Poor erections/delayed ejaculation--Blood Test Soon-then treatment
Made a few posts w/ few to no commentary, I'll keep it short, sweet and await input.
44yr Old Male-
- Arousal lagging
- Erections lagging
- BPH
------The last VA exam Dr. said my prostate is slightly swollen, fortunately in another blood test, I had no indicators in my system.
------I assume my prostate would be larger if I didn't take 1mg Propecia for hair
I am treated for
--Depression/PTSD (Zoloft)
--ADD (Adderoll XR)
Zoloft and Propecia (one because of DHT inhibiting) can cause changes in erection and/or delayed ejaculation.
I'm off the Zoloft, I'll probably get the 5mg Finasteride for prostate thru the VA
Convinced I have low T and/or possible poorly producing Thyroid. Based on my blood tests, I'll decide which way I want to go and once I get back to the US (I am in Thailand) I'll take what I found, and what I did to my doctor (s) and if I don't like the results, I'll get gear here.
Additionally, I work overseas so pinning (in addition to TRT) is not necessarily an option (ie pinning a lot).
I'll put this out there and you guys can beat me up--I'm having lipo here in Bangkok--and as soon as I am healed enough, I'm back into training for a marathon kayak (which is why I have began researching gear then fell into researching Low-T and Andropause--hence it is possible, I've been feeling like absolute shit because of Low-T rather than depression--also.
Here is what I am planning:
- 200mg Test-E 1x2 Week then +100 for three weeks and +50 for two more
- 20mg Tamoxifin xDaily
- Lipid Stabile ((I have to review my script for Lisonopril which I have prescribed for cholesterol)
(I am adding other vitamins to the Lipid improvement profile
- Lipid Stabile ((I have to review my script for Lisonopril which I have prescribed for cholesterol)
- Cytomel (Thryoid level dependent)
- Provogil (Modafinil)--as a Beta-6 Agonist, I'll essentially be replacing the Adderoll due to side effects. The Cytomel is acceptable b/c I am doing a cycle, so I am less concerned about loss.
During this time--I'm focused primarily on Cardio w/ flexibility, strength and endurance training. I understand
Thing is...if one does a cycle and their low T, when they are done with the cycle and going PCT, don't they go back in the red or does one / can one rely on a long ester T like T Undecanote/Nebido for keeping T in the normal range but still doing a PCT to repair the body from an elevated profile?
Either way, I creak and I'm in pain from the exercising, lethargic, demotivated and slightly depressed. When I was in the service, one couldn't 'admit' to any difficulties and I had to pull myself up by the bootstraps and power thru--now, medication is not an issue, but I am beginning to doubt the positives of 'treating the symptoms' and not the cause.
Please discuss--and if anyone has any experience w/ trustable sourcing in Thailand, please add that as well.
Cheers
CLL
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I have a slightly different opinion.
When a 5 alpha reductase inhibitor is taken (finasteride) you are reducing the conversion of testosterone to DHT and pushing the reaction toward estradiol. This will shrink, and can damage, the protate's internal gland. There will be an initial improvement in bph (enlarged prostate) symptoms, however the stromal cells can grow wildly and harden the prostate when estradiol is high and DHT low.
DHT stimulates the parasymathetic nervous system and is responsible for maintaining capacity to obtain an erection. No doubt the finasteride is effecting your sexual function although it may not be the only issue. High dose amphetamines or infrequent use can do the same (although libido is stimulated). Antidepressants delay ejaculation.
The balding problem generally occurs because of an inversion of free testosterone and DHT (free t low and dht higher - but both likely on the low side in older men).
Solution:
Total T should be at least 700 mg/ml
Estradiol should be 25 pg/ml (20-30 pg/ml)
Add DIM and Lycopene for prostate health
Add Mg and Zn (vast majority deficient)
If you still have issues with hair loss you can take 0.5 of finasteride as long as estradiol is managed within the range above.
Good luck. I appreciate your service!
QtripsI would never TOUCH finasteride! Type in "propecia help" into your search bar and read the horror stories there. shudder
Awesome. Thank you.
CL
BigD-
250/week, isn't it every 10d or 14d? With a 7 week pin, do you see a lot of water retention or have any issues w/ gyne or precursor? What is your protocol for the gonatropin?
Qtrips--thanks. Its tough getting a doc to get you the tests that you want--I spoke with one of my friends who has Hashimoto's the other day. He's always been an ectomorph, but the last time I saw him he was hugely skinny--now he's on Armour for this thyroid (diagnosed Hashimoto). Re-levels. When I visited my Dr., he wasn't too pleased I got a T shot overseas--since, I can tell you, I am off of three medications which, together, had caused a lot of sexual disfunction. Thus far, with the T, I have had zero issues.
I figure I'm going to have to go to a lab and request those tests without a dr. requesting them--I'm up for any guidance you've got Q--I'll say this tho, with the Test-U (i just bridged with Test-E while waiting on my Test-U to come in) I am feeling great....
QtripsHmm, well if you just started the test, then you're going to feel great regardless. Reason is you've been low for so long, and now you're giving your body T, which is spiking dopamine. I had this exact same reaction and thought all was good. All I needed was T! I was right all along! Then that feeling went away because dopamine spikes can only last so long until tolerance builds. If you have 300 bucks to put into some tests, you could more than likely get your adrenals, thyroid, and cortisol tested and see if there is a problem there. If there is then I wouldn't mess with T yet, I'd get that stuff fixed first. Of course, in my life that's not what I did. What I'm telling you is solely based on experience and what I WISH I did.
Qtripsdouble posted
I'm .46 and I've been taking 250mg of Test E for 5+ years now....I just pin once every 7 days...I don't take time off....but I do use gonatropin when I detect testicular atrophy.
QtripsI'll tell you what I wish I would have done before jumping the gun to test. First, start with your iron. The tests you would want are serum iron, serum ferritin, TIBC, and transferrin saturation. Start there, if something is off, fix it. And no, that doesn't mean just because you are in "range" that it's normal. I can direct you to sites that will really help you with this. Second, if iron labs are "optimal", go to cortisol, preferably a 24-hour cortisol panel. Again, there is a site that can help you with this. Next! Move to your thyroid. The most important tests here are reverse t3, free t3, free t4, and antibodies to check for Hashimotos. If all those come back "optimal", which they probably won't, THEN you move onto the sex steroids. I can help you out more man, I know this shit sucks. But you CAN and WILL feel better!
Thanks dudes for all the advice---I'm still worming my way back home from Asia, now in Vietnam then Australia. After seeing a western doc for TRT, I got the Nebido injection and altho I am not having huge morning erections the beautiful Laotian woman I am traveling with is reaping the benefits.....
As you guys mentioned--the sides of Adderoll/Zoloft being 'stim' dick and the like--the Zoloft, mild depression/PTSD et al--no sides being off (since tapered to avoid seratonin withdrawal (kind of like the flu). At any rate, the Nebido does seem to be working.
Harder erection
No trouble ejaculating
Easier erection
-however-
My nipples are painfully sore--very sore.
I need to get bloods--obviously, but any 'bro' advice I can deal with while I'm still out here?
AnonDon't listen to me or do, I will say this with all my soul , I take vitrix by nutrex off any and always it keeps me hard as fuck but you need to add chrysin , best is made by jarrows but I did a cycle and did my natural thing and my balls were normal and u wanted to bust nuts everywhere. Do what you do, just my thing.
Have you had your lipds checked? High cholesterol can and does cause ED...and a lot of other issues. I'm assuming that if your over there for Lipo then your carrying a fair amount of bf...so your diet hasnt been good in the past? One other thing re Thailand ( I have a fair amount of exp there) do NOT eat any coconut curries and especially do NOT eat any palm oil (its used everywhere!) as they will put your lipids thru the roof!!!!!! Coconut cream and milk is a big no no, however fresh coconut juice drunk straight from the nut is about the best rehydration fluid known to man and theres bugger all cholesterol in the juice.
Dan-I stay away from the coconut oil-cholesterol was elevated but as for ED, I'd call it "Erectile Not as Functional as I'd Like" but I guess its all relative-since getting out of Afghanistan my diet is better--fish and chicken, few if any red meat and so on so on....
When I get home I need to get a new blood test and see where the cholesterol is, it was slightly elevated prior to leaving CONUS.
CL
I understand bro. I had a similar issue as yours and it came down to pretty much Cholesterol. Actually the doc called me in the day I got bloods and said it was the highest level he had ever seen.....lol. Was doing pct at the time and eating 2 lbs of roo meat daily......
Hope you get it sorted bro. Nothing some ciallis or Viagra wont sort out in the short term
Saw a Western Dr. here in Thailand, talked about my T level I posted earlier--
W/o a baseline of say, ten years ago etc. he recommended a long ester and re-check in ten days, possibly w/ bloodwork.
Nebido--one of the reasons I saw him. If I react positively to N, then I can get this sent to me where-ever (and naturally I'd have to have someone pin me).
Regardless, as advised, when I get back to the states I need to go see an End., prob. thru VA etc. and go from there--what really bites, is I have an athletic event in October I'd like to prep for--and I haven't had a solid answer yet on if one would--
1- cycle on top of TRT
or-
2- cycle w/ TRT then stop, PCT-->OCT-->Cycle
What's interesting about our conversation is his opinion on Stateside Dr.'s w/ regards to TRT and so on--their taking the opinion of, "Oh, you've got a 300 ng/dl level, thats normal...without ever knowing the 'normal' from their history etc--i may not have communicated that right, but our conversation reflected a majority of what I've read here and on other forums.
CL
PS--I noticed a source had Nebido available, but the reference in the forum indicated they'd just 'had' a promo.....etc. if somone knows which, please PM me, otherwise I'll PM the comment I'm referencing.
I need to get a test for Free-T and the SBHG (I think I got that right). Thanks Infidel--yeah, I tapered off the Zoloft, I'm not going to be going postal or anything--but the propecia is to help keep the hair on my noggin, the vain 'bastage' that I am....
Correct me if I'm wrong tho--even on a TRT like supplementation program, one does recover quicker from running/lifting etc etc correct?
so not quite what I expected...
Here's results
T3: 114ng/dl (norm 58-159)
T4: 5.8 ug/dl (norm 4.8-11.7)
T (total) 7.37 ng/ml so---737 ng/dl
Paperwork lists normal range as
1.66-8.11 Male
0.28-11.1 Boy 13-17yrs
still a good idea to stay off the zoloft, adderoll and do the shit i did for depression before--hit the gym harder.
thoughts?
I'd get off the zoloft for sure but I know from experience that adderall is a real bitch to come off. You're gonna be lethargic as fuck for about 2 months.
Maybe that has a lot to do with the lethargy--I've been off the Z, and I don't feel any different. I've been out of the Adderoll for about a month (its a bit of a PITA getting your prescription meds filled while working overseas).....
Frankly, aside the possibility of TRT and minimal use of AAS for sports performance, I really need to think more on putting less in my body--
Thanks for the response.
CL
Like I said man, the Zoloft and adderoll giving you the erection problems... BUT DON'T COME OFF DOCTOR PRESCRIBED DRUGS UNLESS YOU GET THE GO AHEAD FROM HIM, I'm just saying its the reason for the weak erections, it's def a common side effect for zoloft
copy, thanks....waw weened off`, no seratonon syndrome. si
de effect....im back to the dr.after i get back...
thanks bro.
Arrange to see a endocrinologist which is a TRT and hormone specialist they will require you to have a few blood tests and then they will take it from there. Its probs best to delay cycles until you've had your bloods done.
As for your cycle:
Weeks 1-12 Test E at 300-500mg ( no reason to pyramid up like you have planned)
Drop the adderoll and the Provogil ( do you really think you have a attention disorder at the age of 44, at this point I think it's causing more harm than good)
Are you presribed the Cytomel? If not drop that too
Add some aromasin at, hmmm, maybe 6.25mg ED or EOD depending on how much Test you plan on using instead of the 20mg of nolva
I would check with a doctor on the Zoloft also, an western doctor that is.
Hey buddy, I would go to a TRT doctor snd see if you are qualify for pharma grade TRT treatment. It will help with the depression and at your age you might and prolly have low T, fuck buying gear illegally when you can get a prescription.
The Zoloft and adderoll both are creating the sexual problems, I took Zoloft for a year and it was impossible to bust a nut(ejeculate). The adderoll is causing a side effect called stim dick, which is your dick is numbed to a effect... I get the same side from my preworkout drink, coke and meth heads get the same thing.
I think some testosterone will help with most of your problems: depression, sexual performance, energy, motivation, and over all sense of well being
I hope to hell insurance would cover it, it'd be nice--I've still never gotten fully into the VA system, hopefully I'll be able to get to see my assigned doc in Chicago once I get back to the states--
I'm still planning on seeing a western Dr. in Pattaya when I roll thru there--thanks for the words.
I agree with Infidel. Bro, I too am in my early 40s, I have to tell you, 200mg/w of depo test cured my depression, low libido etc. Take an ai and I would drop the finasteride. the fina will also a cause of depression, low libido and erectile dysfunction. If you care about your hair that much only take 0.5mg/d
I'm on the 0.5mg/day for hair--
Copy, copy -infidel....didn't know about the adderoll causing that--we'll see what those blood results are. There's a few TRT doctors who used to be in SF etc etc who I've heard about--don't know who (aside that) is available in Louisiana. BTW--I hardly eat, run when I can, work my ass off otherwise and still put on the weight.....I'll post my lab results here in a few days if you, or anyone else stumbling along it is interested.....I can get Nebido legally from the Dr. in Pattaya--the way I undertand it, he'd ship it to me as well--we shall see.
Thanks for the reply.
CL
If you hardly eat,your body is in starvation mode and will protect you by storing a majority of the calories as fat.
I missed the overseas work.... Hmmmm, damn I'm not a doctor and don't want to tell you to constantly use a small dose of Test, but that's prolly what I would do. And Thailand prolly has the best variety of pharma grade gear out there, one of those countries where it's steroid laws are not enforced, if there is any laws to begin with
I'm in and out of Afghanistan--I'm 'overseas' passing thru Thailand......I'm going to go see a Dr. in Pattaya (gets away from the anti'aging) business trying to separate the farang from their money in BKK.
((not get gear here-sorry, use this site as guidance for my needs))