Never any finasteride or anything like that.
Basically at 23 I was dealing with a ton of fatigue and had it worked up by lots of doctors. Eventually they found I had low T. Tried clomid but didn’t get me high enough. For some reason the gels give me anxiety so I can’t use them (maybe DHT mediated). I was on T cyp. at 112mg per week, split into 2+ weekly doses. This worked fine for about 2 years. No issues with libido, erections, whatever.
Now, suddenly, I have massive ED, EQ issues, and no libido. At this time E2 was in the 30s and 40s…which it historically had been throughotu ALL of my TRT without a problem. I freaked out and tried a restart with hcg and low dose clomid. Worked for a few months (and libido and erections worked) until my T plummeted back down to 200. At 200 I had ED again. I went back on TRT due to advice from my then urologist.
I relocated and a prominent andrologist in Houston is trying me on hcg monotherapy at 5,000 iu 3x per week. I figured I hadn’t tried HCG in mono so maybe this would help. This puts my E2 around 45 and my TT at around 600. All other labs (prolactin, preg/prog, DHT, cortisol, DHEA, etc.) All perfect. For the first few weeks things seemed better, but then as E2 continued to creep up, things got worse again. I am now fiddling with stuff myself until my next appointment with him and trying to figure out a solution. I am currently doing 24mg T every other day, with a hcg shot thrown in once or twice a week at 250iu to keep my testes active. With this I have great morning wood but still have a very low libido and find it hard (if not sometimes impossible) to get an erection without viagra/cialis/etc.
What’s weird is this all started happening around a hernia surgery I had. Before the surgery my erections were getting weaker and weaker. After the surgery is when they went to complete shit. I am not sure if there is some sort of correlation there, but who knows. My uro wants me to do all sorts of tests to rule out physical causes…he basically told me he knows they will come back fine, but he wants me to SEE that they are fine. This was all fine and dandy before, but now I’ve got a high deductible insurance plan so I’d rather not pay for a bunch of tests to see that I am essentially normal and still need to figure out a solution to my problem.
My options, as I see them:
- try another restart
- try real hard to get some sort of TRT dialed into where my libido and erections are back.