Hey guys... Might have posted in the wrong category before.
Happy 2022!
Hoping to maybe get some more help or direction. Actually have a call scheduled with Dr. Saya who i see from time to time but was hoping maybe people can provide a direction for a conversation with him or suggestions for me.
I am relatively healthy at 41. I was tested for sleep apnea and i am negative. I am not a diabetic. i do smoke cigarettes (half a pack a day or so). I drink socially. I dont do drugs other than a rare occasion.
My RBC gets up into the mid 50s and then i donate blood every few months. My ferritin is always low but i was told that shouldnt be a cause of issue with ED.
I cannot get an erection without physical stimulation nor can I keep one without physical stimulation. Even getting a blow job unless it is rough, I will go soft. Sex and hands are the only thing that seems to work. I can get full erections. They just dont stay even with mental stimulation, watching porn etc.
The day after my blood test, i realized i was having a problem reaching orgasm with my girlfriend and my nipples were sensitive so i took .07 anastrazole which i rarely take. The next day it wasnt until the afternoon that I felt i was ready to go again and things seemed better but with a weaker erection.
I take 10mg of Cialis daily. I take 300mg of Wellbutrin XR. I take 5mg Crestor. I take 145mg of Fenofibrate. Both Crestor and Fenofibrate are due to family history. I take a daily Prilosec otherwise i end up with heartburn.
I also take 25mg DHEA, 30mg Pregnenalone, 125mcg D3, and 300mg CoQ10 all daily in the morning.
I am on Aimovig once a month and Botox every 3 months for migraines.
I inject daily. I have tried low dose testosterone at .09 daily which i didnt feel good and currently at .15 and dont feel much better but at least erections seem to be a bit better.
I just hate that i want to have sex all the time and i physically cant perform how i want to. I am way too young for this and havent found the magic bullet. Been dealing with this for about 5 or 6 years. I didn't test it this time but prolactin is always low.
My most recent labs:
IRON, TOTAL 121 Reference Range: 50-180 mcg/dL
IRON BINDING CAPACITY 434 H Reference Range: 250-425 mcg/dL (calc)
% SATURATION 28 Reference Range: 20-48 % (calc)
FERRITIN 20 L Reference Range: 38-380 ng/mL
CHOLESTEROL, TOTAL 197 Reference Range: <200 mg/dL
HDL CHOLESTEROL 44 Reference Range: > OR = 40 mg/dL
TRIGLYCERIDES 131 Reference Range: <150 mg/dL
LDL-CHOLESTEROL 103 mg/dL (calc) Reference range: <100
WHITE BLOOD CELL COUNT 6.8 Reference Range: 3.8-10.8 Thousand/uL
RED BLOOD CELL COUNT 6.80 H Reference Range: 4.20-5.80 Million/uL
HEMOGLOBIN 17.9 H Reference Range: 13.2-17.1 g/dL
HEMATOCRIT 54.7 H Reference Range: 38.5-50.0 %
MCV 80.4 Reference Range: 80.0-100.0 fL
MCH 26.3 L Reference Range: 27.0-33.0 pg
MCHC 32.7 Reference Range: 32.0-36.0 g/dL
RDW 14.1 Reference Range: 11.0-15.0 %
PLATELET COUNT 218 Reference Range: 140-400 Thousand/uL
MPV 11.9 Reference Range: 7.5-12.5 fL
ABSOLUTE NEUTROPHILS 4542 Reference Range: 1500-7800 cells/uL
ABSOLUTE LYMPHOCYTES 1489 Reference Range: 850-3900 cells/uL
ABSOLUTE MONOCYTES 673 Reference Range: 200-950 cells/uL
ABSOLUTE EOSINOPHILS 68 Reference Range: 15-500 cells/uL
ABSOLUTE BASOPHILS 27 Reference Range: 0-200 cells/uL
NEUTROPHILS 66.8 %
LYMPHOCYTES 21.9 %
MONOCYTES 9.9 %
EOSINOPHILS 1.0 %
BASOPHILS 0.4 %
COMPREHENSIVE METABOLIC PANEL
GLUCOSE 97 Reference Range: 65-99 mg/dL
UREA NITROGEN (BUN) 18 Reference Range: 7-25 mg/dL
CREATININE 1.11 Reference Range: 0.60-1.35 mg/dL
eGFR NON-AFR. AMERICAN 82 Reference Range: > OR = 60 mL/min/1.73m2
eGFR AFRICAN AMERICAN 95 Reference Range: > OR = 60 mL/min/1.73m2
BUN/CREATININE RATIO NOT APPLICABLE Reference Range: 6-22 (calc)
SODIUM 138 Reference Range: 135-146 mmol/L
POTASSIUM 4.5 Reference Range: 3.5-5.3 mmol/L
CHLORIDE 103 Reference Range: 98-110 mmol/L
CARBON DIOXIDE 28 Reference Range: 20-32 mmol/L
CALCIUM 10.2 Reference Range: 8.6-10.3 mg/dL
PROTEIN, TOTAL 8.0 Reference Range: 6.1-8.1 g/dL
ALBUMIN 5.1 Reference Range: 3.6-5.1 g/dL
GLOBULIN 2.9 Reference Range: 1.9-3.7 g/dL (calc)
ALBUMIN/GLOBULIN RATIO 1.8 Reference Range: 1.0-2.5 (calc)
BILIRUBIN, TOTAL 0.9 Reference Range: 0.2-1.2 mg/dL
ALKALINE PHOSPHATASE 41 Reference Range: 36-130 U/L
AST 23 Reference Range: 10-40 U/L
ALT 40 Reference Range: 9-46 U/L
PREGNENOLONE, LC/MS 63 Reference Range: 22-237 ng/dL
SEX HORMONE BINDING GLOBULIN 18 Reference Range: 10-50 nmol/L
HEMOGLOBIN A1c 5.5 Reference Range: <5.7 % of total Hgb
VITAMIN D,25-OH,TOTAL,IA 41 Reference Range: 30-100 ng/mL
TSH 1.09 Reference Range: 0.40-4.50 mIU/L
VITAMIN B12 575 Reference Range: 200-1100 pg/mL
PSA, TOTAL 0.28 Reference Range: < OR = 4.00 ng/mL
ESTRADIOL,ULTRASENSITIVE, LC/MS 49 H Reference Range: < OR = 29 pg/mL See Note 1
DHEA SULFATE 590 H Reference Range: 70-495 mcg/dL
TESTOSTERONE, TOTAL, MS 921 Reference Range: 250-1100 ng/dL
TESTOSTERONE, FREE 218.3 H Reference Range: 35.0-155.0 pg/mL
Happy 2022!
Hoping to maybe get some more help or direction. Actually have a call scheduled with Dr. Saya who i see from time to time but was hoping maybe people can provide a direction for a conversation with him or suggestions for me.
I am relatively healthy at 41. I was tested for sleep apnea and i am negative. I am not a diabetic. i do smoke cigarettes (half a pack a day or so). I drink socially. I dont do drugs other than a rare occasion.
My RBC gets up into the mid 50s and then i donate blood every few months. My ferritin is always low but i was told that shouldnt be a cause of issue with ED.
I cannot get an erection without physical stimulation nor can I keep one without physical stimulation. Even getting a blow job unless it is rough, I will go soft. Sex and hands are the only thing that seems to work. I can get full erections. They just dont stay even with mental stimulation, watching porn etc.
The day after my blood test, i realized i was having a problem reaching orgasm with my girlfriend and my nipples were sensitive so i took .07 anastrazole which i rarely take. The next day it wasnt until the afternoon that I felt i was ready to go again and things seemed better but with a weaker erection.
I take 10mg of Cialis daily. I take 300mg of Wellbutrin XR. I take 5mg Crestor. I take 145mg of Fenofibrate. Both Crestor and Fenofibrate are due to family history. I take a daily Prilosec otherwise i end up with heartburn.
I also take 25mg DHEA, 30mg Pregnenalone, 125mcg D3, and 300mg CoQ10 all daily in the morning.
I am on Aimovig once a month and Botox every 3 months for migraines.
I inject daily. I have tried low dose testosterone at .09 daily which i didnt feel good and currently at .15 and dont feel much better but at least erections seem to be a bit better.
I just hate that i want to have sex all the time and i physically cant perform how i want to. I am way too young for this and havent found the magic bullet. Been dealing with this for about 5 or 6 years. I didn't test it this time but prolactin is always low.
My most recent labs:
IRON, TOTAL 121 Reference Range: 50-180 mcg/dL
IRON BINDING CAPACITY 434 H Reference Range: 250-425 mcg/dL (calc)
% SATURATION 28 Reference Range: 20-48 % (calc)
FERRITIN 20 L Reference Range: 38-380 ng/mL
CHOLESTEROL, TOTAL 197 Reference Range: <200 mg/dL
HDL CHOLESTEROL 44 Reference Range: > OR = 40 mg/dL
TRIGLYCERIDES 131 Reference Range: <150 mg/dL
LDL-CHOLESTEROL 103 mg/dL (calc) Reference range: <100
WHITE BLOOD CELL COUNT 6.8 Reference Range: 3.8-10.8 Thousand/uL
RED BLOOD CELL COUNT 6.80 H Reference Range: 4.20-5.80 Million/uL
HEMOGLOBIN 17.9 H Reference Range: 13.2-17.1 g/dL
HEMATOCRIT 54.7 H Reference Range: 38.5-50.0 %
MCV 80.4 Reference Range: 80.0-100.0 fL
MCH 26.3 L Reference Range: 27.0-33.0 pg
MCHC 32.7 Reference Range: 32.0-36.0 g/dL
RDW 14.1 Reference Range: 11.0-15.0 %
PLATELET COUNT 218 Reference Range: 140-400 Thousand/uL
MPV 11.9 Reference Range: 7.5-12.5 fL
ABSOLUTE NEUTROPHILS 4542 Reference Range: 1500-7800 cells/uL
ABSOLUTE LYMPHOCYTES 1489 Reference Range: 850-3900 cells/uL
ABSOLUTE MONOCYTES 673 Reference Range: 200-950 cells/uL
ABSOLUTE EOSINOPHILS 68 Reference Range: 15-500 cells/uL
ABSOLUTE BASOPHILS 27 Reference Range: 0-200 cells/uL
NEUTROPHILS 66.8 %
LYMPHOCYTES 21.9 %
MONOCYTES 9.9 %
EOSINOPHILS 1.0 %
BASOPHILS 0.4 %
COMPREHENSIVE METABOLIC PANEL
GLUCOSE 97 Reference Range: 65-99 mg/dL
UREA NITROGEN (BUN) 18 Reference Range: 7-25 mg/dL
CREATININE 1.11 Reference Range: 0.60-1.35 mg/dL
eGFR NON-AFR. AMERICAN 82 Reference Range: > OR = 60 mL/min/1.73m2
eGFR AFRICAN AMERICAN 95 Reference Range: > OR = 60 mL/min/1.73m2
BUN/CREATININE RATIO NOT APPLICABLE Reference Range: 6-22 (calc)
SODIUM 138 Reference Range: 135-146 mmol/L
POTASSIUM 4.5 Reference Range: 3.5-5.3 mmol/L
CHLORIDE 103 Reference Range: 98-110 mmol/L
CARBON DIOXIDE 28 Reference Range: 20-32 mmol/L
CALCIUM 10.2 Reference Range: 8.6-10.3 mg/dL
PROTEIN, TOTAL 8.0 Reference Range: 6.1-8.1 g/dL
ALBUMIN 5.1 Reference Range: 3.6-5.1 g/dL
GLOBULIN 2.9 Reference Range: 1.9-3.7 g/dL (calc)
ALBUMIN/GLOBULIN RATIO 1.8 Reference Range: 1.0-2.5 (calc)
BILIRUBIN, TOTAL 0.9 Reference Range: 0.2-1.2 mg/dL
ALKALINE PHOSPHATASE 41 Reference Range: 36-130 U/L
AST 23 Reference Range: 10-40 U/L
ALT 40 Reference Range: 9-46 U/L
PREGNENOLONE, LC/MS 63 Reference Range: 22-237 ng/dL
SEX HORMONE BINDING GLOBULIN 18 Reference Range: 10-50 nmol/L
HEMOGLOBIN A1c 5.5 Reference Range: <5.7 % of total Hgb
VITAMIN D,25-OH,TOTAL,IA 41 Reference Range: 30-100 ng/mL
TSH 1.09 Reference Range: 0.40-4.50 mIU/L
VITAMIN B12 575 Reference Range: 200-1100 pg/mL
PSA, TOTAL 0.28 Reference Range: < OR = 4.00 ng/mL
ESTRADIOL,ULTRASENSITIVE, LC/MS 49 H Reference Range: < OR = 29 pg/mL See Note 1
DHEA SULFATE 590 H Reference Range: 70-495 mcg/dL
TESTOSTERONE, TOTAL, MS 921 Reference Range: 250-1100 ng/dL
TESTOSTERONE, FREE 218.3 H Reference Range: 35.0-155.0 pg/mL
