ED and Clear Semen 16 Months after Test E Cycle

5.8 height 77 kg around 15% body fat. lately my diet is not the best. But I don’t think that’s the issue. It’s been happening for 2 years , ever since my last cycle. I only take vitamin d and milk thistle…I ve seen many doctors. Most of them have no idea, some of them think that my receptors are desensitized.and don’t respond to normal levels of testosterone. It happened after my first cycle too. But after 7 months I did a second pct that fixed it. The only thing that comes to mind is either a prostate problem that happend the moment I stopped the cycle (unlikely), side effects from serms which I have been taking on and off all this time trying to fix it or low free t cause all this time I was calculating instead of getting it tested.

To both of you: consider adding saturated fat into the diet (lots of red meat). Add zinc, good multi, selenium, vitamin D ~ 5000IU. See if this helps. If it does you have likely found the issue.
Drop volume of training and lift heavy.
Check thyroid and also for hemochromatosis.

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I ll give it a shot… Although I have tried all those supplements separately and vit d at lower dose… The only thing that restarted me in the past was clomid (even though I already had normal t levels). But everytime i tried it after that I get upper back and chest pain and slight Shortness of breath. While on Nolva I feel fine.but not much improvement downstairs. Anyone ever had that on clomid… Does it affect the heart more than Nolva?
Anyway I am waiting the results from my bloodwork. I ll post them when I get them. Hopefully my free t is the issue since I have never tested it.

bro. inbox me!!..

EDIT: Not sure if you can inbox on this forum actually. We need to get into contact ASAP via facebook or skype. I think after 4 years I Figured out what is going on.

I would need to see your blood results (CBC, liver enzymes, etc of course and some other markers)

Why can you not post here so everyone can benefit from it?

SB

not a problem, but its different problem for everyone. Basically just like PFS I belive we are suffering from a Intracellular Pathogen (th1 immune response is needed for this) which I believe is absent in us because we have th2 dominance (allergies, histamine, eczema, lack of getting sick etc)

I would check for lyme , viruses such as Ebv, hsv1/2, parvo, vzv, cmv and so on.
Also check for intracellular pathogens like mycoplasma pneumoanie, chlymadia trachomatis.

Perhaps a stool test for parasites (these can suppress th1 function)

Don’t know brother… Could be but it seems unlikely… It’s Like people saying add saturated fats or vitamins. I am thankful cause they are trying to help but I don’t believe that some lack of fat, carbs or protein on the diet can cause Ed so severe that not even cialis or viagra fixes completely.

I’ve spent years eating fast food and drinking a lot of alcohol and never had Ed (except when I was too :woozy_face::beer:).

I think the problem is either a lack of response to normal testosterone (androgen receptor down regulation after the cycle), a problem with dopamine or dopamine receptors, something else that was caused by taking too many serms afterwards and for a long time(cause I have) or a problem with the prostate caused by either the cycle, the serms or the hormonal imbalance caused by them…

I have an appointment with a urologist just in case it is a problem with the prostate or something that he can help with cause mostly I’ve been seeing endos. If he says anything useful or help me figure this out I’ll post here

I saw a urologist today… No new info… He said I should do a doppler test although I already have done an ultrasound…

Anyway he said that even if the prostate is enlarged it’s doubtful it would affect erections… I took my last dose of Nolva today to recover my lh from the hcg attempt. I will wait 4-5 weeks while taking low dose proviron so I can function and get another bloodwork… My only hope is that the free t lab test is accurate which showed somewhat low levels 11ng/dl even though my total t is good and shbg around 35

I was reading about l citrulline and its effect on nitric oxide. Do you think it would be a good adittion to my daily cialis or is it a scum? Also my blood pressure was always normal 120-80 give or take. Will it drop too low with that combo. I am thinking about it cause ed from low t is said to be due to low levels of nitric oxide (along with others mechanisms).And i read somewhere that viagra or cialis doesn’t always work if you have low t because of the low NO. Anyone tried it and did you notice a difference?

It will not be as dramatic as with nitro-compounds but I’d still be careful. I once took 5 mg cialis on day 1 and 5 g l-Citrulline on day 2. I would definitely start with very low doses just to see how you react. An increase in NO plus a decrease in metabolism of cGMP means an additive effect.

Did you notice any difference in erection quality with citrulline? Although if you don’t have Ed you probably wouldn’t notice. I ll start slow… Each capsule has 1200mg citrulline and it’s supposed to be taken 3 times a day… I ll start with 2 every day and go from there. I am thinking of adding pycnogelol cause they are supposed to work better together…

Actually citrulline never did anything for me. Not in regard to exercise performance nor vascularity nor erection strength.

Supposedly it should do good things

I can only hope brother. I ll you know if it helps

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OP might want to look into penile doppler test.

The doctor did suggest it… It’s just too expensive and I already had a penile ultrasound… I thought doppler was for Ed that wasn’t hormone related… Before my cycle I could get normal erections… But if the citrulline doesn’t help I ll consider it

Estradiol in men is essential for modulating libido, erectile function, and spermatogenesis.
NCBI article
I been involved in doppler penis vascular flow studies at Scottsdale Uro with Dr Mitchel K. Cialis with cock ring helps overcome vascular leakage. But sudden onset of vascular issues post cycle seems unreasonable. Avoid watching porn. Get good sleep! Increase cardio and clean nutrition. Avoid smoking and alcohol for a while. Don’t stress!
Good Luck!

Reasonable

Certainly

definitely

WHAT!!

What? What! Lol.

That’s what I was thinking… It doesn’t make sense to happen all of a sudden right after a cycle. I was wondering if the prolonged time without morning wood may have done some damage…

I saw another doctor and he suggested yet another pct… I hope that I don’t hurt myself with all those pct drugs if testosterone isn’t the issue.

But I am 2 weeks on clomid 25mg Ed and Nolva 10 mg ed and I am seeing some improvement in ejaculation from clear watery to normal and some improvement in erections…

So there are two issues to consider. One is libido which can be studied by an endocrinologist and the other issue is seminal fluid production and ejaculate which can be studied by Urology . My understanding is that the reason for increase libido while on testosterone is due to the aromatization of testosterone to estrogen. Blocking estrogen can reduce your libido. Stimulus for erections include the brain. Much like conscious thoughts or visions of fat old ladies LOL the same can occur with unconscious thoughts affecting libido and sex drive. Or why we don’t walk around with a constant erection ! Well maybe some of you do ! LOL . But it’s like that time when you were a young man in school and discovery of the opposite sex started to take hold in your young virgin mind oh, the wind could blow and you would be hiding your erection with school books . Over mental stimulation however can impact erections negatively for instance if you were someone who was in the porn industry or wear an obsessive porn watcher, can most definitely impact the quality of an erection. It’s kind of like those guys in the military during basic training, after a while the 60-year-old lunch lady at the chow hall starts to look pretty sexy! LOL. My opinion which may mean nothing would be to see an endocrine doctor that would have knowledge foundation in the pituitary gland and hormone balance. It would be interesting to see what your production of luteinizing hormone, estrogen, and other factors affecting homeostasis balance of libido, sex drive and spermatogenesis. Also a urologist can determine if there’s an issue with the prostate that’s responsible for the fluid production as well as movement of sperm out of fluids through the urethra. With any kind of changes to the prostate like BPH, it can cause amongst other things retrograde ejaculation. Meaning that a large volume of ejackulate enters into the bladder. The urologist can check your PSA prostate cancer risk as well as perform ultrasound on the testicles to determine visual health and texture as well as size and shape and ensure that there are no indications of bacterial issues within the testicles that could be affecting sperm production for instance like a hydrocele or spermatocele. But I would definitely start with an endocrinologist which I saw for $70 without insurance. Just let the doctor know you don’t have insurance and what their cash for service is. You should be able to find pretty good rates. If not, fly to Vegas and I can connect you with my doctor he’s awesome. But the values they definitely should check are luteinizing hormones, PSA, estrogen, estradiol, testosterone, sex binding hormone. I would think perhaps a dose of 5000 units of HCG might be a good Kickstarter and perhaps a maintenance dose twice a week of 500 units for a total of 5000 unit still expired. That coupled with closely monitoring estrogen levels but avoiding estrogen blockers beyond your PCT. Because you’re off testosterone right? If you have low testosterone, you may need testosterone once again so that you can aromatize testosterone into estrogen. No I’m not saying go crazy on increasing your estrogen but you want to make sure your ratios are good for testosterone estrogen balance. You need both hormones! Also I read that melatonin is good to increase the mental capacity of Serotonin. That’s a good hormone to have for sexual well-being and overall positive mental health n . It helps with that too! state that leads to better erections. Also… Look into L-Dopa to help wit serotonin levels. These are just some thoughts. But what do I know.