Penis injury and a whole bunch of problems

The doppler ultrasound test checks the blood flow into & out of your penis when fully erect. Did the doc do the same scan before when it was soft?
You will have blood going into & out of your penis & testicles all the time as part of the bodies general blood circulation.
 
I do not think he did the same scan before when it was soft. I remember i was told to take off my pants and just put a paper towel over it. He then injected a needle into my penis and it hurt when he put it in. Then he left the room for 5-10 minutes and told me to press onto the penis and he will come back. Then he did the test.

Does that really matter? He just said the doppler ultrasound was to stick the injection into penis and then measure blood flow. Do not think he mentioned checking blood flow when soft. Can they do that?
 
I am very sorry about your injury/medical problem. My question is have you tried a female. All you talk about is masterbation. Do you get erect when sexually active with a partner. Have you ever had a partner try to get u erect in anyway? I hardly ever have morning wood anymore and sometimes I can't get erect while attempting to masterbate but with my wife it takes seconds to be erect. Just a thought. I hope I didn't miss this in onother part of your post but I did skip over some parts.
 
No i have not tried a female. I would be embarrassed because i know this would happen. I am in my room with no one looking at me and i cannot get an erection unless i squeeze my legs towards my testicles. The moment i unsqueeze my legs, my erection is completely gone.
 
No i have not tried a female. I would be embarrassed because i know this would happen. I am in my room with no one looking at me and i cannot get an erection unless i squeeze my legs towards my testicles. The moment i unsqueeze my legs, my erection is completely gone.

westell1;
I said that before, I say it one more time.

Injection into penis given by doctor proved that your penis is working.

You have good penis.

That is the good news.

Do not even start on varicocele, separate topic, off tangent, dead end.
In extreme case, think that you do not have balls and still want to live life plus sex.

You do not have blood supply to your penis,
that is the bad news.

Your bad news is a topic of newer ending conversations on these boards.
You are not alone or uncomon with your troubles.
You are not unusual, many men have it, specially those who frequent these boards.
I have it.

You have to figure out what is the reason and make corrections.
To figure that out you need to give your physical data and do blood testing per my long list that is located on post #44, between blue lines, here:

http://anabolicminds.com/forum/male-anti-aging/66268-jans-bloodtest-april13-2.html

After you have results post them on these board, ether I or someone else will help you.

With test post also

age
height
weight
waist size
-----------------------------
-------
 
Where do i do these tests janz? At my regular doctor or urologist?

Theoretically it would be a good idea to find doctor who deals with:

adrenals
thyroid
testosterone/estrogens
metabolic problems
some psychiatric or addiction problems

Doctor like that is usually hard to find.

Doctors who deal with anti-aging problems, should be able to help you.

You have on Manhattan dr Braveman

He is rather popular and very knowledgeable.
From other peoples experience,
he may go out on a tangent and before you know it, you will spend lots of money and may need to spend even more, before you get, possibly not bad help after all.

I stay away from him, I am retired, not much $$.

If you have $$ (lots of them) he is probably the best choice in the neighborhood.

There must be another half a dozen of this type of doctors just in Manhattan.

I live near by in NJ.

My doc is in Fair Lawn 07410
about 10 miles west from GWB
You should have not much problems in getting this list done using him.
He is very familiar with this list, hi signed under that list for me number of times.
He will most likely also give you good advice and hi takes most insurances, so he will not cost you more than usual visit to GP. If he takes your insurance, the out of pocket cost to you will be most likely under $50.
He is osteopath (DO), that is usually a big plus when dealing with this type of problems.

After you have that list done (regardless who heped you with script),
if you want, post results and we can try to figure out best course of action,
(obviously doctor's advice comes first).

Good luck.

.=========
before I forget, if you will ever go to him, trying to locate his address on a map use only
maps.yahoo.com
hi office is on a major thoroughfare but the building numbers there are funny (31-00 Broadway)
other map services are screving that location.
Try if you want, compare results from other map services.
only yahoo is valid.
On 30st St make left and left to parking lot (behind building)
Going into building from parking lot, he is immediate left, right after the entrance doors.
========================

.
 
janz, i have healthfirst insurance. I am not sure if you are familiar with that one.

I have no clue if that doc would accept your insurance.
You have to work that out with him.

Assume that he does not accept.
He still will give you good paperwork, with good ICD-9 codes,
the only difference would be that you have to do the paperwork.

Above is about direct doctor's charges (rather low charges).

If you will do blood tests,
preferably
Quest Diagnostics
second choice
LabCorp
they will process your insurance data right on the spot,
before they will draw blood,
if they see any charges that they already figure that insurance may refuse,
they will give you a paper to sign, cost stated on the form,
at that point you have a chance to say no.

OTOH, I signed number of times forms like that and insurance covered charges after all.
My charge for that long list were $6
Your mileage may vary.

---------
 
Okay Janz. I will look into it after next friday b/c my visit to urologist again will be that day. By the way, someone messaged me and they said their urine split stream because there is a tear in their urethra opening. He said the reason why it does that is because my penis healed but did not heal the right way which is why it split streams. Does anyone know of there is a test that can confirm damage to the urethra? Is it possible to correct the split stream? I think it would be a cosmetic type right?

thank you.
 
hey can a doctor just look at your penis and see that you had an accident such as a penile fracture? The thing is again the bottom of my penis on the left side hurts when i touch it. I did hear some pop sound and many sites mentioned that is a sign you fractured your penis. I mentioned this to many urologists already and all of them tell me it is nothing when it hurts when i touch it.

You can damage your penis from what I have heard and read about. I am always careful when the girl is ontop b/c I am afraid it will get hurt b/c once when I was having sex I felt something weird, it didn't really hurt but now I am aware of it and am careful. What I would do if I were you in this order is:
1. Start trying to stop worrying about it. You will be able to get it fixed and chances are some if not a large percentage is psychological. You might as well try to start training your mind to start thinking this way. The mind is a powerful thing and can cause all kinds of things to happen if it thinks something is really normal. For example - I have anxiety and used to think I was dying. My mind did this and it really made me think I was dying literally. Things would spin, I would sweat profusely, and get ringing in my ears and tunnel vision. After a few minutes I realized I was still alive and eventually it would subside, but let me tell you it was all fake - my mind was controlling my body and actually giving physical symptoms of a heart attack etc. Getting checked out will give you the peace of mind of knowing nothing is wrong etc or if it is what exactly it is instead of worrying excessively.
2. You should get some blood work done and test for all of the things mentioned earlier.
3. You should search the internet for urologists with good reviews and go see one until you find the right one. Make sure he knows that you have seen a handful of them and they blow you off. Tell him how much it is bothering you and affecting all aspects of your life and you have to figure out what is wrong with you. I would do all of the above as soon as possible (1-3).
Also, post results of your sonogram and blood tests when done.
 
i am 100 percent positive it is NOT psychologically. Fellas, i cannot get an erection when i am ALONE. I mean what is there to be nervous about. Before the accident, i could get erections easily and masturbate with ease. My penis was working 100 percent normal until the accident. I mean i understand some people are nervous and it could be in their head but i cannot get hard unless i squeeze my legs towards my testicles. The moment i unsqueeze it, erection is gone.

How many blood tests can you have? I did a normal blood test and urine test that came up normal. The doppler ultrasound while my penis was hard showed normal blood flow. I guess you are talking about blood supply in penis?
 
i am 100 percent positive it is NOT psychologically. Fellas, i cannot get an erection when i am ALONE. I mean what is there to be nervous about. Before the accident, i could get erections easily and masturbate with ease. My penis was working 100 percent normal until the accident. I mean i understand some people are nervous and it could be in their head but i cannot get hard unless i squeeze my legs towards my testicles. The moment i unsqueeze it, erection is gone.

How many blood tests can you have? I did a normal blood test and urine test that came up normal. The doppler ultrasound while my penis was hard showed normal blood flow. I guess you are talking about blood supply in penis?

Post all those tests.
 
i am 100 percent positive it is NOT psychologically. Fellas, i cannot get an erection when i am ALONE. I mean what is there to be nervous about. Before the accident, i could get erections easily and masturbate with ease. My penis was working 100 percent normal until the accident. I mean i understand some people are nervous and it could be in their head but i cannot get hard unless i squeeze my legs towards my testicles. The moment i unsqueeze it, erection is gone.

How many blood tests can you have? I did a normal blood test and urine test that came up normal. The doppler ultrasound while my penis was hard showed normal blood flow. I guess you are talking about blood supply in penis?

Well if your blood flow is normal, your blood tests and urine tests are normal, your variocele isn't a concern, then what else is it? It's in your head. You are anticipating having to squeeze your legs together to keep your erection and telling yourself that it will go away if you don't perhaps? What happens if you take Viagra and masturbate?
 
I'm sorry for all your troubles, really I am, but I can't make it through this thread without getting a good chuckle....you can't pay for this kind of entertainment....Anyway, best of luck to ya!!
 
I'm sorry for all your troubles, really I am, but I can't make it through this thread without getting a good chuckle....you can't pay for this kind of entertainment....Anyway, best of luck to ya!!

Yeah, b/c it isn't you. This guy is traumatized and rightfully so.
I used to make fun of the hair club for men commercials on TV when I was a teenager now I am losing my hair. I also used to make fun of the "help I can't get up" old people that fell over but then realized I will be 80 someday.

You never know, you might be the one with the medical condition when you get older.
 
When i take levitra, my penis has more blood flow. I still i have to squeeze my legs to get an erection though. My testicles have shrunk. I have varicocele level 3. What do you mean varicocele is not my concern? someone mentioned it could be blood supply problem and not blood flow of penis because he only did doppler ultrasound while my penis was erect and not flaccid.
 
When i take levitra, my penis has more blood flow. I still i have to squeeze my legs to get an erection though. My testicles have shrunk. I have varicocele level 3. What do you mean varicocele is not my concern? someone mentioned it could be blood supply problem and not blood flow of penis because he only did doppler ultrasound while my penis was erect and not flaccid.

Varicocele is separate problem, it is of concern but deal with it as a separate project.
Think of it (in abstract, not really) that in the worst case you will cut your balls off.
In a mean time wear tight swimming panties, so your package is held tight.

Your penis is in working order, you had it tested be the doctor.

Your penis is not working even after you use Levitra or any other similar pill
BECAUSE
you have other problems.

immediately it may be
prolactin
or
estradiol
testosterone
thyroid
cholesterol
glucose

but there are multiple other possibilities.

Get my long list of blood tests.
I have given you place where you can get it.

Until then stop worrying about your problems, just more stress.

One thing I can assure you about,
without blood testing
without finding reason
you have a snow ball in a hell in getting help.

left, left BroadwayX31st

.
 
Okay i went to urologist today and he did ultrascan of testicles. I told him i did it already but he went and did it again. He also gave me the machine to test my erections for 3 days when I am sleeping. I asked him for test results janz and here they are

Total Protein 7.4 5.9-8.4
Albumin 4.9 3.2-5.2
globulin 2.5 1.7-3.7
A/G Ratio 2.0 1.1-2.9
Glucose 82 70-99
Sodium 143 133-145
Potassium 4.3 3.3-5.3
Chloride 104 96-108
CO2 29 21-29
BUN 11 7-25
Creatinine 1.0 0.6-1.3
e-GFR 93 >60mL/min1.73m2
BUN/Creat Ratio 11 10-28
Calcium 9.3 8.4-10.4
Uric Acid 4.9 2.4-7.0
Iron 123 30-160
Bilirubin, Total 0.6 0.1-1.0
LDH 132 94-250
Alk Phos 52 39-120
AST (SGOT) 16 <37
Phosphorous 2.9 2.6-4.5
ALT (SGPT) 17 <40
G-GTP 14 7-51

Cholesterol 139 <200
Triglycerides 49 <151

Culture, Urine SEE BELOW

TSH 0.989 0.27-4.2
Thyroxine 8.2 4.5-12.0
T3 Uptake 35.9 24.3-39.0
Thyroxine, Free (FT4) 1.24 0.93-1.7
Free T4 Index 2.9 1.1-4.5
T3 (Thyronine), Total 92 80-200
Testosterone, Total. 412 280-800
Testosterone, Free, SE 10.3 8.8-27.0
LH 6.3 1.7-8.6
FSH 3.6 1.5-12.4
Prolactin, Serum 24.0 4.04-15.20


Can you give me insight? Also, the ultrascan of testicles today with him did confirm varicocele again. He said to come back to him in 2 weeks and we will DISCUSS EVERYTHING.

By the way, i just checked on google normal testosterone and I see that 412 is the average testosterone for a male ages 85-90 and the normal testosterone for someone my age 23 is 750! i am 23, 5'8 and around 150lbs.

EDIT, I PUT DOWN THE REFERENCE RANGES. Jansz, you can help me out? For some reason, i cannot push the reference range to the right so there is separation and easier to see. First nu number is my test and the next is the normal range.
 
Westell, you need to post the reference ranges when you post results. Not all of us have them memorized. :-)

Your prolactin looks a little high. That can negatively affect libido. Have you had your estradiol and progesterone tested? Too much of those will do the same thing.

Testosterone of 412 is not so excessively low that it should impact erections IF the other three hormones I mentioned are at normal levels for you. However, you may feel better if testosterone were a little higher, but discuss that with your doctor before deciding on TRT.

Did they run a CBC on you?

One other thing to check is your dopamine level. Low dopamine can lower libido.

Phil
 
Albumin 4.9 3.2-5.2
Glucose 82 70-99
Sodium 143 133-145
Potassium 4.3 3.3-5.3
Chloride 104 96-108
Iron 123 30-160
Cholesterol 139 <200

TSH 0.989 0.27-4.2
Thyroxine 8.2 4.5-12.0 (TotalT4)
T3 Uptake 35.9 24.3-39.0
Thyroxine, Free (FT4) 1.24 0.93-1.7
Free T4 Index 2.9 1.1-4.5
T3 (Thyronine), Total 92 80-200(TotalT3)
Testosterone, Total. 412 280-800
Testosterone, Free, SE 10.3 8.8-27.0
LH 6.3 1.7-8.6
FSH 3.6 1.5-12.4
Prolactin, Serum 24.0 4.04-15.20
================================
The upper part is a good news.

TotalT3 is low
(200-80)*(2/3)+80=160
Your
TotalT3=92 should be 160 or better
very likely you also have high RT3
desirable levels for RT3
RT3(0.12-0.32)nmol/L=(7.8-20.8)ng/dL
you should make sure that you are ok on
iodine
iodide
selenium
Ferritin~150
other vitamins and minerals
think of thyroid hormones supplementation (but much latter)
make sure that your cortisol and growth hormone are ok.

Cortisol, GH and Testosterone are in first line for energy and repairs.

Testosterone is rather low.
Testicles are most likely stimulated enough (LH=6.3) but cannot deliver more T.

Double check your prolactin, important.

High Prolactin (PRL) will cause TotalT levels to drop.

MRI of the brain (to show pituitary enlargement and help locate a tumor), and an eye examination (to evaluate visual disturbances) may be performed.

How are prolactinomas treated?
Prolactinomas are usually treated with medications that act like dopamine (such as bromocriptine or cabergoline). Treatment can reduce prolactin levels and symptoms and restore fertility, but the medications may have to be taken for several months or years. Surgery is sometimes necessary if the prolactinomas are large or not responding to treatment. This surgery is delicate and requires an experienced surgeon. Sometimes, despite medication and/or surgery, the prolactinoma will return.

.
 
janz, many of your posts are very confusing. I see what you say and you want me to get more tests? It is pretty obvious i am low in testerone which is probably the reason why i am like this correct? Does low testerone mean e.d? I have no desire much anymore even when i look at a woman but i can when i squeeze my legs into my penis while masturbating.
 
janz, many of your posts are very confusing. I see what you say and you want me to get more tests? It is pretty obvious i am low in testerone which is probably the reason why i am like this correct? Does low testerone mean e.d? I have no desire much anymore even when i look at a woman but i can when i squeeze my legs into my penis while masturbating.

Not sure what you are expecting from me.

When someone have problem we usually attempt to figure out

why, then
what can we do about, make a list
attempt corrections
see if it works

If you would go to a healer or miracle maker
they would do all by waving magic wand.
==========================================

This is already pretty long thread.
Only now I see that you have high prolactin and low testosterone.
Until now I thought that you have penis injury.

Go to see a good doctor.
I have given you one in Fair Lawn NJ, less that 30 min from Manhattan, where you live..

Most likely check first for prolactinoma.
Best
let good doctor do his job.
I am not a doctor.

.
.,
 
janz are you telling me i do not have penis problems because you thought i did UNTIL NOW?

Go and see doctor.

He will evaluate you.

Give you list of your problems

and will give you approximate sequence of priorities to repair defficiencies.

.
 
Okay i went to urologist today and he did ultrascan of testicles. I told him i did it already but he went and did it again. He also gave me the machine to test my erections for 3 days when I am sleeping. I asked him for test results janz and here they are

Total Protein 7.4 5.9-8.4
Albumin 4.9 3.2-5.2
globulin 2.5 1.7-3.7
A/G Ratio 2.0 1.1-2.9
Glucose 82 70-99
Sodium 143 133-145
Potassium 4.3 3.3-5.3
Chloride 104 96-108
CO2 29 21-29
BUN 11 7-25
Creatinine 1.0 0.6-1.3
e-GFR 93 >60mL/min1.73m2
BUN/Creat Ratio 11 10-28
Calcium 9.3 8.4-10.4
Uric Acid 4.9 2.4-7.0
Iron 123 30-160
Bilirubin, Total 0.6 0.1-1.0
LDH 132 94-250
Alk Phos 52 39-120
AST (SGOT) 16 <37
Phosphorous 2.9 2.6-4.5
ALT (SGPT) 17 <40
G-GTP 14 7-51

Cholesterol 139 <200
Triglycerides 49 <151

Culture, Urine SEE BELOW

TSH 0.989 0.27-4.2
Thyroxine 8.2 4.5-12.0
T3 Uptake 35.9 24.3-39.0
Thyroxine, Free (FT4) 1.24 0.93-1.7
Free T4 Index 2.9 1.1-4.5
T3 (Thyronine), Total 92 80-200
Testosterone, Total. 412 280-800
Testosterone, Free, SE 10.3 8.8-27.0
LH 6.3 1.7-8.6
FSH 3.6 1.5-12.4
Prolactin, Serum 24.0 4.04-15.20


Can you give me insight? Also, the ultrascan of testicles today with him did confirm varicocele again. He said to come back to him in 2 weeks and we will DISCUSS EVERYTHING.

By the way, i just checked on google normal testosterone and I see that 412 is the average testosterone for a male ages 85-90 and the normal testosterone for someone my age 23 is 750! i am 23, 5'8 and around 150lbs.

EDIT, I PUT DOWN THE REFERENCE RANGES. Jansz, you can help me out? For some reason, i cannot push the reference range to the right so there is separation and easier to see. First nu number is my test and the next is the normal range.

Both your free and TOTAL testosterone are way too low and the prolactin is out of range as well plus lower testosterone means lower dopamine in the brain and when dopamine gets two low prolactin will be high and out of range. What this all boils down to is a weak parasympathetic nerve, no wonder you have to strangle your penis to keep it up. You are in dire need of hormonal rebalancing. Your LH levels are pretty good which means everything that is going wrong lies in your nuts so HCG won't help you any the only thing that will get you out of this rut is Androgel atleast until you get the varicocele taken care of. You still need to get your e2/DHT levels checked also, you can do it through ZRT lab fairly cheap. Each man is biologically different than another some men can acheive a perfect erection with low levels of T. Personally speaking my libido always came from high DHT what I call the burn and now that my T is low my DHT dropped with it. You may have to retest yourself every 6 weeks to see where you are at untill you identify where your main problem lies.
 
msl2009 i googled weak parasympathetic nerve. Is it a condition or is it physical and it is weak like a person having weak muscles. I will go back to my urologist next Friday and he told me we will discuss everything. So you say get varicocele fix first correct?

Yes, my semen leaks a lot when trying to mastubrate. what do you mean doing tests trhough ZRT lab? Is that suppose to be done at home or at a urologist?
 
msl2009 i googled weak parasympathetic nerve. Is it a condition or is it physical and it is weak like a person having weak muscles. I will go back to my urologist next Friday and he told me we will discuss everything. So you say get varicocele fix first correct?

Yes, my semen leaks a lot when trying to mastubrate. what do you mean doing tests trhough ZRT lab? Is that suppose to be done at home or at a urologist?[/}

Pre Cum is a definate indicator of a weak nerve. Do you have any other health issues that accompany your ED? Like trouble sleeping, depression, fatigue and muscle spasms etc... any thing that would indicate a hormonal imbalance?
The ZRT lab is blood spot test that can be done at home and then mailed out to the lab and then they will send you back the results after they do the test. I started androgel today but its too soon to tell if it will work or not but I will try and keep you posted. I will not stay on TRT because I don't really think that I am hypogonadal, it just so happens that my test levels came out to be 330ng/dl on this last go around. I really think it is something else that is driving down my testosterone.
 
Yes i have depression and fatigue msl. I never want to do stuff anymore ever since the injury. My cum drips a lot and it is not strong at all when i am able to get an erection which is by the way putting pressure on my penis by squeezing my legs.

How do you fix a weak nerve? Did i break the nerve when i caused my injury? Or is it something else? I dont really understand the nerve.
 
Yes i have depression and fatigue msl. I never want to do stuff anymore ever since the injury. My cum drips a lot and it is not strong at all when i am able to get an erection which is by the way putting pressure on my penis by squeezing my legs.

How do you fix a weak nerve? Did i break the nerve when i caused my injury? Or is it something else? I dont really understand the nerve.

When your parasympathetic nervous system is fully charged you will know it for sure cause your libido(Sex Drive) will be raging and when you looked at a woman you would be able to get a spontaneous erection. Another question I wanted to ask is your penis cold to the touch or slightly lower than the rest of your body temperature, if so then you still have circulation issues. I notice that in the mornings especially that if I sleep in the fetal position I have slightly better blood flow to the penis. Its all about blood flow in the pelvic floor area. By looking at your lab work you do have some hormonal issues going on but after thinking about it your low testosterone is not really the problem you really should look into 4X Cortisol, DHEA, and Retest your Thyroid once more. All those years of stress over the injury has surely taxed your adrenal glands some I bet. I fully know how the depression is cause since my problems began I have pretty much lost interest in everything that I used to care for.
 
My penis just feels fragile. Before the accident, i could just grab it whether urinating or masturbating and it feels normal like when you grab your own arm. I am not sure what you mean penis is cold to the touch. It does not feel cold as in low temperature though.

Doctor said i had no blood flow problems. Yes back then my penis would get erection when i see a woman but ever since that day, never ever do i get anything. Could it be blood flow when not erect? Urologist did not check me for that.

I will see my urologist on friday to discuss everything according to him. Do you have a clue what he would decide to do with me? If he says i am fine and take levitra pills i will be very upset. I also want to have surgery for my varicocele grade 3. Would you think taking care of e.d problems low testerterone is more important or doing the varicocele first if he allows me to do surgery. I also have a pilonidal cyst and butt infection as well with my other doctor where my butt cheeks are blackish/brownish and it looks bruised but isn't. I know surgery for that is VERY PAINFUL according to some people. I just have so many horrible things going on in my life right now that i just cannot be happy.
 
My penis just feels fragile. Before the accident, i could just grab it whether urinating or masturbating and it feels normal like when you grab your own arm. I am not sure what you mean penis is cold to the touch. It does not feel cold as in low temperature though.

Doctor said i had no blood flow problems. Yes back then my penis would get erection when i see a woman but ever since that day, never ever do i get anything. Could it be blood flow when not erect? Urologist did not check me for that.

I will see my urologist on friday to discuss everything according to him. Do you have a clue what he would decide to do with me? If he says i am fine and take levitra pills i will be very upset. I also want to have surgery for my varicocele grade 3. Would you think taking care of e.d problems low testerterone is more important or doing the varicocele first if he allows me to do surgery. I also have a pilonidal cyst and butt infection as well with my other doctor where my butt cheeks are blackish/brownish and it looks bruised but isn't. I know surgery for that is VERY PAINFUL according to some people. I just have so many horrible things going on in my life right now that i just cannot be happy.

Your testosterone is low but still adequate enough for erections even if you didn't have any other problems. I've been taking a testosterone gel and its not helping my erection strength any. The long term effects on the body of PDE-5 inhibitors such as Viagra, Levitra, and Cialis are not fully known and most guys that use these drugs find that they stop working after a certain amount of time and some men end up having to alternate between the 3 in order to keep from building up a tolerance to any specific one. Yes, I would be very upset if my doctor told me to take levitra for the rest of my life. He should still measure blood flow while in the flaccid state because you have to take into consideration that after being injected by an erectile drug your smooth tissue is extremely relaxed and this is also an artifically induced erection and the only accurate results would be to measure both ways and compare this to the statistics of normal men.
 
I will see my urologist on friday and he said we will talk about everything. I will tell him that my testerone is too low and my prolatin is way too high so something has to be done. Also the weak sympathetic nerve. Is there anything else i should add? I will also ask him if i will be able to have surgery for my varicocele grade III.
 
You'll have a hard time getting him to prescribe anything for you Westell1, you really need to find an Endocrinologist and retest all your hormones. Urologist really don't seem to prescribe anything for hormones much unless you have a wife and are trying for a baby or something.
 
I am so fking pissed off right now. Today when i went i had to pee in this thing in the restroom to test urine. I did this about 2 times already. This was the 5th time i saw him and he did a bladder test on me. He told me last time that we were suppose to discuss everything. My last week was 2 weeks ago and i thought today i would know all the answers.

I told him that i might have a weak sympathetic nerve and he said it COULD be possible but it could be one of a hundred things. I told him people online on a forum that knows these things tells me thats why i have to strangle my penis to keep it up which is why i have the weak sympathetic nerve.

He then tells me he will do another test. Its an MRI of the brain for the pitituary gland. Can someone tell me WTF is he doing? Whats the point of these tests? I tell him that my testerone is too low and my prolotin is way too high and he says my testeterone is lower than normal but WITHIN RANGE. I told him someone my age 23 is suppose to be around 800 and he tells me range is 280-850 and that depends on the time of day. Well, 412 is damn low and i am pretty sure if he test it again, it will be around that number.

For the test i did last time with me sleeping and the machine that tested my erections at night, the noctural test, he says that it shows that i did have erections at night HOWEVER, they were not 100 percent erections and mentions to me that there is something PHYSICALLY wrong.

Now, he wants to schedule me an appointment to some hospital to do an MRI to see if my insurance covers it and they were suppose to have someone call me today but they didn't. I am so fking pissed off right now. I saw him back in Mid July my first time and its already near the middle of september by the time i see him again. The next time i see him i will tell him i cannot waste anymore time because this is really pathetic. I am depressed right now because of this problem and nothing is getting taken care of. Not 1 damn thing.
 
I am so fking pissed off right now. Today when i went i had to pee in this thing in the restroom to test urine. I did this about 2 times already. This was the 5th time i saw him and he did a bladder test on me. He told me last time that we were suppose to discuss everything. My last week was 2 weeks ago and i thought today i would know all the answers.

I told him that i might have a weak sympathetic nerve and he said it COULD be possible but it could be one of a hundred things. I told him people online on a forum that knows these things tells me thats why i have to strangle my penis to keep it up which is why i have the weak sympathetic nerve.

He then tells me he will do another test. Its an MRI of the brain for the pitituary gland. Can someone tell me WTF is he doing? Whats the point of these tests? I tell him that my testerone is too low and my prolotin is way too high and he says my testeterone is lower than normal but WITHIN RANGE. I told him someone my age 23 is suppose to be around 800 and he tells me range is 280-850 and that depends on the time of day. Well, 412 is damn low and i am pretty sure if he test it again, it will be around that number.

For the test i did last time with me sleeping and the machine that tested my erections at night, the noctural test, he says that it shows that i did have erections at night HOWEVER, they were not 100 percent erections and mentions to me that there is something PHYSICALLY wrong.

Now, he wants to schedule me an appointment to some hospital to do an MRI to see if my insurance covers it and they were suppose to have someone call me today but they didn't. I am so fking pissed off right now. I saw him back in Mid July my first time and its already near the middle of september by the time i see him again. The next time i see him i will tell him i cannot waste anymore time because this is really pathetic. I am depressed right now because of this problem and nothing is getting taken care of. Not 1 damn thing.

What he should have been doing Westell1 in todays visit was measuring your bloodflow while in the flaccid state and compared that to the statistics of a normal man. It sounds like you have one incompetent doctor. I wish I knew someone to refer you to but I don't cause most doctors in todays world are essentially all the same. The MRI is more than likely not going to show anything at all. Ordering the MRI is to see if you have a hyperprolactinemia from an adenoma on the pituitary gland. Your prolactin was high but unlikely from the result of an adenoma. It wouldn't hurt to go ahead and get the MRI since you do have insurance just so you know where you stand health wise. My doctor wanted me to get one but I could not afford it since I am not insured. The good thing is that you are getting Nocturnal erections and thats a good sign but he should have told you percentage% how close to a full erection or how far from 100% you were while sleeping.
 
I am not sure if my insurance covers the MRI. do you know how much it cost MSL? I should have asked him about the bloodflow while at flaccid state but forgot. Do you think this is the most important thing because it sounds like it. Is there a chance he did measure my bloodflow while in the flaccid state? I recalled him doing the ultrasound and the test showed that my bloodflow was fine according to him. He first gave me the injection and then left the room and came back in 10 minutes and then measured me. How would the test look like if he measures my bloodflow in the flaccid state?

I don't really know what to do now. Everyday gets depressing for me because I am just hoping i can get erections like a normal man but nothing is done. Also, i did a bladder test as well today where a person who works there used a thing to scan my stomach area.
 
yes jansz, what do you want me to do about that. Yes i know its too high

MRI
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Hormones Produced by the Pituitary Gland

To get a better understanding of the reach of pituitary gland functions, and to better understand how these functions can be compromised by a pituitary gland tumor, it is worth taking a moment to take a closer look at the hormones produced by the pituitary gland and what each hormone does.

Prolactin -- The primary functions of prolactin are to stimulate the production of breast milk following childbirth and to regulate sex hormone levels in both men and women.

Growth hormone (GH) -- This hormone produced by the pituitary gland promotes growth in children. Too much growth hormone in children can create a condition known as acromegaly or gigantism. In adults, growth hormone helps to maintain muscle and bone mass as well regulate fat distribution.

Adrenocorticotropin (ACTH) -- This hormone stimulates production of the “stress hormone”, cortisol, produced by the adrenal glands and is responsible for maintaining optimal blood pressure and glucose levels.

Thyroid-stimulating hormone (TSH) -- This hormone governs vital processes and systems, such as energy, growth, metabolism and the nervous system by stimulating the thyroid gland. Variations in these levels could be the result of thyroid problems such as an overactive thyroid or an underactive thyroid. (You can learn more about each of those at our Thyroid Problems page.

Antidiuretic hormone (ADH) -- Also known as vasopressin, this hormone’s function is to regulate the balance of water in the body. When levels of antidiuretic hormone are not where they should be, it can lead to conditions such as diabetes insipidus and syndrome of inappropriate ADH, both of which affect the kidneys.

Luteinizing hormone (LH) -- This hormone regulates levels of testosterone by the testes and estrogen by the ovaries in men and women, respectively.

Follicle-stimulating hormone (FSH) -- Working with luteinizing hormone, follicle-stimulating hormone promotes normal functioning of the ovaries and testes by regulating sperm production and ovulation in men and women, respectively.
 
janz, i seen this stuff before. Why are u giving me the definitions?

To convince you that you need MRI.

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What causes the prolactin level to be raised
Invalid Link Removed

There are several likely causes of a high prolactin level in a blood sample, of which three are most common. The first is certain medications, particularly anti-sickness tablets such as metoclopramide (Maxolon) or tranquillisers such as chlorpromazine (Largactil) and anti-depressants such as Amitriptyline and Fluoxetine (Prozac). Make sure you tell your doctor about all your current treatments. The second possibility is an underactive Thyroid Gland, which can be diagnosed by a simple blood test and which requires treatment with thyroid hormone tablets. Once your doctor has excluded these two causes, he or she will consider the possibility of a prolactinoma.
 
What do i want the MRI to show? I know its psychological and the sleeping nocturnal test said that my erections are not 100 percent because there is something physical
 
by any chance do you know much MRI costs around if my insurance does not cover it? For some reason, i dont think this test will do much anyways.
 
I am not sure if my insurance covers the MRI. do you know how much it cost MSL? I should have asked him about the bloodflow while at flaccid state but forgot. Do you think this is the most important thing because it sounds like it. Is there a chance he did measure my bloodflow while in the flaccid state? I recalled him doing the ultrasound and the test showed that my bloodflow was fine according to him. He first gave me the injection and then left the room and came back in 10 minutes and then measured me. How would the test look like if he measures my bloodflow in the flaccid state?

I don't really know what to do now. Everyday gets depressing for me because I am just hoping i can get erections like a normal man but nothing is done. Also, i did a bladder test as well today where a person who works there used a thing to scan my stomach area.

I think about the cheapest that you can get an MRI done is around 800$, that should be enough to get a head scan of your pituitary. You should get retested on your bloodwork once more to confirm where your problems are. Find a good lab and redo everything to be sure. I really don't think you have a tumor though.
 
theface, you mean ultrasound of my brain?

janz, the person who was suppose to schedule my appointment tells me today she had some procedure done and was busy and would let me know today or tomoorrw about when i would do it. I really think this MRI is useless. Whats the significance of it? Would it confirm something in my brain causes my low testerone, ed , no morning wood and all that?
 
theface, you mean ultrasound of my brain?

janz, the person who was suppose to schedule my appointment tells me today she had some procedure done and was busy and would let me know today or tomoorrw about when i would do it. I really think this MRI is useless. Whats the significance of it? Would it confirm something in my brain causes my low testerone, ed , no morning wood and all that?

Pituitary Gland produces many hormones.
Your higher prolactin level may indicate that all is not well in Pituitary Gland.

Among other pituitary produces LH & FSH, so indirectly bad pituitary may cause low testosterone.

Thing are interlinked.

In post above I listed pituitary hormones and their function.
Here is just short list:

Hormones Produced by the Pituitary Gland

Prolactin
Growth hormone (GH)
Adrenocorticotropin (ACTH)
Thyroid-stimulating hormone (TSH)
Antidiuretic hormone (ADH)
Luteinizing hormone (LH)
Follicle-stimulating hormone (FSH)

.................
 
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