Quite the predicament...can anyone help me? (HRT problem)
This is going to be a long post, But I really need help. So if you have any useful knowledge or points you would like to make, Please help me. It really would be appreciated, and could really change my life for the better, which to be honest is really needed right now.
Well I started HRT about 2 years ago.
My doctor started me out at 200 mg a week, along with some arimidex EOD I believe. Before getting on the HRT, my libido, energy, and mood, were horrible. I had a very attractive girlfriend at the time for which I failed to perform with, yeah it was that bad. My levels were 220 on the 300-1100 reference range.
The thing that started to bother me was that 8 weeks passed, and I didn't feel any different. I figured out with him my thyroid was low, Okay so we treated that. Still no sex drive, which was weird because my test levels were around 1100, and estrogen was normal.
I finally saw another doctor, and he said he has a few patients where they don't really benefit from 200 mg a week, that it is a "semi low" dose for HRT patients. I don't want anyone to bag on his statement, this guy did some amazing things for me and literally took away my chronic fatigue syndrome...permanently. Moving on.
He moved me to 300 mg, slight improvement. Then to 400. Things began to feel better. But FOUR HUNDRED MG A WEEK? Thats a light cycle...not exactly ideal I came to realize. Not to mention I knew I wouldn't be able to lower it because I just started to see improvements, but nothing like other people. My libido was just okay, I got erections but they should have been often. They were and still are only existant when directly stimulated, versus when visually it could happen, and not as hard as they were when I was healthy and took nothing.
400 was no problem until my estrogen level was at 99 for some time...no aromatase inhibitor. Arimidex made me extremely tired, aromasin hurt my joints to the point that swimming hurt my elbows, and it literally seemed to deflate my muscles making me look small and I was weaker like that...not ideal as I was and still am power lifting. Letro seemed to work well actually, I cannot recall if it hurt my joints as I took like a quarter tab once a week.
Time went on, and I developed to get some bad acne. It got worse and worse and is treatment resistant. It is now cystic. Cystic acne means it is like a small open wound pretty much, and they bleed. It is only on my mid chest, like between my pecs, very strange. Its awful, but luckily I am far from cocky or whatever, and don't really let it affect me, as my girl does not care either, shes rad. Accutane is right around the corner, but obviously I want to avoid it, as it apparently has some reported sexual side effects and possibly depression.
Problem is I stain my wifebeaters and I know this high estrogen level cannot be good. Hell I am very strong and I bet my bones love it! But I am wondering if this is playing a role in my low libido. I mean 400 mg a week puts me around 2,500 on the test scale, 300-1100. My doctor is okay with it:rolleyes: But I obviously want to be the horny kid I was when I was 16.
Here is the dilemma. I have a neurotransmitter deficiency, which is tedious and difficult to treat. I am doing another urine test for it soon to take further steps. If anyone does not know what a neurotransmitter is, do a wikipedia search, they basically control every single emotion, including: (what do ya know!?) libido, happiness, and energy.
Estrogen and progesterone have been proven to "Amp up" neuro activity. So I take progesterone pills as well, and they actually kind of make me feel good and give me some emotions back, as my progesterone was low. But I'll be damned if the stuff doesn't get me a little too sentimental with the girl I am currently interested in:chairshot
So lowering estrogen, almost seems to make my libido worse...however I would want to try it again and possibly use a low low dose or aromasin, like half a tab ED or maybe quarter tab.
I also take Wellbutrin XL, which has definitely NOT HELPED the libido, and I will be stopping it soon, the weaning process has already began.
It really sucks to be young, have a beautiful girlfriend (we are new so we haven't had sex yet) But I don't even get it up when we are kissing (that is typical for me since being hypogonadal)
Has anyone had experience with any of this?
I may add on later, but for now, I think this is sufficient.