Peak Testosterone Forum

General Category => Testosterone, Hormones and General Men's Health => Topic started by: tori33 on November 04, 2017, 12:23:57 pm

Title: Sometimes Erectile Dysfunction...
Post by: tori33 on November 04, 2017, 12:23:57 pm
Hi, I'm new here. My name is Tori, 34 years old, height 165cm, weight 60kg and body fat around 14%. Last year I realized I have low T 11nmo1/L but after half year self experiment I finally natural raised my T to 28nmo1/L with high free T 19ng/dL. Since I fap a lot so I have high prolactin 350mIU/L as well...

Although I have high T but sometimes I still have ED problem like 1 or 2 days a week but recently seems getting more. So I thought probably problem is blood flow or prolactin... Here's some description about my ED day and normal day:
ED day
- totally ED or weak erection that very difficult to maintain erection.
- not tired.
- even I took cialis 10mg but still not working...
Normal day
- can maintain my erection easily around 1mins without touching after 5mins~15mins masturbated.
- sometimes can ejaculation 2~3times in between an hour.
- sometimes tired but still strong...
- no cialis.

Diet:
Breakfast- 2 slices wheat bread with peanut butter or blueberries jam, 30g oatmeal with honey and almond milk, some brazil nuts/macadamia nuts/raisins, 1tbsp coconut oil.
Lunch- Rice or noodle with chicken or beef, a cup of coffee/tea.
Dinner- 3 whole eggs with lettuce, tomato, 1/2 avocado, 1 tbsp olive oil, 1tbsp apple cider vinegar.

Supplements:
For testosterone- 30mg Zinc, 3000IU Vitamin D, 150mg Magnesium, 500mg Ashwagandha and 500mg Tongkat Ali.
For nitric oxide- 75mg pycnogenol, 1000mg Vitamin C and 250mg Garlic.
For prolactin/dopamine- 500mg L-Phenylalanine, 500mg Mucuna Pruriens, 250mg Bacopa and 400IU Vitamin E.
others- 100mg Ginkgo Biloba , 250mg L-Carnitine, 500mg turmeric Extract, 1000mg fish oil, 2 capsules probiotics, 45g whey.

Lifestyle:
- sunbath at least 15mins.
- facing computer around 10 hours...
- weightlifting 4 days a week and almost everyday walking on treadmill for 30 mins around 2km.
- 8-10 hours sleep.
- no smoking no alcohol.

I recently found out that maybe the day I eat too high fat then cause me ED. So I stopped all oils/fat soluble supplements for 2 weeks except vitamin D, olive oil and avocado. But it seems not much improve so I'm thinking what is the exact problem cause me sometimes ED/weak erection? Thanks and sorry for my bad English.
Title: Re: Sometimes Erectile Dysfunction...
Post by: PeakT on November 05, 2017, 11:24:53 am
Hi, I'm new here. My name is Tori, 34 years old, height 165cm, weight 60kg and body fat around 14%. Last year I realized I have low T 11nmo1/L but after half year self experiment I finally natural raised my T to 28nmo1/L with high free T 19ng/dL. Since I fap a lot so I have high prolactin 350mIU/L as well...

Although I have high T but sometimes I still have ED problem like 1 or 2 days a week but recently seems getting more. So I thought probably problem is blood flow or prolactin... Here's some description about my ED day and normal day:
ED day
- totally ED or weak erection that very difficult to maintain erection.
- not tired.
- even I took cialis 10mg but still not working...
Normal day
- can maintain my erection easily around 1mins without touching after 5mins~15mins masturbated.
- sometimes can ejaculation 2~3times in between an hour.
- sometimes tired but still strong...
- no cialis.

Diet:
Breakfast- 2 slices wheat bread with peanut butter or blueberries jam, 30g oatmeal with honey and almond milk, some brazil nuts/macadamia nuts/raisins, 1tbsp coconut oil.
Lunch- Rice or noodle with chicken or beef, a cup of coffee/tea.
Dinner- 3 whole eggs with lettuce, tomato, 1/2 avocado, 1 tbsp olive oil, 1tbsp apple cider vinegar.

Supplements:
For testosterone- 30mg Zinc, 3000IU Vitamin D, 150mg Magnesium, 500mg Ashwagandha and 500mg Tongkat Ali.
For nitric oxide- 75mg pycnogenol, 1000mg Vitamin C and 250mg Garlic.
For prolactin/dopamine- 500mg L-Phenylalanine, 500mg Mucuna Pruriens, 250mg Bacopa and 400IU Vitamin E.
others- 100mg Ginkgo Biloba , 250mg L-Carnitine, 500mg turmeric Extract, 1000mg fish oil, 2 capsules probiotics, 45g whey.

Lifestyle:
- sunbath at least 15mins.
- facing computer around 10 hours...
- weightlifting 4 days a week and almost everyday walking on treadmill for 30 mins around 2km.
- 8-10 hours sleep.
- no smoking no alcohol.

I recently found out that maybe the day I eat too high fat then cause me ED. So I stopped all oils/fat soluble supplements for 2 weeks except vitamin D, olive oil and avocado. But it seems not much improve so I'm thinking what is the exact problem cause me sometimes ED/weak erection? Thanks and sorry for my bad English.

Since you are a young guy, you should start by pulling all the basic hormones that can cause erectile issues.  You can start with just testosterone if you want.  But pulling estradiol (making sure it is the LC-MS/MS test), SHBG, TSH, free T3, free T4, prolactin and DHEA-S are also good to start with.  Labs now are pretty cheap and you can order them yourself if your doctor won't help here:

http://www.peaktestosterone.com/testosterone_labs.aspx

Many other things can take out a guy's erections.  Usually in your age it's hormones though, but you should check out the ideas here as well:

http://www.peaktestosterone.com/peak_testosterone_program.aspx
Title: Re: Sometimes Erectile Dysfunction...
Post by: Joe Sixpack on November 05, 2017, 05:23:11 pm
Stop masterbating and see if it helps your ED. 
Title: Re: Sometimes Erectile Dysfunction...
Post by: tori33 on November 05, 2017, 10:05:18 pm
Since you are a young guy, you should start by pulling all the basic hormones that can cause erectile issues.  You can start with just testosterone if you want.  But pulling estradiol (making sure it is the LC-MS/MS test), SHBG, TSH, free T3, free T4, prolactin and DHEA-S are also good to start with.  Labs now are pretty cheap and you can order them yourself if your doctor won't help here:

http://www.peaktestosterone.com/testosterone_labs.aspx

Many other things can take out a guy's erections.  Usually in your age it's hormones though, but you should check out the ideas here as well:

http://www.peaktestosterone.com/peak_testosterone_program.aspx
Here's my other hormone test-
SHBG- 32.5nmo1/L
E2- 20pg/ml (11-44)
Free T4- 14.3pmo1/L (9-24)

I will try test for my TSH, free T3 and DHEA-S next time. So it seems not my blood flow/nitric oxide problem? Thanks for your advice!

Stop masterbating and see if it helps your ED. 

I did a experiment that a week without ejaculation and with ejaculation but the result still same...
If I no ejaculation for many days my body seems hard to get excited but ejaculation can makes me excited otherwise.
Title: Re: Sometimes Erectile Dysfunction...
Post by: PeakT on November 06, 2017, 07:58:03 pm
Since you are a young guy, you should start by pulling all the basic hormones that can cause erectile issues.  You can start with just testosterone if you want.  But pulling estradiol (making sure it is the LC-MS/MS test), SHBG, TSH, free T3, free T4, prolactin and DHEA-S are also good to start with.  Labs now are pretty cheap and you can order them yourself if your doctor won't help here:

http://www.peaktestosterone.com/testosterone_labs.aspx

Many other things can take out a guy's erections.  Usually in your age it's hormones though, but you should check out the ideas here as well:

http://www.peaktestosterone.com/peak_testosterone_program.aspx
Here's my other hormone test-
SHBG- 32.5nmo1/L
E2- 20pg/ml (11-44)
Free T4- 14.3pmo1/L (9-24)

I will try test for my TSH, free T3 and DHEA-S next time. So it seems not my blood flow/nitric oxide problem? Thanks for your advice!

Stop masterbating and see if it helps your ED. 

I did a experiment that a week without ejaculation and with ejaculation but the result still same...
If I no ejaculation for many days my body seems hard to get excited but ejaculation can makes me excited otherwise.

Notice the T4 on the low side.  T3, I would argue, is more important than T4 as far as symptoms.
Title: Re: Sometimes Erectile Dysfunction...
Post by: tori33 on November 06, 2017, 08:10:41 pm
Notice the T4 on the low side.  T3, I would argue, is more important than T4 as far as symptoms.

Thanks man! Can't believe ED can link with thyroid... Do you know any way to increase my T3 and T4 since I taking so many supplements... I'm just afraid for coconut oil because it's too high in saturated fat.
Title: Re: Sometimes Erectile Dysfunction...
Post by: PeakT on November 07, 2017, 09:36:56 am
Notice the T4 on the low side.  T3, I would argue, is more important than T4 as far as symptoms.

Thanks man! Can't believe ED can link with thyroid... Do you know any way to increase my T3 and T4 since I taking so many supplements... I'm just afraid for coconut oil because it's too high in saturated fat.

Selenium and iodine can help the thyroid.  In the case of the latter, we have a lot of threads on that.  The key is not to take too much.  We have had a couple of guys that took too much iodine and they felt great for a couple of months and then drove themselves hypothyroid.
Title: Re: Sometimes Erectile Dysfunction...
Post by: tori33 on November 07, 2017, 08:41:02 pm
Selenium and iodine can help the thyroid.  In the case of the latter, we have a lot of threads on that.  The key is not to take too much.  We have had a couple of guys that took too much iodine and they felt great for a couple of months and then drove themselves hypothyroid.

Thank you very much! You saved my penis and thyroid ;D
Yesterday I ate a lot seaweed and some cranberries with supplement taurine. This morning I finally got a sore throat because I have thousand years no feeling for my throat...
Title: Re: Sometimes Erectile Dysfunction...
Post by: PeakT on November 10, 2017, 12:19:43 pm
Selenium and iodine can help the thyroid.  In the case of the latter, we have a lot of threads on that.  The key is not to take too much.  We have had a couple of guys that took too much iodine and they felt great for a couple of months and then drove themselves hypothyroid.

Thank you very much! You saved my penis and thyroid ;D
Yesterday I ate a lot seaweed and some cranberries with supplement taurine. This morning I finally got a sore throat because I have thousand years no feeling for my throat...

You have had no feeling in your throat?  Never heard of that?
Title: Re: Sometimes Erectile Dysfunction...
Post by: tori33 on November 11, 2017, 03:13:27 am
You have had no feeling in your throat?  Never heard of that?

Yeah, when I was child every time sick with terrible sore throat. But once I became teenager the sore throat almost gone but stomatitis instead. So I thought this is a good sign? Is it?
Title: Re: Sometimes Erectile Dysfunction...
Post by: Joe Sixpack on November 11, 2017, 06:22:44 pm
You have had no feeling in your throat?  Never heard of that?

Yeah, when I was child every time sick with terrible sore throat. But once I became teenager the sore throat almost gone but stomatitis instead. So I thought this is a good sign? Is it?
stomatitis would probably not be related to ED. 
Title: Re: Sometimes Erectile Dysfunction...
Post by: tori33 on November 11, 2017, 10:21:38 pm
stomatitis would probably not be related to ED.

Well, I think I may iodine deficiency since I don't eat seafood. Hopefully I found the root cause...
Title: Re: Sometimes Erectile Dysfunction...
Post by: tori33 on November 24, 2017, 03:59:07 am
Thanks guys! Here's my latest hormone test-

SHBG- 28.6 nmol/l
Testosterone- 19.39 nmol/l (4.94 - 32.03)
Free T - 0.4 nmol/L (0.108 - 0.521)
FSH- 5.95 IU/L (0.95 - 11.95)
LH- 5.35 IU/L (0.57-12.07)
Prolactin- 427.8 mIU/L (73 - 407)
E2- 62.4 pmol/L (40.4 - 161.5)
Cortisol- 411 nmol/L (AM : 102.12 - 535.44)
Free T3- 4.14 pmol/L (2.63 - 5.71)
Free T4- 14.16 pmol/L (9.0-19.1)
TSH- 5.41 v mIU/L (0.35 - 4.94)
DHEAS- 6.7 umol/L (4.6 - 16.1)

My T dropped a lot... no idea what's happened since my lifestyle and diet still same...
So the root cause seems Prolactin and TSH... For prolactin, I can try my best to less ejaculation. Any solutions for TSH?
Also, is Prolactin link with TSH? Am I hypothyroidism? Is my DHEAS and E2 too low?
Welcome any advice. Thank you so much!
Title: Re: Sometimes Erectile Dysfunction...
Post by: PeakT on November 24, 2017, 01:33:22 pm
Since you are a young guy, you should start by pulling all the basic hormones that can cause erectile issues.  You can start with just testosterone if you want.  But pulling estradiol (making sure it is the LC-MS/MS test), SHBG, TSH, free T3, free T4, prolactin and DHEA-S are also good to start with.  Labs now are pretty cheap and you can order them yourself if your doctor won't help here:

http://www.peaktestosterone.com/testosterone_labs.aspx

Many other things can take out a guy's erections.  Usually in your age it's hormones though, but you should check out the ideas here as well:

http://www.peaktestosterone.com/peak_testosterone_program.aspx
Here's my other hormone test-
SHBG- 32.5nmo1/L
E2- 20pg/ml (11-44)
Free T4- 14.3pmo1/L (9-24)

I will try test for my TSH, free T3 and DHEA-S next time. So it seems not my blood flow/nitric oxide problem? Thanks for your advice!

Stop masterbating and see if it helps your ED. 

I did a experiment that a week without ejaculation and with ejaculation but the result still same...
If I no ejaculation for many days my body seems hard to get excited but ejaculation can makes me excited otherwise.

You want to pull free t3 and t4 and tsh simultaneously-the lowish t4 should make your doc want to look more.  You also want to pull prolactin imo since it is cheap.  Probably not your issue tho.

Are you getting morning erections?
Title: Re: Sometimes Erectile Dysfunction...
Post by: tori33 on November 24, 2017, 07:21:29 pm

You want to pull free t3 and t4 and tsh simultaneously-the lowish t4 should make your doc want to look more.  You also want to pull prolactin imo since it is cheap.  Probably not your issue tho.

Are you getting morning erections?

I didn't actually see my doctor for a while because he said mostly my psychological problem but I proved him wrong so I recently just self experiment. Any idea to pull t3 and t4 and tsh simultaneously?
Yeah, I almost everyday get morning erection but sometimes weak sometimes strong...
Title: Re: Sometimes Erectile Dysfunction...
Post by: PeakT on November 25, 2017, 12:19:48 am

You want to pull free t3 and t4 and tsh simultaneously-the lowish t4 should make your doc want to look more.  You also want to pull prolactin imo since it is cheap.  Probably not your issue tho.

Are you getting morning erections?

I didn't actually see my doctor for a while because he said mostly my psychological problem but I proved him wrong so I recently just self experiment. Any idea to pull t3 and t4 and tsh simultaneously?
Yeah, I almost everyday get morning erection but sometimes weak sometimes strong...

Not sure what you mean? 
Title: Re: Sometimes Erectile Dysfunction...
Post by: tori33 on November 25, 2017, 04:13:16 am
Not sure what you mean? 
Sorry for my bad english...
I did my latest test at healthcare centre without any physician or doctor. I don't believe doctor because last year I have visited few doctors but all of them said my ED cause by my psychological problem and my hormone test is fine so they simply give me cialis. Since no doctor willing help me that's why I self experiment for long time and come to forum to ask for advise.

For morning erection,  sometimes the erection just little erection when I woke up it's gone directly but sometimes the erection very hard makes me awake few times a night when I woke up the erection still maintain and slowly gone.
Title: Re: Sometimes Erectile Dysfunction...
Post by: PeakT on November 26, 2017, 10:25:43 am

You want to pull free t3 and t4 and tsh simultaneously-the lowish t4 should make your doc want to look more.  You also want to pull prolactin imo since it is cheap.  Probably not your issue tho.

Are you getting morning erections?



I didn't actually see my doctor for a while because he said mostly my psychological problem but I proved him wrong so I recently just self experiment. Any idea to pull t3 and t4 and tsh simultaneously?
Yeah, I almost everyday get morning erection but sometimes weak sometimes strong...

The fact you are getting morning erections is a very good sign. 

No problem.  Well, I'd start by digging into the highish prolactin and high TSH.  The former will lower dopamine and the latter will often make you fatigued, give you brain fog, etc.  Both can lower libido. 

Also, your DHEA-S is low and that can definitely cause problems as well.

So what is your doctors saying about these?
Title: Re: Sometimes Erectile Dysfunction...
Post by: tori33 on November 26, 2017, 11:05:53 am
The fact you are getting morning erections is a very good sign. 

No problem.  Well, I'd start by digging into the highish prolactin and high TSH.  The former will lower dopamine and the latter will often make you fatigued, give you brain fog, etc.  Both can lower libido. 

Also, your DHEA-S is low and that can definitely cause problems as well.

So what is your doctors saying about these?

Thanks man! You have been really helpful!!
Yeah, that's why I taking a lot dopamine/prolactin supplements.

The healthcare centre's doctor(not specialist) just said everything is fine, just little over and no need care about it...lol
But even last year my another urology doctor also said my prolactin is fine...
Title: Re: Sometimes Erectile Dysfunction...
Post by: Joe Sixpack on November 26, 2017, 04:07:02 pm
The fact you are getting morning erections is a very good sign. 

No problem.  Well, I'd start by digging into the highish prolactin and high TSH.  The former will lower dopamine and the latter will often make you fatigued, give you brain fog, etc.  Both can lower libido. 

Also, your DHEA-S is low and that can definitely cause problems as well.

So what is your doctors saying about these?

Thanks man! You have been really helpful!!
Yeah, that's why I taking a lot dopamine/prolactin supplements.

The healthcare centre's doctor(not specialist) just said everything is fine, just little over and no need care about it...lol
But even last year my another urology doctor also said my prolactin is fine...
I am just curious Tori, what country are you in?
Title: Re: Sometimes Erectile Dysfunction...
Post by: tori33 on November 26, 2017, 09:05:16 pm
I am just curious Tori, what country are you in?

I am from Asia, a country called Malaysia.
Title: Re: Sometimes Erectile Dysfunction...
Post by: Joe Sixpack on November 27, 2017, 04:50:57 pm
I am just curious Tori, what country are you in?

I am from Asia, a country called Malaysia.
Interesting.  Do you have national healthcare like in UK or Canada, or is it private insurance like the USA?
Title: Re: Sometimes Erectile Dysfunction...
Post by: tori33 on November 27, 2017, 08:22:55 pm
Interesting.  Do you have national healthcare like in UK or Canada, or is it private insurance like the USA?

Hey Joe, the healthcare centre is just like a shop that you order what you wanna test and pay it. No need any national healthcare or insurance. You can take a look their website https://bphealthcare.com
Title: Re: Sometimes Erectile Dysfunction...
Post by: Joe Sixpack on November 28, 2017, 05:26:19 pm
Interesting.  Do you have national healthcare like in UK or Canada, or is it private insurance like the USA?

Hey Joe, the healthcare centre is just like a shop that you order what you wanna test and pay it. No need any national healthcare or insurance. You can take a look their website https://bphealthcare.com
Gotcha.  Thanks Tori.  Prices look less expensive than in the USA. 
Title: Re: Sometimes Erectile Dysfunction...
Post by: tori33 on November 28, 2017, 08:02:52 pm
Gotcha.  Thanks Tori.  Prices look less expensive than in the USA.

There is a lot American/Canadian who is immigrated from Asia and they rather go back to Asia for medical checkup or surgery.
Also, Malaysia is home of Tongkat Ali if you like it ;)
Title: Re: Sometimes Erectile Dysfunction...
Post by: PeakT on December 01, 2017, 07:52:40 am
Gotcha.  Thanks Tori.  Prices look less expensive than in the USA.

There is a lot American/Canadian who is immigrated from Asia and they rather go back to Asia for medical checkup or surgery.
Also, Malaysia is home of Tongkat Ali if you like it ;)

Is Tongkat Ali pretty popular there? 
Title: Re: Sometimes Erectile Dysfunction...
Post by: tori33 on December 01, 2017, 09:02:55 am
Is Tongkat Ali pretty popular there?

Yes, we still have common drink that Tongkat Ali mixed with coffee just around 1 dollar.

Also, my latest test showed my MCV little low 80fl (82-98) and latent mild iron deficiency. I did research that iron deficiency can cause thyroid problem then I added iron and vitamin B in my supplements so far this week don't have ED problem and easy maintain erection! Hopefully this time really found the root cause ;D Thank guys!
Title: Re: Sometimes Erectile Dysfunction...
Post by: PeakT on December 01, 2017, 02:07:37 pm
Is Tongkat Ali pretty popular there?

Yes, we still have common drink that Tongkat Ali mixed with coffee just around 1 dollar.

Also, my latest test showed my MCV little low 80fl (82-98) and latent mild iron deficiency. I did research that iron deficiency can cause thyroid problem then I added iron and vitamin B in my supplements so far this week don't have ED problem and easy maintain erection! Hopefully this time really found the root cause ;D Thank guys!

Nice! 

Hey, don't forget to pull ferritin if you can:  that's every bit as important and is kind of the "A1C of the Iron World."
Title: Re: Sometimes Erectile Dysfunction...
Post by: Joe Sixpack on December 01, 2017, 04:42:38 pm
Is Tongkat Ali pretty popular there?

Yes, we still have common drink that Tongkat Ali mixed with coffee just around 1 dollar.

Also, my latest test showed my MCV little low 80fl (82-98) and latent mild iron deficiency. I did research that iron deficiency can cause thyroid problem then I added iron and vitamin B in my supplements so far this week don't have ED problem and easy maintain erection! Hopefully this time really found the root cause ;D Thank guys!
Well that is good news! 
Title: Re: Sometimes Erectile Dysfunction...
Post by: PeakT on December 04, 2017, 03:20:24 pm
Is Tongkat Ali pretty popular there?

Yes, we still have common drink that Tongkat Ali mixed with coffee just around 1 dollar.

Also, my latest test showed my MCV little low 80fl (82-98) and latent mild iron deficiency. I did research that iron deficiency can cause thyroid problem then I added iron and vitamin B in my supplements so far this week don't have ED problem and easy maintain erection! Hopefully this time really found the root cause ;D Thank guys!

Just saw this somehow.  Congrats but monitor as you definitely dont want iron or ferritin either.
Title: Re: Sometimes Erectile Dysfunction...
Post by: tori33 on December 04, 2017, 08:16:15 pm
Is Tongkat Ali pretty popular there?

Yes, we still have common drink that Tongkat Ali mixed with coffee just around 1 dollar.

Also, my latest test showed my MCV little low 80fl (82-98) and latent mild iron deficiency. I did research that iron deficiency can cause thyroid problem then I added iron and vitamin B in my supplements so far this week don't have ED problem and easy maintain erection! Hopefully this time really found the root cause ;D Thank guys!

Just saw this somehow.  Congrats but monitor as you definitely dont want iron or ferritin either.

Hey Peak, what do you mean?! I don't need to take ferritin supplement, right?
Title: Re: Sometimes Erectile Dysfunction...
Post by: PeakT on December 07, 2017, 10:50:47 pm
Is Tongkat Ali pretty popular there?

Yes, we still have common drink that Tongkat Ali mixed with coffee just around 1 dollar.

Also, my latest test showed my MCV little low 80fl (82-98) and latent mild iron deficiency. I did research that iron deficiency can cause thyroid problem then I added iron and vitamin B in my supplements so far this week don't have ED problem and easy maintain erection! Hopefully this time really found the root cause ;D Thank guys!

Just saw this somehow.  Congrats but monitor as you definitely dont want iron or ferritin either.

Hey Peak, what do you mean?! I don't need to take ferritin supplement, right?

Sorry, I meant you dont want overly low or high iron or ferritin.  Everything has a range...
Title: Re: Sometimes Erectile Dysfunction...
Post by: tori33 on December 08, 2017, 12:23:01 am
Sorry, I meant you dont want overly low or high iron or ferritin.  Everything has a range...

Thanks Peak! Yeah, I knew it. Excess iron is bad for organs. I'm currently taking Ferrous Gluconate 250mg(around iron 29mg) daily and I think after 3months will take it every other day. Thanks for your concern ;)
Title: Re: Sometimes Erectile Dysfunction...
Post by: PeakT on December 11, 2017, 01:44:33 pm
Sorry, I meant you dont want overly low or high iron or ferritin.  Everything has a range...

Thanks Peak! Yeah, I knew it. Excess iron is bad for organs. I'm currently taking Ferrous Gluconate 250mg(around iron 29mg) daily and I think after 3months will take it every other day. Thanks for your concern ;)

Let me know how fast (and by how much) your values adjust if you think of it - I'd be curious.
Title: Re: Sometimes Erectile Dysfunction...
Post by: tori33 on December 11, 2017, 11:33:55 pm
Sorry, I meant you dont want overly low or high iron or ferritin.  Everything has a range...

Thanks Peak! Yeah, I knew it. Excess iron is bad for organs. I'm currently taking Ferrous Gluconate 250mg(around iron 29mg) daily and I think after 3months will take it every other day. Thanks for your concern ;)

Let me know how fast (and by how much) your values adjust if you think of it - I'd be curious.

Sure ;) Looking forward to my next test!
Title: Re: Sometimes Erectile Dysfunction...
Post by: tori33 on December 12, 2017, 11:03:34 am
Unfortunately my ED is back... I think iron deficiency is not the main issue... haha
Today from morning till evening I felt I have high libido even though walking on treadmill or surf porn sites I got erection but at nighttime suddenly seems shut down my sex function. I'm curious maybe sometimes my prolactin spike in wrong time cause me ED? :-\
Title: Re: Sometimes Erectile Dysfunction...
Post by: tori33 on December 13, 2017, 05:18:17 am
After almost a year self-experiment and still can't find the root cause then today I've visited a new endocrinology doctor and did a pituitary MRI scan. The doctor said my pituitary makes me sometimes high prolactin with low T and my thyroid problem that high TSH with low free T4 so all the reasons why sometimes ED. Here's the report
(http://file.toribirdnosu.blog.shinobi.jp/IMG_1206.jpg)

and all my tests since last year(not included latest one)
(http://file.toribirdnosu.blog.shinobi.jp/blood-test.jpg)

How do you guys think?
Title: Re: Sometimes Erectile Dysfunction...
Post by: Cataceous on December 13, 2017, 06:46:36 am
So many of us have negative MRIs that we might start to question their utility, but a case like yours shows the value. Are your doctors advising any medications/treatment?
Title: Re: Sometimes Erectile Dysfunction...
Post by: tori33 on December 13, 2017, 07:06:30 am
So many of us have negative MRIs that we might start to question their utility, but a case like yours shows the value. Are your doctors advising any medications/treatment?

Can I know what's problem with MRIs?
Yes, 0.5mg Dostinex 2 times a week and Euthyrox 25mcg once daily for 1 month.
Title: Re: Sometimes Erectile Dysfunction...
Post by: Cataceous on December 13, 2017, 07:29:44 am
Can I know what's problem with MRIs?

"Negative MRIs" in this context just means nothing of interest is found, i.e. normal results. With so many of these one can start to question whether they are worth all the time and money. But clearly for you it was worthwhile, as it offered a reason for your symptoms.
Title: Re: Sometimes Erectile Dysfunction...
Post by: tori33 on December 13, 2017, 07:54:20 am
"Negative MRIs" in this context just means nothing of interest is found, i.e. normal results. With so many of these one can start to question whether they are worth all the time and money. But clearly for you it was worthwhile, as it offered a reason for your symptoms.

Thanks for your explanation. So is my symptoms a rare case? :o
Title: Re: Sometimes Erectile Dysfunction...
Post by: Cataceous on December 13, 2017, 08:45:58 am
... So is my symptoms a rare case? :o

Your symptoms aren't rare, but my impression is that significant MRI findings such as yours only occur in a few percent of total cases.
Title: Re: Sometimes Erectile Dysfunction...
Post by: tori33 on December 13, 2017, 08:58:56 am
Your symptoms aren't rare, but my impression is that significant MRI findings such as yours only occur in a few percent of total cases.

I see. So what can I do now besides listen to my doctor?
Title: Re: Sometimes Erectile Dysfunction...
Post by: Cataceous on December 13, 2017, 09:38:22 am
... So what can I do now besides listen to my doctor?

I'd read as much as possible on the subject so that you understand the prescribed treatment and know what questions to ask the doctors. E.g. this article (https://emedicine.medscape.com/article/126702-overview) says that "cabergoline is the primary dopamine agonist used," so you know that this part is pretty standard. In addition to cabergoline, read up on levothyroxine, the generic name for Euthyrox. Others guys on here are taking this, so you may be able to get some specific help with it by starting a new thread.
Title: Re: Sometimes Erectile Dysfunction...
Post by: tori33 on December 13, 2017, 10:07:06 am
... So what can I do now besides listen to my doctor?

I'd read as much as possible on the subject so that you understand the prescribed treatment and know what questions to ask the doctors. E.g. this article (https://emedicine.medscape.com/article/126702-overview) says that "cabergoline is the primary dopamine agonist used," so you know that this part is pretty standard. In addition to cabergoline, read up on levothyroxine, the generic name for Euthyrox. Others guys on here are taking this, so you may be able to get some specific help with it by starting a new thread.

Cool! Thanks for your advice. But my doctor she don't know about high prolactin can lower dopamine... She just believe that my high prolactin blocked my FSH and LH cause me low T... 
Title: Re: Sometimes Erectile Dysfunction...
Post by: PeakT on December 13, 2017, 01:46:10 pm


Cool! Thanks for your advice. But my doctor she don't know about high prolactin can lower dopamine... She just believe that my high prolactin blocked my FSH and LH cause me low T...

One of our guest authors wrote about this here:

http://www.peaktestosterone.com/Dostinex_Erectile_Dysfunction.aspx

He has a couple of studies - keep in mind these were on men with high prolactin - that showed good erectile results from cabergoline.  Of course, the reason is primarily the increase in dopamine.
Title: Re: Sometimes Erectile Dysfunction...
Post by: tori33 on December 13, 2017, 10:04:02 pm
One of our guest authors wrote about this here:

http://www.peaktestosterone.com/Dostinex_Erectile_Dysfunction.aspx

He has a couple of studies - keep in mind these were on men with high prolactin - that showed good erectile results from cabergoline.  Of course, the reason is primarily the increase in dopamine.

Thanks Peak! I will let my doctor know about this next month. I hope she know it.
Title: Re: Sometimes Erectile Dysfunction...
Post by: PeakT on December 16, 2017, 05:03:40 pm


Thanks Peak! I will let my doctor know about this next month. I hope she know it.

Yes, you want someone with experience.  It can have sides, esp. at the beginning.
Title: Re: Sometimes Erectile Dysfunction...
Post by: tori33 on December 17, 2017, 12:31:18 pm
Yes, you want someone with experience.  It can have sides, esp. at the beginning.

Thanks for your advice!
I probably think my main issue is low dopamine and some thyroid problem after the MRIs.
Yesterday I had low libido again but it can directly changed my situation after high dose dopamine supplements.

Also, all this studies showed that iron deficiency can lead to low dopamine besides high prolactin(I have both issue).
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3223871/
https://www.ncbi.nlm.nih.gov/pubmed/15583094
https://www.ncbi.nlm.nih.gov/pubmed/12191838/
https://www.ncbi.nlm.nih.gov/pubmed/6138953
https://www.ncbi.nlm.nih.gov/pubmed/11053528

So I can understand why last time when I taking iron supplement that it seems temporary cure my problem if low dopamine is my main issue.
Title: Re: Sometimes Erectile Dysfunction...
Post by: PeakT on December 18, 2017, 09:50:09 am
Yes, you want someone with experience.  It can have sides, esp. at the beginning.

Thanks for your advice!
I probably think my main issue is low dopamine and some thyroid problem after the MRIs.
Yesterday I had low libido again but it can directly changed my situation after high dose dopamine supplements.

Also, all this studies showed that iron deficiency can lead to low dopamine besides high prolactin(I have both issue).
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3223871/
https://www.ncbi.nlm.nih.gov/pubmed/15583094
https://www.ncbi.nlm.nih.gov/pubmed/12191838/
https://www.ncbi.nlm.nih.gov/pubmed/6138953
https://www.ncbi.nlm.nih.gov/pubmed/11053528

So I can understand why last time when I taking iron supplement that it seems temporary cure my problem if low dopamine is my main issue.

Can you post this in another thread?  Looks intesteresting.