Need some advice. Just by way of background, I have been on TRT for about 18 months. After about a three month ramp up period, it delivered on all of the promises: cleared the brain fog, big boost in mood and confidence, and most importantly to me: improved libido and erections. During this time on TRT, I have noticed however that every few months I seem to run into down periods that inexplicably kills my erections and along with it libido (they go hand in hand for me, no pun intended). About 10 days ago I hit the wall again, after four months of amazing sex and erections (since about June). With no change in my workouts, diet or stress level, here is what is happening:
*Complete disappearance of nocturnal and morning wood
*Waking up anxious, hard to get an erection (normally this is my BEST time)
*Sleep has gotten very choppy
*Stressed again, but maybe just because of items 1-3. Panic starts to set in, which only makes 1-3 worse
I was at the doctor three weeks ago and ironic thing is I told him how great I was doing. Oops. I tried up the Cialis to about 5mg, but that had basically no impact. So frustrating after four months of strong erections (both during the night and sponstaneous during the day).
What should I take a look at? The urine based cortisol test from September was normal (but I was doing great then). I am not opposed to some self testing since I don't see him again until March. T levels normally run towards the high end of the range on dosage of 70mg e5d. E2 is normally in the 35-40 range sensitive but I have not really been bothered by it (as far as I know). Not on AI or HCG.
Thanks for taking the time read this and letting me vent. I really appreciate this site and all of the help I have found here.