Here's the story, I'm a 51 y/o male, who has always been very sexually
active/responsive, almost always getting and keeping a good
UNTIL, about 3-5 years ago, when it seemed there was a pretty
quick decline in the ability to get or keep a decent erection.
I spoke to my doctor about it and he checked my testosterone
levels, which he said were fine.
So he gave me some samples of Levitra. I tried them, and they
work pretty well, not great, but they do work.
But what I'm wondering is, do I now have to take one of these pills
every time I want to have a decent erection, or should I pursue
my belief that there's something physically changed in me that
might be treatable/fixable, and might give me back some
spontaneity in my penis?
FYI, I don't remember the last time I had a morning erection,
so I'm thinking it's something physical that a urologist might
be able to diagnose and treat?
I don't expect my penis to act like a 17 year old again,
but I'm wondering if this is just the normal effects of aging,
or if there's more that can be done other than just "take a pill?"
Any suggestions or experiences are welcome.
I had a complete physical, I have one every year, mentioned
these problems to my doctor, and he was the one who ordered
the blood test to check testosterone levels. Since they
checked out OK, he said "lets try these Levitra pills."
I have been thinking of seeing a urologist, but am not
sure if my insurance co. will pay for it.
I would see a urologist if you think it's something you want. In health care you are always your own best advocate. I'm a woman - so I can't speak to understanding the specifics of your issue, but I've had parallel experiences w/ Drs & their quick fixes..... I had a gyno problem for YEARS that my reg. Drs just blew off, I tried 8 Drs over 10 yrs & just recently got a new one (who's younger & I think a little more current on what's available) - and she finally knew exactly what I was talking about & said "oh sure, we can take care of that for you" - just like that, no big deal & I'd been killing myself trying to get some answer for all that time. Sorry for the long post - what I'm trying to say is that if ever in doubt, seek out all your options. You get 1 body, 1 life & why not try at least to get as much out of it as you can. There's no reason to settle for a quick pill fix if somewhere inside you feel it's something that could be taken care of. If in the end, there is nothing more that can be done - there are at least other options available in medication & treatment that I am sure a uroligist is more than capable of finding something that you are more happy with. I would actually think too that your insurance will cover it as long as it's a function issue - they are terrible for not touching a bill for fertility, but verility is a different issur altogether. I wish ya the best of luck!
Your story sounds like mine. My libido died, at 45, and I was just given viagra as my T levels were 'in the range'. What most bozo doctors don't realize is that it's a huge range and a 30,40, or even 50 year old guy shouldn't be having a number that suitable for an 80 year old. So if the range is 250-900 and you're at 300 or 350 AND you're presenting all of those complaints you need testosterone supplementation. (once all other problems are ruled out like diabetes, thyroid etc)
I educated myself by searching hypogonadism and found a doctor that would treat me. Remember it's your life and body. When you walk out that door the doctor forgets about you in a minute. The way I see it, he works for ME and if he's ignorant or won't learn, adios.
Most doctors do not understand hormone results. The total Testosterone from most labs is about 200 to 800 as the normal range. If you are almost dead at age 95 you would be have a reading of 200. So when your test comes back & it is above 200 the doctor will tell you it is fine. It should be over the 500 mark.
He most likely did not test you for estrogen E2. It is likely as high as a woman the same age as you. The E2 range usually runs from 20 to 52. Yours should be below 30. If it was 50 the doctor would say you are fine.
If your testosterone is in the lower 1/4 of the normal range and/or your E2 is in the upper 1/3 of the normal range you will have low sex drive & erection problems.
Get a copy of the test results then read the book by Dr. E. Shippen, "The Testosterone Syndrome". You may want to look for a knowledgeable hormone doctor.
Thanks for all the thoughtful replies! I think with the testosterone,
like a few of you have said, if the numbers are in the "normal" range
and you don't exhibit some of the other, traditional low-testosterone
symptoms (e.g., lethargy etc., which I don't) then the doctors go right to
the ED pills. I have read about a "valve problem" where an erection
cannot be gotten or maintained because the valve leaks and the
blood flow that engorges the penis is interrupted. I don't know if this
is repairable. I wonder if this is my problem since I have alot of pre-ejaculate
while stimulated, much more than previously, so it seems that
the valve for *that* has changed.
Anyway, I will make an appt. with a urologist and at least discuss
it with him/her.
It also seems that a number of men find that viagra works better than either levitra or cialis. I recently read an article suggesting that levitra was the least preferred of all the ED drugs. You might want to try viagra to see if you get better results than with levitra.