Interesting. I think I am going to cancel the full ED workup (seems unnecessary to me) and see what other ideas my doctor has to boost libido and erections. In the meantime I guess I can continue to play around with my dosages and maybe an AI.
MESO-Rx
Anabolic Steroids
ED Issues Continue
- Thread starter CubbieBlue
- Start date
I need to follow this thread cause I'm in the same boat. Labs are good but ED continues, also treating thyroid with T4/T3. Have tons of energy,sleep great, workouts are great, mood and mental clarity are good. Libido is decent but ED is very prevelant. Viagra works for me but without it I can either only erect partially or not at all. Still have nocturnal erection but no MW and nocturnal are usually weak. I too thought about seeing a urologist for a workup and may still.
Just some papers about thyroid effect on the body's ability to feel and turnover catecholamines.(dopamine,etc) also basically states that thyroid controls the bodies turnover and synthesis of dopamine. Just food for thought about libido, sexual function. Not enough attention is paid to thyroid IMO. I feel it's responsible for more sexual dysfunction than testosterone if somethigs out if whack.
http://joe.endocrinology-journals.org/content/179/2/205.full.pdf
Influence of the thyroid hormone status - PubMed Mobile
http://joe.endocrinology-journals.org/content/179/2/205.full.pdf
Influence of the thyroid hormone status - PubMed Mobile
Cubbie:
Any idea (labs?) where your tT or fT is with IM T at 24 mg eod?
Any signs of low E2 like dizziness or hot flashes?
Any idea (labs?) where your tT or fT is with IM T at 24 mg eod?
Any signs of low E2 like dizziness or hot flashes?
Wouldn't hot flashes indicate high E2
All I know is my mother has been going through "the change" for years now and she's always having hot flashes
Estrogen helps shuttle glucose into the brain cells. When the level falls, the brain cells start to get starved for energy - not good. That puts out a call for more blood sugar and that usually means epinephrine/adrenaline. You get light-headed and/or warm and/or your heart rate increases, etc.
Have your mother take a tblspn of MCT (medium chain triglyceride) Oil after a meal. When it gets to the liver, it is converted to ketones - the only other fuel that brain cells will happily use instead of glucose.
Have your mother take a tblspn of MCT (medium chain triglyceride) Oil after a meal. When it gets to the liver, it is converted to ketones - the only other fuel that brain cells will happily use instead of glucose.
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Heh. Got ya. She would not be alone in that response to my suggestion - I speak from experience. OTOH, I am batting 1000 on the ones who took the advice.
This is on 70mg T eod.
My lame libido and ED have been persistent even with the morning wood so I said fuck it and am going to talk to Khera about a T+hCG+AI combo and see what happens with high ass testosterone, low E2, and some hcg.
Ugh, the above is on 70mg WEEKLY, eod, or 20 mg eod. I'm sure the 24 isn't much different.
Doesnt appear to be an E2 issue to me.
Your increase in T dose is exactly what I would have done.
Maybe come off IM T and go with HCG only with an AI for a week or two (?)
My $0.02 is that the Wellbutrin (either all on its own independent of dose or because you're trying different doses) is what's mixing things up.
The Wellbutrin seems to have a mild positive effect but nothing mind blowing. It's important to note that in the past 8 months even when things have been semi-functional it's still all sorts of fucked up. I don't understand how someone can go from having ZERO ED to intermittent complete ED and even when ED isn't present complete SHIT EQ.
The reason why I'm looking at E2 is that I've never tried a high T level (800-900) with an E2 in the 20's. Usually at that point my E2 gets up to the 40s. I dunno. I'm going to keep playing around a bit more before I give up.
It's worth a try.
Has your response to PDE5-Is changed while you went from no ED to some/complete ED, etc?
The effectiveness coincides with how I am doing without it, if you get my drift. In other words, if I am able to get 60% erection without it, I can probably get to 100% or close, with it. If I am at a point where I can't get hard at all that day, I can maybe get like 50% with a small dosage...and up to 100% if I stack V/C together and at a high dosage. I've noticed that alpha blockers help as well.
Here's the rub - sometimes, every once in awhile, I'll get horny, and be able to get an erection that's just about 100%.
I know there are lots of guys on here (and other forums) who have been on T for a long time with good libidos and good (or decent depending on their age) erections. Where are they and what are they doing?
The simplest answer is that you need more T. A dose somewhere between where you are now and where you were when tT/fT was at/near supra levels.
I did some thinking about this last night - I finally realized the issue is really libido. Of course the pde5-i's aren't working consistent - they only work when I have a libido. The issue isn't ED per-say, but a lack of libido. When libido's around, everything else works fine.
Bax, I used to be on T4 for thyroid nodules but after a few years of not feeling any different on or off my doctor and I decided to stop. My TSH is now around 1-2.00. Have you ever looked into supplementing with iodine?
The ON/OFF pattern fits with that kind of problem considering your T level is not all that low.
