Cialis one a day. 5mg
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Iām like you. Iām been on TRT for two years and my erections are horrible, I have to take high dosages of levitra to get a 60% erection. All my erection issues start after the vasectomy 8 years ago, before the vasectomy I was hard as a rock, now Iām totally fucked no matter what I do. I will start Proviron next week as my last resort, if that doesnāt work, I will become single and donāt have sex anymore
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Have you ever gone to a good doc that really knows his shit in this area? I wonder if maybe nerves were accidentally cut that send signals from the brain to penis area? Iām in over my head here but I have a friend who was born with a hypospadias penis and had corrective surgery that caused issues being able to urinate amongst other things. He went to many docs before finding one that went in and did surgery involving nerves that have helped him tremendously. I donāt know the whole story but maybe something to look into.
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He just cut something on my balls, the penis was not involved. It has to be hormonal, but thanks anyways.All the Urologists believe 100% that vasectomy doesnāt cause any issues, is a lost battle. What I know is that I developed a varicocele and a cyst after the vasectomy. That can alter hormones, donāt TRT suppose to restore your hormones?
Testostorone replacement therapy yes.
You say erections . So no libido or desire problems just getting hard?
Trt doesnāt fix erection strength. Mainly libido or desire to have sec.
When you go poking around inside the body, there is always a risk someone will get broke.
You are in the same position as me and I am going to tell you what is happening. For the last 12 years I have been dealing with these problems due to varicocele. The problem is 100% the varicocele, I have done years of research into this and here is what happens:
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A lot of people āassumeā that varicocele only impacts the testicle, but it actually causes back flow issues with adrenal gland as well. This results in abnormal concentrations of progesterone and other anti-steriod hormones being produced in the body. Almost everyone with varicocele (left-side) also has elevated progesterone and mid-high cortisol.
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Because the damaged veins cause overheating to the testicle (and oxidative stress), the only way for the body to counter this is to lower metabolism (thyroid). The reduction in thyroid hormone results in ED and low libido. Typically it isnāt a major shift, but itās enough to cause subclinical hypithyroidism. The testicles also have TRH receptors, which are probably responsible for temp regulation. This also results in further down regulation of the feedback loop due to poor blood flow.
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Some papers point to alternations in liver enzymes that impact the conversion of hormones, this can however be mitigated (I believe) with TRT.
So how do you resolve this? I am currently on TRT with good labs, including HCG and only seeing minor improvements. I believe the next step is to introduce armour/NDT thyroid and iteriate up until my free t3 is near the top of the range. However, because varicocele causes oxidative stress to the testicles I believe it puts a lot of āstressā on the body by proxy resulting in elevated rt3 also (which shows on my labs).
Based on the above, I recommend getting a full panel done and specifically focusing on thyroid/adrenal hormones. Progesterone blocks the action of DHT/E2 and results in the ED issues.
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@anon8512651 this is fascinatingā¦ I feel like this happened to me too. About 12 years ago I felt lumps in the left testicle. Went to a urologist and it was determined I have a vericocele, but sperm looked good, so āno need to worry, allās wellā.
Had some issues with libido/ED back then, but very sporadic and could have been written off as too much to drink,etcā¦fast forward to 2016 and itās full blownā¦issues with keeping erections, no libido. Go to a different urologist and my TT was 254ā¦
Iāve been in various doses of T cyp and have settled in just under 150mg a week (42mg EOD). Still having issues here and there, checked my thyroid and I was subclinical hypothyroid.
Iāve been taking 135mg armour thyroid daily, but still have mid range FT3 and mid range RT3. I have an appointment in October to request a dose increase for my armour.
I still have a worsening varicocele on the left side (where it originated) and now have a varicocele in my right side.
In your research, has the removal of the varicocele been shown to help/alleviate all those backfilling/feedback loop issues?
@anon8512651
Awesome analysis! I have a varicocele on the left side that Iāve never had checked out. I have high cortisol and high RT3. Progesterone (on trt) is the top range.
Iām about to start cytomel (T3) in the near future to get that RT3 closer to 10.
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That is why Iām starting Proviron, to have more DHT
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I read that variccoceles usually come back after cirurgy, but is worth trying it. I donāt have insurance, so I canāt get the cirurgy
Thatās correct, Iām having ED since the vasectomy. I still can get erect taking levitra, cialis or Viagra, but is not the same. I will start Proviron next week at 50mg ED, I believe will help me more than testosterone for erections
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It may not be the same for everyone but pre-trt my erections were like semi-hard. Now they are fully perpendicular to my body and max hardness as in no bending that mother f-er. Itās really incredible. I didnāt even realize how bad it was previously until it was better. It wasnāt something that came early though. It was a good six months into TRT before I started really noticing the change. Anyways, good luck with yours
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u lucky mother fuuckeer lolol
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Lucky that you found a protocol that works for you
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You need to give it time. If your free t is super high you can lower dose. Itās all dose related. Your body is looking for A balance and you modify dose fill you get it.
Lots of guys haha said the same. But most who give it time realize the libido works just fine . We jsut canāt expect immediate results if we have kept e2 low for a long while. Iām yet to see a guy who dropped ai and said libido didnāt improve. Some have went back to ai and stopped multiple times, but they always end up staying off because they hate how they feel on it.
I really think this is key. Some guys have a really hard time getting it without the AI it seems, but the AI itself causes plenty of problems for a lot of guys. That balance is the where the magic is and sometimes less is definitely more.
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Yes you can. Itās called conversion. Sure you can and Reference ranges were much higher ten years and twenty years ago. 1500 NG/DL can be converted to PG/DL by moving the decimal point to the left once. So 300 is 30 100 is 10. Unless the lab has screwed up like labcorp and accidently left PC but itās reported as NG.
You should go look into your lab a bit more because those ranges make zero sense.
@hardartery does his labs make sense or am I missing the boat. Because his max is so low in PG.
This is why a larger dose usually helps. I believe there is a point where the ratio changes as total increases. Lowering it rarely ever helps. Meaning I donāt recall anyone with these issues lower their dose and say they resolved their symptoms of low t. New symptoms yes.
I think this is because most guys on an ai and their docs keep doses low out of fear anyways. Take ai and lower dose because oh my god your estrogen will be the death of you. Oh and watch out for hematocrit, donāt let free t get too high and oh that DHTā¦screw how you feelā¦
Rant of the day 