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Ask The Urologist Anything (Dr Michael Rotman)
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<blockquote data-quote="thirdstone" data-source="post: 134773" data-attributes="member: 25446"><p>Hi Dr. Rotman,</p><p></p><p>Is this thread still open? I hope.</p><p></p><p>Do you ever see ED come and go while on TRT?</p><p></p><p>When I started TRT almost 1 year ago Viagra and Cialis had stopped working very well for me and I could barely have erections. About 10 days into TRT, my ED went away completely and I was back to functioning about like I was when I was 20. Full long lasting erections just thinking about sex. I was beyond thrilled. But this only lasted about 4 days, then in a few more days I was right back to baseline ED same as before I started. That continued until late November, when once again over the course of a few weeks my ED got better and better to the point where I could easily have sex without any medication, but then it has gone away again.</p><p></p><p>One positive change is that once I started TRT nocturnal erections completely returned and have never gone away.</p><p></p><p>I have been using Trimix for my ED and my Doc says the dose is very low which means I have good vascularity.</p><p></p><p>Here are all my stats:</p><p></p><p>49 years old, I eat healthy and workout a lot, not overweight, not under any stress.</p><p></p><p>Labs:</p><p>LH <0.07 mIU/ml</p><p>Pregnenolone 5.9 ng/dL</p><p>E2 27.4 pg/mL</p><p>DHEA 229.2 ug/dl</p><p>Total T 885 ng/dl</p><p>SHBG 36 nmol/L</p><p>Free T 19.75 ng/dL</p><p>Bioavail T 462.8 ng/dL</p><p>Cortisol 21.6 ug/dl</p><p>T3, free 3.6 pg/ml</p><p>T4, free 0.97 ng/dl</p><p>TSH 1.782 uIU/ml</p><p></p><p>I take:</p><p>76 mg cyp 2/week sub Q</p><p>HCG 500 IU 3/week sub Q</p><p>Pregnenolone 30mg/day</p><p>DHEA 50/mg twice a day</p><p>Cialis 5 mg/day</p><p>Neo40 nitric oxide 1/day</p><p></p><p>I have been taking anastrazole 1mg twice a week, but this I started about 3 months after I started TRT only because I still had ED and it was a guess at a solution. My E2 went to about 49 before the anastrazole. I have seen no affect whatsoever after taking it and I plan to stop and let my E2 go back up.</p><p></p><p>Because I have had these periods where I can get great erections, I get the feeling there is some little piece of the puzzle that is missing and if I find it my ED will go away.</p></blockquote><p></p>
[QUOTE="thirdstone, post: 134773, member: 25446"] Hi Dr. Rotman, Is this thread still open? I hope. Do you ever see ED come and go while on TRT? When I started TRT almost 1 year ago Viagra and Cialis had stopped working very well for me and I could barely have erections. About 10 days into TRT, my ED went away completely and I was back to functioning about like I was when I was 20. Full long lasting erections just thinking about sex. I was beyond thrilled. But this only lasted about 4 days, then in a few more days I was right back to baseline ED same as before I started. That continued until late November, when once again over the course of a few weeks my ED got better and better to the point where I could easily have sex without any medication, but then it has gone away again. One positive change is that once I started TRT nocturnal erections completely returned and have never gone away. I have been using Trimix for my ED and my Doc says the dose is very low which means I have good vascularity. Here are all my stats: 49 years old, I eat healthy and workout a lot, not overweight, not under any stress. Labs: LH <0.07 mIU/ml Pregnenolone 5.9 ng/dL E2 27.4 pg/mL DHEA 229.2 ug/dl Total T 885 ng/dl SHBG 36 nmol/L Free T 19.75 ng/dL Bioavail T 462.8 ng/dL Cortisol 21.6 ug/dl T3, free 3.6 pg/ml T4, free 0.97 ng/dl TSH 1.782 uIU/ml I take: 76 mg cyp 2/week sub Q HCG 500 IU 3/week sub Q Pregnenolone 30mg/day DHEA 50/mg twice a day Cialis 5 mg/day Neo40 nitric oxide 1/day I have been taking anastrazole 1mg twice a week, but this I started about 3 months after I started TRT only because I still had ED and it was a guess at a solution. My E2 went to about 49 before the anastrazole. I have seen no affect whatsoever after taking it and I plan to stop and let my E2 go back up. Because I have had these periods where I can get great erections, I get the feeling there is some little piece of the puzzle that is missing and if I find it my ED will go away. [/QUOTE]
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Ask The Urologist Anything (Dr Michael Rotman)
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