On TRT, good looking numbers, horrible ED and no morning wood STILL.. help

[audiognostic]

Hey

Here are some lab numbers I have

Total T 916

Free T 24.5 (2.7%)

E2: 37 (AI doesnt seem to help and only makes things worse, ive tried arimidex and aromasin)

SHBG: 23 ( a little on the low end, but nothing like i see “low shbg guys” struggling with in the teens and stuff)

DHT: 50 (tested about 2 years ago after starting trt still feel the same now)

Prolactin : 8 (not high at all)

Progesterone looks normal.

Thyroid, diabetes markers, all look good and normal

no other major health issues

morning wood is non existant, libido is low, erections suck, i can get it up but i lose it very fast and easy, sensitivity sucks, my dick feels like it has about as many nerve receptors as my pinky finger

otherwise i feel mostly good and fine in terms of energy levels etc, nothing amazing but just normal

its like everything is about a 7/10 in terms of how i feel and sexual function is a 2/10

I already take every day injections of testosterone cypionate daily IM

I tried taking 250 IU HCG once per week recently, also tried before at twice per week, no difference, if i take more than that it boosts my E2 really high and AI doesnt help any of my issues

im only 29 years old

Not sure how much longer i can deal with this, i cant have a relationship with anybody

Ive never seen anyone with numbers as good as mine having these issues

anyone have any ideas on what else to investigate?

its really bad, 100 mg viagra barely helps and 20 cialis barely does anything

one other thing is sometimes i get random fluctuations, ill get morning wood for a couple weeks, or ill get really good erections for a couple weeks, then it will all randomly go away, E2, total t free t and SHBG stays the same meanwhile while tested in good and bad cycles

what else could be causing this?

 

[T-Bagger]

Hey

Here are some lab numbers I have

Total T 916

Free T 24.5 (2.7%)

E2: 37 (AI doesnt seem to help and only makes things worse, ive tried arimidex and aromasin)

SHBG: 23 ( a little on the low end, but nothing like i see “low shbg guys” struggling with in the teens and stuff)

DHT: 50 (tested about 2 years ago after starting trt still feel the same now)

Prolactin : 8 (not high at all)

Progesterone looks normal.

Thyroid, diabetes markers, all look good and normal

no other major health issues

morning wood is non existant, libido is low, erections suck, i can get it up but i lose it very fast and easy, sensitivity sucks, my dick feels like it has about as many nerve receptors as my pinky finger

otherwise i feel mostly good and fine in terms of energy levels etc, nothing amazing but just normal

its like everything is about a 7/10 in terms of how i feel and sexual function is a 2/10

I already take every day injections of testosterone cypionate daily IM

I tried taking 250 IU HCG once per week recently, also tried before at twice per week, no difference, if i take more than that it boosts my E2 really high and AI doesnt help any of my issues

im only 29 years old

Not sure how much longer i can deal with this, i cant have a relationship with anybody

Ive never seen anyone with numbers as good as mine having these issues

anyone have any ideas on what else to investigate?

its really bad, 100 mg viagra barely helps and 20 cialis barely does anything

one other thing is sometimes i get random fluctuations, ill get morning wood for a couple weeks, or ill get really good erections for a couple weeks, then it will all randomly go away, E2, total t free t and SHBG stays the same meanwhile while tested in good and bad cycles

what else could be causing this?

Have you been to a urologist or discussed this with your TRT doc?

 

[The Terminator]

I mean id go to a dr, but I’m willing to bet that the issue is 100% mental. Sex hormones are only a small piece, ex 2 years ago I had the craziest libido, like I was a teenager again, maybe even higher, got priapism twice without any drugs, like I could have sex 3-4 times, jack off a couple times after sex and still be super horny with a boner all night. You wanna know what my T level was, ~240, free T 66pg/ml or 6.6ng/dL, not high at all. But I was banging this chick I was really into, which probably flooded my brain with dopamine (which is equal if not more important than T) and other chemicals cause of the positive mental state I was in. Of course once I got to know her better and realized she wasn’t as cool as I thought all that disappeared. Haven’t been able to recapture that insane I need to break my dick level of libido with trt or cycle.

Anyway point being that the mental factor is the most important factor when it comes to libido, especially at your age, which is only a couple years younger than me. Of course you can go to a urologist to rule out any physical issues. I did have a time after 6 months of trt where my libido was meh, soft boners, no sensitivity. After I added hCG 3x a week it got better but I’m certain it was mostly mental..

In short sex hormones play a small role compared to your state of mind, which is the biggest factor with libido.

 

[MAD-MAX333]

Do you watch porn? Can you get hard by masturbating? Reach climax? How much of often do you watch porn?

 

[Slab]

I have great numbers too, and find crashing my test, stopping hcg every so often gives me great erections and crazy libido. Once test is up high again, I lose it.
I didn’t have any issues prior to taking trt

 

[Tinytim]

It's all in your head. The endocrinology system is amazingly complex, every hormone affecting another. Are you on any other meds? Depression or otherwise? Any recreational use?