I’ve been on trt for some time now along with treatment for thyroid and adrenals. All my lab results look terrific, but no libido. I’ve taken a test (catecholamines) for dopamine level and the results came back extremely low. On a range of 40-100, I came in at 39 which is below the low range. I have two issues going on here and I’ll explain. In the past when I first did trt with past doctor my dopamine levels would increase greatly when estrogen was in corrected resulting in greater focus and libido increase. My past doctor was an idiot and I could never sustain my libido or focus. My current doctor is on top of everything unlike my past one. I’ve alway had ADD since childhood but never got it treated then.

Here are the drugs I’ve been prescribed to help with low dopamine.
Adderall (make me too focused to the point where I can’t carry articulate conversation, and feel sorta high, and burns me out the next morning badly)

Concerta (did not make me over focused, but doesn’t last all day)
Wellbutrin (made me focused, but at higher doses gave me anxiety attacks)
Deprenyl (just has not done anything close to those other meds for increasing dopamine.)

All of these increase libido, but deprenyl and there is one major issue.
These increase sexual thoughts through the day, but don’t stimulate any erections except for early in the morning while on it. Off the meds I get libido and erections spikes for an hour every morning and it dies after that for the rest of the day.

I’ve read other members on some chat rooms with the same issues. They get libido spike in the morning for an hour or so and it goes completely dead after.

What would case this strange problem? Estrogen metabolism?