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Author Topic: Desperate 28-year-old  (Read 12424 times)

youngperson

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Desperate 28-year-old
« on: September 27, 2012, 05:25:09 am »
I am a 28-year-old male and have suffered from ED for approximately 4 years. I have grown desperate as far as this issue is concerned, and am that hoping by sharing my story on this board someone here might be able to help me.

Unlike some of the other posters my own age, I have not lived with this problem my whole life: in my teens and early 20s I enjoyed healthy sexual functioning, could have sex as many as 4-6 times a day, had nocturnal and morning erections, and never even gave a thought to erectile function or strength because my body simply cooperated with my libido and sex life. I was the typical 15 to 21-year-old, and would even masturbate before dates so as to last longer with my partners (a thought that today boggles my mind). In the last 4 years something has drastically changed.

My troubles began with noticeably weaker erections (which made me very self-conscious during sex), a decreased ability to have sex more than once a day, and an inability to maintain erections during sex.  I went to a urologist and received blood-work and a penile doppler: I was told that my testosterone was "on the low end of normal," and that while the doppler didn't show any disfunction, perhaps the blood was flowing into my penis more "slowly" than it used to. The doctor had zero information either about possible dietary causes or herbal/natural solutions, did seem to think it was very unusual that this was happening to someone so young but nonetheless did not seem very alarmed, and basically just wanted to write me a prescription for Cialis. When I pressed her for any sort of explanation at all behind why this might suddenly be happening to me now, she suggested that maybe I had used too much cigarettes, alcohol, or pot (none of which, I had already told her, I really use in any appreciable way).

Because of my age, I was prescribed a very low dosage of Cialis. Having now read many online forums similar to this one, I see that my experience with Cialis was a very common one: the first time I used it (a tiny mouse dose of 2.5 mg) I had the best sex I'd had in years, experienced everything working completely normally again, and thought I had found my miracle cure. Within two weeks I found myself having to increase the dosage, to 5, 7.5, and 10 mg. This really concerned me so I phoned the urologist: I was told that it was medically "impossible" to develop a "tolerance" to Cialis, but that "over the years" some men do find that they have to increase dosage as their bodies change. Again, this was after 2 weeks, not years, of using the pill.

Because it was the only thing that worked (and when it worked, it really did work), I used Cialis in this manner for approximately a year:  taking an average of 5-10 mg before sex (rather than 5 mg daily, which didn't seem to work as well, and also struck me as the surest path to hastening complete tolerance).  Today, a 10 mg dose of Cialis produces a weak, rubbery erection. I can have rather bad sex on 10 mg: the woman must be on top and transition very quickly from foreplay to penetration, and I am unable to pull out at all or change positions, and need to use all my concentration to maintain the erection. I realize that if I keep increasing the dosage to 15 and 20 mg, I could probably achieve the same result I had a year ago with 2.5 mg, but I feel like the last thing I need to do is to increase my tolerance any more to the one thing that has actually worked.

I have tried many expensive supplement products and mostly found them disappointing. I used Tongat Ali for a few weeks and it didn't do seem to do anything. Same with L-Arginine. I took lots of Damiana and Muira Puama every day for two weeks, and it was difficult to tell if they had any measurable effect (although this regimen did give me a slight but discomfiting soreness in my scrotum, kind of like "blue balls"). I have not yet tried Horny Goat Weed, because I have read how much weaker it is than Cialis, and because it is so often packaged with Yohimbe. The side effects of Yohimbe (not to mention the fact that you cannot drink red wine while using it) have scared me off from trying it. An expensive neon blue pill with a very bizarre ingredient profile sold by GNC, called Vitalikor, seems to give me a somewhat firmer erection, but by no means does it produce the spectacular results alleged by the 100+ reviews on the GNC website (most of which, I now think, were probably written by marketers). I have recently started taking calcium d-glucarate, because someone in a weight lifting forum posted that it made Cialis work for them again, but I have not yet tried it with Cialis (because my latest partner recently lost interest and left); it doesn't, however, seem to increase my libido or nocturnal/morning erections at all.

I've made one interesting find, which might be of use to others: the only "herbal" (technically, in this case, fungal) thing that has helped me (and something which I have not seen mentioned on this forum) is Cordyceps mushroom. Taking 1g of Cordyceps capsules per day, I begin to regain noctural and morning erections (which are otherwise nil, except on Cialis), will start to develop an erection when daydreaming about sex (also, something that otherwise never happens), and seem to have increased desire/libido. Cordyceps also seems to increase my metabolism when I take it -- I shed a couple pounds without making dietary changes, and have an increased appetite. Google it -- there is a small amount of research out there which seems to confirm its medicinal qualities. Unfortunately, Cordyceps only seems to improve, but not resolve, my problem: my erections, while better, are still not really firm or lasting enough to have sex.

Another unusual note: via happenstance I've found that when using Vicodin in combination with Cialis, I have my firmest, most long lasting erections (and am able to achieve orgasm, as I know some others cannot on opiates). Obviously, using hydrocodone is not a healthy, feasible, or reasonable solution to ED. Just a note, for what it's worth.

I am healthy, not very overweight (6'2", 190 lbs), and exercise everyday. I have never smoked cigarettes, and I only drink moderately. I have low cholesterol and eat a nutritious diet consisting primarily of leafy greens, fruits, brown rice, legumes, and fish. I also take a daily men's "raw" multivitamin, which has 100%+ of B12, zinc, etc. One side-note is that I stopped eating non-fish meats about 4 years ago (for health & ethical reasons), shortly before my ED troubles began, but could correlation really be causation in this case? At first I thought so, but after doing some research on this, I'm not so sure.

Any thoughts on all this? Next, I guess I will try the Pycnogenol + L-Arginine combo that Myer recommends. I am also considering shelling out about $300+ to start visiting a naturopath and have a new round of blood-work done. I am also considering hypnotherapy and acupuncture. I am starting to lose my sanity over this.

Thanks for reading. Any and all advice or insight is welcome.

PeakT

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Re: Desperate 28-year-old
« Reply #1 on: September 27, 2012, 05:50:19 am »
Well, sorry to read about all the struggles.  Your story is a great example of how men will try a million different things desperately trying to get back in the game.  Most of us have been there.

You brought up many different subjects, some of them quite interesting, but I want to zero in on the most important.  You wrote:

"My troubles began with noticeably weaker erections (which made me very self-conscious during sex), a decreased ability to have sex more than once a day, and an inability to maintain erections during sex.  I went to a urologist and received blood-work and a penile doppler: I was told that my testosterone was "on the low end of normal," and that while the doppler didn't show any disfunction, perhaps the blood was flowing into my penis more "slowly" than it used to."

Now I cannot tell you the number of times I've read the "low end of normal" and I can tell you almost for sure that you are in the 300's or thereabouts in total testosterone.  Testosterone in the 200's, 300's and sometimes 400's can really cause men, esp. young guys, major issues just like what you described above. 

If your testosterone was in the 500's or 600's, no one would have told you that you were on the "low end of normal".

Now one thing it sounds like you may have missed is that low testosterone atrophies the internals of the penis, leaving with venous leakage of one degree or another.

http://www.peaktestosterone.com/venous_leakage

Now all of this is speculation on my part, so I am going to ask you something:  can you call the doctor's office and find out what your reading was and let us know?  I've got a feeling this may be a root cause for you:  the picture really seems to add up.  But there is no use talking about it too much without that lab reading.

THE MOST COMPREHENSIVE BOOK ON TRT/TESTOSTERONE:
https://www.amazon.com/Natural-Versus-Testosterone-Therapy-Myer/dp/1523210532/ref=sr_1_1?ie=UTF8&qid=1499116128&sr=8-1&keywords=natural+versus+testosterone+therapy
And check out my New Peak Testosterone Program: http://www.peaktestosterone.com/peak_testosterone_program
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.  And low testosterone is a medical condition.

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Re: Desperate 28-year-old
« Reply #1 on: September 27, 2012, 05:50:19 am »


youngperson

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Re: Desperate 28-year-old
« Reply #2 on: October 13, 2012, 05:16:26 pm »
Thanks for responding to me so promptly. It took me a couple weeks, but I was able to get those numbers from my blood test. Here they are:

Testosterone     642 ng/dL
Prolactin           8.3 ng/mL

So, this is higher than suspected for "low end of normal," adding to my confusion. I recently went in for an updated and much more comprehensive round blood testing, but don't have the results back yet. In the meantime, any thoughts?

PeakT

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Re: Desperate 28-year-old
« Reply #3 on: October 14, 2012, 01:58:00 am »
Hmmm.  Well, one question for you:  are you eating a lot of fish.  It can lead to significant mercury exposure.  Another young guy just quit eating it every day for this reason:

https://www.peaktestosterone.com/forum/index.php?topic=589.0

Estradiol is always good to get in my opinion along with thyroid, Vit D and a few other things.  Talk to your doc:

http://www.peaktestosterone.com/testosterone_tests
THE MOST COMPREHENSIVE BOOK ON TRT/TESTOSTERONE:
https://www.amazon.com/Natural-Versus-Testosterone-Therapy-Myer/dp/1523210532/ref=sr_1_1?ie=UTF8&qid=1499116128&sr=8-1&keywords=natural+versus+testosterone+therapy
And check out my New Peak Testosterone Program: http://www.peaktestosterone.com/peak_testosterone_program
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.  And low testosterone is a medical condition.

Peak Testosterone Forum

Re: Desperate 28-year-old
« Reply #3 on: October 14, 2012, 01:58:00 am »


PeakT

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Re: Desperate 28-year-old
« Reply #4 on: October 14, 2012, 12:52:11 pm »
I split your last post to here:

https://www.peaktestosterone.com/forum/index.php?topic=628.0

Let us know...
THE MOST COMPREHENSIVE BOOK ON TRT/TESTOSTERONE:
https://www.amazon.com/Natural-Versus-Testosterone-Therapy-Myer/dp/1523210532/ref=sr_1_1?ie=UTF8&qid=1499116128&sr=8-1&keywords=natural+versus+testosterone+therapy
And check out my New Peak Testosterone Program: http://www.peaktestosterone.com/peak_testosterone_program
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.  And low testosterone is a medical condition.

youngperson

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Re: Desperate 28-year-old
« Reply #5 on: October 26, 2012, 04:35:10 pm »
OK, I have my new round of blood work -- and it only adds to my confusion. Here are the numbers:

Testosterone (total)                 529.9 ng/dL
Testosterone (free)                  2.8%
Testosterone (bioavailable)       65.5%
SHBG                                     18.9 nmol/L
DHEA-S                                  654   ug/dL
Prolactin                                 7.7 ng/mL

These numbers look fine, right? So what else could be going on with me?

I am looking into a test for mercury poisoning, although my doctor does not seem to think it is much of a concern (considering my diet and lack of other symptoms). I will also mention that I have some Candidiasis, which dates to around the time my problems with ED started. Could this be a factor? I have never considered it. I get a rash on my skin, especially during the summer months, but it is limited to my trunk and neck, and has definitely never broken out on my penis. I control the outbreaks with a topical selenium sulfide cream, which seems to kill the rash, but not the underlying cause.

Any random thoughts or suggestions will be appreciated at this point. Something is definitely getting in the way of my normal testosterone levels translating into erections, and it's making me lose my mind!

PeakT

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Re: Desperate 28-year-old
« Reply #6 on: October 26, 2012, 06:05:01 pm »
How were you diagnosed for the Candidiasis?

Another question for you:

What have you substituted for the fish out of the "leafy greens, fruits, brown rice, legumes, and fish?"  And is this 90-95% of what you eat? 
THE MOST COMPREHENSIVE BOOK ON TRT/TESTOSTERONE:
https://www.amazon.com/Natural-Versus-Testosterone-Therapy-Myer/dp/1523210532/ref=sr_1_1?ie=UTF8&qid=1499116128&sr=8-1&keywords=natural+versus+testosterone+therapy
And check out my New Peak Testosterone Program: http://www.peaktestosterone.com/peak_testosterone_program
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.  And low testosterone is a medical condition.

youngperson

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Re: Desperate 28-year-old
« Reply #7 on: October 30, 2012, 07:37:46 pm »
Correction: I may have majorly misspoken about the Candida. My rash may actually be something relatively more harmless, maybe Tinea Versicolor. It's been years since my diagnosis (by a dermatologist) and believe it or not I forget what it's called. I just know that it is a yeast overgrowth on the skin, promoted by sunlight and sweat, and that I was told it is basically harmless, besides being cosmetically a little unsightly. I often don't even treat it, unless I am going to be going to be seen somewhere without a shirt (e.g., the beach), in which case I'll apply selenium sulfide for a couple days previous, and it will clear up for a week or so. So, I'm really not sure if it's even possible that this could have any connection to ED. I've changed health care providers and it will take some time to find those old records, but I'll look for them.

Another chronic condition I suffer from is canker sores. I've had them my whole life, and get breakouts when I eat acidic or sugary foods, don't get enough sleep, or during periods of stress. I have never considered this before, but could it be possible that my body is trying to maintain a low NO level to combat the canker sore virus? L-Lysine is usually recommended for canker sore prevention, and it appears to be opposed somewhat to Arginine. Now that I'm connecting some of the dots, I think I do tend to get canker sore outbreaks when I'm upping my Cialis dosage. I think that vasodilation promotes erections as well as the sores -- what a curse! This is a shame because I'd like to try supplementing with Arginine again, over a longer period than I've tried in the past and coupled with Pycnogenol, but it would almost surely be bad news for my mouth (the sores are no joke). If I take Arginine plus Lysine to combat the sores, do you think I might still get some of the benefit of the Arginine, or will the two just cancel each other out?

In other news, my doc just recommended that I try a supplement regimen of taking Hot Plants for Men as well as 100 mg of Pycnogenol daily. Here are the Hot Plants ingredients:

MacaPure™ brand Maca (Lepidium meyenii) Root Extract
standardized to contain 0.6% macaenes and macamides    400mg    

Yohimbe (Pausinystalia yohimbe) Bark Extract
standardized to contain 4% yohimbines                             200mg    

Rhodiola (Rhodiola rosea) Root Extract
standardized to contain 3% rosavins and 1% salidroside    150mg    

Horny Goat Weed (Epimedium sagittatum) Aerial Part
Extract standardized to contain 10% flavonoids (calculated as icariin)    100mg    

Panax Ginseng Root Extract standardized to contain 7% ginsenosides    100mg    

LJ100® brand Tongkat Ali (Eurycoma longifolia) Root Extract 100:1    50mg

So basically, despite the corny name, the ingredients do seem to be of high quality -- and yes, this product contains the controversial yohimbe, which in the past I've avoided. I tried Hot Plants for the first time two days ago, and I will say that it certainly does work. About 20 minutes after taking a capsule, I began to get an idle erection, without any stimulation. With stimulation, I had very firm, vigorous erections. I assume this is because of the yohimbe. I did experience the side-effects I've read so much about, increased heart-rate, chills, a general feeling of being wired or jittery. I would say side effects were moderate, not mild, but they were definitely not as bad as I feared (no vomiting or nausea), and on the whole not that much worse than the mild, throbbing headache I always get on Cialis. I was able to sleep on it, albeit somewhat fitfully. On day two, the side effects subsided a bit. That was good to see, but my concern is that the benefits may subside too, if taken daily as the supplement label (and my doc) recommends. Does anyone here have experience with cycling yohimbe? From reading around online, it seems that it can stop working after 3-7 days of continuous use. But does it work again after cycling off for 3-7 days? Cialis has definitely lost it's potency for me over time, and cycling off (even for months at a time) appears to do zilch to bring it back. I'm not wild about the idea of taking something with yohimbe every day, but credit where credit is due -- it produced definite results.

To answer your question about diet, when not eating fish I typically substitute leafy greens (kale and spinach) and vegetables (avocado, tomato, carrots, celery, cucumber) in the form of smoothies, stir-frys and chopped salads.

PeakT

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Re: Desperate 28-year-old
« Reply #8 on: October 30, 2012, 08:51:21 pm »
Proprietary stuff usually goes in the Product Review forum, but I want to make a point here:   you can buy several of those ingredients separately in much higher/stronger forumulations and probably get more bang for your buck.  But I know some guys just like to buy it right off the shelf, so just mentioning it.

Personally, I like the idea of rolling in one supplement at a time and seeing the effect rather than throwing in "everything and the kitchen sink".  The reason for this are many.

Yes, the Arginine definitely affects some men.  Usually, it is when men take Arginine or Citrulline from what I have seen.  But some of the powdered proteins have a high arginine/lysine ratio and so that could do it too as can diet as well. 

Now, by the way, I have had this issue and, not to sound like broken record, but I do not take Citrulline or Arginine any more, nor any erectile supplements for that matter.  And the secret for me is a plant-based Low Fat Diet + decent T levels + exercise + some of the NO boosting foods and drinks.   (I do consume egg whites and undenatured whey, so I'm not really a vegan.)

Of course, there is no promise that this will work for everyone, but I'm just mentioning that I have avoided all the arginine issues because of it.  Just my two cents...

Btw, any infection can potentially affect cardiovascular (and therefore erectile) health by raising systemic inflammation. 
THE MOST COMPREHENSIVE BOOK ON TRT/TESTOSTERONE:
https://www.amazon.com/Natural-Versus-Testosterone-Therapy-Myer/dp/1523210532/ref=sr_1_1?ie=UTF8&qid=1499116128&sr=8-1&keywords=natural+versus+testosterone+therapy
And check out my New Peak Testosterone Program: http://www.peaktestosterone.com/peak_testosterone_program
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.  And low testosterone is a medical condition.

spiderman

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Re: Desperate 28-year-old
« Reply #9 on: November 08, 2012, 02:47:48 pm »
Hi..Just to let you know I tried Coryceps and I also felt benefits from them.

Nothing much wrong with your T levels, so it could be a blood flow thing. I took a Argine /Lysine combo a while back but still felt some benefit from the arginine.

I've got to say that after experimenting with various supps and herbs there are really only the hard core ones that give you benefits..(see some of my previous posts).The difficulty we all seem to have on here is that we all react differently to what we are taking.

I agree with Peak T's comments in trying one supp at a time. I also now take very little in the way of supps and tend to stick to the mimimal big hitters occasionally and take POM juice, Vits etc. What I do know is you can overload on supps and some react against each other.

I would recommend L Citrulline in your case though being that is in fact a pre cursor to Arginine so it may benefit you more than the arginine if you are having issues with it.

I would certainly try and get off the Cialis if you can and cycle any supps on a daily basis, ie one a day as your body does build a tolerance of that there is no doubt.

Go as natural as you can...you will find that the "hot plants" effects will also subside then you will be left with having to lay off those ingredients cause of the tolerance build up...not good

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Re: Desperate 28-year-old
« Reply #10 on: November 08, 2012, 04:53:00 pm »
What is your AVERAGE resting blood pressure?  You need to take it five times daily about every two hours or so.  Just go about your daily routine & prior to the measurement rest for 5 or six minutes.  One off blood pressure readings are pretty meaningless.
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http://www.erectiledysfunctionhelpinformation.com/

Disclaimer:
Any information I may provide is not a substitute for an evaluation by a medical professional.  It is my opinion and does not constitute a course of action to be followed nor does it imply a diagnosis.

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Re: Desperate 28-year-old
« Reply #11 on: November 08, 2012, 05:35:13 pm »
What is your AVERAGE resting blood pressure?  You need to take it five times daily about every two hours or so.  Just go about your daily routine & prior to the measurement rest for 5 or six minutes.  One off blood pressure readings are pretty meaningless.

You can buy cheap home blood pressure monitors and it's a great investment in my opinion (said the Health Geek).  Don't get the wrist ones:  get a decent one that goes around the upper arm.  Omron makes one and there are cheaper ones that are decent according to the pharmacists I've talked to anyway...
THE MOST COMPREHENSIVE BOOK ON TRT/TESTOSTERONE:
https://www.amazon.com/Natural-Versus-Testosterone-Therapy-Myer/dp/1523210532/ref=sr_1_1?ie=UTF8&qid=1499116128&sr=8-1&keywords=natural+versus+testosterone+therapy
And check out my New Peak Testosterone Program: http://www.peaktestosterone.com/peak_testosterone_program
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.  And low testosterone is a medical condition.

Peak Testosterone Forum

Re: Desperate 28-year-old
« Reply #11 on: November 08, 2012, 05:35:13 pm »