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Author Topic: What is normal or acceptable Erectile Function for a 50 year old?  (Read 2681 times)

golfboy307

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This is a question I have been pondering the last several months as I have seen some erection quality (EQ) progress from starting on TRT in April.  I didn't expect it to be a miracle cure for venous leak and turn me into a 20 year old.  However, it certainly has helped.

Even with clear arteries (hopefully) and BP under control, when can I say this is as good as its going to get?  I try to not obsess or endlessly judge erection performance but some of it is inevitable.  But we certainly lose many things to aging that hard to replace:  nerve sensitivity, elasticity (collagen) etc that aren't tied to blood flow. 

Does anyone have any links or studies that talk about (for a 50+ year old)

* How many morning erections should you be having per week?  (Right now good ones:  3-4 times per week)
* How long should you stay erect without manual stimulation (This has improved, for awhile it was not very long!)
* How many spontaneous erections during the day?

Maybe I am whacked and the only one that thinks about this, but it is tough to compare, since I cant exactly remember how much all of this occurred 10 or 15 years ago.  Seemed like it was all effortless of course back then.

Thanks for any perspective.  Just trying to set my mind at ease and manage expectations. 
Age 49, 5'10, 155 lbs
Cholesterol 167 (HDL 47, LDL 114, Trigs 78, LDL-P 1235 Borderline)
Fasting Glucose 90 (down from 97 pre TRT)
A1C:  5.2 (down from 5.7 per TRT)
Homocysteine:  12.4 > 11.0 > 10.2 using B vitamin therapy.  MTHFR positive 

BP  120/78 (using plant based diet and 10 mg Lisinopril ACE Inhibitor)  145/90 prior to meds.

Current protocol:  60 mg Test Cyp IM every 5 days. Adding 0.25 mg Anastrozole 1/wk. 
2/15/17 labs:  Total T (peak day): 1169 (250 - 1100 ng/dl).  Free T 198 pg/ML (46-225).  Sensitive E2: 40 High.  PSA 0.2  Hemocrit 44.2. SHBG: 32

Pre HRT numbers:
Total T  440 >> 375 >> 512 (Mar 16)
Free T  50 pg/ml (35 -155) LOW (Mar 16)
SHBG:  45 (HIGH Normal)  (10-50 nmol/L)
Estradiol (Ultrasensitive):  14 LOW (15 - 26 pg/ml)

Supplements:  Multivitamin, plus additional B12, B6, D, K2, Fish Oil, Magnesium, and Coq10

Evening stack:  2g Arginine, 100 mg Pycnogenol, 2.5G Kyolic garlic, 2g Vitamin C.  2 mg Cialis EOD

PeakT

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Re: What is normal or acceptable Erectile Function for a 50 year old?
« Reply #1 on: January 05, 2017, 06:02:56 pm »
This is a question I have been pondering the last several months as I have seen some erection quality (EQ) progress from starting on TRT in April.  I didn't expect it to be a miracle cure for venous leak and turn me into a 20 year old.  However, it certainly has helped.

Even with clear arteries (hopefully) and BP under control, when can I say this is as good as its going to get?  I try to not obsess or endlessly judge erection performance but some of it is inevitable.  But we certainly lose many things to aging that hard to replace:  nerve sensitivity, elasticity (collagen) etc that aren't tied to blood flow. 

Does anyone have any links or studies that talk about (for a 50+ year old)

* How many morning erections should you be having per week?  (Right now good ones:  3-4 times per week)
* How long should you stay erect without manual stimulation (This has improved, for awhile it was not very long!)
* How many spontaneous erections during the day?

Maybe I am whacked and the only one that thinks about this, but it is tough to compare, since I cant exactly remember how much all of this occurred 10 or 15 years ago.  Seemed like it was all effortless of course back then.

Thanks for any perspective.  Just trying to set my mind at ease and manage expectations.

It would be nice if they did a study on this, but I havent seen one.  I think the biggest reason it would help is that the partners understand that aging slows things down a bit.

 One additional comment is that it is hard to be aware of all your morning erections.  They actually have equipment to measure that.
« Last Edit: January 05, 2017, 06:04:59 pm by PeakT »
If you are on medications or have a medical condition, always check with your doctor first before making any lifestyle changes or taking new supplements. Yes, low T and E.D. are usually medical conditions.  There are potential risk with HRT:  http://www.peaktestosterone.com/testosterone_risks.aspx.
My Health History: http://www.peaktestosterone.com/My_Health_Story.aspx.
And check out my new Peak Testosterone Program on the right side of my home page: http://www.peaktestosterone.com.

Peak Testosterone Forum

Re: What is normal or acceptable Erectile Function for a 50 year old?
« Reply #1 on: January 05, 2017, 06:02:56 pm »

golfboy307

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Re: What is normal or acceptable Erectile Function for a 50 year old?
« Reply #2 on: January 06, 2017, 08:13:02 am »
Good point on the morning/nocturnal erections.  I tend to notice them when they are quite strong, probably 3-4 times per week.  The other ones are probably worth sleeping through! :)

I think the mental challenge is to not always compare yourself to the 25 year old version of yourself.
Age 49, 5'10, 155 lbs
Cholesterol 167 (HDL 47, LDL 114, Trigs 78, LDL-P 1235 Borderline)
Fasting Glucose 90 (down from 97 pre TRT)
A1C:  5.2 (down from 5.7 per TRT)
Homocysteine:  12.4 > 11.0 > 10.2 using B vitamin therapy.  MTHFR positive 

BP  120/78 (using plant based diet and 10 mg Lisinopril ACE Inhibitor)  145/90 prior to meds.

Current protocol:  60 mg Test Cyp IM every 5 days. Adding 0.25 mg Anastrozole 1/wk. 
2/15/17 labs:  Total T (peak day): 1169 (250 - 1100 ng/dl).  Free T 198 pg/ML (46-225).  Sensitive E2: 40 High.  PSA 0.2  Hemocrit 44.2. SHBG: 32

Pre HRT numbers:
Total T  440 >> 375 >> 512 (Mar 16)
Free T  50 pg/ml (35 -155) LOW (Mar 16)
SHBG:  45 (HIGH Normal)  (10-50 nmol/L)
Estradiol (Ultrasensitive):  14 LOW (15 - 26 pg/ml)

Supplements:  Multivitamin, plus additional B12, B6, D, K2, Fish Oil, Magnesium, and Coq10

Evening stack:  2g Arginine, 100 mg Pycnogenol, 2.5G Kyolic garlic, 2g Vitamin C.  2 mg Cialis EOD

Mountain Man

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Re: What is normal or acceptable Erectile Function for a 50 year old?
« Reply #3 on: January 06, 2017, 10:18:02 am »
 TRT it's not a miracle worker. Sounds like you're fairly normal. Don't hesitate to take some ED medication if needed. Swallow your pride, and enjoy yourself.

 And, maybe we weren't as great at 25 as we thought we were…

golfboy307

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Re: What is normal or acceptable Erectile Function for a 50 year old?
« Reply #4 on: January 06, 2017, 01:54:50 pm »
Good point! :)

I sure wasn't that wonderful at 25, but my dick sure was infallible!  Rain, snow, sleet, fog of war.. etc.

I did want to point out that my evening supplement stack has been working nicely (Arginine/Pycnogenol/Ginsing), where none of these did much for me prior to TRT.  Goes to show having the right T levels does help regulate the NO, and boosting the NO works synergistically.  And you are also right, a small Cialis (2.5mg) every other day just may be part of the drill from now on.

Thanks for the encouraging words!
Age 49, 5'10, 155 lbs
Cholesterol 167 (HDL 47, LDL 114, Trigs 78, LDL-P 1235 Borderline)
Fasting Glucose 90 (down from 97 pre TRT)
A1C:  5.2 (down from 5.7 per TRT)
Homocysteine:  12.4 > 11.0 > 10.2 using B vitamin therapy.  MTHFR positive 

BP  120/78 (using plant based diet and 10 mg Lisinopril ACE Inhibitor)  145/90 prior to meds.

Current protocol:  60 mg Test Cyp IM every 5 days. Adding 0.25 mg Anastrozole 1/wk. 
2/15/17 labs:  Total T (peak day): 1169 (250 - 1100 ng/dl).  Free T 198 pg/ML (46-225).  Sensitive E2: 40 High.  PSA 0.2  Hemocrit 44.2. SHBG: 32

Pre HRT numbers:
Total T  440 >> 375 >> 512 (Mar 16)
Free T  50 pg/ml (35 -155) LOW (Mar 16)
SHBG:  45 (HIGH Normal)  (10-50 nmol/L)
Estradiol (Ultrasensitive):  14 LOW (15 - 26 pg/ml)

Supplements:  Multivitamin, plus additional B12, B6, D, K2, Fish Oil, Magnesium, and Coq10

Evening stack:  2g Arginine, 100 mg Pycnogenol, 2.5G Kyolic garlic, 2g Vitamin C.  2 mg Cialis EOD

Peak Testosterone Forum

Re: What is normal or acceptable Erectile Function for a 50 year old?
« Reply #4 on: January 06, 2017, 01:54:50 pm »

PLEASE SUPPORT THE SITE AND GIVE AN AMAZON REVIEW IF POSSIBLE:


Retardo

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Re: What is normal or acceptable Erectile Function for a 50 year old?
« Reply #5 on: January 06, 2017, 11:50:41 pm »


It would be nice if they did a study on this, but I havent seen one.  I think the biggest reason it would help is that the partners understand that aging slows things down a bit.


I was googling that comment and up came your page!
http://www.peaktestosterone.com/Telomeres.aspx


cujet

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Re: What is normal or acceptable Erectile Function for a 50 year old?
« Reply #6 on: January 07, 2017, 07:54:51 am »
While everyone is different, it's traditionally accepted that some men will see significant decline in their 40's. Some make it to old age with no problems.

For 30 years I was an avid bicyclist, but always picked a seat that was male-friendly. Also rode motocross, enduro's and general dirt bike trail riding. Even with careful seat choice, I have quite a bit of skin damage due to the bicycle seat. The reason I bring this up, is that it's not just age that affects male performance. It's also lifestyle choices.
53 years old
Autoimmune Hashimoto's, near zero natural T production
Cause: severe mononucleosis in my early 30's
Weight 200
Height 5' 10"
Very active, daily workouts and some cardio.
0.75g compounded 10% T cream, rotated daily to shaved armpits, shaved shoulders, remainder on scrotum
169Mg WPthyroid (same as old Armour formulation)
Perfect bloodwork labs (Mar 2017) , my T=702, TSH 0.5, other thyroid levels normal.


Daily workouts with weights, low-glycemic diet, high in clean protein, very low carb (salad/fish/low fat meats, uncooked veggies, nothing else, ever) Carbs/starch can cause me to have intestinal problems, so I avoid them.

PeakT

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Re: What is normal or acceptable Erectile Function for a 50 year old?
« Reply #7 on: January 07, 2017, 03:33:18 pm »
While everyone is different, it's traditionally accepted that some men will see significant decline in their 40's. Some make it to old age with no problems.

For 30 years I was an avid bicyclist, but always picked a seat that was male-friendly. Also rode motocross, enduro's and general dirt bike trail riding. Even with careful seat choice, I have quite a bit of skin damage due to the bicycle seat. The reason I bring this up, is that it's not just age that affects male performance. It's also lifestyle choices.

Dopamine decline is also a factor per Dr. Knoll's Deprenyl / seligiline studies.
If you are on medications or have a medical condition, always check with your doctor first before making any lifestyle changes or taking new supplements. Yes, low T and E.D. are usually medical conditions.  There are potential risk with HRT:  http://www.peaktestosterone.com/testosterone_risks.aspx.
My Health History: http://www.peaktestosterone.com/My_Health_Story.aspx.
And check out my new Peak Testosterone Program on the right side of my home page: http://www.peaktestosterone.com.

Peak Testosterone Forum

Re: What is normal or acceptable Erectile Function for a 50 year old?
« Reply #7 on: January 07, 2017, 03:33:18 pm »


golfboy307

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Re: What is normal or acceptable Erectile Function for a 50 year old?
« Reply #8 on: January 09, 2017, 08:47:02 am »
Yes, I have definitely wondered about the dopamine angle for me, especially fluctuating levels now that I am older.  It seems like when the stimulation is high (vivid sexual dream for example), my erection is rock hard.  Other times, the nerve response and sensitivity can vary quite a bit, resulting in somewhat weaker erections.  Back to the comment of some things just decline as we get older.  Definitely has improved on TRT though.
Age 49, 5'10, 155 lbs
Cholesterol 167 (HDL 47, LDL 114, Trigs 78, LDL-P 1235 Borderline)
Fasting Glucose 90 (down from 97 pre TRT)
A1C:  5.2 (down from 5.7 per TRT)
Homocysteine:  12.4 > 11.0 > 10.2 using B vitamin therapy.  MTHFR positive 

BP  120/78 (using plant based diet and 10 mg Lisinopril ACE Inhibitor)  145/90 prior to meds.

Current protocol:  60 mg Test Cyp IM every 5 days. Adding 0.25 mg Anastrozole 1/wk. 
2/15/17 labs:  Total T (peak day): 1169 (250 - 1100 ng/dl).  Free T 198 pg/ML (46-225).  Sensitive E2: 40 High.  PSA 0.2  Hemocrit 44.2. SHBG: 32

Pre HRT numbers:
Total T  440 >> 375 >> 512 (Mar 16)
Free T  50 pg/ml (35 -155) LOW (Mar 16)
SHBG:  45 (HIGH Normal)  (10-50 nmol/L)
Estradiol (Ultrasensitive):  14 LOW (15 - 26 pg/ml)

Supplements:  Multivitamin, plus additional B12, B6, D, K2, Fish Oil, Magnesium, and Coq10

Evening stack:  2g Arginine, 100 mg Pycnogenol, 2.5G Kyolic garlic, 2g Vitamin C.  2 mg Cialis EOD

Retardo

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Re: What is normal or acceptable Erectile Function for a 50 year old?
« Reply #9 on: January 09, 2017, 09:51:55 am »
While everyone is different, it's traditionally accepted that some men will see significant decline in their 40's. Some make it to old age with no problems.


whoa? what? " traditionally accepted"???
what family are you in? I dont want those traditions

a lot is based on diet, what are you eating... etc..
lots of causese of ED
atherosclerosis
CAD
high BP
high Cholesterol
diabetes
mental/porn watchin'
obesity
I dont see "old age" as being a cause...when you get older, what you've been doing wrong is cumulative and you can have a lot of work to undo
work hard at the proven things that willl being back your erections
-


PeakT

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Re: What is normal or acceptable Erectile Function for a 50 year old?
« Reply #11 on: January 09, 2017, 10:42:23 am »
Yes, I have definitely wondered about the dopamine angle for me, especially fluctuating levels now that I am older.  It seems like when the stimulation is high (vivid sexual dream for example), my erection is rock hard.  Other times, the nerve response and sensitivity can vary quite a bit, resulting in somewhat weaker erections.  Back to the comment of some things just decline as we get older.  Definitely has improved on TRT though.

Couldn't agree more.  My plumbing is pretty doggone good but lack of sleep for example will take them out.  To me this says that neurotransmitters are as much of an issue as anything else.  That's not necessarily a good assumption though as lack of sleep raises insulin resistance and inflammation which will effect endothelial function.  But I look some low dose deprenyl and morning erections were very powerful that night.  (Deprenyl stimulates dopamine among other things.)  However, the effect faded.  I'm going to try another cycle in a few weeks here hopefully.
If you are on medications or have a medical condition, always check with your doctor first before making any lifestyle changes or taking new supplements. Yes, low T and E.D. are usually medical conditions.  There are potential risk with HRT:  http://www.peaktestosterone.com/testosterone_risks.aspx.
My Health History: http://www.peaktestosterone.com/My_Health_Story.aspx.
And check out my new Peak Testosterone Program on the right side of my home page: http://www.peaktestosterone.com.

golfboy307

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Re: What is normal or acceptable Erectile Function for a 50 year old?
« Reply #12 on: January 09, 2017, 12:44:29 pm »
Glad to hear you trying something on the dopamine side.  Yes, for me lack of sleep, an illness and overtraining can take me out for a couple of days on EQ.  Please report back.

And I agree with retardo.  To say "Well its just aging" may not be very accurate.  Its that list of things he mentioned that accumulate over time, plus declines in nerve function and hormones, that eventually trip up most guys. 
Age 49, 5'10, 155 lbs
Cholesterol 167 (HDL 47, LDL 114, Trigs 78, LDL-P 1235 Borderline)
Fasting Glucose 90 (down from 97 pre TRT)
A1C:  5.2 (down from 5.7 per TRT)
Homocysteine:  12.4 > 11.0 > 10.2 using B vitamin therapy.  MTHFR positive 

BP  120/78 (using plant based diet and 10 mg Lisinopril ACE Inhibitor)  145/90 prior to meds.

Current protocol:  60 mg Test Cyp IM every 5 days. Adding 0.25 mg Anastrozole 1/wk. 
2/15/17 labs:  Total T (peak day): 1169 (250 - 1100 ng/dl).  Free T 198 pg/ML (46-225).  Sensitive E2: 40 High.  PSA 0.2  Hemocrit 44.2. SHBG: 32

Pre HRT numbers:
Total T  440 >> 375 >> 512 (Mar 16)
Free T  50 pg/ml (35 -155) LOW (Mar 16)
SHBG:  45 (HIGH Normal)  (10-50 nmol/L)
Estradiol (Ultrasensitive):  14 LOW (15 - 26 pg/ml)

Supplements:  Multivitamin, plus additional B12, B6, D, K2, Fish Oil, Magnesium, and Coq10

Evening stack:  2g Arginine, 100 mg Pycnogenol, 2.5G Kyolic garlic, 2g Vitamin C.  2 mg Cialis EOD

PeakT

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Re: What is normal or acceptable Erectile Function for a 50 year old?
« Reply #13 on: January 09, 2017, 03:03:36 pm »
Glad to hear you trying something on the dopamine side.  Yes, for me lack of sleep, an illness and overtraining can take me out for a couple of days on EQ.  Please report back.

And I agree with retardo.  To say "Well its just aging" may not be very accurate.  Its that list of things he mentioned that accumulate over time, plus declines in nerve function and hormones, that eventually trip up most guys.

You know I don't believe in being pessimistic but aging is generally very significant:  drops in hormones, neurotransmitters, enzymes, stomach acid, etc.  You have a lot of holes to fill.  This is what Ray Kurzweil is essentially trying to do with his supplement regime.  I try to do a poor man's version of this (to a certain extent).
If you are on medications or have a medical condition, always check with your doctor first before making any lifestyle changes or taking new supplements. Yes, low T and E.D. are usually medical conditions.  There are potential risk with HRT:  http://www.peaktestosterone.com/testosterone_risks.aspx.
My Health History: http://www.peaktestosterone.com/My_Health_Story.aspx.
And check out my new Peak Testosterone Program on the right side of my home page: http://www.peaktestosterone.com.

golfboy307

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Re: What is normal or acceptable Erectile Function for a 50 year old?
« Reply #14 on: January 09, 2017, 03:29:51 pm »
I am on a similar regime thanks to my Body Logic doctor.  Lots of pills!  I remind myself that they basically powdered food and vitamins, not drugs.  I am really only one true prescription medication, but don't really feel that way sometimes!
Age 49, 5'10, 155 lbs
Cholesterol 167 (HDL 47, LDL 114, Trigs 78, LDL-P 1235 Borderline)
Fasting Glucose 90 (down from 97 pre TRT)
A1C:  5.2 (down from 5.7 per TRT)
Homocysteine:  12.4 > 11.0 > 10.2 using B vitamin therapy.  MTHFR positive 

BP  120/78 (using plant based diet and 10 mg Lisinopril ACE Inhibitor)  145/90 prior to meds.

Current protocol:  60 mg Test Cyp IM every 5 days. Adding 0.25 mg Anastrozole 1/wk. 
2/15/17 labs:  Total T (peak day): 1169 (250 - 1100 ng/dl).  Free T 198 pg/ML (46-225).  Sensitive E2: 40 High.  PSA 0.2  Hemocrit 44.2. SHBG: 32

Pre HRT numbers:
Total T  440 >> 375 >> 512 (Mar 16)
Free T  50 pg/ml (35 -155) LOW (Mar 16)
SHBG:  45 (HIGH Normal)  (10-50 nmol/L)
Estradiol (Ultrasensitive):  14 LOW (15 - 26 pg/ml)

Supplements:  Multivitamin, plus additional B12, B6, D, K2, Fish Oil, Magnesium, and Coq10

Evening stack:  2g Arginine, 100 mg Pycnogenol, 2.5G Kyolic garlic, 2g Vitamin C.  2 mg Cialis EOD

Peak Testosterone Forum

Re: What is normal or acceptable Erectile Function for a 50 year old?
« Reply #14 on: January 09, 2017, 03:29:51 pm »