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🔥 Libido & Sexual Health

Work stress tanking my libido and erections even on TRT—anyone else?

Asked in r/trt · Answered by the HeydayMD team ·

I've been dialing in my TRT protocol, but a brutal stretch at work has completely killed my sex drive and erection quality. Even with optimal testosterone levels, can intense professional stress override TRT benefits?

The short answer

Even with stable testosterone levels from TRT, acute psychological stress can significantly impact sexual function by triggering sympathetic nervous system activation and elevating cortisol. High stress levels impair vascular response and reduce psychological readiness for intimacy, sometimes overriding hormonal stability. Because care is provided by a licensed MD, NP, or PA depending on your state, it is best to discuss persistent symptoms with your prescriber to explore how external factors are influencing your treatment. Addressing lifestyle stressors alongside your protocol can help restore overall well-being and function.

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Every body is different. A licensed provider can look at your own labs and symptoms.

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The information on this page is for educational purposes only and is not medical advice. Questions are paraphrased from public Reddit discussions, which are linked for reference — HeydayMD is not affiliated with Reddit. Answers are general education written by the HeydayMD team, not individual guidance. Always talk to a licensed healthcare provider before making treatment decisions.