Low Libido on Long Term TRT?

power36

Member
Curious if there are things to look out for on labs with long term TRT that might lower libido?

I've been on TRT for a long time, and past year my libido has dropped quite a bit, and I have ED issues occasionally the little I am even interested in sex. Not sure if its because I am not that interested that causes the ED though! Or it could just be aging and lifestyle changes the past few years along with tons of stress? My T and E2 levels have been consistent for years, and I stick to the same doses and same protocol of T, HGH, HCG and adex. Other than low libido I have no real complaints and am very thankful for HRT.

My ejaculate volume and consistency over the years has definitely thinned out compared to the pre-TRT days but I assumed/doc said that can be from lowered sperm count. Orgasms are not as intense or pleasurable either. For the first 7 years or so of HRT that was NOT an issue, my sex life and pleasure from it was wonderful. I once did a mild blast with mast keeping my TRT the same, and that boosted my libido and sexual performance BIG TIME. However I am just so mellow lately, and wonder if there is some dopamine issue going on.

Have not done Deca for a longtime, and only did it twice low dose for joints early on with TRT because I did have tons of pain issues. Back then there were docs at a few different clinics pushing it on me and the bodybuilding community seemed to affirm its benefits reading various forums. Seemed to help with pain (was that psychosomatic?), but as I've read on here that is not perhaps really the case that the Deca was helping with joint pain and inflammation or healing of injuries. While I was on it did give me some Deca Dick even with the use of Caber but I bounced back after sexually (and now after reading lots on MESO am confused if Caber was even necessary if my E2 was still in check from my AI). Yes I read the long thread on AAS and Peptides concerning healing injuries, and try to read whatever Dr Scally and Dr Jim say about nandrolone although I admit its hard for me to totally grasp it all and the medical references.

Recently had a buddy with injury issues and read up a lot on here about things to help heal as he was gonna do Deca and HGH for it. In the past he has done Deca just for BB and despite being in his late 60s never had any Deca Dick issues with it. I told him to hold off because Deca might actually impede the healing of his rotator cuff issues. Through that reading I saw what seemed to be warnings that nandrolone can cause other issues long term and Dr Scally and Dr. Jim seem to think its terrible (but not entirely sure on that just trying to read between the lines). But if it was many years ago that I did only 100mg week of Deca for 10 weeks and another time 200mg week of Deca for another 10 weeks (with a break of about 3-4 years from the first time I tried it), would it somehow lower my libido long term and cause ED issues relating to dopamine somehow? My buddy is a senior citizen who has done Deca many many times with no issues long term, as it seems many on the forums have used Deca/NPP without issues either or bounced back after? Then there are others who take years to recover from Deca Dick, so its just an individual thing how it influences your body? But I think most of the threads I read of those struggling with Deca Dick issues for a year or more were guys who did cycles of large doses of Deca, which I have never done.

I've told my docs about this and I admit as much as I am thankful for having multiple doctors who are on board with HRT for their patients, they don't know as much as someone like Scally. They are well intentioned but seems there is a learning curve for the entire medical profession about HRT/TRT. My docs looked at my labs and everything is same as its always been, so nothing to them throws up red flags why my libido might be down and ED issues. I've had a truckload of continual stress for about 3 years that they think might be impacting me in ways they don't entirely understand from looking at labs. Meaning it could be psychological or my hypothalmus taking a beating from stress that is impacting libido.

Anyone else have libido issues on long term TRT?
 
Have you tried looking at boobies? Sometimes my girl will want to watch a hugh grants movie and makeout and I'm like, 'oh shit, dicks not moving must be broke!' Then I remember to look at her tits and its okay again.

So I aint gots no answers, but curious, whats your age and dosages? Thats quite a cocktail.
 
Curious what your hcg protocol looks like.... it is my understanding that the body becomes used to hcg.. almost builds a tolerance over time ... also it very well could be a mental thing if your struggling with ed on ocassion. .. our mental health can do some crazy shit to our bodies.... have you considered cialis or viagra? It's almost to cheap these days not to take advantage ... my thought is that if you were to experience successful erections it might increase your libido..
 
Tried viagra ONCE because it's like $50 a pill even with coupons!! What a scam for pharm companies that there is no generic available. Haven't tried the "research" online viagra yet just the one legit pill (once the pharmacist told me the price I said can I just fill one pill at a time? Hah). It seemed to work a little but nothing like it normally would when all systems are firing. But it only addresses ED not libido. So if I'm not in the mood as I understand it no penis pill is gonna make be randy.

Yea lots of this could be mental and prolonged high stress.

Hcg m/w/f 250iu. Yes I've heard one can get desensitized to hcg but not sure if that's science or locker room chatter. If that is the case what do all us TRT guys do rest of our lives? I have multiple docs who keep an eye on my hormonal health and they haven't mentioned changing up hcg or becoming desensitized to it. I've read on another forum some guys swap in HMG a few times a year for short spurts or nolvadex instead for a few weeks at a time to do something to help the desensitization issue if there is one but the reasoning I don't recall.
I travel a lot for work so periodically will take a week or two off hcg thinking if the desensitization issue is true that gives my balls a break.

Hugh not sure what you mean by "quite a cocktail"? I'm on a very standard plain Jane TRT protocol that thousands (millions?) of dudes are on.
Actually compared to lots of guys on. What's your TRT protocol?
 
Last edited:
Tried viagra ONCE because it's like $50 a pill even with coupons!! What a scam for pharm companies that there is no generic available. Haven't tried the "research" online viagra yet just the one legit pill (once the pharmacist told me the price I said can I just fill one pill at a time? Hah). It seemed to work a little but nothing like it normally would when all systems are firing. But it only addresses ED not libido. So if I'm not in the mood as I understand it no penis pill is gonna make be randy.

Yea lots of this could be mental and prolonged high stress.

Hcg m/w/f 250iu. Yes I've heard one can get desensitized to it but not sure if that's sciene
Don't go getting your viagra from big pharma, they're scammers. Just like you wouldn't go getting hgh from them when you can get pharma grade elsewhere for much less (but still expensive af).
 
Tried viagra ONCE because it's like $50 a pill even with coupons!! What a scam for pharm companies that there is no generic available. Haven't tried the "research" online viagra yet just the one legit pill (once the pharmacist told me the price I said can I just fill one pill at a time? Hah). It seemed to work a little but nothing like it normally would when all systems are firing. But it only addresses ED not libido. So if I'm not in the mood as I understand it no penis pill is gonna make be randy.

Yea lots of this could be mental and prolonged high stress.

Hcg m/w/f 250iu. Yes I've heard one can get desensitized to hcg but not sure if that's science or locker room chatter. If that is the case what do all us TRT guys do rest of our lives? I have multiple docs who keep an eye on my hormonal health and they haven't mentioned changing up hcg or becoming desensitized to it. I've read on another forum some guys swap in HMG a few times a year for short spurts or nolvadex instead for a few weeks at a time to do something to help the desensitization issue if there is one but the reasoning I don't recall.
I travel a lot for work so periodically will take a week or two off hcg thinking if the desensitization issue is true that gives my balls a break.

Hugh not sure what you mean by "quite a cocktail"? I'm on a very standard plain Jane TRT protocol that thousands (millions?) of dudes are on.
Actually compared to lots of guys on. What's your TRT protocol?
 
Ya brother viagra and cialis name brand are crazy high... but there are tons and tons of generics out there.... I get 100x 50mg viagra, or 100 x 20 mg cialis for 65 bucks
 
Thyroid labs all within range. T and E2 same as they've been for many years. Morning cortisol not bad, and I've had severe adrenal fatigue before and this is not it. I suspect something with dopamine, and am going to get my prolactin and progesterone tested soon (not that I undertand dopamine, prolaction or progestrone but thats what one of my docs suggested we test). Its not just sex, I really do not get amped up or excited about anything anymore. Not even the gym and I have been a lifelong meathead where the gym was my therapy and best friend. For the last 30 years seeing a barbell and bumper plates used to give me wood. Even times I was depressed, tired, or just down and out if I did some deadlifts or cleans it spazzed me out and I would feel like a million bucks on top of making me horny. My woman used to know when I had a good lift because I would call on the way home to let her know its game time when I arrive.

I have not gotten around to trying any of the generics. Seems like it will take time to sort through the scammers with generic penis pills too, and probably would take some homework as well to figure out who has pharma grade HGH for more reasonable prices that was not a scam either.

I have bodybuilding friends who it blows my mind how they buy their stuff, they do not check sites like this or do any research on their sources or the gear they get. I mean HGH or various AAS in plain vials with no labels at all, and just trust the dudes at the gyms or from random online sources they have not even tried to verify? Meso has been an eye opener for me with guys doing their own blood work before, during and after cycles and even getting gear checked, to find out how much of what is floating around out there is bunk, under dosed, not the compound they thought they bought, full of impurities, or whatever else not on the up and up. Makes me hesitant to do any blasts with anything other than NPP or Var I can get from a clinic so I would know it was legit and legal, but if my libido has anything to do with previous Deca use I do not want to touch NPP. I had a few nice trysts with Primo back in the day, but getting Schering Primo these days I would not have a clue, and from my Meso reading might not trust many UGL labs Primo.

Some other forums advice guys with libido issues on TRT try Caber or Selegeline if its Dopamine related, and/or to throw Proviron in to their regular TRT protocol. But I really do not want to create more issues by just throwing more medications into my body that could throw more shit off whack potentially? Just like a gazillion threads talk about guys coming off cycle with low libido or Deca Dick just increasing their T dose. Since I am on this stuff for life and plan to stay on this side of the dirt another 30-40 years, I want to be as moderate and safe as possible for the long haul. I always have kept my T at my normal dose.
 
The hgh. Dont know much bout that one yet
T and hcg I'm familiar with, never had to do more than a dabble with ai's. Lucky I guess. Still youngish tho. Always figured if things down south ever head south there'd be trt to fall back on. Disconcerting to hear one can set up the safey net and still fall through
 
Well do not get too worried, it does not seem like this is a common issue. And so be it, if my libido is low but I have all the other benefits of TRT its still better quality of life.

I will eventually figure it out.

As for HGH, I know lots of older guys on it, and those that aren't wished they were.
 
I've been on TRT for almost a year. I had a really bad spell of ED while on TRT because my E2 was slightly high and my doc wouldn't treat it. You say your E2 levels are normal, do you mean in the normal range, or closer to optimal? For me, the high end of the normal range gave me crippling ED. I mean with 100 mg of viagra on board and my beautiful wife begging me, still no luck. It was awful.

Getting E2 near an E2 of 20 fixed me right up.

Best of luck!
 
Over the years keeping my E2 in the range of 22-28 steady always kept me good libido wise. My E2 hasn't changed/fluctuated so it doesn't appear to be the problem.
 
For all I know it's related to deca dick. And as much as I've read on it guys have great blood labs and nothing waves a red flag but they can't get wood and don't have libido. Or stress and psychological reasons. Gonna do labs again shortly and see if anything has changed in past few months that gives me any clues.
 
Doc was up for me to try all the supplements first that are involved in dopamine production (or whatever the correct medical word is) just to give it a shot. I have been on them before I think for adrenal fatigue. dl-phenylalanine, l-tyrosine, l-dopa, and I am already on lots of Vit C and B vitamins to help with the process (or whatever the correct word is). He also said give Maca a shot to see if it boosts libido. If not he said we can try small doses of Selegeline, as he is not a big fan of caber said people tend to experience more sides with it. But we are checking Prolactin and Progesterone along with all the usual stuff in bloodwork next week.

If Dr. Scally and Dr. Jim have input or ideas I am all ears.
 
For all I know it's related to deca dick. And as much as I've read on it guys have great blood labs and nothing waves a red flag but they can't get wood and don't have libido. Or stress and psychological reasons. Gonna do labs again shortly and see if anything has changed in past few months that gives me any clues.

I wouldn't think deca dick would affect someone on 200mg a week of test. I thought deca shut your natural production of test down long after a cycle is over. You aren't shutdown on trt. It might be mental but who knows?
 
I thought deca dick had a lot more complex things involved then just shut down for guys not on TRT? But yea if it's only about Test I should be fine since I'm on TRT.
 

Sponsors

Latest posts

Back
Top