Libido and erections are two completely separate problems and most guys here are only solving one of them

30 posts · started by Beantown Rick · Apr 30, 2026

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NYCgains
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NYCgains
237 posts · joined Nov 2019
#1
Cialis 20mg plus Viagra 50mg taken together 4-5 hours before. Every time. The combination works better than either alone and the timing removes the 30-minute window pressure completely. This protocol is consistent.
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OhioStrong
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OhioStrong
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#2
The PT-141 information in this thread is genuinely useful. Filing it away for future cycles. The distinction between libido being hormonal and erection quality being vascular is something I had not seen explained that clearly before.
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HighAltitude
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HighAltitude
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#3
The hormonal versus vascular distinction in this thread is something I had not considered clearly before. Makes complete sense when broken down that way. Good information to have before I get further into blasting.
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SydneyFit
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SydneyFit
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#4
PT-141 is going on my list. The distinction between libido and erection quality being separate problems requiring different solutions is something I had not thought through clearly before this thread.
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MunichMarc
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MunichMarc
278 posts · joined Dec 2018
#5
Proviron is something I plan to include from cycle two. Reading the experience reports here is helpful for deciding dosing. The SHBG connection makes sense for why some people notice it strongly and others do not.
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SWE LIFTS
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SWE LIFTS
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#6
Testosterone in range is the foundation. Everything else is fine-tuning. The SHBG management piece in this thread is something I am applying to my current TRT protocol. Free testosterone matters as much as total.
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OsloFit
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OsloFit
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#7
I am not at the stage where I need this information yet but it is interesting to read about the different compounds and their mechanisms. Filing it away for when it becomes relevant later in my journey.
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Beantown Rick
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Beantown Rick
552 posts · joined Jun 2016
#8
Spent two years thinking my erection issues were a libido problem and stacking everything I could find for desire, when the actual issue was vascular the whole time. Got there in the end but it took longer than it should have.

For libido I'm now on PT-141 1.5mg sub-q before the moment, plus my test sits at 280 free with SHBG controlled. Mood is right, desire is right. Erection quality only came right after I started Cialis 20mg with Viagra 50mg taken 4-5 hours ahead of time, not 30 minutes. The longer absorption window changed the whole experience.

I'm 43 and the split between desire and function was not on my radar at 35. Curious if other guys have learned the same the hard way and what your stacks look like now.
BIGDADDY
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BIGDADDY
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#9
This split is real. Two separate problems, two separate fixes. PT-141 plus a proper PDE5 protocol covers most guys past 40, do not try to solve both with test alone.
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Chi Guy
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Chi Guy
669 posts · joined Apr 2015
#10
Good thread, the libido vs erections split is exactly right and most people lump them together. Cialis 5mg daily kept my erection quality stable through my last blast even when libido was bouncing around with E2 fluctuations.

For anyone planning to try PT-141, the Zofran tip is the difference between using it long term and quitting after one go. Without it the nausea is bad enough that you cannot really enjoy what the compound is supposed to be for.

Proviron at 50mg works for me but only when SHBG is on the high side. When SHBG is already low it does basically nothing extra, just adds another tab to take.
GODZILLA
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GODZILLA
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#11
Good thread. Worth flagging for anyone new to this - PT-141 nausea catches people off guard. Taking Ondansetron 4mg about 30 minutes before sorts it for most. Without that it can put guys off the compound entirely after one bad experience.
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Geoff K
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Geoff K
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#12
This is a real distinction and most guys figure it out the hard way. Spent months messing with my test dose thinking high libido meant good erection quality would follow automatically. It doesn't. They're related but they're on separate pathways.

Fixed the desire side eventually - free test was the issue, not total test. SHBG was high, total test looked fine on paper, free test was low. Dropped some bodyfat and added a small amount of mast and things shifted. But erection quality was still inconsistent. That's when I started looking at the vascular side separately.

Cialis 5mg daily is what actually sorted it. Not as a one-off, just running it continuously. Blood flow to the tissue stays primed and the inconsistency goes away. It's boring advice but it works and it's the kind of thing you don't hear because guys don't want to admit they needed it.
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TEXMEX
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TEXMEX
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#13
The Cialis plus Viagra combo at a longer lead time actually works. 4-5 hours before rather than the rushed 30 minute window people use is the difference between it being reliable versus hit and miss. I run Cialis 20mg plus Viagra 50mg and the consistency is night and day compared to either one alone. Proviron is the other piece I always have on cycle - not everyone responds but for the guys who do the libido difference is clear within a week. When both components are addressed separately it stops feeling like a problem to manage.
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Beantown Rick
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Beantown Rick
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#14
Proviron gets split responses and my experience mirrors that. Ran 50mg per day for 6 weeks, couldn't feel much. Mate of mine runs it on TRT and swears it's the most noticeable libido boost he gets. My take is if your free test is already decent and SHBG isn't running high, it doesn't add a lot - but if SHBG is squeezing your free test then it probably makes a real difference.

Low dose deca for libido is one I keep hearing from older guys on B&C. Not as a mass builder, just 100mg alongside TRT. Two people I know run it that way and both say it works, but you can't fully separate it from just feeling healthier overall from the joint benefits. Hard to isolate the effect.
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Chi Guy
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Chi Guy
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#15
Ran proviron at 50mg daily for 8 weeks expecting a libido boost and honestly felt nothing. Not a placebo, not a subtle improvement, just nothing. What actually moved the needle for me was low dose daily cialis, 5mg every morning, completely separate from whatever is going on hormonally. Think the proviron recommendation gets repeated constantly but whether it works seems to depend entirely on where your baseline is to begin with.
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Geoff K
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Geoff K
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#16
Proviron is the one I've seen the most inconsistent results with for libido. Ran it 4 times across different cycles and two of those times I genuinely couldnt tell if it was doing anything, two others felt noticeably better within a week. Think it depends heavily on where your free test is sitting. If SHBG is high and free test is already low, proviron makes sense. If thats not your issue its probably not going to move the needle much.
BIGDADDY
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BIGDADDY
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#17
Good discussion. The PT-141 plus Ondansetron combo is worth knowing about if the nausea side is what's been putting you off trying it. Most guys who bounce off it the first time are dosing wrong or not managing the nausea - 4mg Zofran 30 minutes before sorts it for the majority.
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GODZILLA
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GODZILLA
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#18
The point about PT-141 and ondansetron together is worth repeating - a lot of guys abandon PT-141 after one bad nausea experience without knowing the fix is simple. 4mg Zofran 30 minutes before the injection and the nausea is essentially gone for most people. Compound is genuinely effective when dosed correctly and the GI side managed properly.
MTS Support https://support.med-tech.pro
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emperorcaliano
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emperorcaliano
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#19
Geoff K wrote:Proviron is the one I've seen the most inconsistent results with for libido. Ran it 4 times across different cycles and two of those times I genuinely couldnt tell if it was doing anything, two others felt noticeably better within a week. Think it depends heavily on where your free test is sitting. If SHBG is high and free test is already low, proviron makes sense. If thats not your issue its probably not going to move the needle much.



I’m actually running Proviron year round, I found it better (personally) Than cycling it as long with cycle.
I try to maintain my SHBG at the same level, I adjust the proviron dosage accordingly of my blood work.

It’s basically the base of my dosages:
-TRT: 10mg ED
-Cycle:20-30mg ED
- competition prep: 50-100mg ED
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TEXMEX
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TEXMEX
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#20
Proviron is one I'd call 50/50. Some guys swear it fixes libido within a week, others run the full 8 weeks and feel absolutely nothing. I've been in both camps depending on where I was hormonally at the time. If your free test is already sitting well and SHBG isn't elevated, Proviron probably won't move the needle much - it's more useful when SHBG is pulling free test low. Check that first before writing it off or swearing by it.

For the function side, the Cialis plus Viagra stack timed properly is what consistently works. Not 30 minutes before, that window is too tight. 4-5 hours before the event and you're fully loaded without any timing pressure. Most guys doing it wrong are just getting the timing wrong, not the compounds.
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