I've read several threads and see a lot of knowledgeable individuals in this field. I'm hoping someone can point me in the right direction. Here's my situation:
I have suffered from low libido and inability to maintain an erection going on three years now. It's getting to the point where it's damn near impossible to even get an erection anymore.
I know the first thing everyone will say (and for good reason) is to consult my physician, but I recently switched jobs and my benefits won't kick in until the beginning of January, so this is not financially feasible at the moment. Plus, my doctor doesn't know her ass from a hole in the ground when it comes to TRT and the like. While I know I should seek out an Endocrenologist and maybe even a new PCP, I don't have that option at the moment and am getting pretty frustratred and depressed over the whole thing. Anyway, here's what I'm working with:
I'm 32 years old, 5'10", 225 lbs. I haven't had my bodyfat tested but know my ideal weight is between 180 - 190 lbs. I haven't been working out or doing cardio on a regular basis for quite a while and my diet leaves a lot to be desired. I do get 8 hours of sleep per night regularly though.
List of medications:
1oomg Wellbutrin 3x daily
35 mg Phendimetrazine 3x daily
40mg Lisinopril/ 50 mg Hydrochlorothiazide 1x in the morning
Xanax 1mg as needed (up to 4x daily sometimes)
Soma 350mg as needed (up to 3x daily)
50mg Zinc 1x in the morning
Omega 3,6,9 Blend 2x Daily
Vitamin D3 5,000 i.u. 1x Daily
I know this post is long, but please bear with me because I'm pretty desperate at this point. I suffer from depression and ADD, hence the Wellbutrin and Phendimetrazine. My Dr. chose Phendimetrazine over regular Amphetamines (Adderrall, Vyvanase, etc...) because it supposedly has fewer side effects and less addicition potential. I was under the impression that Wellbutrin was a prolactin antagonist and know it is a DNRI. While I do sense increased libido when I take it, I still can't get and/or maintain an erection. I know that Xanax is a dick killer and am in the process of tapering off of it to very low doses (1mg or less per day). Unfortunately, I can't stop taking Soma. I have tried other muscle relaxants to no avail. I have an f'ed up lower back and I refuse opiates because I take enough medication as it is, but Soma is the only thing that allows me to workout when I actually do make it to the gym and also continue pursuing my career successfully.
A few final thoughts: I recently read that Hydrochlorothiazide can cause impotence but, despite scouring the internet for literally hours, I can't find any hard facts as to WHY it causes impotence. Any insight would be much appreciated. Also, I did several cycles of Test w/ oral steriods when I was in my 20's (the latest cycle being Test only for 6 months when I was 28). I didn't always follow proper PCT. I have tried Viagra, Levitra and Cialis with fleeting results. Sometimes they work, but only sometimes. That worries me greatly. I have a fiance and we want to have children (not to mention a sex life) and this is really starting to take its' toll on me psychologically. I am open to any suggestions or thoughts and understand that it's not medical advice any of you are giving and I should always consult my Dr. One last thing: I realize some of the medications I take have addiction potential, but I have never "craved" these drugs. Rather, I need them. If not for the Phendimetrazine I wouldn't be able to focus and do my job (I have had ADD my entire life), I have yet to find a short - acting OTC supplement or drug that gives me the anxiety relief that Xanax does (though I am in the process of tapering down to a MUCH lower daily dose) and because of the bulging disc in my lower back I have to take Soma for pain relief. I know it sounds like I'm a walking pharmacy but, again, I am open to any advice or thoughts, even if they're harsh. I just wanted to get all of that out there so as to hopefully eliminate a bunch of the "you're an addict" replies.
Also, I have access to just about any "research chemical" out there (Clomid, Cabergoline, Nolvadex, Arimidex, Cialis, etc....) and can get quality products cheap. There it is.... Any help at all would be greatly appreciated. Thank you all in advance!