Let me start by saying I am non-op. This is directed at those on monotherapy and who want to have or achieve semi-normal sexual function.

I recently switched to injections (estradiol valerate) and stopped taking Spiro. For most the most part, my levels have been around 13-25 T and ~150 E while on 50mg spiro and 6mg oral estradiol. With the dosage of my injections, the simulator shows a peak range of about 200-325 E. I'm not sure yet how well this will work to supress my T, but after about a week off spiro and 2 injections 4 days apart, I noticed that sexual function had shifted in a positive direction for me.

Previously, manual stimulation has been all but useles in trying to achieve an erection. Further, when I was able to orgasm, it was incredibly rare for me to ejaculate. When I did, it was like a drop at best. Since my recent HRT changes, I've noticed that both of these things have changed dramatically and I'm really happy with that.

Now, I know my levels will continue to shift as I take additional injections over the next 10-20 days, and that it'll be a balancing act of checking levels and possibly lowering the injection dosage to prevent my T from dropping low enough that ejaculation and erections are all but nonexistent. I wish I could get my T checked now just to know what level to equate these changes to, but I can't until the end of January at the earliest.

For anyone else who is or has been on monotherapy and who is also non-op/cares about being able to ejaculate and have erections solo, what were your levels like? How did you balance having your E where you wanted it without suppressing your T to the point where sexual function diminished? I feel like the easy answer is just to modify your dosage of E but idk, I'd like some anecdotal info regarding this.

I tried to find info on Testosterone levels and volume of ejaculate but I guess it's very much a ymmv situation, and most of the info was specifically on sperm and fertility, which isn't what I'm talking about.