Is my ED physical, psychological or hormonal?

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Much more like your natural test production and better DHT conversion and estrogen management. IMO the best TRT protocol.

Thank you Kemp! Will look into this!

 

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I tend to agree with you that with my numbers, I don't think my hormones are the problem. I was going to try one final protocol of 40mg on Monday, Wednesday and Friday. I doubt it will help though, especially since 10mg of cialis is not working. Do you think it is worth a shot?


No harm in trying as you have room to bring up your trough FT if need be but again highly doubtful your issues with ED are due to your FT level.




I am currently also reducing my anafranil to switch completely to Trazadone under the supervision of my psychiatrist.

I am also abstaining completely from porn (3 weeks in) to see if that makes a difference.

I also have an appointment lined up with a pelvic floor therapist to see if there are any issues with my pelvic floor.


Smart move ditching the Anafranil as it poses a higher risk for sexual dysfunction (ED, reduced libido ejaculatory issues) due to its strong serotonin reuptake inhibition.

* Anafranil, a tricyclic antidepressant, frequently causes sexual dysfunction, including ED and ejaculatory problems, because it potently blocks serotonin transporters

Thank you madman. I have upped my testosterone dosage to 40mg x3 per week. Will see if it makes a difference.

Since a week ago, I have reduced the Anafranil to 5mg everyday, so far I feel my depression is under contril.

 

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After the response I just got, I would drop your original post into ChatGPT. Seriously.

Thank you wondering.

I did put my original question in both ChatGPT and Gemini with the 'Thinking' model. Both of them gave me similar responses.

Number 1 suggestion was to see a pelvic floor therapist. Got an appointment lined up in 2 weeks.

Number 2 suggestion was to remove the Anafranil. Currently reducing the dosage until I can get rid of it completely.

They also suggestrd that the issue can be a physical venous leak, in which case I can try Trimix and an implant as a final resort