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Help Deciphering Hormone Panel Results

I am a 62 year old male. 6’ 195 pounds. I am on TRT,HCG& anastrozole. I just got my panels back and here are the readings which I do need help with
Total Testosterone 1343 ng/dL
Free Testosterone (direct) 35.6 pg/mL
DHEA-sulfate 49.6
TSH 1.18 pg/mL
Estridiol ECLIA method 8.8 pg/mL
Insulin 19.1 uIU/mL

I did not put my TSH or FSH because of current dose of anastrozole.

I have no sex drive whatsoever. I do get morning wood and nighttime wood. Cannot sustain an erection for any amount of time. I take viagra to have sex with wife and it is not 100% hard and lasts maybe 10 minutes. Frustrating. I have been doing TRT now for 1 month. Before that, I could not even get an erection. It is hard for me to orgasm. I have to do it manually

Labs do not mean much without lab ranges, they are not universal or memorized. You can directly edit the above post and add the ranges.

E2 is too low. E2=22pg/ml is your target.

Low E2 can easily wreck libido and cause major mood/depression problems. Joints might ache.

Anastrozole dose depends on your T dose and T levels. Please describe T, anastrozole and hCG dosing in detail.

If injecting T once a week or longer, lab results are mostly a result of lab timing.

Your E2 - estradiol - suggests that anastrozole dose might be ~ 3 times too high.
You will need to stop anastrozole for 5-6 days then resume at a lower dose.

For anastrozole to work properly, T levels should be steady. Injecting T twice a week and dosing anastrozole at same time works. If hCG 250iu subq EOD, some do T injections EOD to simply routine.

Anastrozole does not affect LH or FSH in your case and with TRT, both go to ~zero and no point in testing.

Please read the stickies found here: About the T Replacement Category

  • advice for new guys - need more info about you
  • things that damage your hormones
  • protocol for injections
  • finding a TRT doc

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.