, but I would start by lowering or removing the AI.

10-4, thanks guys. Will do

I will stop the adex from my next shot onwards and see how that goes.
I’ll hit up my doctor as well for some extra blood forms and get that tested.

Is there anything other than the Estradiol/Estradiol sensitive test I should get done?

I usually get the free and total test, psa, shbg done.

[Cylon357]

Oh damn, I did not know that.

I don’t think I have a recent Estradiol but my most recent ones were:
Aug 2020 - 73 nmol/L
Feb 2021 - 74 nmol

Been a few months since I saw my doc last so will get some new blood work done soon, but I’m sure he wanted me to be less than 80 nmol/L for Estradiol.
What kind of number should I be trying to keep it at?

Towards the higher end of range for HRT levels is typically where we feel best. There is some individual variability, so you will need to experiment a little to find what is right for you.

10-4, thanks guys. Will do

I will stop the adex from my next shot onwards and see how that goes.
I’ll hit up my doctor as well for some extra blood forms and get that tested.

Is there anything other than the Estradiol/Estradiol sensitive test I should get done?

I usually get the free and total test, psa, shbg done.

I would choose estradiol sensitive and use it from here on out, to keep accurate and consistent results.

Regarding other tests, I like to include DHT and TSH, but I'm in the 50+ club. PSA gives you an idea about DHT, but my DHT runs high so I like to keep an eye on it.

[yosemite-gains]

To echo what some others have said, that Anastrozole dose sounds high for 200mg / week. I've heard you should only use an AI if you're having high E sides

[Fit4Florida]

Oh damn, I did not know that.

I don’t think I have a recent Estradiol but my most recent ones were:
Aug 2020 - 73 nmol/L
Feb 2021 - 74 nmol

Been a few months since I saw my doc last so will get some new blood work done soon, but I’m sure he wanted me to be less than 80 nmol/L for Estradiol.
What kind of number should I be trying to keep it at?

I ran 11weeks of this cycle w/estradiol over 100 & feeling great. Just recently added 12.5mg ED Aromasin to help with water retention. Dropped the BP and no sides. Aromasin is an effective AI and from what I’ve read it doesn’t crash your Estro if you feel that you have to run one.

[< <Samson> >]

I ran 11weeks of this cycle w/estradiol over 100 & feeling great. Just recently added 12.5mg ED Aromasin to help with water retention. Dropped the BP and no sides. Aromasin is an effective AI and from what I’ve read it doesn’t crash your Estro if you feel that you have to run one.

I just got my BW back & my estro is in the mid 100's range - I jump on Aromasin again, just a real low dose 12.5mg twice weekly is what 'i'm gonna run

[Testie]

Personally I quit using arimidex with my Trt my total intake is 200 mg broken into two 100 mg shots weekly, my doctor had me on hcg and arimidex and once stopping everything but the test I felt better and was quite healthy from a sexual prospective although not a horn dog like when I’m on cycle, which is a good thing for me.

[ruffcute]

Hi guys,

So I pulled some blood work and these are the results.
I cut out the arimidex for about a week to a week and half before doing this blood work, so thats about 2 maybe 3 shots of 60mg Test cyp without arimidex.
My estradiol went up quite a bit, I have got some fat on me - not sure if the fat helps the excess test turn into estrogen faster.

When I cut the adex, I felt a slight increase in desire/horniness, but nothing too noticeable. Not sure if I need to give it some more time or if one of my results below might help figure it out.
My last shot before this blood test was Feb 17 - blood tests were from Feb 20.

Estradiol
170 pmol/L Range 0-160 (pmol/L) I did ask for sensitive test, not sure if they did it.

Luteinizing Hormone (LH)
<0.3 IU/L Range 1.0-9.0 (IU/L)

FSH
<0.3 IU/L Range 1.0-18.0 (IU/L)

SHBG
23 nmol/L Range 10-55 (nmol/L)

Testosterone Free
515 pmol/L Range 175-700 (pmol/L)

Testosterone, Total
18.8 nmol/L Range 8.0-35.0 (nmol/L)

Progesterone
0.6 nmol/L Range 0.0-0.5 (nmol/L)

Prolactin
17 ug/L. Range 4-15 (ug/L)

TSH
1.84 mIU/L Range 0.20-4.00 (mIU/L)

Cortisol
136 nmol/L - After 10am - 11.36am

Prostate Specific Ag (PSA)
0.3 ug/L Range 0.0-2.5 (ug/L)

DHEA-s
3.4 umol/L Range 2.2-13.0 (umol/L)

Albumin
39 g/L Range 30-45 (g/L)