first of all you need to have your PSA tested and your prostate examined. Benign prostatic hypertrophy is a relative contraindication to TRT, as the extra testosterone is going to make your prostate even bigger. You also need to rule out prostate cancer for sure.
You might have sleep apnoea and sleep apnoea can be a feature of low or high testosterone, it does affect your libido. get a sleep study done, it is relatively cheap and the treatment is easy, just a mask and a machine called CPAP, which will transform your life if you do have sleep apnoea.
cialis for the prostate benefit is 5mg daily, not 20mg. it comes with 28 tablets, one a day. costs around £80, not sure in your currency if you are not in UK. but the primary benefit of that is for ED, the prostate relaxation and easier urination is not as effective compared to other medication. To shrink your prostate gland you need finasteride but I am sure you wont choose that, as it will kill your libido. you can certainly discuss with your doctor to try a medication called tamsulosin MR, or brand name of Flomax MR, 400mcg a day. it is an alpha blocker and therefore relax your prostate to improve your urinary symptoms. it takes about 48 hours to work, start taking 1 tablet a night. it does not interfere with your testosterone level.
If you want to try cialis regardless, try 5mg daily. that is the formulation you need. if a lab is selling 800mg, then it is NOT cialis. the generic name for cialis is tadalafil.
anyhow go to see your doctor and have a blood test and prostate examination first.
by the way before your PSA test, make sure you dont ejaculate for 48 hours prior, no strenuous exercise esp cycling for 48 hours, no instrumentation through your urethra, no active infection and make sure your doctor does the blood test first before the prostate examination, as vigorous prostate exams can also artificially raise your PSA.
get a free and total PSA with ratio. or complex PSA if they offer. or better off a urine test called PCA3 (thats expensive and yet very specific)
hope it helps
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