Penile sensitivity

This Dr. is one of the best in the post above.
Romeo B. Mariano, MD, physician, psychiatrist

He feels most problems people have are due to hormones.
 
Thanks PM by the way, I still don't feel right and I have been off the Femara for a week and a half (still waiting for more blood work on my E2 levels) How long do you think it will take for my E2 to come back .....I was panicky all my connective tissue hurt and I was depressed as sh!t I think it was near 0 or something. I don't want to try the arimidex until it is up high enough.
 
It can take a long time if you were low a long time your body needs to make more Aromatase what you were using kills it. Arimidex blocks it.
 
pmgamer18 said:
When I started on it I was doing 12.5 mgs in the morning then later in the day I would get waves of panic come over me and sweat this was at about 5pm. So I took 12.5 mgs more will when I seen my Dr. last Tue. My E2 levels were at 8 to low it's the low levels making me feel like this.

I am now in the process of lowering my Test C dose due to making too much E2 yes my levels are good but higher levels of E2 give me waves of Panic feeling even attacks. Now it looks like I drove my E2 down to low. I just read the other day at Dr. M forum going to low will cause Hot Flash's and this can feel like waves of Panic.

So I went from 200mgs every 3 days to 80 mgs I was told on my next shot if I have feeling of Panic or Hot Flash's on my next shot cut down to 60 mgs if this helps go back up to 80 on he next one.

Well doing this is working I have not needed to take anything to lower my Estradiol for 2 days now where before I was taking it everyday.

My Dr. use to use a lab with your ranges we stopped using them I now use Quest labs there top of range is 1100 I feel with a range of 1600 your always going to look low I did. You can't just go by lab numbers you need to go by how your feel.

I can tell you doing to much Test C to keep my numbers up drove up my E2 and I felt like crap from the high levels of Estraidol.

I gage my levels of Estradiol by my night time and morning wood but doing preg. and prog. cream I can get wood in my sleep with very low levels or Estraidiol the Prog. cream worked that good on me. So here I am thinking I feel like this the waves of panic feels because my Estardiol is still to high. But now I read that going to low can make you feel like this and my labs for Estradol were last at 8 test before this 7.

Here is what Dr. M says about this.
================================================== ===============
DrMariano
Physician, Psychiatrist


Join Date: Mar 2009
Location: Carmel, California
Posts: 611 Re: Aromatase inhibitors and their effect on mood

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Quote:
Originally Posted by chaos
I use arimidex as part of my regimen. I hear some prefer aromsin (sp?). Is one better than the other for TRT, especially as it relates to mood?

Before I used the arimidex, I was very moody, but the arimidex resolved that.

Aromasin irreversibly binds to aromatase, knocking out the enzyme completely. Adjusting dose can be trickier than with Arimidex since the enzyme it binds to is completely inactivated. It is easy to knock out almost all of estradiol by having too large a dose with Aromasin. It is almost all excreted in about a week. Lowering estradiol dose excessively can bring about low estrogen problems including reduced libido, hot flashes, increased cholesterol, etc.

Arimidex competes with testosterone for binding to aromatase. Adjusting its effect involves increasing or decreasing the dose to get the desired binding effect on Aromatase to increase or decrease estradiol levels. The problem for Arimidex is that the duration of action very long. It takes up to 6 weeks to stabilize the dose and level of estradiol.

Both are very expensive medications. Aromasin has to be taken every day since its duration of action is much shorter than Arimidex. Arimidex can be taken once a week to keep stable blood levels.

I can't vouch for one or the other. Arimidex seems to be the one chosen by most practitioners. The ability to avoid daily dosing is a nice feature of Arimidex once steady levels of estradiol are established. One can, for example just take it on the day of a testosterone injection.
__________________
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Romeo B. Mariano, MD, physician, psychiatrist

Any information provided on Invalid Link Removed is for informational purposes only, is not medical advice, does not create a doctor/patient relationship or liability, is not exhaustive, does not cover all conditions or their treatment, and will change as knowledge progresses. Always seek the advice of your physician or other qualified health provider before undertaking any diet, exercise, supplement, medical, or other health program.

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Don't believe anything you hear and only half of what you see.
Phil
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so phil

ive been taking a couple higher arimi dosages and it felt too much, i had trouble sleeping and felt generally allround miserable

it's like when i tried arimidex without T or HCG it made me feel like crap

at a level of 48 arimidex took me down to 24 in 8 doses of .25 mg (without TRT)

now on TRT it's too high as well, but 3 x .25 arimi doesn't really work for me

what is the best plan of action of measuring T and E2?

i take a shot on monday only and 2x250 iu hcg on weekend
so 3 x .25 doesn't resolve my symptoms

1 mg on shot day gives me somewhat bad sleep and headaches but it also lowers my e2 to a good point since i get spontaneous wood, but i don't know if this 1 mg is driving me down too fast on e2 and that's why i feel like crap

then on tuesday i am sweating again so it feels like high e2 symptoms

then wednesday also sweating so i take .5 in the evening and feel great

then friday i took 1 mg to see reaction and i felt worse

so 3 questions:

1. if i take shot on monday what day can i best measure total t and e2? thursday?

2. i think 1 mg at once is too much for me, .5 is a better dose, i might need to go to .5 every day but not sure.. shall i measure blood with 3 x .5 to start and go from there? i mean, if my e2 on thursday is still too high should i up to 4x or 5x a week?

3. what test level would be good for me on thursday on 125 mg? if it's superlow i might be a hyperexcreter but i generally feel pretty good on thursday and friday as well, on weekend i do feel like i need the boost, i almost might say i would rather have 125 mg test e E5D instead of hcg on weekends

thanks man
 
That settles it! I am switching to amdex .25mg ever 3 days when my estrogen labs show levels back up in the 40s and I will get it to 20-25 and I bet my w@!ner will be mister sensitive again!
 
I use my night time and morning wood to gage how my E2 levels are. If I took to much Arimidex and did not have wood at night. I would see if I can get it up good and fast and it's a hard one before getting out of bed. If not I know I went to low and I would stop taking the arimidex until my night time and morning wood came back. If I found my night time wood was weak bending in the middle not very hard and I have sore and hared nipples I know my E2 levels are going up. It is then I would take more Arimidex like going from every 3 days to every 2 days. Then again is I go to low I stop until wood comes back and that morning I go back on it but back to every 3 days.

I feel what you have done hear is went to low but your rebounding very fast. When this happens it's very hard to tell what's going on.

So for your questions:

1) do your labs in the morning of your next shot but before it and don't do the HCG the days before it.

2) I never take meds before labs if you do Arimidex in the morning they do your labs your going to look low.

3) If you feel your eating up your T as fast as you shoot it like Dr. Shippen does do your shots every 3 days and do your HCG the day before it. I have been on this for over 6 yrs. So if you do 125 mgs / wk then try 50 mgs every 3 days doing this will help keep your more leveled and help keep your blood thinner also help to keep your E2 down because your not doing a big shot all at once.

Talk to your Dr. about trying this. I went to low and I was on Prog. cream this helped with my wood so much that going to low 8 pg/ml I still had good wood in my sleep. But I was having waves of feelings like panic and sweating bad like Dr. M says so said my Dr. what I was having is Hot Flash's from low E2 and it was setting of my panic problems.

I was doing 100 mgs of Test C every 3 days to keep my levels up but doing this I needed a lot of Arimidex to keep my E2 in check.

So I switched to Aromasin the first week on it I was doing 12.5 mgs 2 x's a day driving my E2 even lower.

My Dr. had me cut back on my Test C shot from 100 mgs to 80 mgs and told me if I had the sweats and waves of panic to go down to 60 mgs on my next Test C shot that I do every 3 days.

Well this worked now I only need 12.5 mgs of Aromasin every 3 days. So he said if this works go back up to 80 mgs. I do this shot tomorrow morning I feel dam good doing this. Here is what my levels looked like on 100 mgs every 3 days.

Testosterone, Total 917 range 250 – 1100 ng/dL.

Testosterone, Free 201.0 range 46.0 – 224.0 pg/mL.

Testosterone, Bioavailable 395.9 range 110.0 to 575.0 ng/dL.

SHBG 22 range 17 – 54 nmol/L.

Albumin, Serum 4.3 range 3.6 – 5.1 g/dL.

Estradiol 8 low range 13 to 54 pg/ml


Here is a copy of what I tell men on arimidex so they don't go to low.
==========================================
How To Take Arimdex and not go down on your Estradiol to Low.

What I found is if you go to low taking arimidex, it's the length of time your to low, if your too low say for 8 weeks it can take your body a longer time to make more Estradiol. Bottom line is to know how not to go to low. Keep a log on your dose and how you feel men going to low can't get it up taking Viagra. I went to low when I first tried Arimidex and did not know about going to low or how one feels to low, so I was low a good 8 weeks. I did not know I was low until my next labs.

The best gage I have found to control your Estradiol levels is to gage your night time and morning wood. At good levels or what I call the sweet spot you get your night time and morning wood back so strong it will wake you up and you can hang a coat on it.

Most men do good taking .25 mgs or 1/4 of a 1mg. pill, I use a pill cutter to cut the small pill in half then I stand it on the cut end and use a single edge razor to cut this in half. A good way to take arimidex is by how high your levels are. I tested over 90 pg/ml so we tried doing .5 mgs every other day after 8 weeks my next set of labs showed it did not move below 90, test said >90. So we did .5 mgs. every day in about 2 weeks I got some strong night time and morning wood back after not having them for many yrs.

I kept doing this dose and in 8 weeks my next set of labs said <20 back in the day labs were like this they did not have to good labs we have today they could not read lower the 20. My Dr. told me this looks to low to stop taking the Arimidex. The one thing I noticed was my wood stopped and stopping the Arimidex my wood came back in about 7 weeks my next test at 8 weeks was 24 pg/ml. So we went back on the Arimidex but the Dr. told me to take .5 mgs every 3 days I was on this dose not a week and lost wood. This is when I figured out going to low you lose wood. And the longer your too low the longer it takes to get levels back up.

I stopped the arimidex right away and got my wood back in 4 days. I then after playing with the dose for a time found the best dose is .25mgs every 2 to 3 days.

So lets say your labs are less the 50 pg/ml if your take .5 mgs you can go down so dam fast your miss the sweet spot of your wood and go to low. It's best with lower levels 50 and under to do less Arimidex .25mgs every 2 days if later your lose wood when it comes back go to every 3 days.

I have found estradiol is the hardest hormone to control, it goes up or down from month to month some times I need .25mgs every 2 days other times I need .25mgs everyday most of the time I do well on every 3 days.

So between wood and labs I do great and so do most of the men I have told this to. I keep a log on how much I am taking and how I feel. Doing this and reading back in my log I was able to tell when I was going to high or to low my Dr. lets me dose my arimidex by how I feel.

Over the yrs. I have posted this story until I am blue in the face.
 
1) do your labs in the morning of your next shot but before it and don't do the HCG the days before it.

i did this before.. on 125 mg test e the level comes back on monday before shot at 11 (scale 0-35) when i skipped the hcg.. so hcg is definitely needed to keep levels up..

what day then is best? if i take shot on monday peak level will be reached on day 2 right? if i test thursday, what should my level of total T be to assume i am NOT a hyperexcreter?

2) I never take meds before labs if you do Arimidex in the morning they do your labs your going to look low.

okay so take test e shot on monday, take arimidex on wednesday .5 mg and thursday morning test total T and E2?

3) If you feel your eating up your T as fast as you shoot it like Dr. Shippen does do your shots every 3 days and do your HCG the day before it. I have been on this for over 6 yrs. So if you do 125 mgs / wk then try 50 mgs every 3 days doing this will help keep your more leveled and help keep your blood thinner also help to keep your E2 down because your not doing a big shot all at once.

i understand.. but i first need to establish a baseline.. on sustanon 125 mg i reached level 11 without hcg on monday..

so i need to know by my thursday blooddraw if my total t is high enough (feel great so suppose good levels) and see if im not a hyperexcreter

also i need to judge my e2 on thursday since then it has had time to do it's work and will not give a skewed result

sound like a plan?

ps e2 was 102 on the day my test was 11, i believe you said optimum for e2 in that scale was 70
 
I like to know how low I am the morning of my next shot that is why my Dr. has me do labs the morning of my next shot but before my shot. And yes HCG helps keep your levels up but if you do HCG before your labs you don't know what your Test shot is doing.

To see your peak levels you would do labs the 3rd. day after your shot.

Your doing 125 mgs / week of Sustanon only hitting a level of 11 your 1) eating it up very fast or 2) need to try half the shot 2x's per week. We feel bad with levels fall this low you need to get up into the upper 1/3 of your labs range. A good level for you would be 20 to 23.

As for E2 levels you best level is 74.

I don't care what my peak levels are all I care about is how low I fall by my next shot. You need to get off this roller coaster ride.
 
pmgamer18 said:
I like to know how low I am the morning of my next shot that is why my Dr. has me do labs the morning of my next shot but before my shot. And yes HCG helps keep your levels up but if you do HCG before your labs you don't know what your Test shot is doing.

To see your peak levels you would do labs the 3rd. day after your shot.

Your doing 125 mgs / week of Sustanon only hitting a level of 11 your 1) eating it up very fast or 2) need to try half the shot 2x's per week. We feel bad with levels fall this low you need to get up into the upper 1/3 of your labs range. A good level for you would be 20 to 23.

As for E2 levels you best level is 74.

I don't care what my peak levels are all I care about is how low I fall by my next shot. You need to get off this roller coaster ride.
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hi phil

i think you're not quite getting what im saying

my T level after 1 week on a shot (without hcg on the weekend) is 11 (0-35) which is like my normal level

so 125 mg sust brings me to a peak on like thursday or wednesday, then in weekend it goes lower and monday hits 11, i think this is a normal way of leveling down on a t shot and the reason dr john uses hcg in the weekend to prevent coming this low

do you have a graph for me with the curve of a test injection?

it's not a rollercoaster ride since hcg keeps me leveled till monday, only thing i need to do is finetune arimi dosage
 
I asked my doctor about hcg yesterday and he said that there was no good data on long term use and that unless I am ready to have kids I should stay away from it. What do you think about that.

I am still waiting for my estrogen to return to normal its still below 10 after 2 weeks :-/
 
My Estriadol is back up to 30 finally after 3 weeks! When it gets up to 40 I will start on the 1/4 arimidex every 3 days and see what happens.

Do you think HCG would make any difference for penile sensitivity and orgasmic pleasure or is that more of a general sense of wellbeing thing?
 
Where is your shbg?
I have patients e2 that are 40 and feel great
mine is 35 and I can screw like a rabbit. I think you are going to make matters worse
with e2 of 34 that can be easily manipulated through life style and proper nutrients balancing. I think u are making a huge mistake. If your shbg is 18-20 then fine but other wise you are just drawing strawls and grasping at anything potentially in making your pre existing condition worse.
 
My lab sheet states the optimal estradiol (E2) range is 0.5-2.2 pg/ml. My E2 came back at 1.5. A lot of you have E2 levels that are way above the optimal range. Am I misunderstanding E2 ranges? Are E2 levels of 40 or more normal? When it comes to E2 levels, is lower or higher better?
 
The Matrix I have been told on here that the E2 above 30 or ANY level above my sweet spot "whatever that is" will cause the decreased penile sensitivity and reduced orgasmic pleasure. Why are you harping on shbg? will that effect the sensitivity? I am still learning here. You are a doctor? Have you had patients with the sensitivity problem?
I value your input.
 
When I was first diagnosed with low t I had severely reduced sensitivity in my whole lower pelvic region and almost no pleasure from orgasm. Both came back to about 85% of normal on 5 grams of androgel during the "kick" before my normal t shut off. Then the symptoms were back. After not getting high enough on 10g of androgel my doc brought it back down to 5 and started test cyp shots of 100mg a week. my sensitivity got back to about 50% then stopped. All my other symptoms disappeared within 2 weeks of my levels being normal. I am stuck here and have been for 4 months now. I am desperate and scared.

I went to the boston medical group and they did a vibration test on my penis and said the nerves were working. They did an ultrasound and said the bloodflow was good. I have no scar tissue that would interfere with sensation.

After turning to the net in desperation I saw PMgamer18 talk about his issues with sensitivity and ed. I checked and my estradiol was 40 on one test and 45 on another. It was 25 when I was on 5g of gel when I had a full blood panel. My only hope for now is to try to get it down to 25 again like PMgamer18 suggested and hope it works.

I tried with Femara 8 weeks ago and it obliterated my E2 now it is back above 30 so I want to try the 1/4 mg of arimidex.

Where does shbg fit into all this? please help me understand.

I apologize for the long post.
 
shgb helps make e2 doe it's job. Higher the shbg more e2 your body can handl e lower shbg then lower e2 has to be. Pmgamer and I have known ech other for years and talk on the phone each week. Every one is different what works for one may not work for the other. Why you have to know what is right for your chemistry.


scm123 said:
When I was first diagnosed with low t I had severely reduced sensitivity in my whole lower pelvic region and almost no pleasure from orgasm. Both came back to about 85% of normal on 5 grams of androgel during the "kick" before my normal t shut off. Then the symptoms were back. After not getting high enough on 10g of androgel my doc brought it back down to 5 and started test cyp shots of 100mg a week. my sensitivity got back to about 50% then stopped. All my other symptoms disappeared within 2 weeks of my levels being normal. I am stuck here and have been for 4 months now. I am desperate and scared.

I went to the boston medical group and they did a vibration test on my penis and said the nerves were working. They did an ultrasound and said the bloodflow was good. I have no scar tissue that would interfere with sensation.

After turning to the net in desperation I saw PMgamer18 talk about his issues with sensitivity and ed. I checked and my estradiol was 40 on one test and 45 on another. It was 25 when I was on 5g of gel when I had a full blood panel. My only hope for now is to try to get it down to 25 again like PMgamer18 suggested and hope it works.

I tried with Femara 8 weeks ago and it obliterated my E2 now it is back above 30 so I want to try the 1/4 mg of arimidex.

Where does shbg fit into all this? please help me understand.

I apologize for the long post.
Click to expand...
 
I will ask my endo if I can test my shbg when I see him tuesday. I am so thankful I have the support of people on this post. Thank you The Matrix. Do you treat a lot of trt guys?
Do you agree that shbg and or E2 levels may be causing the sensitivity issue? Are there other things I should look for?
 
scm123 said:
I will ask my endo if I can test my shbg when I see him tuesday. I am so thankful I have the support of people on this post. Thank you The Matrix. Do you treat a lot of trt guys?
Do you agree that shbg and or E2 levels may be causing the sensitivity issue? Are there other things I should look for?
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Yes we treat alot of guys on TRT, but we tend to look at why do you need it what other imbalances or hidden metabolic road blocks could be preventing the body from making on its own. I have dealt with probably a few thousand guys in course of my time, but each time its a learning experience. I just had lunch with Dr john crisler and we had a great tim and some good conversation. He is really a fantastic stand up guy. So I am slowly working my way up the chain..: ) Slowly over the course of the next 5 years I plan on having Dr's going to the integrative implementing more advance testing on isolating the cause rather then just treating the symptoms.
 
I am sick of my endo not knowing what he is doing. I am going to try a guy named Irwin goldstein he runs a sexual health clinic in Sand Diego. Have you heard of him?

I wish I lived near Dr. Crisler or you. I want to try hcg but my endo said its dangerous with no long term studies and should only be used if I want to have kids.

I can't wait to see if this new doc is better. He seems to pay more attention to the big hormonal picture from his site. I hope that is the case.
 
scm123 said:
Thank you again for your help.
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No but the money you have spent could have bought a plan ticket to some one that could have help you..Who ever that may have been.
 
He won't admit he doesn't know what to do he keeps saying just wait and see it takes a while. After months of waiting I finally went on here out of frustration! He should admit he doesn't know what to do and refer me to someone who does. Ugh!
 
scm123 said:
He won't admit he doesn't know what to do he keeps saying just wait and see it takes a while. After months of waiting I finally went on here out of frustration! He should admit he doesn't know what to do and refer me to someone who does. Ugh!
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Been there bro
30 drs and specialists
$70000 blown on chasing my tail and crazy online supplements which only gave me false hope because I was just drawing strawls. That is why I started studying human body like never before researching several thousands of hours studies various topics. I have 5 years of clinic expereince dealing with any kind of health related illness under an MD supervision. Everything that people have gone through on here I have been through and then some.

That is why I am here to help educate people so they do not waste years of there life making the same mistakes I made. If you have the option, bite the bullet and do what you have to do to get better. With out health there is no wealth. I have very extremely wealthy clients and money means crap when you can not enjoy it and can even have fun with your family. These moments are priceless..

Best piece of advice is never give up hope and keep believing because eventually it will manifest it self...Stay positive focus. There are alot of other people out there who have it alot worse then we have it, but some times we tend this and need to reflect on people that are dying of cancer and other deadly diseases. We complain about alittle ED or PE compared to how they are suffering..
 
Thank you The Matrix.

This doctor is an editor and chief of the Journal of Sexual Health and seems to know his stuff. His receptionist says he looks at balances of hormones not just testosterone. He looks at E2, prolactin, shbg, calculates your bio available testosterone, looks at dht, and adrenal hormones that can affect sexual function. (My doc looked at these one time in the beginning then just looked at free and total t). Many men come to him on trt with ED or sensitivity/orgasm issues. She says he has helped many of them regain full function. If he doesn't work I am going to Dr. Mariano, the only reason I am not seeing Dr. Mariano already is he is so far away (7 hour drive). This guy is a 1 1/2 hour drive.

It is hard not to be depressed about this stuff. I am glad I have someone to message who understands. I am sorry you had to waste so much time and money on this.

Hopefully I won't have to repeat the experience, but we will see.
 
scm123 said:
Thank you The Matrix.

This doctor is an editor and chief of the Journal of Sexual Health and seems to know his stuff. His receptionist says he looks at balances of hormones not just testosterone. He looks at E2, prolactin, shbg, calculates your bio available testosterone, looks at dht, and adrenal hormones that can affect sexual function. (My doc looked at these one time in the beginning then just looked at free and total t). Many men come to him on trt with ED or sensitivity/orgasm issues. She says he has helped many of them regain full function. If he doesn't work I am going to Dr. Mariano, the only reason I am not seeing Dr. Mariano already is he is so far away (7 hour drive). This guy is a 1 1/2 hour drive.

It is hard not to be depressed about this stuff. I am glad I have someone to message who understands. I am sorry you had to waste so much time and money on this.

Hopefully I won't have to repeat the experience, but we will see.
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but he tends to overlook lifestyle, nutrition, proper stress management and not looking for the root causes? Dr's can just focus on one area and forget about the other which I have found to be actually more important. I prefer not to use the bandaid approach with patients/clients.
 
Not sure if he looks at the other things or root causes. I will know more when I see him. FYI I eat a balanced healthy diet, maintain a healthy weight and do weights and cardio 3 times a week at the gym. I also take a multi vitamin and mineral, calcium and omega 3 fatty acids every day. Not sure what else to do in this area.
 
scm123 said:
Not sure if he looks at the other things or root causes. I will know more when I see him. FYI I eat a balanced healthy diet, maintain a healthy weight and do weights and cardio 3 times a week at the gym. I also take a multi vitamin and mineral, calcium and omega 3 fatty acids every day. Not sure what else to do in this area.
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There is alot more you can do..Trust me...
 
I had a free 10 minute phone consult with this doctor today. I was on Prozac for 2 years and when I came off it my sensitivity and orgasmic pleasure did not return. That was what eventually lead me to get a blood test a year and a half later and found my total t was 300 on one test then 280 on another. I discovered I had low T and started this journey.

This doctor said he thinks I have post SSRI sexual dysfunction and that is why it won't come back.

He also said at 37 and still wanting to have kids testosterone is the wrong thing to give me. He wants me to use Clomid to stimulate my natural production. He said test over the long term might damage my ability to have kids. What do you guys think?

I am more confused than ever! Has anyone ever heard of Post SSRI sexual dysfunction?

UGH!!!!!!!!
 
scm123 said:
I had a free 10 minute phone consult with this doctor today. I was on Prozac for 2 years and when I came off it my sensitivity and orgasmic pleasure did not return. That was what eventually lead me to get a blood test a year and a half later and found my total t was 300 on one test then 280 on another. I discovered I had low T and started this journey.

This doctor said he thinks I have post SSRI sexual dysfunction and that is why it won't come back.

He also said at 37 and still wanting to have kids testosterone is the wrong thing to give me. He wants me to use Clomid to stimulate my natural production. He said test over the long term might damage my ability to have kids. What do you guys think?

I am more confused than ever! Has anyone ever heard of Post SSRI sexual dysfunction?

UGH!!!!!!!!
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Who was this dr?
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.
 
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".
 
scm123 said:
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".
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Yes its basically an imbalance in your automic nervous system from over stimulation (neurologically, stress,) in SNS. YOu need to rebalance the system at the same time regulate proper hormonal balance. YOu have to hit both angles in order to get proper treatment protocol.
 
BTW the doctors name is Irwin Goldstein a well know sexual dysfunction expert. He runs a sexual dysfunction clinic in San Diego CA
 
scm123 said:
BTW the doctors name is Irwin Goldstein a well know sexual dysfunction expert. He runs a sexual dysfunction clinic in San Diego CA
Click to expand...

Let's just say it's an imbalance or a short in your circuitry
 
fullproof said:
I read that if you take vitamin E for about 1-2 weeks starting, you will increase your semin amount at least double, if not triple! You are supposed to keep taking and it will help you orgasm faster too. I do not now however if this part is true, but it you put all the facts together, combined with another little special ingredient of your choice, I think that will be the end of your problems!!

Chris L
Fullproofdistributions.com
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He is with a medical professional he is comfortable with let him roll with it.
 
scm123 said:
I am sick of my endo not knowing what he is doing. I am going to try a guy named Irwin goldstein he runs a sexual health clinic in Sand Diego. Have you heard of him?

I wish I lived near Dr. Crisler or you. I want to try hcg but my endo said its dangerous with no long term studies and should only be used if I want to have kids.

I can't wait to see if this new doc is better. He seems to pay more attention to the big hormonal picture from his site. I hope that is the case.
Click to expand...
I just went to him a few weeks ago. He deal via phone call
 
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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