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Old 07-26-2006, 12:05 AM   #1
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cycling libido/erection problem, driving me nuts!

I can only have good libido and erections for 4-5 days in a row, every 4-6 weeks. This has been going on for a year. Nothing helped. I looked everywhere and found no answer.

Usually I find out that I'm horny when I look at porn some random day, then I get decent erections that day. Either the next day or the ones following, libido/erections will peak. I can see veins in my penis when flaccid as it looks strong. Sometimes I go pee and it goes hard at any sexual thought.

Then all just vanishes on the fourth or fifth day. I'm not horny and impotent..can only get semi-hard.

My T level (345) was low for my age (20), so I had a shot of T cyp 200mg the previous Monday. I'm curious if the last cycle (horny days ended yesterday) was just the kind of cycling that had been there (meaning some problem in my body unrelated to the shot) or not. I know that T shots cause quite dramatic changes in T levels, which is a disadvantage of shots.

But with exactly same horny-day phenomena, I can't figure it out. If this last cycle was due to the shot, then I could assume the underlying problem was T (or some other hormone) fluctuations? Still researching on what hormone or disorder thereof may lead to such dramatic fluctuations. Any ideas? It's sure that my T level has gone up since the shot and theoretically should increase libido/erection quality for a time.

I will get another shot next Monday. Maybe it will become clear what the effect of putting T into me is. Gosh I hope the T can override this weird cycling..

Thanks for reading and any comments are very much appreciated.

Last edited by ddh33; 07-26-2006 at 12:10 AM.

 
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Old 07-26-2006, 05:40 AM   #2
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Re: cycling libido/erection problem, driving me nuts!

hello again. Are you only getting your T shots every other week? That is probably not often enough. I think the cycling you are having now is due to the rollercoaster of T levels you are on due to the shots. I can't explain why this is simiiliar to what you had before. But if the T shot worked for the first week and not the second then ask the doctor if you can get weekly shots instead at a lower dose. Or you could try androgel or a compounded testosterone cream for a much more steady state T level.

Another disadvantage to large doses less often (like in your case every 2 weeks) is that when you get too much T at once the body converts more of it to estradiol. Estradiol if too high can be bad for your libido as well as other things and is even thought to contribute to prostate cancer by some doctors. Be aware though that most doctors are not up on the estradiol issue in men so your doctor may know nothing about it.

Last edited by hayfarmer; 07-26-2006 at 05:42 AM.

 
Old 07-27-2006, 11:39 AM   #3
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Re: cycling libido/erection problem, driving me nuts!

Yes I'll see what happens after the next T shot. If the same thing occurs again I can pretty much say that it's due to T shots. The reason is that the interval between any two previous cycles is at least 3 weeks. This next shot will be only 2 weeks from the last one.

If that's the case then I will ask my doc to give me shots 100mg every week, or like you said, use cream or patch (he said he would order me some patch in case the shots aren't enough). Hopefully I can sustain a good T level this way..

On a side note, I was talking to my mom about my problem today. She said my dad when he was young, couldn't get really hard as well, and that I'm a lot like him in many ways. So this could also be heriditary? Not sure what part (neurological, hormonal, etc.) is being inherited here, but interesting to look into.

Last edited by ddh33; 07-27-2006 at 11:41 AM.

 
Old 07-29-2006, 12:20 PM   #4
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Re: cycling libido/erection problem, driving me nuts!

My DHEA result came back yeterday. It was 427, taken before the shot. The upper reference limit is 530. It seems pretty good to me. DHEA is the precursor of both estrogen and testosterone. Is it possible that I have high levels of estrogen? My T level is kinda low.

 
Old 07-29-2006, 05:49 PM   #5
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Re: cycling libido/erection problem, driving me nuts!

What is your T level while on the injections? It is very possible Estradiol has gotten too high and this is a typical problem. Your doctor should be checking it. Above 35 pg/mL is too high. Below 10 is too low but thats not likely. This is more likely to happen with less frequent larger doses of T injections. More frequent smaller doses will help to minimize it. Also using a cream which is absorbed very slowly can minimize it. There are also other measures that can be taken to reduce Estradiol levels if you find they are high.

One physical sign that E2 (estradiol) is too high is you can get sore nipples and be highly emotional. Also of course it will kill libido and you may not get morning erections.

 
Old 07-30-2006, 05:05 PM   #6
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Re: cycling libido/erection problem, driving me nuts!

Thanks for all the input you've been giving me! In response, I haven't noticed anything abnormal besides very low libido (about as low as before the T shot). I'm going to take another shot tomorrow (yay) and then visit the doc in another week. During that visit I will bring up to him estradiol, more frequent shots, and so on.

Anyway, I'm very glad that I'm not in a relationship...that would be disastrous. I manage to stay optimistic and not think about my impotency a whole lot for now. I would never want to know what it would be like to face a woman like this.

 
Old 07-30-2006, 08:58 PM   #7
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Re: cycling libido/erection problem, driving me nuts!

hopefully you will find a woman who would be understanding. They are not as focused on sex as men are anyway. Now that you're getting into replacement you may want to read a book called The Testosterone Syndrome by Eugene Shippen. He is a leading doctor in this area.

Last edited by hayfarmer; 07-30-2006 at 08:58 PM.

 
Old 08-03-2006, 04:45 PM   #8
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Re: cycling libido/erection problem, driving me nuts!

I had my T shot Monday but my libido has been down to the rock bottom ever since the effect (maybe) of the previous shot wore off. Nothing makes my member hard, even hand stimulation won't do it. Every day, I try to masturbate hoping that I would be turned on, but I'm not. Once I'm like 5 minutes into the session and get all oozed up by pre-ejaculatory fluid, I just don't want to stop. I'm very very disappointed ejaculating with a not-hard-at-all penis, but I can't imagine what if I didn't ejaculate...

There's no point in this reply. I just feel like rambling, so sorry. People say one should always be optimistic, but my optimism only makes for greater disappointment. THIS IS ABSOLUTE HELL.

But I suppose I should still remain so, as I still have a few days to look forward to? It may work on the fifth day exactly as last time. Idk.

Last edited by ddh33; 08-03-2006 at 04:47 PM.

 
Old 08-05-2006, 08:11 PM   #9
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Re: cycling libido/erection problem, driving me nuts!

maybe your Estradiol is too high from the T injections. This can happen if the dose of T is too large. I think my doctor gives 2 or 3 injections a week of lower doses. Also he gives each injection in two spots. I mean I believe he gives half the short on the right side and the other half on the left side of the body. Not sure if he is injecting the thigh or belly since I dont receive this treatment. Have you doctor check you Estradiol though if this does not improve......or maybe HCG is the solution after all.

 
Old 08-08-2006, 12:58 AM   #10
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Re: cycling libido/erection problem, driving me nuts!

I had an appointment with the urologist today. I stressed to him again about my cycling, and how nobody on the net has ever had/heard of similar problems, let alone figure out why. Unfortunately, neither has he...he's turning 80 this year, claiming to have heard all kinds of problems in his career.
So pretty much I can only try stuff one at a time...until something works, or until I give up and live with it.

Anyway, this doctor doesn't seem very competent on hormonal issues. I brought up possible high estradiol, and he said that happens mostly to long term users of T or something, whose T production is shut down pretty bad. He doesn't talk much about free T either. But at my request I had blood drawn to test these two things. Will post them on getting back results.

He gave me a prescription of about a month of Androderm (patches). 2.5mg a day, fairly low dose, but consistent. He said it works better for some men. And if it doesn't work I'll have to resort to "more fancy stuff" as he put it, and get sent to an endocrinologist.

Hayfarmer-- I remember you saying endos are not up on how to do T replacement right. But my problem's a bit twisted: cycling, must be related to hormones. As far as I know there's other hormones that affect libido as well. This uro told me about a friend who had his ball(s) removed and somehow still had a good libido. I mean endos probably are worth a shot looking at the big picture of hormones and my damn cycling.

 
Old 08-08-2006, 08:33 AM   #11
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Re: cycling libido/erection problem, driving me nuts!

I always thought who better to treat this then an endo. But my experience tells me that endos tend to specialize in either diabetes or thyroid problems. Few if any specialize in this and many know little about the latest methods of treatment. You may get lucky and find one that does. Maybe you can get names of doctors from other forums. The most chance of finding someone good is to find an anti aging specialist. Unfortunately many of them dont take insurance so will not be a preferred provider for your insurance (if you have that arrangement). Did you get the book I suggested above? It describes the Estradiol problem in detail. I think its only about $10.

Try to get copies of your lab results so you have the units and the range for each test. Did you feel good or bad when the blood was taken?

Last edited by hayfarmer; 08-08-2006 at 08:33 AM.

 
Old 08-08-2006, 12:42 PM   #12
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Re: cycling libido/erection problem, driving me nuts!

Did I feel good or bad getting my blood drawn? How did that matter? Actually I felt kinda bad because the dude missed the vein when he put the needle in. He kept pushing it in, no blood. It started hurting and I suggested doing the left arm. By then I was a little worried, but it went well on my left arm.

I do have insurance at Kaiser. I don't think they have an anti-aging doctor. They have a list of all doctors in each department on their website, I'll see who looks good...I have yet to see if the patches work. I just masturbated it was reasonably good, hope it was the patch kicking in.

I will get the lab results (total T, free T, estradiol) in a few days. See how they are doing. I was also reading reviews of that book. Out of curiosity, what was/is your problem? I think you mentioned that in some post but I don't recall.

 
Old 08-08-2006, 01:05 PM   #13
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Re: cycling libido/erection problem, driving me nuts!

I meant, was your libido good or bad when the blood was drawn. Just wondering if the results will be from when you have a good day or a bad one.

I have secondary hypogonadism, meaning my LH was normal while my Total T was very low....it was 98 when first measured. My LH was around 4 or 5 I think which was just below the middle of the labs normal range. I was put on androgel for 4 years and I had the same cycling issues as you but when things were bad they could be bad for weeks at a time. I still dont know what the real reason was for it but suspect some other hormone was off. Also I am hypothyroid which was not being treated aggresively enough.

Now I'm on HCG only and after 4 years of my testicles not working I am trying to get them going again. So far I only have my total T up to 300 and my dr's target for me is 600. He will probably add some compounded T cream soon if it doesnt go higher. I will probablly remain on the HCG and hopefully in a year or so it will regenerate my Lyedig cells to the point that I dont need the cream (if I ever start the cream).

What was your T level before you started this? Once you go this route you know it can be for the rest of your life so be sure this is the right path to take. Be sure you have ruled out everything else, like hypothyroidism, high estradiol, hemochrmoatosis, vitamin D deficiency, pituitary adenoma or empty cella syndrome.

Now that my thyroid is being treated right I may try to restart my pituitary again next year but have not talked to my dr about it yet. First I want to get my testicles working right with HCG. If and when they are working then the goal in restarting my pituitary would be to see if the real problem all along was the hypothyroidism. If it was I might be able to stop taking everything and get back to normal......nah thats just a hope. It will never happen.

Last edited by hayfarmer; 08-08-2006 at 01:10 PM.

 
Old 08-09-2006, 12:29 PM   #14
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Re: cycling libido/erection problem, driving me nuts!

Oh sorry I misunderstood. It was just one of the many lousy days, pretty low libido. It went up somewhat yesterday though, but far from horny. This Monday was only 2 weeks from the last "good" period, so it was about halfway in the "bad" period.

Could you tell me in more detail what your cycling was like? Are you saying that you don't have it anymore? If so since when? Cycling is EXTREMELY rare as I can't find nothing googling it and my uro has never heard of it. So any info is invaluable. Like you said, maybe some other hormone/stuff is off.

 
Old 08-09-2006, 08:31 PM   #15
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Re: cycling libido/erection problem, driving me nuts!

When I would have "bad" periods the symptoms were low libido and I would be highly unlikely to be to achieve a good erection. Oh, and I would not have nocturnal or morning erections.

I am no longer taking androgel. I am on HCG now for several months trying to restart my testicles after years of them being shut down. My treatment is still in flux now. I have a really good doctor and am confident he will have me back to normal soon. But, in the meantime I am living with low T levels for a few months while he tries to get HCG to work for me.

This is why I said you should consider the HCG if you are secondary. If your testicles are shut down due to exogenous T for a long time then they will take a long time to respond and my never respond to HCG. Many people on HCG feel better than on T replacement and need less ancillary drugs to keep all the hormones in balance. Most likely because their own body is making the T but there is also the possibility the testicles make other hormones we do not know about yet that help libido. Its also possible clomid could work for you depending on what the root problem is in your case.

Last edited by hayfarmer; 08-09-2006 at 08:34 PM.

 
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