Low Semen Volume 3 Months into TRT

You felt great both sexually and strength wise and your doctor thought it was a good idea to lower your dosage considering the positive results, incredible! When I was talking about labs I mean Free T, SHBG and estrogen, we need to know how much Free T is in circulation to be able to judge your protocol, if all you have is Total T I can understand why you are having trouble.

Total T doesn’t influence tissues within the body, Free T does all the amazing things and we have no clue where Free T sits. Clearly the person at the helm who is guiding your protocol is clueless because he/she doesn’t even understand how to play this TRT game.

Men with elevated SHBG usually need a higher Total T to have enough Free T in circulation than men with lower SHBG. You need to seek a private doctor immediately because this NHS doctor only cares about “in range” and you may very well require above range levels to feel normal.

I wonder why it hadn’t occurred to your doctor to lower the dosage instead of switching to once a month injections, I’m sorry to tell you but your doctor is an idiot. The half life of Sustanon is best dosed at a minimum every 2 weeks and by increasing the time between each injection, the doctor has made the treatment less effective.

You doctor should lower the dosage and have you inject once or twice weekly as others have suggested. 125mg split up once or twice weekly is optimal.

This doctor is inducing a state of hypogonadism leaving you with zero (0) testosterone and should be malpractice! This amounts to torture.

The care you are receiving is atrocious.

1 Like

Your doctor is an idiot and knows nothing. Sad. We put our health (and our lives) into the hands of these folks and they can’t be bothered to even learn the basics of how to manage a TRT patient.

1 Like

Your doctor is an idiot. Three weeks might get it for you, after you’ve been on for 3 months and built up the long ester enough. Every two weeks is kind of a minimum normal frequency for Sustanon, and for a lot of guys (like me) that’s not enough. Every two weeks put my Total T at 479 and my free T was negligible. 1100 is not particularly high, and certainly not dangerous in any way.

1 Like

subing to thread hoping to read something about the original topic low semen volume.
I also suffer from this and nothing talked about above have worked for me and I have tried all of it.
My thyroid numbers are perfect and my TRT protocol has been stable for just over 3 years.

@samjiga I also suffer from ED like you. It is worse the higher my E2 goes.

HCG was suggested. Perhaps you should get it checked too

I have been using 800iu HCG for the last 5 years. I did try 500iu for a month and 1500iu for a month. No different.

Have you tracked blood pressure relative to E2?

No I have not. I check my BP twice a day every day. E2 has never been an issue with me and BP and I have experimented a lot with my E2. Being a retired engineer one has to tinker with this shit. It’s what engineers do. HaHa.
My BP only has issues with HCT
As soon as my HCT hits 52% my BP goes up 10 points top and bottom. It is how I know to go donate blood.
When my protocol is working my BP runs 120-130 over 72-80 resting heart rate is 58-61.
Running around town just doing daily chores HR is 72.

Just incase you didn’t get the message from the other 6 posts your doctor is an idiot.

My semen is clumpy since getting in trt (no hcg). A little less volume and less watery.

I honest believe that just replacing our T lvl does not fix everything that happens as we age.
When I was 25 I could shoot 1 ml of cum halfway across the room but by the time I was 35 that volume dropped to one quarter of that amount. The volume continues to decrease as time goes by no matter what TT/FT/E2 you run. No matter how hard you try you will never get your 20’s back.

Try edging for like a half hour. When I do that usually with browsing porn I actually shoot. Am 42

My volume varies. But I really don’t care as it feels really good as if an shooting a large load. Sometimes it feels so good but not much cum

I’m on Subutex so 20 min is a quickie and an hour is normal.

There are some studies linking high E2 to increased risk of stroke and atherosclerosis. High E2 is defined as over 40, of 42.5, I can’t remember which. That’s all endogynous production, and one specifically is on Japanese American men in their 70’s. YMMV. I know that high BP will give you ED that can’t be fixed if it goes long enough - due to damage to veins from prolonged exposure to pressure. An engineer can do the math on that one. lol. I think we know about 1% of what we ought to about how things work. It could be something else that is affected by E2 that actually causes the problem, but what? My BP shoots up when I am hypocalcemic. That doesn’t make any sense to me, but I know it happen, and I am often hypocalcemic.

I would think there would need to be unbelievable damage to veins to cause ED.

Not as much as you’d think. I have a friend who is permanent. He’s not fat, he plays tennis several times a week, he just couldn’t ever get that BP down and now he’s non-functional. Still has libido, just can’t do anything about it. Someone else always has it worse, LOL.

I injected IV oxy for 10 yrs and only stopped because I had no more veins (not the kind that lives in a park bench but ran a very successful company). I don’t have ED. Getting blood taken is a 2 hr deal and requires a very experienced person to find a vein. I self medicated my chronic fatigue with extreme pain killers in an extreme way. I can’t imagine that high blood pressure would cause more damage than that but maybe it’s something that happens in older individuals. Still I can’t imagine it deleting all visible veins.

It’s the destruction f all the little ones that you can’t see that’s the problem in this case. The blood gets to the vicinity, but can’t use the “side roads” to get into town.

It definitely makes sense. Maybe I should get two girlfriends while it still works.

1 Like

I’ve been there brotha. After 6 years, my veins have started to come back a little bit. Initially getting blood work done was near impossible. I went to the ER 5 years ago and they had to go in the top of my hand above my wrist. Now, its not too bad. If their experienced enough, they can usually get a vein fairly quick. It just takes a minute or two of digging lol. Some can get it right off the bat.

1 Like