- 03-08-2011, 09:06 AM
Clomid challenge is not a bad idea, to see if you are primary or secondary hypogonadism. Then go from there. That is the approach I would use if a patient would want to concieve before mocving on to TRT. If you are on TRT then hcg then test for sperm motility and count. If it is low then look to factors which may be causing it to drop. You be surprised of what can cause it drop like a rock. If sperm are low then add in HMG 75-225 ius a week then retest in 2-3 months.
- 03-08-2011, 02:16 PM
That is very helpful The Matrix I feel better about seeing this guy now.
Have you ever heard of Post SSRI sexual dysfunction?
They have a forum and they talk about reduced sensitivity and orgasmic pleasure like I have persisting after they come off the anti-depressants. What is frustrating is other guys on trt have the same symptoms on here when their E2 or prolactin or adrenal hormones are off.....even if they are in the "normal ranges".
- 03-08-2011, 06:21 PM
03-08-2011, 08:05 PM
So prozac was the overstimulation? Interesting.
03-13-2011, 07:16 AM
BTW the doctors name is Irwin Goldstein a well know sexual dysfunction expert. He runs a sexual dysfunction clinic in San Diego CA
03-13-2011, 01:27 PM
03-24-2011, 02:44 PM
03-17-2012, 02:36 PM
03-17-2012, 02:44 PM
I think I may have post ssri sexual issues. I was on Paxil for 8 yrs and that's when a lot of my hormones issues started. Right now when I have an orgasm I am so sensitive that I have to stop. It tickles if that makes sense..I think it's a prolactin issues
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