Sexual Dysfunction at 21 Y/O After Antidepressants

i see u have messed up ur life from psych drugs like me
klonopin messed u i see
u also have cold feet like me
we might be hypothyroid but not shown on blood tests
what u think about that?
NDT armour/erfa would be good for us than or just T3
i know many guys who messed their thyroid on psych drugs and finasteride
im almost shure u and me would benefit from thyroid medication

My feet and whole body were cold and it went away after starting TRT, whenever I change dosages, my feet get cold on and off for 6 weeks, then after 6 weeks are warm all the time. TRT effects blood flow, it keeps your cardiovascular system healthy. So low testosterone means your veins shrink in diameter, this cause my to have high blood pressure as my heart detected blood flow was a problem and increased it output to compensate.

My veins started popping out about as fast as my muscle growth occurred.

cialis 5mg and even 10mg does nothing to me
like taking a sugar pill and i used original cialis
i have 0 errections morning,night,spontaneus none
i have been to urologist he said everything is fine
i have little pain in the perineum when i get errection,errections fall when im standing fast etc

can have sex at all and im 21 yrs
the bloodwork is
TSH 2.83 (0.27-4.20)
fT4 15.10(10.30-24.45)
FSH 7.02(1.6-12)
LH 4.34(0.8-6.0)
Estradiol 42.37(7-45)
Prolactin 11.76(2.7-16.9)
Testosterone 16.14(5.2-22.9)
SHBG 51.6(15-120)

how is it possible that cialis does nothing to me?
anyone has any idea why?
do i have venous leak or something?
im gonna jump on TRT in few weeks when my testo arrives so will see how it goes


You need sufficient Free T to be able to have an erection not even Cialis can fix. Urologist don’t typically specialize in TRT, otherwise he would have notice high SHBG as the cause for low Free T which was never even checked.

Testosterone is low in comparison to SHBG, the balance must be restored and testosterone elevated towards the higher end or possible higher. Once testosterone is optimal, your erections will be possible again if thyroid hormones are good.

You’re missing one of the most important tests, Free T3.

the real problem is i have post finasteride syndrome so its more difficult to treat it sadly
i dont have free t3 but im gonna take NDT or T3 anyway,just in case im hypothyroid and TRT doesn’t work for me,since i have heard that hypothyroid people dont respond to TRT

i also have pelvic floor problems i suspect since i cant push urine out forcefully and have weak urine stream
i also have developed retrograde ejaculation
my testicles have shrunk over night

my libido gone overnight

did u have any of these problems system lord and did anything resolve on ur trt?

tnx for the reply appreciate it!

I had a weak stream when T was low, low T weakens muscles including the pelvic floor muscles. My issues are I have to lose weight to lower estrogen, I was 160 lbs in my 20’s when active, now I’m 235.

My muscles after only 2 weeks showed improvement, they got firm quickly. The erections and libido will happen after weight is lost. The high estrogen also causes high blood pressure and zaps endurance. I may start micro dosing aromasin once or every 2 weeks until I get a handle on my estrogen levels, aromasin kills aromatase enzymes (in fatty tissue) that converts testosterone to estrogen.

If I were you I would do two injections per week as opposed to once weekly.

For what it’s worth, I went through something g similar. 2 years of Zoloft and I was fine while on it, as soon as I stopped, it all crashed. All the same symptoms you describe. Did end up on Clomid/Anastrozole monotherapy as I wanted kids and it helped - but I can tell you nothing helped more than time.

Year by year, it gets better. Some time it’s slower than others, but I’m 10 years out and I can say that for the past 6-7 years I’ve felt pretty much like my former self.

I was borderline suicidal over it. I get it. But trust me, PSSD does improve. It just takes a while to heal. Hang in there and optimize where you can in the meantime, buddy.

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That happened to me the moment I tapered off Klonopin, except my testosterone was effected. Testosterone went from 500-600 down to 120 and stayed there while risking cardiovascular disease.

tnx for the support guys but i cant wait 7 yrs to fix this,its either i fix this now or never
all hell breaks loose when u stop these drugs rly
i will try some protocols like addressing like i have hypothyroidism, hypogonadism and pelvic floor dysfunction hope some of thr things i try will help
there have been guys with pssd who tried TRT but it didn’t work for them
that’s why im adding NDT and HC to my TRT to be more efficient
im currently waiting my drugs from napsgear
at which week should i expect improvements from TRT?

Regards

Did u try 20 mg Cialis?

Or 100 mg of Viagra?

These drugs don’t work well when estradiol is low. But yours appears fine.

Did Dr check prostate? With labs and finger? Should.

Try to stimulate yourself multiple ways at same timeand see if you can can erect. Nipples, touching, ass, images, etc

I would start with testosterone. Your thyroid numbers are not off the charts.

Sometimes you start with to much stuff hard to tell what is causing what. Harder to dial in.

With that estradiol your e2 probably sure to get very high on trt. Could be a sign you may not need trt.

Did you do a testicular ultrasound?

Imo this is not a good plan. Starting with pumping up your adrenals and thyroid and testosterone
wow. Maybe leave the testosterone out. Then you can really confirm if you need trt for life.

I know this is exciting
slow down
 Think.

Weeks you say, progress is measured in 6-12 months and can be a slow process, more so if working with an unskilled doctor. It sounds like you are self treating without know where your Free T3 levels are, not good.

Onset of effects of testosterone treatment and time span until maximum effects are achieved

Effects on sexual interest appear after 3 weeks plateauing at 6 weeks, with no further increments expected beyond. Changes in erections/ejaculations may require up to 6 months. Effects on quality of life manifest within 3–4 weeks, but maximum benefits take longer. Effects on depressive mood become detectable after 3–6 weeks with a maximum after 18–30 weeks. Effects on erythropoiesis are evident at 3 months, peaking at 9–12 months.

Prostate-specific antigen and volume rise, marginally, plateauing at 12 months; further increase should be related to aging rather than therapy. Effects on lipids appear after 4 weeks, maximal after 6–12 months. Insulin sensitivity may improve within few days, but effects on glycemic control become evident only after 3–12 months. Changes in fat mass, lean body mass, and muscle strength occur within 12–16 weeks, stabilize at 6–12 months, but can marginally continue over years.

Effects on inflammation occur within 3–12 weeks. Effects on bone are detectable already after 6 months while continuing at least for 3 years. The time-course of the spectrum of effects of testosterone shows considerable variation, probably related to pharmacodynamics of the testosterone preparation. Genomic and non-genomic effects, androgen receptor polymorphism and intracellular steroid metabolism further contribute to such diversity.

systemlord sadly my situation is shittier than u can imagine
im not working with any doctor cause they are not familiar with these kinds of problems
this is pfs/pssd a syndrome thats induced by pharmaceutical drugs
i have other unexplainable problems appart from sexual dysfunction
i cant get drunk or high no matter how much i drink or pot i smoke
i dont feel that any drug has effect on me nothing


im treating myself by a protocol invented by sufferers like me from propercia and psychiatric drugs
if u havent known trt doesnt work for most of the cases at all
its like sugar water

my main problem is that i cant have an errection no matter what
cialis is like sugar water

i have milion other problems but not being able to have sex is the bigest one

have u ever heard of anyone having similar problems to mine?
i think u havent

the protocol that helped few guys is made of TRT,T3/NDT and hydrocortisone
the theory is that we have developed hypothyroidism,adrenal fatique and hypogonadism due to propercia or psychiatric drugs
TRT alone doesnt work and its been tried countless times
it worked for few,but im suplementing the TRT just in case

im primary interested in sexual symptoms and erection so by the study u posted it takes around 6 months for TRT to have effect on erection,while my problems arised overnight :confused:

do u remember the time frame improvements in ur specific case?
when did ur weak urine stream fixed?
u said ur muscles improved in 2 weeks but what about other stuff?
tnx

I think you just need to heal as your brain hormones sound like they are out of whack, if so no amount of testosterone or thyroid hormone will fix it, only time will.

I have never heard of anyone not recovering from PSSD, from all I have read it’s rare that someone doesn’t return to normal. Benzodiazepines are a different story for me unfortunately, some never recover and I wasn’t going to wait around for recovery while risking cardiovascular disease.

just popped a 10 mg hydrocortisone pill an hour ago and it did nothing for giving me energy
how is that even possible??
hydrocortisone mimics cortisol and it didnt clear my brainfog at all
it was like a sugar pill
anyone have any idea how could this happen??

Dude you are expecting results with one pill with all your problems.

You are young. You will get through this. Stop mind fucking yourself . At 21 I had horrendous issues. My body recovered and I’m fine today. I didn’t sit around complaining about it and expecting overnight results. I spent years looking for answered and fixed my life. My health followed. Eventually I found a multitude of answers that turned into a solution.

You better expect to put in some hard work before you are healed.

Look at this part of your life as a test . You will become stronger and more experienced through this ordeal.

There are people with worse problems. Try helping others and find joy in that. Otherwise focusing on your problems will make it worse.

If you were my brothers or family member i would shake the hell out of you and tell you to focus.

I completely agree with that. Things need patience. The more you think about it negatively the worse it will get. Relax and give it time.

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cialis/viagra not working cause of hypothyroidism?
anyone know a starting dosage of t4+t3 for undiagnosed hypothyroidism?
50mcg t4 but what dosage of t3?
i have tried tribulus,clomid,tamoxifen so far and didnt feel jack shit
im suspecting hypothyroidism and thats why hormones dont work for me :confused:

Your reason for not responding to hormones may have more to do with receptor damage from the use of Propecia, your body can’t process hormones anymore.

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