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11

Testosterone, Hormones and General Men's Health / Re: Compare Viagra and Cialis

« Last post by Flyingfool on May 24, 2019, 07:20:51 am »

How does one know or find out or measure veinous leak?  Or is it just symptom based determination?

What would cause veinous leak if blood pressure and overall health is very good?

Frankly, to be honest. I am being a bit selfish here. My wife has no issue with reaching climax bu various means.

I am more concerned with the sensitivity issue mostly as that is directly related to pleasure. Secondly the stiffness is not really a super big (no pun intended) deal CURRENTLY. I am more concerned with the trend for the future.

I am not ruling out TRT in the future, however I want to try to do what I can to prevent  needing TRT, or at least postponing it off further into the future.

12

Testosterone, Hormones and General Men's Health / Re: Low SHBG and trough

« Last post by Cataceous on May 24, 2019, 06:57:21 am »

It's not obvious to me why this would occur. I suspect that a proportionate lowering of the whole response curve, including peaks and troughs, could happen if SHBG were going lower. But there's no clear reason for the apparent half-life itself to change, which would be required when there are lower troughs and unchanged peaks. The half-life is mainly reflecting the rate of release of testosterone from the injected depots.

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Testosterone, Hormones and General Men's Health / Re: Sudden sweet taste in mouth

« Last post by Mr.L on May 24, 2019, 05:40:21 am »

So this has happened to me a few times now. Today I was driving and hadn't eaten anything and all of a sudden I started salivating and it tasted sweet. It doesn't ever last for a long time (maybe an hour or two) so I am not very concerned but I am curious. Has anyone ever experienced this or know what might be causing it?

Any medicine changes/dose changes recently for you?

Interesting.  You been out in the heat or humidity more (if it is warmer where you are at possibly)?  Sometimes, I notice that sunlight exposure can make me feel like that if I've not been outside much and I go outside in the bright sun especially if it is warmer/hot outside. 

It sounds a lot like what stimulants do and possibly even low cortisol or too much dopamine/norepinephrine/hyperthyroidism/etc. but just running ideas by you.  It may be much simpler than those things, but even things like stress/pain are worth considering. 

No changes in anything really, same 'ol shit different day. Although, lately I have been really fucking tired/no energy and my apatite hasn't been all that good.

It's not hot here, been raining all fucking spring and everything is flooded. I don't know, doesn't seem like it's a real threat. I'll mention it to the doctor when I see him.

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Testosterone, Hormones and General Men's Health / Low SHBG and trough

« Last post by hello73 on May 24, 2019, 05:39:55 am »

I am aware that with low sgbg frequent shots is the way to go but someone once mentioned that if you have low shbg eventually the trough will be lower and lower as time goes by. This is while on the same protocol/dose and no changes. Is this statement true?

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Testosterone, Hormones and General Men's Health / Re: Libido issues

« Last post by Cataceous on May 24, 2019, 05:15:02 am »

Unfortunately my thyroid and shbg weren't tested.
It's hard to get a requisition for it.
As for HCG. When I just switched from androgel to injections I had mentioned it to doc but he stated it wouldn't do much for libido. Some guys swear by it
Humm so trt can cause low progesterone ?
It may sound weird but the only benefit of switching from androgel to injections is my prostatitis is gone. I'm assuming due to low dht.
Is there any way I can get a script from an endo in US for HCG?

Of course low DHT should have been on my list of possible causes of low libido. A common test is to try applying testosterone cream to the scrotum, which creates a relatively large amount of DHT.

I doubt you can get a U.S. doctor to give you an hCG prescription unless you're physically in the U.S at the time. Even then it's tough to find local doctors who know enough to prescribe it. That's why so many of us use telemedicine clinics such as Defy Medical. It may be possible to order some without a prescription, but you'd want to be sure about your source.

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Testosterone, Hormones and General Men's Health / Re: Libido issues

« Last post by Cooper on May 24, 2019, 05:12:58 am »

osullivan- I noticed the same thing when I switched from Androgel to injections - prostatitis went away as well.

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Testosterone, Hormones and General Men's Health / Re: Compare Viagra and Cialis

« Last post by HRD LVN on May 23, 2019, 07:33:37 pm »

Curious to compare Cialis to Viagra (or generic).

I have NOT started TRT, as my symptoms are just not that bad....YET.

You can see my latest labs and stats and protocol that I'm currently doing in my footer below.

However I have noticed the following main symptoms.

1) Lower Libido.  Now this is not entirely bad as the lowered libido better matches my wife ( r at least the extreme mismatch is now lessened).  This has resulted in a lot less frustration and tension in the marriage.  However, I have recognized my drive is less. I used to be so horny I would "have to" masturbate between times my wife and I had sex to relieve sexual tension/frustration.  I now have virtually no urge to do this any more.  Not that that is a bad thing per say. But it is a sign that my drive has considerably diminished.

2) Erectile function:  Morning wood is probably 50% or less of the mornings.  And the wood is not as stiff as previous.  I have never failed to perform, however it does take considerable longer to achieve an erection.  Before my wife would say just a light wind outside and I'd be up and stiff as a board.  She has said nothing, but now it takes her use of her hand a couple minutes to gain a suitable erection. And then, even that or during sex, the stiffness is I would estimate to be about 60% of what it used to be.  Still very usable/functional. But certainly I notice the additional time it takes to get an erection, and the fact that it is "not what it used to be."  Even in the rare times I now masturbate, the erection is just not as stiff even up to maximum point of no return, it is still about 60-75% of what I would call maximum stiffness I used to once have.  Maybe this is just "normal" for a nearly 53 year old man.

3) Sensitivity:  I have noticed over the last few years, that the sensitivity and the intensity of the orgasm is certainly less than it was in the past.  Still very enjoyable/pleasurable, don't get me wrong. But definitely not like it "used to be" when I was younger.  But maybe my memory of the past is fooling me.

4) Ejaculate:  I have noticed that my ejaculate is probably about half the volume it once was.  I never had large quantity of volume even in my 20's.  I never noticed a reduction really even after I had a vasectomy. It was NOT something sudden, rather it was glacial slow incremental reduction.  and it is only now thinking back that it seems like it is a lot less in volume. I realize this really is probably no big deal in the bigger picture, and probably doesn't have anything to do with pleasure or duration/intensity of the orgasm (or does it?).  In fact my wife would probably say the lower volume is a good thing, as she has always been a little less than enthused about ejaculate anyhow. But again, it is just an observation I have made.

My questions are:

What is the difference between Viagra and Cialis? in terms of how they work and what they do and the benefits of one over the other?  Can a person use both simultaneously?

Can you become accustomed to, and thus one of both of these become less and less effective over time?

Does very low dose Cialis for example help and at what dose are you less likely to avoid your body getting accustomed to it and it become ineffective?

Can one or both of these drugs increase the sensitivity or intensity of the orgasm? Or are they both simply mechanical in nature to increase blood flow and thus stiffness, or erection quality, but do nothing to help increase sensitivity or intensity of orgasm?

Will either of these increase the volume of ejaculate, and does the volume of ejaculate have ANYTHING what so ever to do with the pleasure and intensity of the orgasm?

If I am not "failing to perform", then should I just leave well enough alone? or would adding one or the other of these drugs improve things enough to justify the cost?

Are there any other medications or supplements help to minimize the symptoms I am having besides going onto full blown TRT?

Wow Flyingfool 1 thru 4 you have described my ED and issues in bed to the T. I have been on TRT for over 5 years and only my libido has increased with the addition of T. Everything else has remained the same or gotten worse. Penile sensitivity 25% of what it was, Mind to dick connection still at 0.

I am 66, my wife and I are active every 5-7 days.
I have cialas viagra and Levitra they have all let me down at the prescribed doses. They seem to all work for about the first year then it was a crap shoot if I was able to finish with a good strong stiffy. I thank god my wife is understanding and I have developed many talents to get her howling at the moon with or without a boner.

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Testosterone, Hormones and General Men's Health / Re: Libido issues

« Last post by osullivan on May 23, 2019, 07:03:46 pm »

Unfortunately my thyroid and shbg weren't tested.
It's hard to get a requisition for it.
As for HCG. When I just switched from androgel to injections I had mentioned it to doc but he stated it wouldn't do much for libido. Some guys swear by it
Humm so trt can cause low progesterone ?
It may sound weird but the only benefit of switching from androgel to injections is my prostatitis is gone. I'm assuming due to low dht.
Is there any way I can get a script from an endo in US for HCG?

19

Testosterone, Hormones and General Men's Health / Re: Libido issues

« Last post by Cataceous on May 23, 2019, 06:36:32 pm »

How are thyroid numbers and SHBG lately? Have you tried hCG? It sure helped me, and with a temporary break from it I'm experiencing markedly reduced libido. A possible counter-indication is your estradiol, close to 50 pg/mL, assuming it's accurate. hCG can really raise estradiol.

You can also experiment with boosting neurotransmitters, in particular dopamine and acetylcholine. I list some of the boosters here.

Something a little more obscure that might hurt libido is low progesterone. Testicular production of progesterone may be reduced during TRT if hCG isn't used, and adrenal production may be insufficient.

20

Testosterone, Hormones and General Men's Health / Libido issues

« Last post by osullivan on May 23, 2019, 05:28:15 pm »

Hello all

I'm 39 years old and I started injecting cypio 50 mg every 3.5 days 8 months ago
2 months after my reading was TT 29 nmol And eatradiol was 163 pmol
Lately I feel tired no libido and depressed
I have tried ai Arimidex with the lowest dose possible
It just makes things worse

Any advise?

Thanks in advance