I think I’ve mentioned that I used PEDs back in the day and I knew a lot of guys who also did. Typically, that would include one to three injectables, one of them being test and two to three orals. Test dosing would range from 200-800mg per week with the 600-800 range only for the last two to four weeks leading up to a competition. We were always cycling on and off, usually 6-10 weeks on followed by 4-8 weeks off. The only blood work we did was lipids and liver function tests. CBCs also, but we never cared about Hct. A few used LFTs as a means to determine when to go off.
Most guys were pretty jacked sexually when on. I never experienced a decrease in libido and only once felt anything E2 related, that was morning sickness towards the last 4-6 weeks of what was an 18 week cycle. I do know a guy that was on for 9 months leading up to that particular competition and his wife complained that they weren’t doing anything. I will say that usually, by the end of the cycle, I was ready to stop. Can’t describe it, but I just didn’t feel “right” so perhaps it was my body’s way of telling me to get back to normal. May it was due to the stress of heavy training.
I imagine some experienced decreased libido, but did not talk about it. Most complained about high libido.
Given my experiences, it does not follow that so many would experience sexual dysfunction, however, I mentioned we were always going on and off. Maybe it is more of a long term use symptom. I do not know. But, something is up with you so what is different? TRT?
I also think blood work is in order. Hopefully, there will be something that explains your symptoms and you’ll have an answer. We all respond differently to TRT and there is no right or wrong way.