Hi all.
Forgive me please if my post is long and incoherent, I am typing as I go, trying to summarize everything with a single question.
I think I always had low/ish T. My right testicle was in my abdomen when I was little, never really trully developed, is about 2,5 cm long only, still migrates to the groin sometimes. Left, I had varicocoele, probably untreated for 15 years. Just got my second kid and finally decided to check what is wrong. (Still being fertile I hold for a miracle). Was supposed to be the prostate or low T in my opinion. PSA 0,69; TT 3,53 and 3,08(3,5-11,5).
I live in a country where urologists know about andrology and hypogonadism only by name.... I myself am MD, but my area has no touching points with andrology whatsoever, so I am here. Changing doctors would not help, they would have to do what insurance allows. With 3,08, all I got is was: "everything normal".
Well, it is not. I am only 39 yo. I haven't had sex without cialis for the last 10 plus years. I got some abdominal fat. I sleep bad. I am always tired. Brain fog is terrible. I always thought I was a lazy person, but I am just unmotivated, constantly. I have problems with nothing, except with 0 libido and brain fog. I want to "want to" have sex, get spontaneous erections(I don't even know what that is any more)... Urology office was the only place I could have my blood tested. Next to 2 above, my SHBG was 29, my E2 14. Urologist would give me private prescriptions, but I would have to pay myself. Because I am 0,08 above. So he is useless. Being a doctor too, I could buy whatever I need and I would probably able to bear a cost.
After reading for tens of hours, started 2 days ago, with test E sc, 125mg/week(2 x 62.5) and 2 x 250 IU Hcg. With intention of testing my blood for a lot more parameters in 8 weeks. Urologist would test my blood regularely, and take me "as a Patient" since I am a 'colleague'. But yesterday I read these forums up and down and found some interesting cialis threads.
Now, I am an a**hole... I scr*w around. Sex with my wife is just a chore and impossible without cialis, if then at all too. Lasts until she is over and than I just want to be left alone for like a month. I look good, been lifting weights natty for 15 plus years. Other girls fulfill all my fantasies but when we are over, I don't think about, I don't fantasize about what happened for long really.
I am what you would call a slow metabolizer. 5mg of cialis only, I can go for 3-4 days, 10 times a day, outside of marriage bed. And a feeling of having more blood under actually does a little something for my libido, as in I AM actualy looking forward to the next encounter. I am yet to find a single data against daily cialis. I do not look forward to being married to a needle for the rest of my life just yet. If I had to choose one symptom reversed, it would be being ready to have sex 24/7.
The question is, what would you do if you were me, two options:
1. Continue TRT
2. 5mg cialis eod for a couple of years at least, first. From all I read, it doesn't lose effectiveness and sometimes even reverses ED.
Thanks, looking forward to your replies.
Forgive me please if my post is long and incoherent, I am typing as I go, trying to summarize everything with a single question.
I think I always had low/ish T. My right testicle was in my abdomen when I was little, never really trully developed, is about 2,5 cm long only, still migrates to the groin sometimes. Left, I had varicocoele, probably untreated for 15 years. Just got my second kid and finally decided to check what is wrong. (Still being fertile I hold for a miracle). Was supposed to be the prostate or low T in my opinion. PSA 0,69; TT 3,53 and 3,08(3,5-11,5).
I live in a country where urologists know about andrology and hypogonadism only by name.... I myself am MD, but my area has no touching points with andrology whatsoever, so I am here. Changing doctors would not help, they would have to do what insurance allows. With 3,08, all I got is was: "everything normal".
Well, it is not. I am only 39 yo. I haven't had sex without cialis for the last 10 plus years. I got some abdominal fat. I sleep bad. I am always tired. Brain fog is terrible. I always thought I was a lazy person, but I am just unmotivated, constantly. I have problems with nothing, except with 0 libido and brain fog. I want to "want to" have sex, get spontaneous erections(I don't even know what that is any more)... Urology office was the only place I could have my blood tested. Next to 2 above, my SHBG was 29, my E2 14. Urologist would give me private prescriptions, but I would have to pay myself. Because I am 0,08 above. So he is useless. Being a doctor too, I could buy whatever I need and I would probably able to bear a cost.
After reading for tens of hours, started 2 days ago, with test E sc, 125mg/week(2 x 62.5) and 2 x 250 IU Hcg. With intention of testing my blood for a lot more parameters in 8 weeks. Urologist would test my blood regularely, and take me "as a Patient" since I am a 'colleague'. But yesterday I read these forums up and down and found some interesting cialis threads.
Now, I am an a**hole... I scr*w around. Sex with my wife is just a chore and impossible without cialis, if then at all too. Lasts until she is over and than I just want to be left alone for like a month. I look good, been lifting weights natty for 15 plus years. Other girls fulfill all my fantasies but when we are over, I don't think about, I don't fantasize about what happened for long really.
I am what you would call a slow metabolizer. 5mg of cialis only, I can go for 3-4 days, 10 times a day, outside of marriage bed. And a feeling of having more blood under actually does a little something for my libido, as in I AM actualy looking forward to the next encounter. I am yet to find a single data against daily cialis. I do not look forward to being married to a needle for the rest of my life just yet. If I had to choose one symptom reversed, it would be being ready to have sex 24/7.
The question is, what would you do if you were me, two options:
1. Continue TRT
2. 5mg cialis eod for a couple of years at least, first. From all I read, it doesn't lose effectiveness and sometimes even reverses ED.
Thanks, looking forward to your replies.