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Author Topic: The False Organic–Psychogenic Distinction in Erectile Dysfunction  (Read 2270 times)

brokenHeart

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The False Organic–Psychogenic Distinction in Erectile Dysfunction
« on: August 27, 2015, 02:34:47 pm »
« Last Edit: August 27, 2015, 03:01:14 pm by PeakT »
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golfboy307

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Re: The False Organic–Psychogenic Distinction in Erectile Dysfunction
« Reply #1 on: August 27, 2015, 03:58:13 pm »
Long article, but I think many on this forum would agree with the authors assertion that in most cases it doesn't make sense anymore to classify ED as purely "psycogenic" or "physical".  I think we all experience that on a daily basis (especially us older guys).  Some days stress levels are low, mood/confidence is high, therefore better erections.  Or on the physical side, you aren't sleeping, eating like crap, T levels are low, erections suffer.  It can be very hard to distinguish the two "causes" since they are so intertwined.

I think Peak would agree, but that seems to be one of the most asked questions here:  "Is it physical or all in my head?".  Most of the time, its both.
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Age 51, 5'10, 155 lbs
Cholesterol 162 (HDL 59, LDL 87, Trigs 88, LDL-P 850)
Fasting Glucose 65 (down from 97 pre TRT)
A1C:  5.0 (down from 5.7 per TRT)
Homocysteine:  12.4 > 11.0 > 10.2 > 8.9 using B vitamin therapy.  MTHFR positive 

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

Current protocol:  60 mg Test Cyp IM every 5 days.  No AI.
2/15/17 labs:  Total T (peak day): 1169 (250 - 1100 ng/dl).  Free T 198 pg/ML (46-225).  Sensitive E2: 40 High.  Previously 32. PSA 0.2  Hemocrit 44.2. SHBG: 32
9/15/18 labs:  Total T (trough day):  598 (250 -1100 ng/dl)  Free T 73.9 (46-225) Sensitive E2: 21  Hemocrit 43.7  SHBG 34
2/20/19 labs:  Total T (mid point):  776 (250 -1100 ng/dl) Free T 115.6 (46 - 224 pg/ml) Sensitive E2 24 (<29), DHT 43 (16-79 ng), DHEA-s 244 (70-495 mcg/dl)


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Peak Testosterone Forum

Re: The False Organic–Psychogenic Distinction in Erectile Dysfunction
« Reply #1 on: August 27, 2015, 03:58:13 pm »

brokenHeart

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Re: The False Organic–Psychogenic Distinction in Erectile Dysfunction
« Reply #2 on: August 28, 2015, 05:39:52 am »
Quote from: golfboy307 on August 27, 2015, 03:58:13 pm
I think Peak would agree, but that seems to be one of the most asked questions here:  "Is it physical or all in my head?".  Most of the time, its both.

I don't think you read the article carefully. The main point of the article is that 'all in the head' is  as organic as it can get because the brain is involved.
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Peak Testosterone Forum

Re: The False Organic–Psychogenic Distinction in Erectile Dysfunction
« Reply #2 on: August 28, 2015, 05:39:52 am »

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