Penile fibrosis after long time without morning erections?

[Tn198989]

Hello everyone,

I ve been struggling with ed since 2018 after stopping a testosterone cycle. I am on trt for a year (tried for a long time to recover with serms) and except for the honeymoon period i always struggled with ed. I ve tried many doses with different injection frequencies. With ai and without. With hcg and without. Right now i am on 200mg M/W/F and my t is 1050ng/dl with shbg 40. For a couple of months i have started daily cialis and to my surprise it brought back something i hadnt felt since all this started. Morning erections (not full erections, more like semi erect). My Libido is good but even on daily cialis my erections are not full. Cant take more than 5mg daily cause my blood pressure drops too much. I am 33 years old

I am wandering if the lack of morning wood and in general erections for all this time (since 2018) has caused some damage to the penis (like fibrosis) and thats why even with cialis (or viagra) i cant get a full erection (even though my libido is ok).
My testosterone levels or any hormone for that matter are definitely not the issue (i ve done more than 15 bloodworks and i've seen the all over). I did a penis ultrasound about a year ago and while even with the injection i only reached like 60% erection, the doctor said that my bloodflow is fine. does fibrosis appear on that test?. Could my issue be caused by lack of erections for a long time or should i look elsewhere?

Thanks in advance

 

[Nocalves]

I don’t know an answer for your question, but I always use vacuum pump for ED period. It is always benefitial, even without ED..

 

[Tn198989]

I don’t know an answer for your question, but I always use vacuum pump for ED period. It is always benefitial, even without ED..

Yeah I use one too sometimes but it doesn't feel natural. Plus if I don't use a cock ring immediately it goes back to normal. I am just trying to figure out the root of the problem

 

[Systemlord]

I am wandering if the lack of morning wood and in general erections for all this time (since 2018)

There have been guys who have gone on TRT that haven't had erections in 15 years and get erections back 2 weeks.

 

[Golfboy307]

Something else is going on. Did you check your thyroid? Have you ever used Finasteride? At 33, you shouldn't have long term damage to your penile tissue. Did you have other erections other than nocturnal? What about E2? Those are some pretty high levels of T you are running right now. Also check prolactin.

 

[Nocalves]

Yeah I use one too sometimes but it doesn't feel natural. Plus if I don't use a cock ring immediately it goes back to normal. I am just trying to figure out the root of the problem

Understand, I am not saying pump solves ED problem. I just use it to eliminate atrophy when erection does not work. I noticed my erection size could go 1cm smaller due to some ED period.

 

[Systemlord]

Right now i am on 200mg M/W/F and my t is 1050ng/dl with shbg 40.

Some guys would have some degree of ED at these levels and in fact some even report diminished sexual parameters anywhere near 1000 ng/dL.

 

[Tn198989]

There have been guys who have gone on TRT that haven't had erections in 15 years and get erections back 2 weeks.

That's good to know. Hopefully no tissue damage then

 

[Tn198989]

Understand, I am not saying pump solves ED problem. I just use it to eliminate atrophy when erection does not work. I noticed my erection size could go 1cm smaller due to some ED period.

Yeah I read people do this after prostate surgery to keep everything working.

 

[Tn198989]

Something else is going on. Did you check your thyroid? Have you ever used Finasteride? At 33, you shouldn't have long term damage to your penile tissue. Did you have other erections other than nocturnal? What about E2? Those are some pretty high levels of T you are running right now. Also check prolactin.

Yeah my tsh has gone a little higher lately at around 2.3 but I ve seen it at 1.2 without difference. Never taken finasteride. Prolactin is 8 at the latest test but I ve seen it lower and higher without difference, same goes for e2 now at 32 but I ve crushed it and let it go as high as 80pg/ml
What I did do is take serms for a long time after that first cycle thinking that I must increase my t levels to fix it. Don't know if those could cause some persistent damage.

I am off them for more than a year. I do get erections and ever since daily cialis I get them pretty frequently and random throughout the day, problem is they are not full. Only semi erect.

Also its like the mind penis connection is broken (dont know how else to describe it) At the gym I get pumps like crazy and I have veins popping out all over so general blood flow is good.

 

[Tn198989]

Some guys would have some degree of ED at these levels and in fact some even report diminished sexual parameters anywhere near 1000 ng/dL.

I started at 100 then 125, 150, 180, 250 and now 200mg per week. Daily cialis is the only thing that brought back morning erections consistently but I started taking it 2 months ago. Do you think that with a lower dose of test it could work better? I have tried lower doses , with the lowest t on trough blood work at 700ng/dl but I wasn't on daily cialis then. Do you think I should lower the dose again now with cialis and that it could fix the issue maybe?

 

[DixieWrecked]

Yeah my tsh has gone a little higher lately at around 2.3 but I ve seen it at 1.2 without difference. Never taken finasteride. Prolactin is 8 at the latest test but I ve seen it lower and higher without difference, same goes for e2 now at 32 but I ve crushed it and let it go as high as 80pg/ml
What I did do is take serms for a long time after that first cycle thinking that I must increase my t levels to fix it. Don't know if those could cause some persistent damage.

I am off them for more than a year. I do get erections and ever since daily cialis I get them pretty frequently and random throughout the day, problem is they are not full. Only semi erect.

Also its like the mind penis connection is broken (dont know how else to describe it) At the gym I get pumps like crazy and I have veins popping out all over so general blood flow is good.

I know exactly how you feel, man. You ever had an ingual hernia surgery or anything like that?

 

[Tn198989]

I know exactly how you feel, man. You ever had an ingual hernia surgery or anything like that?

Hopefully you figured it out. No hernia or anything like that. Maybe it's cause by the long time I was taking clomid to raise my t levels. Apparently its the worst for libido and erections cause it blocks estrogen action in the brain

 

[DixieWrecked]

I have not totally figured it out. Actually you sound alot like me. This strange disconnect. I want to yell at my dick. I have faith that we will figure it out.

I use the penis pump like nocalves does to keep bloodflow to the penis and to keep it from atrophying. I don't rely on it for erections, just for "excercise".

Another question. Do you work out alot with weights?

 

[MDavidW76]

Some guys would have some degree of ED at these levels and in fact some even report diminished sexual parameters anywhere near 1000 ng/dL.

I’m sitting at 1012 and I’m seeing some of this lately, not so much with EQ, more in the anorgasmia area of things… frustrating

 

[Tn198989]

I have not totally figured it out. Actually you sound alot like me. This strange disconnect. I want to yell at my dick. I have faith that we will figure it out.

I use the penis pump like nocalves does to keep bloodflow to the penis and to keep it from atrophying. I don't rely on it for erections, just for "excercise".

Another question. Do you work out alot with weights?

yes 5 times a week and 2 days i train muay thai

 

[Tn198989]

I’m sitting at 1012 and I’m seeing some of this lately, not so much with EQ, more in the anorgasmia area of things… frustrating

The anorgasmia or delayed ejaculation does happen with higher t from my experience. The ed though is constant no matter the dose

 

[MDavidW76]

The anorgasmia or delayed ejaculation does happen with higher t from my experience. The ed though is constant no matter the dose

I’m also dealing with a pituitary tumor, my prolactin jumped ~5 points on a scale with a range of 13 points… 1-14, hit 15, now it’s 20, not a big deal for Gen-pop but for me… hmmm

 

[Hisham]

Hello everyone,

I ve been struggling with ed since 2018 after stopping a testosterone cycle. I am on trt for a year (tried for a long time to recover with serms) and except for the honeymoon period i always struggled with ed. I ve tried many doses with different injection frequencies. With ai and without. With hcg and without. Right now i am on 200mg M/W/F and my t is 1050ng/dl with shbg 40. For a couple of months i have started daily cialis and to my surprise it brought back something i hadnt felt since all this started. Morning erections (not full erections, more like semi erect). My Libido is good but even on daily cialis my erections are not full. Cant take more than 5mg daily cause my blood pressure drops too much. I am 33 years old

I am wandering if the lack of morning wood and in general erections for all this time (since 2018) has caused some damage to the penis (like fibrosis) and thats why even with cialis (or viagra) i cant get a full erection (even though my libido is ok).
My testosterone levels or any hormone for that matter are definitely not the issue (i ve done more than 15 bloodworks and i've seen the all over). I did a penis ultrasound about a year ago and while even with the injection i only reached like 60% erection, the doctor said that my bloodflow is fine. does fibrosis appear on that test?. Could my issue be caused by lack of erections for a long time or should i look elsewhere?

Thanks in advance

did you check your blood sugars? HBA1C? may be neurogenic? trimix will definitely fix that if that’s the problem

 

[Seth]

Hello everyone,

I ve been struggling with ed since 2018 after stopping a testosterone cycle. I am on trt for a year (tried for a long time to recover with serms) and except for the honeymoon period i always struggled with ed. I ve tried many doses with different injection frequencies. With ai and without. With hcg and without. Right now i am on 200mg M/W/F and my t is 1050ng/dl with shbg 40. For a couple of months i have started daily cialis and to my surprise it brought back something i hadnt felt since all this started. Morning erections (not full erections, more like semi erect). My Libido is good but even on daily cialis my erections are not full. Cant take more than 5mg daily cause my blood pressure drops too much. I am 33 years old

I am wandering if the lack of morning wood and in general erections for all this time (since 2018) has caused some damage to the penis (like fibrosis) and thats why even with cialis (or viagra) i cant get a full erection (even though my libido is ok).
My testosterone levels or any hormone for that matter are definitely not the issue (i ve done more than 15 bloodworks and i've seen the all over). I did a penis ultrasound about a year ago and while even with the injection i only reached like 60% erection, the doctor said that my bloodflow is fine. does fibrosis appear on that test?. Could my issue be caused by lack of erections for a long time or should i look elsewhere?

Thanks in advance

What is your Free T? Since I've been on Trt, I've had times when my Total T was as high as 1300, yet my Free T was very low. My SHBG was high. Also, my estrogen was on the high side. Doctor prescribed DIM to lower my estrogen, and Magnesium, Stinging Nettle Root, Tongkat Ali, Boron and Vitamin D to lower my SHBG. I also take 5mg Cialis daily. Still, some days I'm like you, but other days, I get good erections, so overall, it's been an improvement. Pumps are great too and healthy for your dick.

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