MESO-Rx
Anabolic Steroids
ED Issues Continue
- Thread starter CubbieBlue
- Start date
newbie23
New Member
Ive never used a PDE5I , I think your asking for long term ED issues and penis shrinkage, I guess if you had no other option what else could you do.
xcraider37
Banned
ED issues, penis shrinkage from pde5i. Never heard that before.
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My $0.02.
Using T with HCG on the same day or on adjacent days has never worked for me. When I was on 120 mg/1x week T-cyp with 250 IUs HCG on each of the two days before my next IM T shot I had ED. Two consecutive days of HCG, unless its a low dose, is not a good idea, IMHO.
T and HCG have to be spaced. When I first started using T-gel with HCG, I had been taking 500 IUs EOD. I was getting downregulated so I decided to take 7 gm of T-gel one day followed by 500 IUs HCG the next day. Later that same day I had a panic attack.
Space HCG and T or HCG alone (at anything at or above 250 IUs) by at least 48 hours. You've already been on IM T EOD. Go back on it at a slightly lower dose and substitute an HCG shot for a T shot every now and then. In my own case I know that 500 IU HCG (only) has my T at 600 the next day, so when I'm on IM T I will substitute a 250 IU HCG shot once or twice a week - but not every week. Maybe it will be every other week or maybe I'll just switch back to HCG only for two weeks.
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Struck again this weekend. Going to see a new uro in town in two weeks but in the meantime I think I will reduce my T dose even further (from 80mg a week to 70 or less) and start splitting up the dosage. I'm also going to wait a few days later than I should to inject. I'm subscribing to LWs theory that there is some sort of sweet spot that I need to get back into.
I've been doing this myself for the past 6 weeks. 26 mg eod with 200 to 250 IUs HCG once a week as a substitute shot for T-cyp. Labs at 4 weeks were TT at 711 and E2 < 29. Good MW and sexual function with no shrinkage. So far, so good.
A year ago I was injecting 40 mg T-cyp eod (no HCG at all for 30 to 60 days at a time but I absolutely needed it to reverse shrinkage) with TT at 900+ and E2 in the high 40s. After 90 days, I'd be over the high end of normal on E2...and I'd have to run back to HCG to get my right testicle back. I also would have sworn to you that was the only dose that would get everything to function properly. Not any more.
Let's see how this goes for the next 2 or 3 months.
I'm planning two more 'stages' to this as I go:
[1] Starting this month, the next thing I'll do is lower the dose one or two notches on the syringe for the T-cyp injection days just before and just after the once a week HCG shot.
[2] Next month, I will lower the T-cyp dose on all injections. No more reductions after that; just see how long I can go on it that way.
The idea is that once you're on T-cyp a while, there is something of a cumulative effect that allows a gradually reduced dose to give you the same or a bit lower Free T but with a reduced E2 response because your rate of exogenous T addition has been lowered.
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Weren't you the one who sais T had nothing to do with my ED.
I don't think so, no.
I see that you and I are on the same protocol now. Will you have labs done soon?
In another two weeks. Been working pretty well though.
Good to hear.
You may want to go 7 to 10 days without HCG once you get past weeks 4 to 6 (give or take) with it included.
Yup. Dont understand why it acts more quickly since one would expect the chemistry to take place in the arterioles of the big guy. But Ive always suspected that there was more to it than that.
It mixes well too. lol
Cubbie. That girl fucked your head up. Been there had that done too. Gotta move on man.
For those interested in Dr. Khera in Houston here is how my appointment went:
Explained to him my situation and he went ahead and threw the kitchen sink of labs and tests at me. Ordered just about every endocrinological marker I've ever seen as well as the routine CBC stuff. I was impressed by him ordering DHT, IGF, etc.
He is also sending me to do two tests to rule out any physiologic causes of my ED. I told him in my opinion it wasn't likely physiologic because of my morning wood, but that I still sometimes wondered about it. He said lets do the tests and that way I can have peace of mind and we can rule out my hernia repair causing any of the issues.
He suggested I do hcg monotherapy at 2,500 iu EOD to preserve fertility. I think this is quite a large amount, and since hcg is so fucking expensive ($300 / month at least at those levels) I will probably just say screw it and keep playing with my T dose.
He also told me to start taking cialis daily, 3,000mg of arginine, and 2,000 mg of carnitine daily.
He told me he was amenable to pretty much any sort of treatment option as he's tried/seen them all with all of the TRT clinics here in Houston. I asked about T + hcg and he said he actually just presented it at a conference and all the other physicians were very critical of him not using one or the other. He said he didn't really have a rebuttal to that except for price and that some men say they feel better on both. I tend to agree with his thoughts on it.
I think I'm going to play with my T dose for a little bit longer with the meds and then jump on the hcg monotherapy bandwagon to see how that effects things. Again I am thinking about trying a restart with a full fledged dose of hcg and clomid/nolvadex this time around. Got lots to think about.
Explained to him my situation and he went ahead and threw the kitchen sink of labs and tests at me. Ordered just about every endocrinological marker I've ever seen as well as the routine CBC stuff. I was impressed by him ordering DHT, IGF, etc.
He is also sending me to do two tests to rule out any physiologic causes of my ED. I told him in my opinion it wasn't likely physiologic because of my morning wood, but that I still sometimes wondered about it. He said lets do the tests and that way I can have peace of mind and we can rule out my hernia repair causing any of the issues.
He suggested I do hcg monotherapy at 2,500 iu EOD to preserve fertility. I think this is quite a large amount, and since hcg is so fucking expensive ($300 / month at least at those levels) I will probably just say screw it and keep playing with my T dose.
He also told me to start taking cialis daily, 3,000mg of arginine, and 2,000 mg of carnitine daily.
He told me he was amenable to pretty much any sort of treatment option as he's tried/seen them all with all of the TRT clinics here in Houston. I asked about T + hcg and he said he actually just presented it at a conference and all the other physicians were very critical of him not using one or the other. He said he didn't really have a rebuttal to that except for price and that some men say they feel better on both. I tend to agree with his thoughts on it.
I think I'm going to play with my T dose for a little bit longer with the meds and then jump on the hcg monotherapy bandwagon to see how that effects things. Again I am thinking about trying a restart with a full fledged dose of hcg and clomid/nolvadex this time around. Got lots to think about.
Just a note too: The guys before and after me for their appointment were mostly young guys in their 20's and were seeking treatment for similar issues. I could tell because of their samples of cialis in hand and overheard them talking to some of the nurses. One mentioned finasteride/proscar as the cause of his issue. I guess this generation is screwed.
Are you STILL having ED issues
Why switch to HCG monotherapy? You can always just switch to it when you want to have kids.
My $0.02...
Regardless of price, 2,500 IU eod of HCG will have your E2 go ballistic. It might make you hornier than a Texas tree frog but you wont be able to do anything about it. I'm surprised he recommended this since your main issue is ED. I dont believe you need that much HCG to keep testicles active, and I distinguish between keeing them active and preserving fertility because for sperm production you need FSH in addition to LH or HCG.
Unless cialis doesnt work for you, the arginine and carnitine are not necessary. What you might try is the arginine/carnitine without cialis.
Regardless of price, 2,500 IU eod of HCG will have your E2 go ballistic. It might make you hornier than a Texas tree frog but you wont be able to do anything about it. I'm surprised he recommended this since your main issue is ED. I dont believe you need that much HCG to keep testicles active, and I distinguish between keeing them active and preserving fertility because for sperm production you need FSH in addition to LH or HCG.
Unless cialis doesnt work for you, the arginine and carnitine are not necessary. What you might try is the arginine/carnitine without cialis.
b sure to keep ur E2 - hell total Estrogen must b in chk bro or u will slowly start going backward. The doc giving u that much HCG may of mentioned this 2 u.. Get the A-dex - L - Clomid - etc... post ur continued progress.
No adex. My E2 has never been above 40 or so. I've tried taking a pill of adex or two and it has not effected my libido/erections.
