I started TRT 5-6 weeks ago and the experience has been good overall, but my libido and ED issues haven’t really resolved. I got labs done recently and they are as follows:
17 beta Estradiol: 146.84 pmol/L
Progesterone: 0.28 µg/L ( < 0.2 )
Total Testosterone: 20.9 nmol/l
Prolactin: ü 9,1 µg/L [ 3 - 14,7 ]
SHBG (Sex Hormone Binding Globulin): 25.2 nmol/L [ 10 - 57 ]
LH: < 0.2 UI
I was fortunate to have my testosterone tested when I was younger (and healthy) and it was 27.1 nmol/l.
All in all, my labs are relatively good. I’m doing 20mg of test cyp EOD and 200iu of HCG.
My low testosterone symptoms came about due to a varicocele, which a few studies have linked to alternations in progesterone enzymes resulting in higher levels.
Part of me is concerned that the HCG is raising my progesterone too high and testosterone is not high enough to circumvent the progesterone. I am going to speak to my doctor about upping my dosage to 30mg EOD and 100iu of HCG daily.
Has anyone dealt with this issue?