Complete Loss of Libido on TRT - Could use some help
Hello,
Truly appreciate any guidance on this.
I have been on trt for approx 4 years. My libido was pretty good for the most part not great but ok. My balls are gone (shrunk), I got a semen analysis (couldnt even get an erection to take the damn thing) two days ago and had non detect across the board. I have tried hcg but only for short periods of time as it seemed to make things worse. I have always had approx this high of estradiol and my guy says its fine but it makes me wonder if this high of estradiol has been an issue for awhile. I have never tried an AI.
Right now I can hardly get an erection (even during the night which is the first time ever and I take 5mg of cialis daily), my penis feels smaller than usual, the frenulum is completely numb (very little feeling on the penis anywhere) any my orgasm quality when I have them is horrible and they used to be great. One thing I forgot to mention is I feel pretty emotional sometimes. Sure I have learned to be more emotionally open the past few years as a man but sometimes I will tear up over things and I am like wtf? I am a pretty masculine man as well (not that its not ok to show emotion but it just seems a bit off)
What could be going on here? Any help is super appreciated. My doc wants me to try dht cream to raise dopamine (he thinks this is dopamine/gabaergic related).
I dont know what my prolactin levels are, should I get these tested and what other tests might be needed for a better picture here?
Dosage - Test Cream on scrotum - 1 click - 50 mg per day
TESTOSTERONE, FREE, BIOAVAILABLE AND TOTAL, MS
ALBUMIN 4.6
SEX HORMONE BINDING GLOBULIN - 23
TESTOSTERONE, FREE - 181.6
TESTOSTERONE,BIOAVAILABLE - 381.4
TESTOSTERONE, TOTAL, MS - 894
ESTRADIOL -56
Truly thankful for any input on this!