question from a user
What would you say is the most common reason TRT users sometimes see drops in libido?
AlphaMD's Answer
Libido is one of the harder aspects of TRT & we're lucky that often times low Testosterone is the cause of it (and the associated other hormones) so that raising it naturally improves the issue. However if you're doing well on a dose & then raise it even higher your liver may overreact to the increased hormones & produce more SHBG. That does have a higher likelihood to bind with DHT & DHT is one of the main reasons your libido increases or decreases.
We'd say if you have a good dose & good libido, but raise your dose higher and have libido issues, you should try bringing it back down. Often times people in the bodybuilding community take big swings with their doses, 50-100 at a time, but when using it therapeutically as little as 10-15mg changes can make a difference for dialing things in.
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