Ive been on Trt altogether for 2 years on varying protocols and I am under the care of a trt doctor.
The first year and a half I felt pretty good: Libido, Sexual function(with cialis), Confidence and just a feeling of wellbeing. (The reason I started trt was due to crashed levels from 2 years on citalopram ssri)
February 2020 is where my problems began.
I took a supplement called Inositol (a nootropic) as I heard that is does good things for mood and cognition.
I only took two doses of 12mg (swanson brand) and within two hours I noticed a change in sensation below the belt. It ranged from hyper sensitive to numb and developed a constant cold penis and scrotum with numbness also around lower abdomen. My libido and morning erections also fell off a cliff and attraction to women seemed to plummit. I developed quite a severe case of anhedonia also. It almost felt like trt just stopped working for me.
Fast forward to now and ive tried numerous protocols to try and get back to where i was.
My protocol when feeling good was :
20mg T-enan eod IM and 200iuhcg eod
My levels were:
I have recently dropped Hcg as i noticed the symptoms seemed to get worse after my shot each time.
My current protocol which i am now 8 weeks in is 10mg test enan e/d Im into delts and this gives me levels of:
TT-27 nmol/L 8-29
FT-0.8 nmol/L 0.2- 0.62
E2-75 pmol/L 41-169
prolactin-140 mu/L 86-324
Feretin 70 ug/L 30-400
I am slowly starting to feel better but I am still having issues with very low libido/numbness and arousal. I can achieve a satisfactory erection with the mrs I just dont feel that arousal and pleasure response anymore or the urge to want to get off. Out of the blue my penis will feel more sensitive but only lasts for about 20 min or so and then goes back to numb rubbery lifeless feel with pale glands (sorry for the detail) I feel i am near where i should be as morning wood have started to become consistant, sometimes strong sometimes not so. Drive is coming back and brain fog has lifted but its the lack of arousal and libido and that attraction that is just holding me back.
I had a blood test back in 2014, i guess this was before i became hypogonadal and it showed TT-17 So my suspicion is i was never a high T guy naturaly, but this could have been at begining of my hormonal decline i dont know.
Does anybody have any thoughts on what could be going on since Feb when i started feeling bad?
Should I give it more time on current protocol to see if libido picks up after another month as Dextermorgan suggests in many posts?
Does this sound more like a neurotransmitter problem?
I currently vape 6mg nicotine if that has any relevance?
Any help would be greatly appreciated.