Difficulties in Achieving Orgasm

I am updating this old thread because … well, it was my favorite subject (second only to my dark chocolate thread)!

For the past week or so, I have been experimenting with a supplement to boost Dopamine in an effort to work on my anorgasmia. The supplement is on amazon and is called “NeuroScience Balance D - Mucuna 99% L-DOPA Mood Support”.

I previously tested my dopamine and serotonin levels in the blood. My doctor reminded me that TRT typically boosts serotonin, and may be the cause for my high-normal levels.

I also opined that Viagra must boost serotonin also because Anorgasmia is worse on Viagra. I have since found some research that documents my opinion.

I feel no changes from the dopa supplement at this time. I just switched yesterday to 2 per day to see if that makes any changes. I am interested to see if any changes occur.

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Things have seemed to change for me somewhat. I’m a big fan of changing the amount injected weekly. There seems to be a level where libido is good and sex continues to fruition. To much, libido is high, prostrate suffers, orgasm is hard to achieve.

Lately been having an aquarius moment, you know when the planet align themselves. Not sure what I’ve done right but wife has been treating me to sexual favors almost daily. Upside, its daily, downside, I’ve lost interest in porn and self gratification. Self gratification is nearly impossible now.

We must be living the same moments right now! Had a deeper conversation with the wife on 6/7 about a few things and wham… We’ve had sex every single day since, 14 days in a row, sometimes twice a day… Once in the morning, once at night.

There are a couple of times I couldn’t finish for the life of me… But I’m not complaining. I have zero interest in porn and there is no way I can snap my carrot… Which I’m fine with as long as we’re still having sex like this, it satiates my libido.

@traveling-man - I’d be interested to hear how your experimentation goes. My prolactin is always at the top end of the range. I told my urologist it’s difficult for me to orgasm in most cases (I can while having sex missionary, but nothing else really) and he prescribed cabergoline to knock the prolactin down. I don’t like what I’m reading about cabergoline, so I haven’t taken it. I’m supplementing with B6, but not sure how well it’s working.

I’m thinking of trying Vitex. In higher doses, it’s supposed to lower prolactin. If you Google “vitex for men dopamine” a few things show up that night be interesting. I’m doing blood work Monday and after that I might be giving it a shot.

Looking forward to hearing how things go for you.

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Your issue is dosage. End of story. You cannot possibly have optimal free T levels at that dose. It is impossible. Keep gradually raising your levels and that issue will go away. I went from your exact situation to having sex three times a day with relative ease and I’m 45.

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@dbossa were you responding to me or @traveling-man? I believe @traveling-man is using pellets if I’m not mistaken.

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To the one having orgasm issues. For the one using pellets, stop and use a different administration.

Transscrotal cream > injections > literally everything else.

You cannot get optimized on pellets. It’s impossible.

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Amazing how long this thread has gone, not feeling so alone anymore

Yes pellets are stupid. No optimization and uneven distribution of dose.

Boo. Hiss.

The BEST you could do is “pellets are stupid”?

Really???

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You are incorrect. And you obviously haven’t followed my thread.

Anorgasmia pre-dated the hormone imbalances fixed by T pellets.

That is ok … this is an injectable board.

Yes, really. If you have a doctor suggesting pellets, change doctors. It is not a method you want to employ if you want to be optimized. Transscrotal cream bid or injections. Take your pick. Pellets are “stupid”. None of the doctors in our group uses them because they know better.

I’m not incorrect.

You cannot ‘fix your hormones’ with pellets. You just can’t. I’m also not promoting injections. The Transscrotal cream works better than injections. Injections comes second. Third place is miles behind those two and pellets are lower than third place.

My only actual option atm. I personally have less than zero interest in cream, I don’t see any possible benefits that outweigh the annoyance of putting cream on my junk twice a day. Pellets don’t sound like the worst idea that I’ve ever heard, but I have no confidence that I would find a doctor capable of administering them decently. I’m glad that they work for you. Stick with what works for you.

@hardartery significant boost in DHT (similar to the effects of proviron, high HDL, lower LDL, less conversion to E2 (which simply leaves you with more testosterone), much higher free T levels. Guys who have been injecting for decades switched to this and will now never go back to injections. I haven’t had the opportunity to try it for myself but I appear to be the last one out of my friends still doing injections.

And I would tell them to keep on it if they like it. If it works for them, it’s the right thing for them. I personally don’t care for the idea, and it couldn’t make a difference that would make me interested. That’s me. I wouldn’t tell anybody else not to go that way, I think that it’s a decent delivery method, certainly better than gel, but not for me.

Fait enough. I agree that latherinf your balls morning and night sounds like a total pain in the ass. The guys feel so good they say it is completely and utterly worth it. I’ll find out one day.

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Ahhhh, ok. I just read your threads. I didn’t realize you were such an expert in pellets and their inability to balance hormones.

I feel so dumb now with my 14 months of pellet use and a better life.

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@traveling-man, if you knew enough about the pellets, you wouldn’t be taking them. Here is an analogy to clarify.

You used to use a dull knife to cut through wood. At one point someone handed you a rusty hand saw which was a massive improvement over the dull knife. You’ve been cutting wood with that saw for the last 14 months and are so happy. You’re happy because you don’t know better. I’m standing there with a gas powered chain saw and shaking my head.

You are doing the exact same mistakes I made when I first started out and had similar issues as you (though not quite as bad):

  1. I had elevated prolactin (I still do). I tried everything in the book to lower prolactin thinking it was the problem. Vitex included. Anything I would take would kill my libido even further. My Total T was 227 ng/dL, E2 was 13 pg/mL (low because of all of the Calcium D-Glucarate and DIM I was also taking trying rid myself of “bad estrogens” lol), and Prolactin was 14 ng/mL (range of 4-15). My prolactin is STILL 14. It’s a non-issue.

  2. I did Androgel which helped a bit but did not resolve my symptoms entirely. Then I did compounded cream on the arms and chest and got the same results. I had learned enough about pellets at that point to know it would be insufficient. I then moved to injections and then things began to get improved.

  3. There is not a single doctor in our group that use pellets. We roll our eyes when we hear of one who does because pellets CAN NOT raise your T levels sufficiently enough to get optimized. They can’t. It’s just not possible. If you understood the mechanism behind them, you’d realize why.

  4. Don’t take my word for it. Post your labs and that will be sufficient proof. You are using a rusty hand saw and you are oblivious to the difference a chain saw would make in your life. There is no man around, anywhere, that has used either the transscrotal cream or injections and said to his doc, “Doc, I want to use pellets instead”.

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@dbossa - I’m interested to hear more about your high prolactin. What symptoms were you experiencing that lead you to try to lower it and why isn’t your high prolactin an issues now?

I’m right there with you with elevated prolactin at the top of the range, but not above it.

I take a long time to orgasm during sex and only do in missionary. Its a marathon to orgasm from a hand or blow job…like eat a snack to maintain energy long.

My urologist prescribed caber to knock prolactin down, but I didn’t like what I read, so I haven’t taken it.

I’m supplementing with 300mg B6, but not sure how effective it is. Was considering large doses of Vitex to help.

Really interested in your take on elevated prolactin and difficulties orgasming from different stimuli.

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Tried the bioidentical cream, pharmacist said to rub it on the head of my penis then on the scrotum, this lead to a daily self pleasuring and definitely overuse. Now injecting subcutaneous test 3/days a week

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