[prostatenipple]

Wow thanks for the awesome reply, Lotus.

I'd like to keep erection quality and libido, so that's the primary goal. I've heard SSRIs can often decrease both, so I'd like to avoid them if possible. The mammoplasia effect is interesting - would it be better to use PM to achieve the same goal?

I've been terrible at explaining the situation, sorry.

The blood test readings I posted are BEFORE I was put on TRT, and BEFORE any NBE activity.

I'm currently on Testogel daily approx 60mg testosterone.

I dont have recent blood tests, only that Total Testosterone was 10.7 a few months ago (during TRT), and estradiol was 96 (rose from 70 before TRT).

The estradiol is mid-range for a male range - did your appraisal of the situation differ now that you know I'm on TRT? Or am I expecting to have higher E2 due to being on TRT? I agree, pre TRT, my SHBG was very low. I dont know what it is today.
My free Test was very low pre-TRT. I dont know what it is now. Doctors dont test for this, unless I get a private test myself that costs a lot.

I've stopped Pygeum completely some 4 months ago.

Your free doesn't look bad either. It's like you have some of the hallmark signs PCOS (polycystic ovarian syndrome) in women have
*insulin insensitivity 
*weight gain
*diabetes?
*low SHBG

Now this is interesting! Can biologically born men (sorry, I dont know the correct term and dont want to cause offense) have PCOS?
I've been pre-diabetes before, I've gained weight (sometimes not really explainable), and I had that low SHBG blood test. Could it be possible?


Thanks so much for your reply