In the 25 yrs I have been on
TRT I was dam low on my first blood
test 120 total T I was 40 yrs. old and felt dam bad. I pushed my shelf to go to work and act normal around my family until I could not get out of bed. First 5 yrs of this I was told I am Depressed and was treated for this until we found out I am not depressed but have low testosterone so I was 45 when I went on
TRT. Even with levels this low and dam bad fatigue I never had a problem with sex could do it everyday.
It was when I went on
TRT that I started getting probelms loss of libidol then ED then no orgasms.
All of this was due to low levels of testosterone and higher levels if Estradiol long before I found out about my estradiol high levels. I was using a penis pump and cock ring to have sex still no orgasm. This went on from about age 50 to age 58. I was all ready doing supplements for libido like Maca and L-Arginine and L-Histidine.
Here is what I find that works one needs there Testosterone up into the upper 1/3 of there labs range for a young man for both Total and Free T. And the big bad guy here is Estradiol we all need this down between 10 to 30 best at 20 if your SHBG is on the high side your Estradiol can be up as high as 40.
Getting Estardiol down my ED was gone but no libido so to have sex I needed to work on it to get it up. As soon as we stop it would go down fast to dam fast. I started having sex again and could reach an orgasm.
Here is one problem that happens once you have some ED you mind is allways on it and when you go to have sex it's in the back of your mind " will it stay up" and this kills it. So my Dr. gave me Cialis 20 mgs and told me to take it every 3 days not only to help with sex but for night time and morning wood, Believe it or not when you stop getting this your penis gets weak and this was why it went down so fast if we stop working on it. On the Cialis I could have sex and it would stay up my morning wood come back and the more I had it the better my penis got. Now today I can have sex with out Cialis and it stays up a good 3 mins if we are not touching it. I am 63 now.
Now for Libido Maca helps and I still take L-A stopped the L-H yrs. ago. I know this because I stopped using it for a time and could tell the difference. When I started treating my thyroid and cortisol levels my libido came back it's not anything to brag about but it's there now and I have only been on treating my thyroid and low cortisol levels this yr. So as time gones on it's getting better.
The best gauge you have is your morning and night time wood. Hardasnails can tell you about some killer wood he has had trying to balance this Estradiol. When your wood stops something is off.