TRT not working at all.. help!

[koolkatarbtl]

Hey man,

I wanna do this right, so here's a more detailed update:

I started doing Epistane a couple of weeks before I started HCG - human chorionic gonadotropin - - human chorionic gonadotropin - - human chorionic gonadotropin - - human chorionic gonadotropin - , so I'm not sure which is the culprit.

With the epistane, I'm just pulse cycling (30mg) at most twice a week, so I doubt it could cause any hpta - hypothalamic-pituitary-testicular axis - - hypothalamic-pituitary-testicular axis - - hypothalamic-pituitary-testicular axis - - hypothalamic-pituitary-testicular axis - shutdown.

So all in all:

100mg Sub-Q Testosterone Enanthate: doing this for 9 weeks
30mg Epistane 2x a week: doing this for 4 weeks
250UI HCG 2x a week (2 days before and the day before doing T shot). been doing this for 2 weeks.

My libido is totally GONE and I noticed my balls started atrophying BIGTIME since starting HCG. I don't know WHY. I can barely get hard at all now.

Again, I DO NOT KNOW if the culprit is epistane or HCG.

Prior to (HCG and epistane) I could get hard NO PROBLEM, prior to TRT, and during TRT, hardness/libido were about the same.

HOWEVER, I'm *feeling* amazing at the moment (right now). Best I have in years. I'm also making AMAZING gains in the gym. But sex life is down the drain. FWIW, I'm NOT on any SSRIs, meds, or anything of the like.

Since I live in Canada where bloodwork is free, the problem that arises is that it takes up to a month and a half to get the results back.

My endo also lives 2 hours away and doesn't seem too competent.

I have an appointement scheduled in march with a urologist that specializes in treating bodybuilders. Guys who've had their HPTA shut down. He fixes them right up. Suposed to be the best in Canada.

My plan now is just to go to a regular walk-in GP, and get some bloodwork done (I know what to have tested, but I'm thinking the culprit has something to do with estrogen, which is the correct estrogen test to do? I dont think we have them all available here in canada...) right now so I'll have it ready for when I see the urologist in March.

I can try calling my current endo (who's 2 hours away) and ask him to fax me the bloodwork that was done just prior to have started HCG and that info might help as well. However, he think's I'm a former juicer and overall, is very suspicious of me, so I feel extremely uncomfortable communicating with him despite that he put me on TRT in the first place. (Yes, I was honest and upfront with him about everything too! He probably thinks ive done cycles before even though I haven't))

Remember, I'm 19 and I think I'm sinking down a dangerous hole and I wanna be real careful.

That's the lowdown. If anyone has any input I'd appreciate it. I'll post more info if I forgot anything. Thanks again to everyone and I just LOVE this board. So helpful.

 

[tical]

get him to fax you your bloodwork, it shouldn't be an issue... you probably will just have to request it from someone at the front desk and not even talk to him anyway

hcg would elevate your testosterone and in turn raise estrogen which might be the problem... i'm not sure how well epistane works to control estrogen

try to get some bloodwork done now so that you can see where your levels are at

i'm in the same position you are in libido wise, botched PCT and it sucks.. everything else is fine but when you'd rather sleep than get laid it does a number on your mindstate

 

[Mr. Black]

Strange that your blood work takes so long. For me I have my results avaialbe within a few days. The specialized tests ie. Bio-available test, SHBG often take a little longer (2-3- weeks). At any rate without a current blood test, its tough to speculate where your issues are. One possible suggestion would be to get off the epistane & injectable test alltogether. Replace it with either Androgel or perhaps find a compounding pharmacy that will make you some Bio-Identical test cream. Often using transdermals you will feel more of a "kick", simply because they tend to elevate DHT moreso than injectable test. Keep in mind DHT is a largely repsonsible for libido, maybe this is the route you should take. Keep up with the HCG though as it will help to regulate testical size. Maybe drop the frequency to once a week @ 250iu and see how you feel. Good luck man.

 

[DaPit26]

Sub q is fine for Trt. Many docs only administer Sub q nowdays. If you're only 19, I'm surprised your test is so low! with such a low dosage you won't notice much until 2-4 weeks.

 

[5150guy]

Are you sure you are not confusing the Canadian vs US units for his E2 blood test? Estradiol of 80 pmol/l is not high, rather as the range suggests it is right in the middle.

Yes, I was basing my comments on using the conventional units of pg/mL. When you convert the conventional to the SI units you use the factor of 3.671 to get to the SI units of pmol/L

80 pmol/L divided by 3.671 =21.79 pg/mL which is towards the lower end of the range and thus his initial estradiol levels would not be a part of the problem as I had originally thought.

It would be more usefull to see current E2 levels now that the OP is using HCG and T injections.

Also, if the endo really did his initial work up correctly, he or she should have looked at the Prolactin levels which can in fact lower LH and FSH production.