I'm a 30yo male who has been suffering from low libido and ED for years but I got so used to it I never really tried to solve it. I hadn't had sex without Cialis for 2 years straight but now got in a stable relationship and it's getting too much for me.
I finally had blood work done and the result seems to explain things.
TESTO 453ng/dl (175-781)
E2 87pg/ml (20-47)
PROG 0.46ng/ml (0.14-2.06)
PRL 8.36ng/ml (2.64-13.13)
FSH 6.88mIU/ml (1.27-19.26)
LH 3.73mIU/ml (1.24-8.63)
The endo suggested I take weekly 250mg/wk of Testosterone Undecanoate for 4 weeks combined with HCG (I think it's 4000iu but am not sure). He claimed this would help restore the T/E ratio and balance things out. I had my first shots yesterday.
I spoke about this with some bodybuilding contacts and they said that didn't make any sense. I've heard from several people that this approach would only solve the problem temporarily by raising testosterone, and also that it would aromatize and actually increase E2 even more. On top of that, my hormonal balance would supposedly crash again as soon as I stop using the injections. They suggest I don't use any exogenous testosterone but simply take an AI for a while and all would be fine.
Another hobbyist health specialist friend of mine said that I should simply use Clomid to balance things out and also increase my slightly low LH levels. I went back to the hospital and asked to prescribe me some Clomid which they did, although the endo did not suggest I take any as according to him my situation is not that bad and does not warrant something this extreme. I have no idea about his credentials. For what it's worth, I did a blood test 3 years back and my E2 was 17pg/ml.
I tried searching for solutions but I can not find a similar case anywhere online. The closest I came was on this forum where KSman wrote some very interesting things. Hoping some wisdom will come this way.
I have no idea what to do now!
Here is some valuable info:
-age: 30 years old
-height: 6ft3 (1m92)
-weight: 209lbs (95kg)
-body and facial hair: bald spot and receding hairline, some hair on chest, belly and upper back but nothing like a carpet, decent beard, plenty of leg hair
-describe where you carry fat and how changed: my bf is probably around 17%, I carry fat extremely well on a lanky frame, I would say it's spread evenly and don't have any problem areas. One thing I think is worth noting is that I do have some fat buildup around my nipples (which I've had since I was 16), but since I started lifting weights around that age my chest looks very "bodybuildy" and others consider it my best body part. Although when I flex my chest I can feel there is actually a lot of fat that shapes them like that. I carry around plenty of muscle and strength, and people consider me a big athletic guy.
-health conditions, symptoms: No history of any particular illness or condition other than ED which has been getting worse over the last 3 years. At 25 my libido was crazy and I masturbated at least 10 times per week. Nowadays I have virtually NO libido and I masturbate once or twice a month if I remember to force myself to do it. Even then erections are very weak and inconsistent. My sleep is sublime, I feel energetic, happy and don't get mood swings.
-Rx and OTC drugs, any hair loss drugs or prostate drugs ever:
(1) I did my first Dianabol only cycle about 4 years ago at 30mg/day spread evenly. No PCT.
(2) Two years ago did 500mg/wk of test-e only for 10-12 weeks with a minimum of anastrozole on/off which I eventually quit taking. I took Tamoxifen/Nolvadex for a few weeks as PCT.
(3) Last year I was on 250mg/wk of test-e for about 8 months straight with no AI/SERM. No PCT.
(4) For the last two years I haven't had sex without some sort of dick pill. Started with GNC Yohimbe 451 (bark), then Cialis 20mg, then oral Phentolamine Mesylate 40mg. Since I started a relationship 8 months ago I've been taking Cialis 5-10mg almost every single day.
(5) ZMA, fish oil, multi-vitamin, creatine
(6) Took half a year of Fluconazole 200mg/wk to remove nail fungus immediately after (3).
-describe diet: My diet consists almost entirely of whole foods. I live in China and now my girlfriend cooks so it's a ton of rice and veggies, lots of oil, lots of pork, lots of animal fat, lots of spices and peppers, some almonds, some fruit, 3-4 protein shakes a day
-describe training: I've been training seriously for about 4 years and not so seriously for maybe 14. Currently train about 4 times a week focusing on olympic lifts, lots of squats and pulls. I still make strength gains very slowly without PEDs. I also do about 30miles on my bike at a pretty high pace.
-testes ache, ever, with a fever: no
-how have morning wood and nocturnal erections changed: Without Cialis I get virtually zero morning wood. When I use 5mg daily my morning wood is still weak and inconsistent, and I almost have no libido to speak of. I almost never get erections throughout the day and I don't even remember what sex drive feels like. That being said, I have been able to perform on/off with the use of Cialis (5mg) with a semi hard one. I recently quit Cialis entirely and I do still get erections if we get the mood just right, but I can not maintain them during sex.
After I got 250mg of Undecanoate injected, my morning wood was decent the first day and rock solid the 2nd day.