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Dreamcard

Would you go TRT with my symptoms (low test, erectile dysfunction)

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Hello. Today, I got the latest results from my blood tests and my T is still very low.

Some of you know me from other thread, but I'll say something briefly about myself - 

I'm 30y old male, active in the gym since my 16. I have always been natural. I'm in a great shape and pack muscle mass easily, lift really heavy and have no other problem associated with low testosterone  except my libido and poor erections. 

Last 6 months have been agonizing for me. My girlfriend left me because of my erectile dysfunction and I'm battling my erectile problems since then. I'm getting depressed as I can't find any solution.  I tried everything possible to improve my condition in a natural way, with supplements, increased fat intake etc. Last 3 weeks I was on arimidex trying to lower my estrogen and condition improved a little bit but not significant. 

I have scheduled meeting with my urologist tomorrow 10pm and I will discuss this with him. But I really doubt he will agree with me.

So, I would really like to know what would you do in my situation? I really did everything to avoid TRT but it seems inevitable. 

I'v been thinking about clomid 50mg daily + Aromasin maybe before TRT, some member on this forum advised me to try it first. What do you guys think consindering my FSH and LH?  Or maybe HCG?

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4 minutes ago, Dreamcard said:

have no other problem associated with low testosterone

Probably because you don’t have low testosterone. Mine was lower than that I didn’t have ed. Your problems probably lie elsewhere.

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24 minutes ago, Sasnak said:

Probably because you don’t have low testosterone. Mine was lower than that I didn’t have ed. Your problems probably lie elsewhere.

Do you have any idea what could it be? I'm not taking your opinion for granted and I will consult my endo before any move, I would only like to deplete all possible options before TRT. 

Do you have any experience with clomid + some AI, how it works for libido? I wanted to try proviron solo at some point, only for my ED problems, but I'm scared it will further suppress my testosterone and I'll be in bigger trouble.

Last 6 months I changed 3 endo's and 2 urologist. So far I did my testicle and prostate screening and they are fine, pituitary screening and it  is also ok, did thyroid screening and it is normal as well. Last week I was at cardiologist to rule that out and everything is good there as well.  All 3 endocrinologists told me I don't need t4 hormone  to lower my TSH and prolactin but I took them regardless and I managed to lower them to 1.2 tsh and prolactin was much lower than it is now, but I did not noticed any improvements in my sex life, so I dropped them after 2 months.  

Also I tried all PDE5 inhibitors while masturbating and they help but only slightly (but last 2 times when I tried with my ex they didn't work at all)

Don't know what else to try really

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the fact that you have been seen by 3 endos and 2 uros over the last 6 months and they have told you that you are fine points to your problems with sexual dysfunction being mental rather than physical.

*most people will ask for a second opinion -having 5 professional opinions should really be telling you something.

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18 hours ago, Dreamcard said:

Hello. Today, I got the latest results from my blood tests and my T is still very low.

Some of you know me from other thread, but I'll say something briefly about myself - 

I'm 30y old male, active in the gym since my 16. I have always been natural. I'm in a great shape and pack muscle mass easily, lift really heavy and have no other problem associated with low testosterone  except my libido and poor erections. 

Last 6 months have been agonizing for me. My girlfriend left me because of my erectile dysfunction and I'm battling my erectile problems since then. I'm getting depressed as I can't find any solution.  I tried everything possible to improve my condition in a natural way, with supplements, increased fat intake etc. Last 3 weeks I was on arimidex trying to lower my estrogen and condition improved a little bit but not significant. 

I have scheduled meeting with my urologist tomorrow 10pm and I will discuss this with him. But I really doubt he will agree with me.

So, I would really like to know what would you do in my situation? I really did everything to avoid TRT but it seems inevitable. 

I'v been thinking about clomid 50mg daily + Aromasin maybe before TRT, some member on this forum advised me to try it first. What do you guys think consindering my FSH and LH?  Or maybe HCG?

ew.jpg

Dropping your estrogen (more specific, estradiol) too low will kill your libido.  You need estradiol for libido.  I took clomid for several years straight, when i added arimidex, i couldn't get an erection at all. 

Your LH is fairly low, clomid wouldn't be a bad idea if you wanted to try and boost your test a bit (or maybe a lot, depends on your nuts).  I wouldn't go above 12.5mg every other day though, less is more with clomid.

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4 hours ago, aqualung said:

the fact that you have been seen by 3 endos and 2 uros over the last 6 months and they have told you that you are fine points to your problems with sexual dysfunction being mental rather than physical.

*most people will ask for a second opinion -having 5   really be telling you something.

 Yes it would be true if my hormones were ok, but they aren't. New urologist I visited today was unreal, the least caring doctor I ever met - He just glanced at my lab tests and previous endo’s and urologist diagnosis, said it’s a psychological thing, to try and forget about it, and put me on taladafil 5mg eod + some l-carnitine/b complex and tribestan. I live in a third world country unfortunately, if you are within a range for lab tests, doctors just don't care to help you with your problem.  Doesn't mean that you aren't sick, it only means doctors are ignorant. 

Anyway, I have scheduled a meeting with psychotherapist for tomorrow morning because I'v been told multiple times to do so, but honestly I don't believe much in psychotherapy.  Really hope I'm wrong as I want to avoid TRT if possible!

1 hour ago, Seppuku71 said:

Dropping your estrogen (more specific, estradiol) too low will kill your libido.  You need estradiol for libido.  I took clomid for several years straight, when i added arimidex, i couldn't get an erection at all. 

Your LH is fairly low, clomid wouldn't be a bad idea if you wanted to try and boost your test a bit (or maybe a lot, depends on your nuts).  I wouldn't go above 12.5mg every other day though, less is more with clomid.

Yea, I already heard about this therapy and planned to try it - 12.5mg clomid eod. So, you think I should go solo clomid without any AI for starters? 

Some more info about me : As I said, 30y old, I train 6 times weekly, natty all my life. Diet is good, I'm eating in calorie surplus atm (more monosaturated fats and fats in general, I dropped PUFA). I supplement , aswagandha, b complex, vit C, 10 000ui vit D, maca. I'm 230 pounds , 6"2, not obese, I don't smoke, use drugs, alcohol etc. Tits are not soft, voice is deep, beard body hair I trim regularly, energy in gym is great, no other symptoms of low T except for decreased libido and weak erections. I doubt you can tell anything from the pic but some guys asked me in PM if I can upload because I might have gyno or something connected with my high estrogen, low T.  Cheers and thank you for helping me. If you have any suggestion I'm willing to hear. 

 

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all your hormones are in range :confused1:

......   you have been told that everything is ok multiple times yet still wont acknowledge the fact that from a physical viewpoint nothing is wrong with you , it doesnt mean doctors dont care- it means they are doing their job correctly.

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7 hours ago, aqualung said:

all your hormones are in range :confused1:

......   you have been told that everything is ok multiple times yet still wont acknowledge the fact that from a physical viewpoint nothing is wrong with you , it doesnt mean doctors dont care- it means they are doing their job correctly.

Mate, don't get me wrong, I really hate arguing with people (another sign of low T lol). But look at my total and free T levels - they are maybe in range for 60yr old inactive man, but everyone on this forum will tell you they are extremely low for someone whos active entire life and just turned 30.  I read that some USA clinics recommend TRT with this levels (under 12nmol). 

Anyway, really curious what psychotherapist will tell me in the morning. 

Started clomid 12.5mg eod as well as recommended.

 

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9 hours ago, Dreamcard said:

Mate, don't get me wrong, I really hate arguing with people (another sign of low T lol). But look at my total and free T levels - they are maybe in range for 60yr old inactive man, but everyone on this forum will tell you they are extremely low for someone whos active entire life and just turned 30.  I read that some USA clinics recommend TRT with this levels (under 12nmol). 

Anyway, really curious what psychotherapist will tell me in the morning. 

Started clomid 12.5mg eod as well as recommended.

 

Good idea mate, i think that's your best first option (at least it'll show if your nuts can produce more).  I'd stay away from the proviron you mentioned though - i threw that in the mix for several months back in i think 2017.  For me, it made me feel great - for a while. I wasn't getting bloodwork, but after a few months i noticed my joints (knees mostly) were literally locking up. Never suspected proviron, as i'd read it was non supressive. But it is - at the gonadal level. I got bloods taken, LH was over 8 (clomid still working), but test was tanked. At least what i'd consider tanked for a LH of 8, TT came back 11.7nmol/l.  I stopped proviron, stopped clomid, LH averages 2.5 without clomid, TT fluctuates between 6 and 9nmol/l.  For reference, when i first went on clomid 12.5mg eod, TT through an nhs blood test was 21nmol/l.  The moral of my story is, don't mess around with proviron, keep clomid dosages low, and keep an eye on your bloods (clomid may need to be cycled for best effect long term).

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@Seppuku71 Thanks for support mate. I wont touch proviron then, staying on 12.5mg clomid and and will keep an eye on my bloods.

Anyway, I just got back from neuropsychiatrist, he diagnosed my case as:
DG Sy anxioosum F 41
Therapy : Fluoxetine 20mg each day
Zolpidem 10mg each day before sleep

He said he is convinced my ED is psychological. We had a nice chat, but I’m still not convinced it is a psychological thing.
I will start with therapy today, but I did some reading and it says ‘Fluoxetine’ (Prosac) can worse erectile dysfunction and it’s quite common (1 in 10) for this to happen. This scared me a little bit because I’m taking this medicine to counter it, not to do the opposite.
Hope he knows what’s he is doing, he is quite respected doctor in my area.

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2 hours ago, faipdeooiad said:

Next time I get ill I might just bypass the doctor and tell everyone they’re wrong until someone agrees with my self diagnosis

lol my point exactly 5 endos and uros and one pdoc are all wrong though has no problems taking medication recommended from a non professional on an internet forum :lol:

 

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On 13/02/2020 at 10:43 PM, aqualung said:

lol my point exactly 5 endos and uros and one pdoc are all wrong though has no problems taking medication recommended from a non professional on an internet forum :lol:

 

Ahem, a non professional?!  I'll have you know, i have a diploma that i earned through the Neil French school of hypnotherapy, 1992

 

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2 hours ago, Seppuku71 said:

Ahem, a non professional?!  I'll have you know, i have a diploma that i earned through the Neil French school of hypnotherapy, 1992

 

 no insults intended - though im sure you get the drift of what im saying :lol:

*im also included in the non professional quote (i mean endos/uros and endocrine specialists when i say professionals in this section)

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1 hour ago, aqualung said:

 no insults intended - though im sure you get the drift of what im saying :lol:

*im also included in the non professional quote (i mean endos/uros and endocrine specialists when i say professionals in this section)

Lol, i know,  it was meant tongue in cheek (although i did really do that diploma)

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On 2/12/2020 at 1:11 PM, Dreamcard said:

I will start with therapy today, but I did some reading and it says ‘Fluoxetine’ (Prosac) can worse erectile dysfunction and it’s quite common (1 in 10) for this to happen.

I really don't see why you need anti depressants mate, they will end up making you feel worse.

99% of all anti depressants affect me 'sexually' in one way or another, hopefully you'll be different.

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5 hours ago, TERBO said:

I really don't see why you need anti depressants mate, they will end up making you feel worse.

99% of all anti depressants affect me 'sexually' in one way or another, hopefully you'll be different.

he prescribed me 'wellbutrin' instead of prosac and said it is the only ssri without sexual side effects. he also prescribed me 'xanax ' as he thinks I'm very anxious, but I decided not to take it for now as I read it can worsen ED. 

So far been about 10 days on clomid and couple of days on wellbutrin, I'm noticing regular nocturnal erections and yesterday I even had one awkward in the gym, only by speaking with some girl whos not even much attractive.

Might be mental but my low testo still scares me like hell. Trying not to think about it and trt

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31 minutes ago, Dreamcard said:

he prescribed me 'wellbutrin' 

So far been about 10 days on clomid 

Might be mental but my low testo still scares me like hell. Trying not to think about it and trt

That's a much better AD to use and clomid seems to be going well... once things start working the mental issues should reside.

Agree on the xanax, not necessary.

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On 16/02/2020 at 6:44 PM, Dreamcard said:

he prescribed me 'wellbutrin' instead of prosac and said it is the only ssri without sexual side effects. he also prescribed me 'xanax ' as he thinks I'm very anxious, but I decided not to take it for now as I read it can worsen ED. 

So far been about 10 days on clomid and couple of days on wellbutrin, I'm noticing regular nocturnal erections and yesterday I even had one awkward in the gym, only by speaking with some girl whos not even much attractive.

Might be mental but my low testo still scares me like hell. Trying not to think about it and trt

Why don’t you try Xanax before sex to see if you relax more. I can have sex on Xanax and I can ejaculate. I find the more relaxed I am I’m able to enjoy sex. Sometimes it can be the type of woman your with. Maybe the erections is because your girlfriend makes you anxious ? 

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36 minutes ago, gavzilla said:

Why don’t you try Xanax before sex to see if you relax more. I can have sex on Xanax and I can ejaculate. I find the more relaxed I am I’m able to enjoy sex. Sometimes it can be the type of woman your with. Maybe the erections is because your girlfriend makes you anxious ? 

I dropped xanax after couple of days, I wasn't feeling so good using it. 

36 minutes ago, gavzilla said:

Try The following supplements 

l arginine and l cartinine. 

vit d

zma

I use 10mg citruline, 10 000 ui vit D and zma daily :)

@CarrotTop @TERBO

I thought I already posted it, but looks like it was not registered. 
I did some thyroid and testosterone blood testings today and T levels jumped significantly after 17 days of clomid usage (12.5mg eod). 

Ranges for 20-49y old male are 2.49-8.36 and I'm at 9.49. 

 

Also my tsh and rt3 are better and its really surprising.

It seems that clomid works wonders for me. My erections are much better although my libido is still low but might be due to high stress - I recently found out my ex I'm still in love with is dating someone else, so I had couple of stressful days.

Anyway, what do you guys suggest, how long should I take clomid before I make a break, and how to cycle it?

I feel good using it, especially looking at my T levels now :) 

 

 

367F2FC7-E1D9-4F29-8E5F-21161B7D0DC0.jpeg

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1 hour ago, Dreamcard said:

I dropped xanax after couple of days, I wasn't feeling so good using it. 

I use 10mg citruline, 10 000 ui vit D and zma daily :)

@CarrotTop @TERBO

I thought I already posted it, but looks like it was not registered. 
I did some thyroid and testosterone blood testings today and T levels jumped significantly after 17 days of clomid usage (12.5mg eod). 

Ranges for 20-49y old male are 2.49-8.36 and I'm at 9.49. 

 

Also my tsh and rt3 are better and its really surprising.

It seems that clomid works wonders for me. My erections are much better although my libido is still low but might be due to high stress - I recently found out my ex I'm still in love with is dating someone else, so I had couple of stressful days.

Anyway, what do you guys suggest, how long should I take clomid before I make a break, and how to cycle it?

I feel good using it, especially looking at my T levels now :) 

 

 

367F2FC7-E1D9-4F29-8E5F-21161B7D0DC0.jpeg

Good news mate.  Stay on the lower dose, retest in another 4 weeks, if comes back any higher then I would drop dose again, to maybe 2/3 times a week 

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10 hours ago, Dreamcard said:

I dropped xanax after couple of days, I wasn't feeling so good using it. 

I use 10mg citruline, 10 000 ui vit D and zma daily :)

@CarrotTop @TERBO

I thought I already posted it, but looks like it was not registered. 
I did some thyroid and testosterone blood testings today and T levels jumped significantly after 17 days of clomid usage (12.5mg eod). 

Ranges for 20-49y old male are 2.49-8.36 and I'm at 9.49. 

 

Also my tsh and rt3 are better and its really surprising.

It seems that clomid works wonders for me. My erections are much better although my libido is still low but might be due to high stress - I recently found out my ex I'm still in love with is dating someone else, so I had couple of stressful days.

Anyway, what do you guys suggest, how long should I take clomid before I make a break, and how to cycle it?

I feel good using it, especially looking at my T levels now :) 

 

 

367F2FC7-E1D9-4F29-8E5F-21161B7D0DC0.jpeg

As CarrotTop said, keep an eye on your levels and adjust accordingly. You're responding well to clomid, you might be able to get away with 12.5mg twice a week - always less is more with clomid.

How's the wellbutrin helping with your mood/stress level?  If you weren't on that i'd suggest rotating a few effective mood boosters - phenibut, twice a week, kratom three times a week, and maybe tianeptine the other two days a week.  They all kick stress in the ass and boost mood which would probably help with your libido woes.

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24 minutes ago, Seppuku71 said:

As CarrotTop said, keep an eye on your levels and adjust accordingly. You're responding well to clomid, you might be able to get away with 12.5mg twice a week - always less is more with clomid.

How's the wellbutrin helping with your mood/stress level?  If you weren't on that i'd suggest rotating a few effective mood boosters - phenibut, twice a week, kratom three times a week, and maybe tianeptine the other two days a week.  They all kick stress in the ass and boost mood which would probably help with your libido woes.

Yea i will drop clomid to 3x times weekly at 12.5mg, retest in 3 weeks, if levels are still good, will probably drop to twice 12.5mg weekly, as Carrot also suggested.

I don't know about wellbutrin, I felt even more anxious and stressed while using it, but might be due to high stress after I found out my ex is dating someone else. Few months after saying she will always be waiting for me and how she can't imagine being with someone else, ever...

But yesterday, when I saw my T and thyroid levels improved, it really boosted my mood significantly.   My libido sky-rocketed at that moment as well as my erections. 

I'm trying to drop as many drugs and supplements as possible - Think I will stay on clomid only, and will drop all other supps except vit D and aswagandha. 

Also I took some gym-break, only stretching and doing long-distance walks. 

 

 

 

 

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