Back to all Questions

question from a user

I see many people on this sub post with bloodwork confirming that while on TRT (test only, no HCG) all health markers look great/within range and they feel symptom relief in all areas except for a lacking libido. I myself feel this. I've adjusting everything from dose, to frequency, to injection style over the course of multiple years and my markers are great, I feel great in every area, but my libido is very low. I'm not interested in adding HCG due to price, not wanting to be fertile, and enjoying the simplicity of T only. However, I'm curious what advice you could give as this seems to be a common issue. So tldr; How does one whos dialed in and feeling great with every symptom but libido supplement treatment to gain a strong sex drive?

AlphaMD's Answer


This is a common enough concern, and the most honest answer to your question is...it depends.So, first: low T is the most common reversible medical cause for low libido. However, that does not mean it is the only cause for low libido.The most common non-medical cause for low libido is depression.If your testosterone level is in the normal range, and you aren't depressed then it is certainly possible that adding hCG may benefit you, though in our experience, the addition of hCG does not guarantee an improvement in libido. And as you said, the high cost of hCG generally means that the 'juice isnt worth the squeeze' if your goal is solely to improve libido. Interestingly, studies have shown higher LH receptor activation of the brain lowers cognition and increases the risk of Alzheimers Disease, so adding hCG long term may speed age related cognitive decline.Any benefit hCG may have on libido would likely be related to the down stream effects of two neurosteroids in the sex hormone cascade, pregnenolone and DHEA-S. There have been some correlative studies indicating that increasing the levels of these hormones may have some benefit on libido, particularly in women. The studies on libido and these hormones in men are less clear. Regardless, pregnenolone and DHEA are dirt cheap and can be purchased over the counter. We typically recommend men try these supplements if they are experiencing brain fog and/or libido issues while on TRT. I would say we see improvement in about 50-60% of men who add these to their regimen.If those don't work, as a last resort, a common trick would be to try to increase DHT. While on TRT, the addition of a low dose of oxandrolone typically does the trick by freeing up more DHT.

Ready to get answers?
Ask your own question today.

Get $30 off your first month’s order

Enter your email address now to receive $30 off your first month’s cost, other discounts, and additional information about TRT.

Legal Disclaimer

This website is a repository of publicly available information and is not intended to form a physician-patient relationship with any individual. The content of this website is for informational purposes only. The information presented on this website is not intended to take the place of your personal physician's advice and is not intended to diagnose, treat, cure, or prevent any disease. Discuss this information with your own physician or healthcare provider to determine what is right for you. All information is intended for your general knowledge only and is not a substitute for medical advice or treatment for specific medical conditions. The information contained herein is presented in summary form only and intended to provide broad consumer understanding and knowledge. The information should not be considered complete and should not be used in place of a visit, phone or telemedicine call, consultation or advice of your physician or other healthcare provider. Only a qualified physician in your state can determine if you qualify for and should undertake treatment.