TRT guy and erections.....

[John2211]

Whats up guys.... This month i will have been on TRT Test Cyp 100mg E7D. Feeling normal but erections are another story.

Anyway last week i went to see a Endocrinologist about my problems and explained my story- symptoms- and to seek advice... and i showed him my big lab from PrivateMDLabs....

After all that he stopped me dead in my tracks and said i need to see a urologist. He said there was nothing on my Labs and the fact that i am at 790 7 days after injection...there should be no reason why i can't maintain the a successful erection.

Just wondering if anybody is in a similar situation.......

Later and Urologist here i come,
John2211

 

[kisaj]

Man, just another joke of an endo. The fact that your test is at 790 7 days after injection probably means that you have high e2 as well. There are lots of things that affect erections and libido, but for those of us on TRT, it is usually surrounding excess estrogen and/or cortisol.

 

[overworked]

Would a mild ai like erase pro or ad3 help with the erection issue? If it is just elevated e2.

 

[John2211]

high E2.... is not the problem. I have taken 2 test this year all ready. 1 test 2 days after injection and 1 test 7 days after injection.

My estradiol at 2 days after injection was 35
My estradiol at 7 days after injection was 14

Estradiol if anything is on the low side as the week progresses and i see no need for an AI with my labs.

 

[kisaj]

Ok, so that gives you an idea that you need labs run to see. We aren't going to be able to predict anything based on what was presented and no point in wasting time guessing.

BTW- when people post numbers, always post the range. Different labs have too much range to determine where it should be. My lab range is 10-70 and if I fall into the teens, I know it. I am happiest in the high 20s-mid 30s.

 

[John2211]

@ Kisaj ................The labs have already been taken


WBC 5.3 3.4-10.8 x10E3/uL MB
RBC 5.32 4.14-5.80 x10E6/uL
Hemoglobin 17.7 12.6-17.7 g/dL MB
Hematocrit 53.4 HIGH 37.5-51.0 % MB
MCV 100 HIGH 79-97 fL MB
MCH 33.3 HIGH 26.6-33.0 pg MB
MCHC 33.1 31.5-35.7 g/dL MB
RDW 13.8 12.3-15.4 % MB
Platelets 227 155-379 x10E3/uL MB
Neutrophils 61 40-74 % MB
Lymphs 31 14-46 % MB
Monocytes 5 4-12 % MB
Eos 2 0-5 % MB
Basos 1 0-3 % MB
Neutrophils 3.3 1.4-7.0 x10E3/uL MB
(Absolute)
Lymphs(Absolute) 1.6 0.7-3.1 x10E3/uL MB
Monocytes(Absolute) 0.3 0.1-1.0 x10E3/uL MB
Eos (Absolute) 0.1 0.0-0.4 x10E3/uL


Baso (Absolute) 0.0 0.0-0.2 x10E3/uL MB
Immature Granulocytes 0 0-2 % MB
Immature Grans (Abs) 0.0 0.0-0.1 x10E3/uL MB
Comp. Metabolic Panel (14)
Glucose, Serum 76 65-99 mg/dL MB
BUN 19 6-20 mg/dL MB
Creatinine, Serum 1.22 0.76-1.27 mg/dL MB
eGFR If NonAfricn Am 78 >59 mL/min/1.73 MB
eGFR If Africn Am 90 >59 mL/min/1.73 MB
BUN/Creatinine Ratio 16 8-19 MB
Sodium, Serum 142 134-144 mmol/L MB
Potassium, Serum 4.7 3.5-5.2 mmol/L MB
Chloride, Serum 103 97-108 mmol/L MB
Carbon Dioxide, Total 26 19-28 mmol/L MB
Calcium, Serum 9.9 8.7-10.2 mg/dL MB
Protein, Total, Serum 7.1 6.0-8.5 g/dL MB
Albumin, Serum 4.6 3.5-5.5 g/dL MB
Globulin, Total 2.5 1.5-4.5 g/dL MB
A/G Ratio 1.8 1.1-2.5 MB
Bilirubin, Total 0.8 0.0-1.2 mg/dL MB
Alkaline Phosphatase, S 53 44-102 IU/L MB
AST (SGOT) 18 0-40 IU/L MB
1 of 3
ALT (SGPT) 13 0-44 IU/L

Urinalysis, Routine
Specific Gravity >=1.030 ABNORMAL 1.005-1.030 MB
pH 6.0 5.0-7.5 MB
Urine- Color Yellow Yellow MB
Appearance Clear Clear MB
WBC Esterase Negative Negative MB
Protein Trace Negative/Trace MB
Glucose Negative Negative MB
Ketones Trace ABNORMAL Negative MB
Occult Blood Negative Negative MB
Bilirubin Negative Negative MB
Urobilinogen,Semi-Qn 0.2 0.0-1.9 mg/dL MB
Nitrite, Urine Negative Negative MB
Microscopic Examination Comment MB

Lipid Panel
Cholesterol, Total 198 100-199 mg/dL MB
Triglycerides 71 0-149 mg/dL MB
HDL Cholesterol 51 >39 mg/dL MB
According to ATP-III Guidelines, HDL-C >59 mg/dL is considered a
negative risk factor for CHD.
VLDL Cholesterol Cal 14 5-40 mg/dL MB
LDL Cholesterol Calc 133 HIGH 0-99 mg/dL MB
Iron and TIBC
Iron Bind.Cap.(TIBC) 240 LOW 250-450 ug/dL MB
UIBC 114 LOW 150-375 ug/dL MB
Iron, Serum 126 40-155 ug/dL MB
Iron Saturation 53 15-55 % MB
Testosterone,Free and Total
Testosterone, Serum 791 348-1197 ng/dL MB
Free Testosterone(Direct) 23.7 8.7-25.1 pg/mL BN
Hemoglobin A1c
Hemoglobin A1c 5.1 4.8-5.6 % MB

Thyroxine (T4) Free, Direct, S
T4,Free(Direct) 1.31 0.82-1.77 ng/dL MB
DHEA-Sulfate
DHEA-Sulfate 331.8 160.0-449.0 ug/dL MB

TSH
TSH 3.200 0.450-4.500 uIU/mL MB
Luteinizing Hormone(LH), S
LH <0.2 LOW 1.7-8.6 mIU/mL MB
FSH, Serum
FSH <0.2 LOW 1.5-12.4 mIU/mL MB

Prostate-Specific Ag, Serum
Prostate Specific Ag, Serum 0.8 0.0-4.0 ng/mL MB

IGF-1
Insulin-Like Growth Factor I 201 71-241 ng/mL BN
C-Reactive Protein, Cardiac
C-Reactive Protein, Cardiac 0.52 0.00-3.00 mg/L MB

Estradiol, Sensitive
Estradiol, Sensitive 14 3-70 pg/mL BN

GGT
GGT 13 0-65 IU/L MB
Magnesium, Serum
Magnesium, Serum 2.0 1.6-2.6 mg/dL MB
Insulin
Insulin 4.5 2.6-24.9 uIU/mL MB
Ferritin, Serum
Ferritin, Serum 125 30-400 ng/mL MB
Sex Horm Binding Glob, Serum
Sex Horm Binding Glob, Serum 40.4 16.5-55.9 nmol/L MB

 

[kisaj]

Wow, good for you. Rarely does anyone come in and already know all the information. Honestly, the only thing that stands out is the hematocrit levels being high and I would think that could have a say due to blood flow alone. But, that is pretty debatable topic if you read up on it.

I'm out of Internet doctor ideas . Gotta go to the experts to see at this point.

 

[Mr.TT]

high E2.... is not the problem. I have taken 2 test this year all ready. 1 test 2 days after injection and 1 test 7 days after injection.

My estradiol at 2 days after injection was 35
My estradiol at 7 days after injection was 14

Estradiol if anything is on the low side as the week progresses and i see no need for an AI with my labs.

If you are using LABCORP's Sensitive Estradiol test (range 3-70) then that 35 IS really high E2. This test gives false, low numbers. You need to use E2 test code 4515 (7-42 range). I took the two tests at the same time and the Sensitive E2 test result was 19(3-70) but the 4515 E2 test result was 54(7-42). I spent the money to run the tests together because my symptoms were high E2, but the stupid test was telling me I was low. PS. I'm not pinning Test.

Injecting twice a week might help, with the E2 spikes.

 

[Beau]

SHBG should be looked into.

LDL levels need attention, probably unrelated unless a potential indicator of low blood flow to the little man.