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Testosterone Replacement, Low T, HCG, & Beyond
When Testosterone Is Not Enough
At my wits end - progressively cannot achieve an erection
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<blockquote data-quote="GeauxBears" data-source="post: 149918" data-attributes="member: 5724"><p>Thank you. Yes, prolactin is high due to a prolactinoma (that started all of this several years ago), but it is under control - this is why I’m taking the cabergoline. For some reason they forgot to test prolactin last time around, but it should be around 8 and has been stable for a while.</p><p></p><p>Will see about getting DHT tested and talk to doc about the cream... thanks!</p><p></p><p></p><p></p><p>Thank you! I will ask doc about DHEA supplementation. Yes, RT3 has been tested and looks good. I have been hypothyroid for quite some time and appear to have that dialed in. I’ll see about having that added to labs next time around just to make sure.</p><p></p><p>I need HCG to maintain fertility - I also seem to get a libido spike a day after taking it, so I’m hesitant to remove it, but will put it on the table in my next appointment.</p><p></p><p>Agree on the AI - FWIW while it’s prescribed EOD, I take it sometimes ED if I feel the E2 is rising too high (retaining water, clammy hands, getting warm, etc.), but will talk to doc about seeing if I’m perhaps too low on E2, which I know can cause ED issues.</p><p></p><p></p><p></p><p>Understood on the morning/night erections. The reason I mentioned it initially is that I took it as a positive improvement after I started the Dox. I can sit down with porn and finish, but increasingly not with hardness that would allow me to penetrate. Said differently - there is no difference the erectile quality between a real-life encounter with wife and porn.</p><p></p><p>As mentioned I do struggle with anxiety - I’ve learned to manage the mental symptoms with CBT so I rarely panicky or anxious, but continue to struggle with the physical symptoms (e.g. turning red, sweaty, high idle HR ~90s, etc.).</p><p></p><p>But something has changed here in the past few months - I feel like something is actively inhibiting blood flow to the penis - similar to the experience of trying to perform after a heavy night of drinking. It’s just not working.</p><p></p><p>Here are the threads I’m exploring in addition to the comments above:</p><ul> <li data-xf-list-type="ul">Adrenal fatigue - doc ordered 4 point cortisol test and I just need to get it done</li> <li data-xf-list-type="ul">Dig into a couple of OTC meds I’m taking to see if ED is a known side effect - Xyzal, ranitidine</li> <li data-xf-list-type="ul">Supplement with Citrulline to see if more NO will help</li> </ul><p>Thanks for the advice so far and let me know of other thoughts.</p></blockquote><p></p>
[QUOTE="GeauxBears, post: 149918, member: 5724"] Thank you. Yes, prolactin is high due to a prolactinoma (that started all of this several years ago), but it is under control - this is why I’m taking the cabergoline. For some reason they forgot to test prolactin last time around, but it should be around 8 and has been stable for a while. Will see about getting DHT tested and talk to doc about the cream... thanks! Thank you! I will ask doc about DHEA supplementation. Yes, RT3 has been tested and looks good. I have been hypothyroid for quite some time and appear to have that dialed in. I’ll see about having that added to labs next time around just to make sure. I need HCG to maintain fertility - I also seem to get a libido spike a day after taking it, so I’m hesitant to remove it, but will put it on the table in my next appointment. Agree on the AI - FWIW while it’s prescribed EOD, I take it sometimes ED if I feel the E2 is rising too high (retaining water, clammy hands, getting warm, etc.), but will talk to doc about seeing if I’m perhaps too low on E2, which I know can cause ED issues. Understood on the morning/night erections. The reason I mentioned it initially is that I took it as a positive improvement after I started the Dox. I can sit down with porn and finish, but increasingly not with hardness that would allow me to penetrate. Said differently - there is no difference the erectile quality between a real-life encounter with wife and porn. As mentioned I do struggle with anxiety - I’ve learned to manage the mental symptoms with CBT so I rarely panicky or anxious, but continue to struggle with the physical symptoms (e.g. turning red, sweaty, high idle HR ~90s, etc.). But something has changed here in the past few months - I feel like something is actively inhibiting blood flow to the penis - similar to the experience of trying to perform after a heavy night of drinking. It’s just not working. Here are the threads I’m exploring in addition to the comments above: [LIST] [*]Adrenal fatigue - doc ordered 4 point cortisol test and I just need to get it done [*]Dig into a couple of OTC meds I’m taking to see if ED is a known side effect - Xyzal, ranitidine [*]Supplement with Citrulline to see if more NO will help [/LIST] Thanks for the advice so far and let me know of other thoughts. [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
When Testosterone Is Not Enough
At my wits end - progressively cannot achieve an erection
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