Night erections, but only with a PDE5i ...

I've been noticing this...if I have 10mg Cialis in my system = overnight erections. Without it though, only every so often do I have a (memorable, at least) erection, sometimes you know it's running about 50%, or less.

During the day when I need it I've been having a better experience with Viagra @ 50mg, fewer sides and more effective than Cialis @ 10-20mg, though Viagra is tougher to use with timing and digestion and the shorter action period.

This tells me though that my hormones are "right"...I'm well experienced and happy with that aspect, libido and interest are high, but the physical ability is lacking. I've been all thru endothelial and nitric oxide with good results on Citrulline/Arginine/Ornithine. But If I'm not loaded up on drugs and supplements...not so much ability to perform.
 
Similar to my story as well. Morning erections returned in first month, libido in 2-3 weeks. EQ improved, but still require Cialis or Viagra to get where I want to be. biggest change is from good sex, once per week, to great sex 3-5 times per week.At my age, I'm so grateful to be living in the 21st century.

I think you are a little older too, aren't you Vince?

No wonder every picture of old dudes in the 19th century showed a guy with a scowl on his face...
 

hCG Mixing Calculator

HCG Mixing Protocol Calculator

TRT Hormone Predictor Widget

TRT Hormone Predictor

Predict estradiol, DHT, and free testosterone levels based on total testosterone

⚠️ Medical Disclaimer

This tool provides predictions based on statistical models and should NOT replace professional medical advice. Always consult with your healthcare provider before making any changes to your TRT protocol.

ℹ️ Input Parameters

Normal range: 300-1000 ng/dL

Predicted Hormone Levels

Enter your total testosterone value to see predictions

Results will appear here after calculation

Understanding Your Hormones

Estradiol (E2)

A form of estrogen produced from testosterone. Important for bone health, mood, and libido. Too high can cause side effects; too low can affect well-being.

DHT

Dihydrotestosterone is a potent androgen derived from testosterone. Affects hair growth, prostate health, and masculinization effects.

Free Testosterone

The biologically active form of testosterone not bound to proteins. Directly available for cellular uptake and biological effects.

Scientific Reference

Lakshman KM, Kaplan B, Travison TG, Basaria S, Knapp PE, Singh AB, LaValley MP, Mazer NA, Bhasin S. The effects of injected testosterone dose and age on the conversion of testosterone to estradiol and dihydrotestosterone in young and older men. J Clin Endocrinol Metab. 2010 Aug;95(8):3955-64.

DOI: 10.1210/jc.2010-0102 | PMID: 20534765 | PMCID: PMC2913038

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