Erection quality/strength

[johnhenry]

I have been on TRT for about a year now. However, erection strength is poor, esp in the last couple of weeks. I am 59, not overweight, and in good health. I take 10mg Cialis before the act. It doesn’t seem to make much difference. I have noticed that morning woods are not very strong compared with a few months ago. And it takes a fair while to get to ejaculation.
Last blood test one month ago showed total T @ 650ng/dl, free T @ 406pmol/l (ideal range 500-700) and E2 @ 87 pmol/l (ideal range 85-120).
DHEA-S was 5 umol/l, (ideal range 9-13), Vit D 135 nmol/l (ideal range 125-155) and SHBG 44nmol/l. All seems okay to me. My protocol is 80gm T/wk (40 gm in the form of T enanthate sub-q twice weekly, 0.125gm azole twice/wk ie. 0.25gm/wk, 1000 iu HCG/wk (taken eod @ 300iu) 5000iu Vit D daily, nettle root for SHBG.

Can anyone suggest what might be the problem please? JH.

[lovbyts]

I have been on TRT for about a year now. However, erection strength is poor, esp in the last couple of weeks. I am 59, not overweight, and in good health. I take 10mg Cialis before the act. It doesn’t seem to make much difference. I have noticed that morning woods are not very strong compared with a few months ago. And it takes a fair while to get to ejaculation.
Last blood test one month ago showed total T @ 650ng/dl, free T @ 406pmol/l (ideal range 500-700) and E2 @ 87 pmol/l (ideal range 85-120).
DHEA-S was 5 umol/l, (ideal range 9-13), Vit D 135 nmol/l (ideal range 125-155) and SHBG 44nmol/l. All seems okay to me. My protocol is 80gm T/wk (40 gm in the form of T enanthate sub-q twice weekly, 0.125gm azole twice/wk ie. 0.25gm/wk, 1000 iu HCG/wk (taken eod @ 300iu) 5000iu Vit D daily, nettle root for SHBG.

Can anyone suggest what might be the problem please? JH.

Where did you get the E2 numbers? For a man it should be between 10-50. Your are high and that is probably what is causing you problems. You can try pregnenolone or some Adex from the above AR-R site sponsor, upper right hand banner.

[Beethoven]

Where did you get the E2 numbers? For a man it should be between 10-50. Your are high and that is probably what is causing you problems. You can try pregnenolone or some Adex from the above AR-R site sponsor, upper right hand banner.

Also your free t is below your ideal range. That also may be a product do E2. What lab are these ranges from?

[2Sox]

I agree with Beethoven and Lovbyts. Your E2 number is unusual. Doesn't seem like it was the sensitive assay. I'm doing some research now into Aromasin/Exemestane and it seems like a superior option for E2 control in many ways. You might want to consider this instead of Adex.

[johnhenry]

Guys, the E2 numbers from the lab here in Oz are expressed in pmol/l, so divide by 3.76 to convert to pg/ml which would be 23.7pg/ml. Pretty good I thought.
Yes, free T is down a bit, which is why I have been taking nettle root to try to drop the SHBG a bit and therefore increase free T – but I don’t think it does much ie. numbers don’t look much different with or without it.
I am wondering whether to increase T from 80 mg to 90 – 100mg/wk to see if that brings up free T into range and/or to take some caber. I like to take a minimalist approach ie. don’t want to take stuff for the sake of it. What do you think? JH.

[lovbyts]

Guys, the E2 numbers from the lab here in Oz are expressed in pmol/l, so divide by 3.76 to convert to pg/ml which would be 23.7pg/ml. Pretty good I thought.
Yes, free T is down a bit, which is why I have been taking nettle root to try to drop the SHBG a bit and therefore increase free T – but I don’t think it does much ie. numbers don’t look much different with or without it.
I am wondering whether to increase T from 80 mg to 90 – 100mg/wk to see if that brings up free T into range and/or to take some caber. I like to take a minimalist approach ie. don’t want to take stuff for the sake of it. What do you think? JH.

OK sorry missed that. In that case it's actually might be a beneficial to have a little more E2. It's better to be near the upper range around 40-45 so maybe add a little more test. I would hold off on caber or anything to see how you feel without it and how your blood work comes out.

[vmons01]

I had the same problem with very similar numbers, E2 in the 20's and Test at 830. I tested my DHEA and it was low. I tried two things, one or both worked for me. I reduced my Test dosage to get my Test in the low 700's and I started supplementing with DHEA to get it more into range.

[APIs]

Your numbers dont look all that awful. Free could be a little higher, but I'm not familiar with the ranges you expressed. One thought would be to try and throw some viagra into the mix also. I've found it can help a lot...

[jasondd1]

This may or may not be helpful but i'm taking the peptide Melanotan 2 for tanning and one of the sides is crazy boners.

[sfgiantsfan55]

just remember what works for one person doesnt necessarily work for you, there is no "magic free test" level thats gonna guarantee great wood. higher e2 seems to be benficial to me as far as boner strength...also, viagra pill form seems to work the best for me, better than cialis. idk,, its all trial and error in my opinion.

[xcraider37]

OK sorry missed that. In that case it's actually might be a beneficial to have a little more E2. It's better to be near the upper range around 40-45 so maybe add a little more test. I would hold off on caber or anything to see how you feel without it and how your blood work comes out.

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[johnhenry]

Thanks for the comments - I will drop azole to 0.2gm/wk and increase T from 80 to 90mg/wk. I find viagra and cialis not to be much help surprisingly. It all seems quite a fickle equation. JH.

[johnhenry]

My DHEA is on the low side, but I do supplement with about 15mg/d slow release to try to keep it mid range. Thanks for the comment. JH.

[johnhenry]

Thanks Jason - it is banned here in Oz.