Several months ago I broke the ice with my Dr and talked about having low T checked. We did bloodwork, and I was at 280 total. He Rx'd t cyp @ 300 mG every 3 weeks. This produced a terrible surge for maybe 1 day after an injection, then crashed to nothing within 24 hours. Total ED, zero, no libido at all. After 2 rounds, I began trying 1/2 dose every 10 days. Swings not as bad, but still there, and still having major ED issues. Today, 3 months into treatment, I saw him again for a review, and tried to discuss the problems with him. I wanted to quit the injections and begin using bioidentical compounded test cream as prepared by a compounding pharmacist. He told me that it doesn't work, would only allow me to continue the injections, or try a new gel on the market. I have read up, and the gels and patches have poor response and are far more $$$ than the already expensive t cyp I was using, 100% out of pocket. Benefits of a compounded cream source applied daily are similar to the body's natural T cycle from nighttime LH stimulation, which is why you should have morning erections (mine have been absent while on injections), and getting a slow, but steady stream of T, instead of blasting yourself every 3 weeks and expecting the body to handle it. It just doesn't work that way, the effects are gone within a few days after the injection. I believe I'm going to have to see an endocrinologist to get real help. My Dr obviously is not informed on how to handle these issues. I have learned more on my own from personal research than he was able to understand during our talk. He clearly is not able to do more than recite what his outdated medical references are telling him, he's only a general MD, definitely not a specialist.