Delayed ejaculation and lower sensitivity since starting TRT—what gives?

While TRT typically supports sexual health, issues like delayed ejaculation or reduced sensitivity can occasionally stem from hormonal imbalances—such as elevated estrogen or prolactin—or changes in neurological feedback loops. High hematocrit or an overly aggressive protocol can also inadvertently affect pelvic blood flow and nerve sensitivity. At HeydayMD, our clinicians evaluate your complete hormone and metabolic panel to identify these exact nuances and dial in your optimal protocol. Fine-tuning your dosage or managing secondary hormone levels is usually all it takes to restore normal function and sensation.