It’s totally normal, it’s likely your natural production of test is shut down which happens after your pituitary gland sees plenty test circulating in the blood. It could take months before everything returns to normal. TSH is near perfect! I’m 7 month in and erections improving all the time.
No AI, no HCG. I’m one of those who can have 800-1000 ng/dL and not need an AI.
Not exactly answering your question but I’m in the same boat. 4 weeks in and I went from great libido pre-TRT to basically full ED now. I’m confident things will be fine once my protocol is dialed in, but it’s fucking terrible right now.
If a few weeks of zero libido are the worst thing that happens to me in the overall process of getting a long term HRT regimen dialed, and eventually things are back to normal (or better), I’d consider that a very acceptable trade off. But god damn does it suck right now.
Can you get current labs? Your e2 may be high now. I’d get your basic numbers dialed in before adding another variable. If you have high e2 and you add hcg, it will either make your e higher via a potential increase in T, which will make you feel worse or possibly no change at all. The third option is it could make you feel better, but you saying your libido is good with soft erections indicates your e2 may be elevated. What’s most likely is your e2 is high. You’re blind to your current status at this point in time. All that said, at your age, you should definitely be on hcg or nolvadex if you don’t feel well on hcg, but I’m guessing your problem could be resolved with an aromatase inhibitor. Again though, it’s better to confirm via labs. If it’s high and your Dr won’t prescribe you something like anastrozole, google research chemicals anastrazole.
OP has primary hypogonadism. High LH and low T is the definition. hCG will not do anything to raise T levels. However T+hCG will prevent testicular atrophy [shrinking]. Fertility may be in doubt or fragile.
With TRT E2 may be now elevated and affecting libido. Get tested soon. Labs should also involve AST/ALT.
DHEA low for age and probably related to testes not working properly and decreased testicular pregnenolone production leading to reduced pregnenolone–>DHEA in the adrenal glands. Suggest 25mg/day DHEA per day and test DHEA-S later.
You should have doc examine testes to see if any vascular abnormalities exist, often surgically correctable. Sometimes there can be problems after using 5-alpha reductace inhibitors used to combat hair loss.
Evaluate your overall thyroid function by checking oral body temperatures as per the thyroid basics sticky. Thyroid hormone fT3 is what gets the job done and it regulates mitochondrial activity, the source of ATP which is the universal currency of cellular energy. This is part of the body’s temperature control loop. This can get messed up if you are iodine deficient. In many countries, you need to be using iodized salt. Other countries add iodine to dairy or bread.
KSman is simply a regular member on this site. Nothing more other than highly active.
I can be a bit abrupt in my replies and recommendations. I have a lot of ground to cover as this forum has become much more active in the last two years. I can’t follow threads that go deep over time. You need to respond to all of my points and requests as soon as possible before you fall off of my radar. The worse problems are guys who ignore issues re thyroid, body temperatures, history of iodized salt. Please do not piss people off saying that lab results are normal, we need lab number and ranges.
The value that you get out of this process and forum depends on your effort and performance. The bulk of your learning is reading/studying the suggested stickies.
Since our systems are in a state of flux and constantly trying to be in balance, is it possible his LH was high in response to his lowish T levels? If another test had been taken is it possible the upswing could have been caught, ie higher T with lower LH or is it more of the degree/severity with how high his LH?
“You should have doc examine testes to see if any vascular abnormalities exist, often surgically correctable”
Does that mean if I have bilateral varicose veins Grade 2 on my right and Grade 3 on my left. That despite’s if I get on TRT I am still going to have troubles feeling better because of my varicose veins
What I intended to ask is, isn’t it possible that in a healthy male, the normal response to a low T state would be a spike in LH to get the testes firing or is this spike too high as far as ranges go, indicating a failure in the testes doing their job?