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Do you still have the results from your doppler ultrasound? Did it note outflow velocity? Was it in range? If they did not include that stat, then they didn't test for VL.

Not true. VL exists on a continuum. You can have mild venous leak and have the symptoms you describe. Also pelvic muscle weakness/failure can also be a problem.

So no Venous Leak was indicated by either of your penile ultrasounds? That certainly sounds like what it could be.

Something else is going on. Did you check your thyroid? Have you ever used Finasteride? At 33, you shouldn't have long term damage to your penile tissue. Did you have other erections other than nocturnal? What about E2? Those are some pretty high levels of T you are running right now...

Yes, thousands of years of artists, philosophers, people of faith, psychiatrists and neurobiologists would beg to differ with your argument that love isn't "real". Are all emotions constructs of our mind? Probable, but does that make them any less "real"?

Amen brother!

I agree with Guided. I follow my own modified diet based primarily on lean meats (turkey, chicken, low fat beef) and lots of vegetables. I have tried to greatly reduce junk carbs, but of course I am not carb free. It has worked well for me in terms of lipids, A1C, weight management.

As a test group of n=1, I would confirm that study shown above! As I have successfully treated my moderate hypertension (along with TRT), ED symptoms have been greatly been minimized. Age 54.

I was on a combo Lisinopril/HCTZ for several years. I switched doctors to more of a naturopath MD, and he detests diuretics for BP because they also drain the body of important minerals like Potassium and Magnesium in addition to the sodium. He took me off of it and my erection quality...

My hypertension has remained the same really while on TRT. Despite me being a runner and a careful eater, my BP without meds is usually around 140/90. With meds I am under 120/80. 30 mg Lisinopril does the trick with no sides for me. When I started TRT, I was on a once weekly shot. Symptom...

I have been fortunate in that a relatively simple TRT regimen has helped me immensely. I inject Test Cyp 3X week, 40mg for a total of 120mg/week. Keeps me in the 800-900 range and solid levels of Free T, E2 etc. No AI's etc. Credit to my GP as he was the first to recognize that my Free T was...

Agreed. Not much will change SHBG other than Test treatment. I was similar to you, with SHBG in the 50's. Now I am around 30 after 8 years on TRT. Made a huge difference in quality of life for me. What is WPW?

I was on the 1mg dose... I kept the bottle. May add it back at some point at a lower dose. My BP drug is Lisinopril so I have to be careful not to cause hypotension and pass out.

I tried Dox as a possible EQ enhancer in January. I had some side effects like insomnia. It might have made my EQ worse. May try it again down the road. Glad you had some success with both meds.

Shows we are all different. My erectile function is great from 3am well into the morning. Drops off quite a bit after dinner until bedtime. I am on a stable TRT protocol and take 3mg Cialis every night along with other NO boosters. At age 54, guessing it has to do with fatigue, stress...

Age 54. My morning erections have improved greatly after 7 years of TRT, NO boosting supplements before bed, and 3-5mg of Cialis every night. I don't have them all of the time, but usually have solid nocturnal ones throughout REM sleep 4-6am. When they occur, I take that as a sign my hormones...

It's not uncommon to have post menopausal women run a bit higher on T than standard levels. My wife is 55 and also on HRT. The higher T levels seem to help in many regards (workouts, libido, body composition). However, she has struggled a bit the last six months with minor bleeding. She was...

Good luck and let us know how it goes.

Heart disease is multi-factoral and complex. You also need to factor in your blood pressure, A1C, fasting glucose, inflammation markers and LP(a). Cholesterol is one piece of the puzzle. That being said, I would see if your dr. will pull your LDL-P (particle count). That is a more direct...

Agree with Cat... My SHBG was near 50 when my natural T was in the 300's. Once I started on a solid TRT protocol, my SHBG is in the low 30's with TT of 800.

I would agree with System Lord, you might want to retest the Free T given the higher SHBG. That being said, if you respond that well to a micro dose of PDE5 inhibitors, it just may be a slight reduction in NO levels and you need to focus on boosting that key molecule. All I am saying is that...

Diminished duration and strength of erections will happen to almost all of us eventually. Your hormone profile looks great, and you took the initiative to have a penile ultrasound which shows good blood flow. How is your blood pressure? Is it creeping up there a bit? When I started to have...

Sounds like you are on a combination of ARB and diuretic. All of them come with side effects. Diuretics are very commonly prescribed but have many issues. They drain your body of nutrients (magnesium, sodium etc) and can cause erection issues, along with peeing all of the time. ARB's have a...

Thanks for posting, and often wonder about this connection (I like my 1-2 glasses of red wine most nights). I don't see the link to the full study, but was there mention of how much the subjects actually drank before cessation?

Interesting that it costs $3K, when my wife can get a few injections of Botox in her forehead for $150 from an licensed nurse. That being said, it would be great if it becomes a realistic treatment, because of what I mention above. The product itself is already plentiful and relatively cheap.

Do you not self inject? I am always able to travel fairly easily with Test Cyp. Refrigerated HCG might be another matter, but I am not on that.

Absolutely correct. You have to cognizant of the sides. This website has some great resources on BP meds. In general, ARB's, ACE Inhibitors and Alpha blockers are erection friendly or at least neutral. Beta blockers and diuretics are hardest on EQ.

To the OP: Won't pile on the smoking lecture, my mom is 80 and has been trying to quit for like 70 years, so I get it. Two of the common issues with high blood pressure (even moderate hypertension like you reference) are endothelial dysfunction and stiffening of the artery walls. Many studies...

I just paid $55 for a 90 day supply of Test Cyp from APS Pharmacy (mail order). Forget your insurance!

Yes, a GP will usually readily prescribe Cialis/Viagra. All the generic substitutes are very inexpensive these days.

A bit off topic: just recovered from a moderate Covid case. My whole family had it over Christmas, bah humbug (yes we all had vaccines). In looking at a couple of other threads we have posted on Covid, it did a number on my erection quality. Maybe it was just that my body was worn down, or...