What do you think of this theory/plan for addressing my TRT related ED issues?

Nixter

Nixter

Well-known member
Trusted Member
Currently 44yrs old. I started TRT because I have no desire to age gracefully and i was beginning to notice a decrease in my gym performance and recovery. I did not have ED issues. Ever since starting TRT 3.5 years ago, everything has been great, EXCEPT for moderate, transient, ED. I've tried a lot of different protocols and dosages without much success. Yes, lots of blood work too. Most recently I was down to 90mg/wk. I've been as high as 225mg.

Anyhow, here's my thought... What if my pre TRT test levels, (Total T - 12.4, Free T - 264) were actually my optimized T levels for sexual performance? Our primary goal as organisms is to reproduce after all, so it could make sense that, in the absence of a medical condition like hyper/hypogonadal, our bodies optimize T for sexual function. With this in mind, perhaps my next experiment should be to try and get my T levels as close to my pre TRT levels as possible. This wouldn't be enough to maintain desired physique but I'd toss in a couple blasts per year for that. This idea (should it work) strikes me as preferable to coming off TRT and having to run PCTs twice a year, especially as PCT tends to give me HORRIBLE acne.

Thoughts?
 
My first concern with the experiment above is that you are just looking at your T levels and not the ratio of T/E. I find that test # alone or E2 alone do not accurately reflect mood, Libido and well being.

My second concern is that your reference point is you 3.5 years ago. 40year old you vs 44 is a very different body (the ratio of T/E have probably changed). People forget that we can fix test levels but as we age after 40 our bodies affinity to convert to E2, SHGB, DHT, etc changes. TRT will never be constant...my theory is that every 5 years you will have to re-dial in.

Next, we are all different. for me, once on a set TRT level for too long my libdo is meh. My libido and erectile function is best when i can create variance from my current 49 year old "natural" balance between Test and E2. I feel best if i take 90mg for 4 weeks, 100mg for 4 weeks then maybe 110mg for 4 weeks then 90 again, etc. This keep my body off its aging current balance. also if i take 125mg plus 6.25 asin every 10-14 days for like 4-5 weeks that reduces SHGB and my libido goes through the roof. Libido is more linked to SHGB and DHT than to pure T/E in my experience.

Hope this helps.

PS Free T of 264 plus exercise = aches, pains and likely injury (from my experience)
 
Nixter said:
Currently 44yrs old. I started TRT because I have no desire to age gracefully and i was beginning to notice a decrease in my gym performance and recovery. I did not have ED issues. Ever since starting TRT 3.5 years ago, everything has been great, EXCEPT for moderate, transient, ED. I've tried a lot of different protocols and dosages without much success. Yes, lots of blood work too. Most recently I was down to 90mg/wk. I've been as high as 225mg.

Anyhow, here's my thought... What if my pre TRT test levels, (Total T - 12.4, Free T - 264) were actually my optimized T levels for sexual performance? Our primary goal as organisms is to reproduce after all, so it could make sense that, in the absence of a medical condition like hyper/hypogonadal, our bodies optimize T for sexual function. With this in mind, perhaps my next experiment should be to try and get my T levels as close to my pre TRT levels as possible. This wouldn't be enough to maintain desired physique but I'd toss in a couple blasts per year for that. This idea (should it work) strikes me as preferable to coming off TRT and having to run PCTs twice a year, especially as PCT tends to give me HORRIBLE acne.

Thoughts?
Click to expand...
Do you take anti e?
Any other medication/PEDS?
 
Not that adding in another compound is necessarily the answer and @Oldguyjiujitsu makes a lot of sense, but a lower TRT dosage and a low Primo dosage greatly increases my sex drive compared to TRT alone. Each to their own and I'm not saying this will work with you but the Primo helps my free test and lowers my shbg. In a perfect world, test alone dialed in perfectly would be the best but I like the benefits of a little less test and little Primo.
 
Oldguyjiujitsu said:
My first concern with the experiment above is that you are just looking at your T levels and not the ratio of T/E. I find that test # alone or E2 alone do not accurately reflect mood, Libido and well being.

My second concern is that your reference point is you 3.5 years ago. 40year old you vs 44 is a very different body (the ratio of T/E have probably changed). People forget that we can fix test levels but as we age after 40 our bodies affinity to convert to E2, SHGB, DHT, etc changes. TRT will never be constant...my theory is that every 5 years you will have to re-dial in.

Next, we are all different. for me, once on a set TRT level for too long my libdo is meh. My libido and erectile function is best when i can create variance from my current 49 year old "natural" balance between Test and E2. I feel best if i take 90mg for 4 weeks, 100mg for 4 weeks then maybe 110mg for 4 weeks then 90 again, etc. This keep my body off its aging current balance. also if i take 125mg plus 6.25 asin every 10-14 days for like 4-5 weeks that reduces SHGB and my libido goes through the roof. Libido is more linked to SHGB and DHT than to pure T/E in my experience.

Hope this helps.

PS Free T of 264 plus exercise = aches, pains and likely injury (from my experience)
Click to expand...
This is great information, thank you for taking the time to post about your experiences and your theory. You make very valid points and I agree with them for sure as i'm finding this out for myself as well
 
Oldguyjiujitsu said:
My first concern with the experiment above is that you are just looking at your T levels and not the ratio of T/E. I find that test # alone or E2 alone do not accurately reflect mood, Libido and well being.

My second concern is that your reference point is you 3.5 years ago. 40year old you vs 44 is a very different body (the ratio of T/E have probably changed). People forget that we can fix test levels but as we age after 40 our bodies affinity to convert to E2, SHGB, DHT, etc changes. TRT will never be constant...my theory is that every 5 years you will have to re-dial in.

Next, we are all different. for me, once on a set TRT level for too long my libdo is meh. My libido and erectile function is best when i can create variance from my current 49 year old "natural" balance between Test and E2. I feel best if i take 90mg for 4 weeks, 100mg for 4 weeks then maybe 110mg for 4 weeks then 90 again, etc. This keep my body off its aging current balance. also if i take 125mg plus 6.25 asin every 10-14 days for like 4-5 weeks that reduces SHGB and my libido goes through the roof. Libido is more linked to SHGB and DHT than to pure T/E in my experience.

Hope this helps.

PS Free T of 264 plus exercise = aches, pains and likely injury (from my experience)
Click to expand...

Great post.

I'd like to add that one of the theories about how evolution works is that the inherent goal of the human organism is continuation of the healthy human species. Certain cells in the body are "programmed" to die off once your body has aged past the point where healthy procreation can be expected at high success rate. Basically after you have reached your early 20's and blown your load a bunch of times your body knows that you've had a good shot at making more healthy humans but the chances of success are now dwindling. You now have basically outlived you usefulness in progressing towards the prime objective and the rest of your life is just gravy. IOW the human race doesn't give a shit if you ever get a boner again cause you are only in it for personal satisfaction. (you selfish son of a bitch)

I'm not sure exactly what that means as far as how you approach this but my underlying point here is to know your enemy as that may help shape your attack.

Also my alcohol tolerance really is becoming shockingly low.
 
gondar1 said:
Great post.

I'd like to add that one of the theories about how evolution works is that the inherent goal of the human organism is continuation of the healthy human species. Certain cells in the body are "programmed" to die off once your body has aged past the point where healthy procreation can be expected at high success rate. Basically after you have reached your early 20's and blown your load a bunch of times your body knows that you've had a good shot at making more healthy humans but the chances of success are now dwindling. You now have basically outlived you usefulness in progressing towards the prime objective and the rest of your life is just gravy. IOW the human race doesn't give a shit if you ever get a boner again cause you are only in it for personal satisfaction. (you selfish son of a bitch)

I'm not sure exactly what that means as far as how you approach this but my underlying point here is to know your enemy as that may help shape your attack.

Also my alcohol tolerance really is becoming shockingly low.
Click to expand...

IOW? I had to Google it.
www.ncbi.nlm.nih.gov

Fertility and the Aging Male

In the United States since 1980, the birth rate in women aged > 35 years has increased by nearly 60%, whereas the birth rate for women aged 20 to 34 years has increased by only 10%. The trend in parenthood at an older age has also been seen in ...
www.ncbi.nlm.nih.gov www.ncbi.nlm.nih.gov
 
I guess another important point is that libido and erectile function is not aways T/E related. Other big factors are stress...cortisol plays havoc with hormone balance and will negatively impact libido. Another is artery health....high blood pressure, artery constriction or hardening of the arteries can impact erectile function. If you are 44 you should talk to DR about getting your calcium score done...don't ever just rely on lipid numbers. And finally, the brain is a big factor...if you watch too much porn or if you been married a long time and the sex is too routine, these are also factors to consider.

Typically there is never a "silver bullet"
 
Oldguyjiujitsu said:
My first concern with the experiment above is that you are just looking at your T levels and not the ratio of T/E. I find that test # alone or E2 alone do not accurately reflect mood, Libido and well being.

My second concern is that your reference point is you 3.5 years ago. 40year old you vs 44 is a very different body (the ratio of T/E have probably changed). People forget that we can fix test levels but as we age after 40 our bodies affinity to convert to E2, SHGB, DHT, etc changes. TRT will never be constant...my theory is that every 5 years you will have to re-dial in.

Next, we are all different. for me, once on a set TRT level for too long my libdo is meh. My libido and erectile function is best when i can create variance from my current 49 year old "natural" balance between Test and E2. I feel best if i take 90mg for 4 weeks, 100mg for 4 weeks then maybe 110mg for 4 weeks then 90 again, etc. This keep my body off its aging current balance. also if i take 125mg plus 6.25 asin every 10-14 days for like 4-5 weeks that reduces SHGB and my libido goes through the roof. Libido is more linked to SHGB and DHT than to pure T/E in my experience.

Hope this helps.

PS Free T of 264 plus exercise = aches, pains and likely injury (from my experience)
Click to expand...

Excellent post. Makes sense why my libido jumps whenever I play around w my dose. I've heard the same refrain from others about maintaining a set dose for too long. It may likely have been from one of your previous posts.
 
resilient1 said:
Excellent post. Makes sense why my libido jumps whenever I play around w my dose. I've heard the same refrain from others about maintaining a set dose for too long. It may likely have been from one of your previous posts.
Click to expand...

Yes quite often you hear someone jump on a blast and say the libido went through the roof or the morning wood was insane. Unless it’s a DHT or other derivative, that libido boost is not directly related to the increase testosterone it’s usually the change to T/E ratio or reduction of SHGB and it lasts for four or five weeks then normalizes.

This made me ponder for a long time because I also get the same affect when I reduced dosage.


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I really don't like complicating things to much in my life. I have read that the T/E ratio is the important ratio that makes you optimize your feeling of well being etc. Again I am an instinctive person and I try to listen to my body. I mostly change things up if my body adapts to taking a certain amount of test or any type of PED or hormone enhancement. If I find the effect is reducing, for example test levels I am using, I may reduce it and then vary any AI I am taking and see if that helps the pecker work better. One thing I have tried that help is i have use proviron an this has helped the hard-on immensely (for me anyway) I have read up on proviron and wanted to see what it did and a lot of reviews or posts said it increased libido so I tried it and it did. If all else fails, I am very sensitive to Cialis. A test cycle of 250cc a week with 50mg of proviron every other day and dose of Cialis daily, my wife is beating me off of her with a broom ..lol. I am 61 and one of the best pleasures in life is intimate relations with who ever your with and I find it creates a very close bond between you and your lover if you keep the practice up. So if all fails for me in terms of TRT and mixing a few things ... I pop a few Cialis and I am usually off to the show.
 
pgmunn said:
I really don't like complicating things to much in my life. I have read that the T/E ratio is the important ratio that makes you optimize your feeling of well being etc. Again I am an instinctive person and I try to listen to my body. I mostly change things up if my body adapts to taking a certain amount of test or any type of PED or hormone enhancement. If I find the effect is reducing, for example test levels I am using, I may reduce it and then vary any AI I am taking and see if that helps the pecker work better. One thing I have tried that help is i have use proviron an this has helped the hard-on immensely (for me anyway) I have read up on proviron and wanted to see what it did and a lot of reviews or posts said it increased libido so I tried it and it did. If all else fails, I am very sensitive to Cialis. A test cycle of 250cc a week with 50mg of proviron every other day and dose of Cialis daily, my wife is beating me off of her with a broom ..lol. I am 61 and one of the best pleasures in life is intimate relations with who ever your with and I find it creates a very close bond between you and your lover if you keep the practice up. So if all fails for me in terms of TRT and mixing a few things ... I pop a few Cialis and I am usually off to the show.
Click to expand...

Lots of TRT dr recommend 5mg Cialis to compliment TRT


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Really appreciate the input, guys! This post was me thinking out loud. @Rocky, not taking anything else, well.. I wasn't but now i'm running trt 150 + 300 deca for a bit. I'll try to redial the pure trt again once I'm done. Hopefully the border will be open so that I can pop over for decently priced blood work.

And yes, natural selection doesn't really care much about you past your prime procreation days. That said, pre trt at age 40, my libido and wood was great even with those lowish T numbers.

For those who mentioned SHBG, mine is already lowish, ~24. I can't take take proviron regularly as it make my hair fall out. I popped a 25mg last week while still on trt only, just to see if there were any libido effects. Nope.
 
Last edited:
Nixter said:
Really appreciate the input, guys! This post was me thinking out loud. Not taking anything else, well.. I wasn't but now i'm running trt 150 + 300 deca for a bit. I try to redial the pure trt again once I'm done. Hopefully the border will be open so that I can pop over for decently priced blood work.

And yes, natural selection doesn't really care much about you past your prime procreation days. That said, pre trt at age 40, my libido and wood was great even with those lowish T numbers.

For those who mentioned SHBG, mine is already lowish, ~24. I can't take take proviron regularly as it make my hair fall out. I popped a 25mg last week while still on trt only, just to see if there were any libido effects. Nope.
Click to expand...
On the hair falling out, a lot of women like the dome and it is very easy maintenance, and so is a beard, Check mine out
bald_beard.jpg
 
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