HCG isn’t hard to obtain. I obviously cannot post any links. But even if you struggled to get it, if you have bloodwork to backup needing HCG. Any TRT clinic will gladly put you on a protocol.
From what I’ve gathered the past two years, for sexual physical issues, they generally stem from plaque/fibrosis built up in the penile tissue. At least when it comes to total impotence that’s resistance to PDE5 drugs. However, if viagra/cialis works for you, you generally can rule that out and something like a venous leak as well.
Physical alternations could come from the loss of 5ar activity in that specific tissue, or even lack of adequate blood flow to that region. Of course everything from everyone will always be speculation. But there’s a ton of reoccurring themes from other users to form an opinion on.
If your total T/Free T are “good” (nobody is near optimal, and a doctors “good” range is total bunk imo) you should look into your (sensitive) E2 and SHGB if you haven’t already. I get total impotence if my E2 is elevated, and loss of sensation/pleasure less orgasms. Adding high SHGB just makes everything worse.
In fact, personally, clomid provides me with all those symptoms. I wouldn’t ever mess with it.
If you feel all your bloodwork is where you should be (it’s really nice to have pre-fin bloodwork to compare) then you might be dealing with straight physical issues. “GAINSWave” (shockwave therapy), which has had success and might be viable depending if PDE5 work or not. But I would personally take large dosages of l-arginine, daily cialis, to promote bloodflow and erections constantly. Before attempting something like that.
You should also clean up your diet. Even outside of PFS, a diet goes aalllooonggg way for every aspect of your body, including sexual.
HCG could bring a libido, and will increase all downstream hormones. But there’s alot of smaller things you can do to kinda “debug” what might be your issue. Once you can narrow down what seems to work, you can move in to a more targeted approach. (Diet, exercise, pharmaceuticals, hormone manipulation, penile exercise, etc etc)