erectile dysfunction

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  1. K

    No ED = no low test?

    Hi guys what do you think about my endocrinologist's statement: "If you don't have erectile dysfunction or other sex-related issues, your test level is high enough. All other symptoms (fatigue, lack of focus etc...) are secondary" Is there some truth to this blanket statement? Thanks
  2. A

    estradiol issues

    I'm 29 years old, taking 160 mg of test once per week (sometimes bump it up to 200) and 900-1000 iu of hcg per week. My doctor had me on 1 mg of anastrozole once per week (which is split up as much as possible) My last labs had my estradiol off the scale under 5.0 (range of 9-26 being normal)...
  3. T

    Trimix for ED

    Currently taking trimix 10mcg/30mg/1mcg dose is about .05 cc and after taking it for a while now I still teeter on the 4 hr erection mark. Eventually will subside at about 3 hours and 45 mins with sudafed (not the extended release tablets) but I worry about priapism. Should I take less? If so...
  4. T

    Clomiphen 25 mg ed or 50 mg eod

    Currently taking clomiphene 50 mg eod. Most recent t levels were 822 (range 300-1080) but my Estradiol is 52.8 (range <=60) which is closer to the high end as well. Should I take a lower dose (25 mg eod) or should I use an AI? Currently a 27 year old male with hypogondiasm and ED. Still...
  5. T

    Testosterone Replacement and ED

    Ok, so I am 26 years old and have been suffering with ED and low T for a while. Low libido, weak erections, low energy, etc. A urologist originally started me on clomiphene 50 mg EOD and a daily 5 mg cialis. For the first year or so, that really worked for me. My testosterone levels were jn the...
  6. T

    Converted from pellets to T-Cyp & HCG Inj. Mixed Results, Any Advice?

    Hi All- Long term member here. 58 yo white male with 5+ year history and symptoms of low T. After 3.5 years on pellets that shrunk my testicles and had me on roller coaster mood swings changed to injections. I am on protocol with 20mg T-Cyp, 500iu HCG and 0.15 mg Anastrozole every 3.5 days...
  7. Nelson Vergel

    Comprehensive Evaluation of Erectile Function: Interview with Dr Lisbeth Roy

    Nelson Vergel, the founder of ExcelMale.com, DiscountedLabs.com, and ClinicOptimizers.com, interviews Dr. Lisbeth Roy, a functional physician in Boca Raton, Florida. She is an expert Anti-Aging, Sexual, Regenerative and Functional Medicine Physician, Founder of Doctors Studio of South Florida...
  8. Nelson Vergel

    Interview with Dr Lisbeth Roy

    Nelson Vergel, the founder of ExcelMale.com, DiscountedLabs.com, and ClinicOptimizers.com, interviews Dr. Lisbeth Roy, a functional physician in Boca Raton, Florida. She is an expert Anti-Aging, Sexual, Regenerative and Functional Medicine Physician, Founder of Doctors Studio of South Florida...
  9. C

    Erectile Dysfunction and Osteoporosis: An Association

    Sexual dysfunction in general and erectile dysfunction (ED) in particular significantly affect men's quality of life. It has been observed clinically that some patients who have ED, also develop osteoporosis. In this study Prague researchers investigated the relationship between erectile...
  10. Nelson Vergel

    BOTOX for Erectile Dysfunction- Yes, Really.

    Botulinum Neurotoxin and Its Potential Role in the Treatment of Erectile Dysfunction Introduction Botulinum toxin type A (BoNT-A) has been used to treat several striated and smooth muscle disorders. During the past year, human and animal studies conducted in Egypt and Canada by two different...
  11. M

    Caverject Injections

    I have read that Caverject injections should not be used more than three times a week and that at least 24 hours should before the next use. What can happen if it is used daily? I am going on vacation for ten days and just during that ten day period I want to use it every day or at least every...
  12. Nelson Vergel

    Interaction Between a Daily Dosed Tadalafil, Dosazoxin and Tamsulosin

    Abstract The hemodynamic interaction between tadalafil (5 mg/d) and doxazosin or tamsulosin was investigated in 2 randomized, double-blind, crossover phase 1 studies. Healthy men (n = 45) received tadalafil or placebo for 28 days and increasing doses of doxazosin (1, 2, and 4 mg/d) for the last...
  13. Nelson Vergel

    Shockwave treatment of erectile dysfunction

    Has anyone heard or used this therapy? I am skeptical. What is GAINSWave and How Does it Treat Erectile Dysfunction? | GAINSWave Research I think Dr Gains is Gene's doctor.
  14. Nelson Vergel

    Stem Cells for ED

    The best paper to date summarizing research therapies for ED. I highly recommend reading the full paper below (attached file- Register on ExcelMale to open it). Abstract: Although oral phosphodiesterase-5 (PDE5) inhibitors are generally accepted as an effective therapy for erectile...
  15. Nelson Vergel

    Erectile Dysfunction Lecture- American Urological Association

    Excellent handout given at the conference: Registered ExcelMale members can download this attached PDF.
  16. J

    Past Experience With Anabolics - Hoping For a Restart

    Hi, im a noobie to this forum but thought I'd share my past experiences in the hope that it will help some of you as well as getting any insight. Ill try to make it short. When i was 18 i was arrogant etc, hopped on my first steroid cycle of test 500 each week, trenbolone 250 Each week...
  17. C

    4 weeks on TRT - anxiety advice

    Hey everyone, I had an appointment with Dr. Saya at the beginning of Nov. and have been on Testosterone Cypionate 70 mg and 3.5 ml of HCG every 3.5 days (2x week, so 140 mg t-cyp) since then (4 weeks). So, I have had anxiety problems most of my life (that are hereditary) and had been on...
  18. C

    Any doctors willing to prescribe trimix in Washington DC Metro area (Maryland, Virginia, DC)

    I was wondering if anyone had a good recommendation for a urologist or endo who would prescribe Trimix and TRT in the DC Metro area. I have had ED for 2 years and diagnosed with low-t 6 months ago. I will soon be starting TRT but have gone to two urologists and both have been dead set...
  19. C

    About to start TRT...incompetent docs?

    I am 41 and have had low-t for probably 2 years now, but only had it checked 6 months ago (total t = 308). -First Urologist, said exercise and lose weight for 3-6 months, and then try TRT. -Endocrinologist said Androgel and come back in 3 months. -Second Urologist (second opinion) said...
  20. E

    Seeking Erectile Dysfunction SPECIALISTS- nationwide

    I'm seeking recommendations for the top 5 erectile dysfunction specialists in the country for referral for advanced diagnostic imaging and interpretation of color Doppler ultrasound of the penile vasculature- (preferably with and without intracavernous injections). I'd like to offer patients a...
  21. Bentiger07

    Low Testosterone and Erectile Dysfunction in Young Men. Good doctor in New York?

    Low Testosterone and Erectile Dysfunction in Young Men. Good doctor near NY or telemedicine? Hello ExcelMale, I appreciate help and will certainly do the same. I found you by reading much online on ED, low libido, and testosterone. I'm 30. I've heard 20s are the best yrs and it's been my worst...
  22. Nelson Vergel

    Erectile Dysfunction and Phosphodiesterase Type 5 Inhibitor Use

    "Although the majority of PDE5i users in ELSA reported the effect of these medications on their sex lives as positive, when compared with men without ED they consistently reported higher levels of concern and dissatisfaction with various aspects of their sexual activity, function and...
  23. Nelson Vergel

    An often ignored cause of ED

    Gary Wilson asks whether our brains evolved to handle the hyperstimulation of today's Internet enticements. He also discusses the disturbing symptoms showing up in some heavy Internet users, the surprising reversal of those symptoms, and the science behind these 21st century phenomena.
  24. Nelson Vergel

    Erectile Dysfunction Drugs Can Cause Sudden Hearing Loss

    Phosphodiesterase Type 5 Inhibitors and Sudden Sensorineural Hearing Loss Posted: 01 Oct 2014 Barreto MA, Bahmad Jr F. Phosphodiesterase type 5 inhibitors and sudden sensorineural hearing loss. Braz J Otorhinolaryngol 2013;79(6):727-33. Phosphodiesterase type 5 Inhibitors, such as...
  25. Nelson Vergel

    A quarter of men diagnosed with erectile dysfunction are young men

    One patient out of four with newly diagnosed erectile dysfunction is a young man--worrisome picture from the everyday clinical practice. Capogrosso P, et al. J Sex Med. 2013 Jul;10(7):1833-41. doi: 10.1111/jsm.12179. Epub 2013 May 7. Abstract INTRODUCTION: Erectile dysfunction (ED) is a...
  26. C

    Switching from Cialis to Levitra

    Anyone have any experience with this? My doc had me on Cialis 5 mg daily and it did not do much at all, then tried Stendra, and it worked some but gave me red and hot/flushed face. So last week he gave me Levitra 20 mg samples to try.
  27. Nelson Vergel

    Penile-Artery Angioplasty Gets Second Look for Erectile Dysfunction

    Penile-Artery Angioplasty Gets Second Look for Erectile Dysfunction Some men, especially those with diagnosed or undiagnosed coronary artery disease, have blockage in the prudental or penile artery that can cause erectile dysfunction that does not respond to Viagra, Levitra, Cialis or...
  28. Nelson Vergel

    Low-Intensity Shock Wave Therapy and Its Application to Erectile Dysfunction

    "Although phosphodiesterase type 5 inhibitors (PDE5Is) are a revolution in the treatment of erectile dysfunction (ED) and have been marketed since 1998, they cannot restore pathological changes in the penis. Low-energy shock wave therapy (LESWT) has been developed for treating ED, and clinical...
  29. Nelson Vergel

    Prolactin: Should Men with Erectile Dysfunction Be Tested ?

    Prolactin is a hormone produced in the pituitary gland that is known for supporting lactation in women but also have many other functions on immune response, myelin coating on nerves, and also enhances LH receptors on testicular Leydig cells so that testosterone can be produced. Prolactin...
  30. Nelson Vergel

    Penile Venous Leakage May be Linked to Higher Estradiol

    Your penis must store blood to keep an erection. If the veins in the penis cannot prevent blood from leaving the penis during an erection, you'll lose your erection. This is called venous leak. Venous leakage may occur with vascular disease. Venous leakage is also associated with diabetes...
  31. Nelson Vergel

    Patient information: Sexual problems in men (Beyond the Basics)

    This is a very good and basic overview of erectile dysfunction diagnosis and treatment. They do not cover all options but it is a good start http://www.uptodate.com/contents/sexual-problems-in-men-beyond-the-basics
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