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

brokenHeart

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« Last Edit: August 27, 2015, 03:01:14 pm by PeakT »

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.
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)


Supplements:  Multivitamin, plus additional B12, B6, C, D, K2, Red Yeast Rice, Magnesium, and Coq10  Evening:  Kyolic Garlic, 2mg Cialis, LEF Endothelial Protection

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 »
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.

Peak Testosterone Forum

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