Hi all, I am in desperate need of some guidance. I start off with stats and information leading up to my current protocol (see CURRENT SITUATION below if you want to skip ahead).
Stats: I am 52 years old, 191 lbs, 23% BMI. Lost 15 lbs over the last 4 months.
May 2011 Started TRT under PCP
300mg Test E once per 3 weeks
Used DIM
Spring 2012 noticed mood issues and realized TRT did not seem to work anymore thus premature ejaculation, problems with getting and maintaining erections
Switched on my own at some point to 200mg once per 2 weeks
December 2012
Hit bottom with lethargy, sense of worthlessness, depression, no libido, no erections. Significantly increased use of Anti E supplements (DIM, etc.), while I waited to get appointment with my Uro. This dramatically helped mood issues and resulted in better interest in sex, but little impact on erection, e.g., no night or morning wood.
January 2013 sought help (i.e., an AI) from PCP Uro and Endo, with no luck in getting an AI from them. But following are labs
February 16, 2013
Total T 7.90 ng ml (no range)
Free T 189.4 pg ml (35 thru 155)
Free T percent 2.40 (1.1 thru 2.8%)
E 174.7 pg ml (no range)
E2 44.5 pg ml (less than 52)
TSH 2.28 miu ml (0.32 thru 5.50)
T Protein 6.5 g dl (6.3 thru 8.3)
Albumin 4.1 (4.0 thru 5.4)
ALT 19 u l (0 thru 50)
AST 24 u l (9 thru 53)
Alkaline Phosphatase = 52 u l (35 thru 129)
T Bilirubin 0.5 mg/dl (0.2 thru 1.3)
Direct Bilirubin 0.2 md/dl (0.0 thru 0.3)
March 12, 2013
T Cholesterol = 194
HDL 133
Non-HDL 61
LDL 54
Triglyceride 33
Glucose 100
B12 1930
Folate greater than 20
Vitamin D, 25 Hydroxy 92 (30 thru 100)
Hematocrit 46 (40 thru 51)
April 17, 2013 did labs as baseline before starting new TRT protocol under private clinic (see below): By this point, moods were still good, had rare erections, with no morning or night woods
Total T 699 ng ml (348 thru 1197)
Free T 23.49 ng ml (5 thru 21)
E 114 pg ml (40 thru 115)
E2 31.8 pg ml (7.6 thru 42.6)
Here is my CURRENT SITUATION:
April 21, 2013 (Sun) Started a new TRT Protocol
Test C 100mg twice per week (Sun and Wed nights)
DHEA-Pregnenolone Cream 0.25mg daily
Anastrozole (capsule 0.5mg twice per week (Sun, Wed nights) (HOWEVER, I DECIDED TO START WITH 0.25 mg)
HCG 500iu twice per week (Sun, Wed)
April 24, 2013 (Wed)
Anastrozole 0.25 mg
April 24, 2013 (Wed)
Temp 97 (1114 AM)
Started Potassium Iodide (daily 11.25mg)
Anastrozole 0.5 mg
April 25, 2013 (Thurs)
Awoke with an ok erection in early morning (first time in many months)
Temp 96.3 (348 AM)
April 26, 2013 (Fri) Labs (because I knew I needed to manage my E2 closely
Total T greater than 1500 ng ml (348 thru 1197)
Free T greater than 52 ng ml (5 thru 21)
E2 31.3 pg ml (7.6 thru 42.6)
DHEA 263.4 ug ml (44.3 thru 331.0)
April 27, 2013 (Sat)
Temp 97.1 (348 AM)
Ok Erection at approximately 930pm
April 28, 2013 (Sun night)
Temp 97.4 (741 AM)
Test C 100mg
DHEA-Pregnenolone Cream 0.25mg
Anastrozole 0.5mg
HCG â?? 500iu
April 29, 2013
Temp 97.6 (330 AM)
April 30, 2013 Plan to do more labs TODAY as soon as I get my lab slip
Temp 98.1 (511 AM)
MY PROBLEM/CONCERN/FRUSTRATION â?? I look at my wife with desire and want her, but not getting erections. With my numbers as of Apr 26, why am I not having night and morning wood or wood when we are cuddling. This frustration is exacerbated by the fact that my wife and I have been struggling with my lack of libido (Prostate Cancer treated by radiation) for years and she is nearing the end of what she is capable of handling.
Thanks in advance for any help you guys can provide to help me get better and save my marriage.