My Dilemma..

[mlc2010]

34 Years old guy.. had lifelong erectile dysfunction, I have to use 40mcg of caverject to obtain an erection. Without the erection dies as soon as I stop stimulating

Had doppler test done, normal

hormones, normal.. except.. I have high levels of SHBG. I read a study that shows high levels of shbg means low free testosterone = ED

My only option is.. testosterone treatment, or.. the implant.. so my question is

No doctor in UK will prescribe TRT for high shbg with high levels of total testosterone, however I have sourced some and going to try it out. We know regular injections of testosterone will lower SHBG. My main question is, is it worth the risk?

 

[Eman]

Have you ever had your thyroid checked?

Higher SHBG could be caused by hyperthyroidism, which can cause issues with ED.

I would consider the implant as an absolutely last resort remedy... If it's the implant I think you're referring to.

 

[mlc2010]

Have you ever had your thyroid checked?

Higher SHBG could be caused by hyperthyroidism, which can cause issues with ED.

I would consider the implant as an absolutely last resort remedy... If it's the implant I think you're referring to.

had absolutely everything checked, my TSH came in at 4.5, with normal ft3 and ft4, which pointed to subclinical hypothyroidism. Been taking T3 for over a year, no results

honestly im not getting any younger, I'm wasting my peak years. sick of doctors telling me its all in my head, I can assure you I know my body better than any doctors

leading urologist told me if the injections work, then it's not a venous leak. Still doesn't help me with my issue

Yes the penile implant, this is where iam now. I no longer want to inject my penis everytime i want to have sex. I feel TRT is worth a shot

EDIT : Free testosterone correlated with erectile dysfunction severity among young men with normal total testosterone. - PubMed - NCBI This is a new study that shows high levels of SHBG and link with ED

 

[Michael Scally MD]

Do you have low FT? If so, might studies showing this to be the case be helpful.

 

[mlc2010]

Do you have low FT? If so, might studies showing this to be the case be helpful.

Hello doc

Yes, my SHBG is like 55-60 in a range of 5-55 and my test is like 19-21 on a range of 8-28