Ejaculation and Orgasm Problems

[mattwesleywert1984]

I have been on test gel for 1 yr...i can't orgasm during intercourse...i can ejaculate just not orgasm...not build up and release ect. You guys know what I mean..its no different than urinating at this point...the Dr I go to doesn't feel an anti estrogen is necessary...what can I do...would HCG help at all?

 

[Mando]

I've never heard of ejaculating and it not being considered an orgasm. Is it actual ejaculation, or just pre-cum coming out?

 

[CoastWatcher]

I have been on test gel for 1 yr...i can't orgasm during intercourse...i can ejaculate just not orgasm...not build up and release ect. You guys know what I mean..its no different than urinating at this point...the Dr I go to doesn't feel an anti estrogen is necessary...what can I do...would HCG help at all?

Absent more information, your protocol/your most lab results, we can't possibly offer any cogent thoughts. Give us some idea of where things stand.

 

[Vince]

I agree with Coastwatcher, it would make it easier if you posted all your labs.

 

[masfield]

i'll be interested in how this conversation plays out, as i had this experience for the first time last night, where i could feel the spurts but i never got over the edge into the bliss field. very odd. i've been having o problems for a while now -- just can't get there -- so hopefully some ideas will pop up here.

 

[Nashtide]

i'll be interested in how this conversation plays out, as i had this experience for the first time last night, where i could feel the spurts but i never got over the edge into the bliss field. very odd. i've been having o problems for a while now -- just can't get there -- so hopefully some ideas will pop up here.

You need to post labs with ranges and protocol along with demographic info if you really want any decent suggestions. Labs should be pulled right before next injections and E2 test needs to sensitive.

 

[Vince Carter]

Any chance youre using cialis or Tadalafil at these times?

 

[masfield]

in my case, yes, cialis. could that be causing the problem? i'm doing gene's NO stack, with a tiny about of c every day ...

 

[CoastWatcher]

Again, do you have lab values you can post?

 

[CPTWilly]

When I got zombie d*ck, I was told that cialis could be a contributing factor. I got off of cialis, and over time, I started feeling everything (mostly) back to normal. I recently started taking butea superba, and it has helped a lot with erections and orgasms.

 

[Vince Carter]

When I got zombie d*ck, I was told that cialis could be a contributing factor. I got off of cialis, and over time, I started feeling everything (mostly) back to normal. I recently started taking butea superba, and it has helped a lot with erections and orgasms.

Thats where I was going with Cialis. Personally I have a better experience with Viagra but the trade off is the time limit and it's just tougher to use like taking it with food can stunt the effects.

Mixing the two though is the best (for me)....I like to take a 10 or 20 Cialis in the morning and then a 25mg V with a NO stack of ingredients when game time approached and this works really really well. I still suffer with some sensitivity issues and delayed orgasm that can get frustrating as I'd like to finish quicker.

 

[Mountain Man]

Thats where I was going with Cialis. Personally I have a better experience with Viagra but the trade off is the time limit and it's just tougher to use like taking it with food can stunt the effects.

Mixing the two though is the best (for me)....I like to take a 10 or 20 Cialis in the morning and then a 25mg V with a NO stack of ingredients when game time approached and this works really really well. I still suffer with some sensitivity issues and delayed orgasm that can get frustrating as I'd like to finish quicker.

Something I've learned is that I can tolerate a larger dose of pde5s without problems. I take 5 mg cialis in the morning as part of the stack and 20 in the afternoon when sex is planned. I may try Vince Carter's suggestion here. I find that I last way longer if I delay orgasm, but could let it go earlier. It's almost as if there is a window of opportunity that, if I delay, means we are in it for at least 20 and sometimes up to 45 minutes. This was unheard of for me, even as a young man. Sometimes I don't orgasm, but that's ok when wife and I are having sex 3 to 5 times per week.

If tadalafil is prescribed for heart issue, it is dosed at 20 mg twice per day so If your heart is ok you can tolerate much higher doses. I'd be careful if you are younger and the ED is mostly psychological as priapism could happen. At my age it is unlikely.

 

[OMI100]

I think it is called anorgasmic ejaculation. Found this:
http://www.issm.info/news/sex-health-headlines/cabergoline-for-treatment-of-male-anorgasmia
https://www.health.harvard.edu/blog/a-new-option-for-orgasm-problems-in-men-201205294804
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4816679/
Apparently not as uncommon as one would think.

 

[bouquetCPA]

Oddly enough, I suffer from the opposite problem since being on TRT in that I can achieve orgasm without ejaculating. I had that same "issue" during my younger years and was kind of happy that it made a return. As I aged, it was rather rare that I could do that, and after about 8 months on TRT, it became the norm again just like my late teens to early 20s.

 

[SixHouse]

Sad truth is more and more guys are coming to terms with the fact that TRT has screwed them up royally. I've been on the roller coaster for the last 5 or 6 years and have at one time or another experienced all of these horror stories. So the answer, of course, is to have more blood work done, inject this or that, take this pill, try this supplement, wait 6 months and see what happens. Lather, rinse, repeat. Before you know it years have gone by and you can vaguely remember being better off before you started the TRT journey. Doctors are getting rich, and still there are never any bullet proof facts and concrete diagnoses. It's all anecdotal, patient accounts, and statistical averages.

Here's my opinion: If your testicles literally don't make testosterone because of disease or injury, or if your brain literally doesn't work to produce the chemicals that tell your testicles to make testosterone, then by all means inject testosterone and HCG for the rest of your life, and pepper that with a AI when you feel like you need it.

BUT, if you're a guy in your late 30's, 40's, 50's etc. and your testosterone seems to be "lower" than what it was when you were 18, suck it up, Princess. That's life. You're aging. Better to deal with it and use diet and exercise to help where possible than to start down the road of TRT when you don't physically need it because as you are all starting to learn, there are terrible consequences when you play around with this stuff long term.

Queue the guys that swear TRT is the best thing ever and how it has miraculously changed their lives. Good for you. a) you're in the minority, b) you're likely lying to yourself, or c) the bad stuff just hasn't started yet.

 

[Mountain Man]

Sad truth is more and more guys are coming to terms with the fact that TRT has screwed them up royally. I've been on the roller coaster for the last 5 or 6 years and have at one time or another experienced all of these horror stories. So the answer, of course, is to have more blood work done, inject this or that, take this pill, try this supplement, wait 6 months and see what happens. Lather, rinse, repeat. Before you know it years have gone by and you can vaguely remember being better off before you started the TRT journey. Doctors are getting rich, and still there are never any bullet proof facts and concrete diagnoses. It's all anecdotal, patient accounts, and statistical averages.

Here's my opinion: If your testicles literally don't make testosterone because of disease or injury, or if your brain literally doesn't work to produce the chemicals that tell your testicles to make testosterone, then by all means inject testosterone and HCG for the rest of your life, and pepper that with a AI when you feel like you need it.

BUT, if you're a guy in your late 30's, 40's, 50's etc. and your testosterone seems to be "lower" than what it was when you were 18, suck it up, Princess. That's life. You're aging. Better to deal with it and use diet and exercise to help where possible than to start down the road of TRT when you don't physically need it because as you are all starting to learn, there are terrible consequences when you play around with this stuff long term.

Queue the guys that swear TRT is the best thing ever and how it has miraculously changed their lives. Good for you. a) you're in the minority, b) you're likely lying to yourself, or c) the bad stuff just hasn't started yet.

Got to disagree. This may be your experience, but it is not the norm. You have to realize that, on a forum like this, guys are posting because they are having problems and are trying to get some answers. So, you can get the opinion that everybody has problems.

There are many variables, especially with anything involving sex. The sexual response is easily influenced by so many factors, so TRT is not going to be the make or break factor. If you once were functioning well in a solid relationship, then it can work pretty easily. If you believe that you are going to be some chick magnet stud on the dating scene, you may be disappointed. My MD told me that it will “probably not” get erections back without pde5s and he was right. I was not disappointed because he was honest. If you think TRT is the panacea for a good sex life, good luck with that. It takes a lot more than that.

How many guys with problems are on gels or patches? It doesn't seem they are as effective as injections. How many guys are on HCG and an AI right from the start? Are these needed as much as they are prescribed? More things to create problems right? So maybe it's not TRT that's the problem. And, what other meds are guys on? If it is a psychotropic med, especially an SSRI or a benzodiazepine, then that's probably your answer.

What besides TRT are guys doing? If you assume you have some magic potion, you are in for a disappointment. You still need to work out, eat right and work hard at both.

From your answer, I guess I am that guy you are describing. I don't expect anything I had at 18, testosterone level included. Yeah, I'd love to be fast again, be able to touch a basketball rim, play college football, and recover from injuries in days rather than months, but I'm ok with it. I got on TRT 2 years ago at age 62.I was in good shape then and had been working out since age 13 steadily. Injuries would cause bad workouts and, despite all my efforts, muscle wasting was taking place. I hoped TRT would help and it did. Delivered as promised. I work hard, daily on all these things including my sex life.

Some of us Old Princesses can still suck it up. I hope you can too.

 

[Vitamin_C]

Sounds like prolactin issues

 

[T-dog]

Sad truth is more and more guys are coming to terms with the fact that TRT has screwed them up royally. I've been on the roller coaster for the last 5 or 6 years and have at one time or another experienced all of these horror stories. So the answer, of course, is to have more blood work done, inject this or that, take this pill, try this supplement, wait 6 months and see what happens. Lather, rinse, repeat. Before you know it years have gone by and you can vaguely remember being better off before you started the TRT journey. Doctors are getting rich, and still there are never any bullet proof facts and concrete diagnoses. It's all anecdotal, patient accounts, and statistical averages.

Here's my opinion: If your testicles literally don't make testosterone because of disease or injury, or if your brain literally doesn't work to produce the chemicals that tell your testicles to make testosterone, then by all means inject testosterone and HCG for the rest of your life, and pepper that with a AI when you feel like you need it.

BUT, if you're a guy in your late 30's, 40's, 50's etc. and your testosterone seems to be "lower" than what it was when you were 18, suck it up, Princess. That's life. You're aging. Better to deal with it and use diet and exercise to help where possible than to start down the road of TRT when you don't physically need it because as you are all starting to learn, there are terrible consequences when you play around with this stuff long term.

Queue the guys that swear TRT is the best thing ever and how it has miraculously changed their lives. Good for you. a) you're in the minority, b) you're likely lying to yourself, or c) the bad stuff just hasn't started yet.

Thanks for queuing me. I find it really hard to believe:
a) you're not the one in the minority
b) that an anecdotal opinion like yours would hope to influence a medicinal protocol that has completely turned my life around

I agree that if you're just a little low in the T category, you have no business starting this lifelong dependency. You should have a medical necessity. I don't know that a lot of people would disagree with that.

But the end of your post makes it seem like people who have had TRT positively change their life are few and far between. I really doubt that for those of us who require it. And seeing "scary" accusations like that don't help in a country like the US that could benefit from government officials taking this issue more seriously.

To address your last paragraph again:
a) I'm extremely happy to be in the minority
b) Tell me I'm lying to myself when I've gone from not being able to get it up to now busting a nut without any need for viagra
c) The bad stuff was already dominating my days and nights

To address the OP, it has taken me over 4 years to get to the point I am functioning again sexually. I'm still not where I'd like to be (when I was having sex 3 times a night for days on end) but at 42 and going through an unexpected loss of normal function, I don't expect to either. I can have sex every other day at this point just fine. It will take many cycles of adjusting medications, seeing how you react, taking blood tests, and talking to your doctor...but it can get better. I'm surprised even 4+ years in, I'm still seeing positive improvement in my sex life. Best of luck to you, please realize it's probably going to be a long journey (and I know that doesn't make you feel better). As an aside, I spent too long on gels that didn't do anything, and am so glad I switched over to injections.

 

[Saul]

Sixhouse, I hope you find what ails you. Trial and error and process of elimination are valid methods to solve problems. For many people TRT helps but you now know that the issues you are having are not TRT related and you can check that off your list. That is one positive to be taken from this. Move on to the next possible solution.
.
I stress again, everyone is different, from T levels to diet. It is not TRT treatment's fault that what is ailing you is not TRT related. TRT is only going to help people who are suffering from low T issues. My neighbor, who is a urologist, said that he sees people with lowish T levels who have normal energy and no ED issues. He also sees people who are having issues and it is not due to low T, but due to other medical reasons. For the people who's issues are caused by low T, then TRT helps. It is based on you and your issues, and that is not an indication of whether TRT is good or bad. It is important to have reasonable expectations and TRT will not fix issue we may be having unless those issues are caused by low T.

 

[Marinsarge]

I've never heard of ejaculating and it not being considered an orgasm. Is it actual ejaculation, or just pre-cum coming out?

Orgasm and ejaculation are two different things and can occur separately although usually together.