Discussions that mention cialis

Sexual Health - Men board


Quote from JinL:
Most doctors know little about hormones. They say anyone anywhere in the range is OK. Each person has normal hormone levels & it varies with age. At age 21 the levels should be in the upper end of the range.

Call a few Endocrinologist & ask if they treat males with hormone problems.

If you find one take a copy of your lab results with you on the first visit.

For many guys the HRT will cause the testicles to start a shutdown process, no swimmers. You may have to be on HRT for life. Discuss this with the Endocrinologist.

Good luck


Most Doctor's know little about hormones? I beg to differ. Any general practitioner can tell you when your levels are too low and refer you to an endocrinologist or other specialist if necessary. GP's are specifically trained how to identify when someone is experiencing something outside the norm.
Medical doctors are not specialists. A specialist is REQUIRED to gauge something like testosterone levels.

The ONLY thing a GP will do is tell you if you are out of the lab's range. The lab's range means nothing, as it is just a sample of men of ALL ages. I have seen some that give doctors nice age separated reference values, but obviously this kid's doctor does not have that luxury.

A testosterone level in the 300-400 range (and this comes from the medical experts I speak with) is NOT proper for a man his age. But, guess what? 90% of GP's will tell you it is!
[QUOTE=Jamie Silent]Medical doctors are not specialists. A specialist is REQUIRED to gauge something like testosterone levels.

The ONLY thing a GP will do is tell you if you are out of the lab's range. The lab's range means nothing, as it is just a sample of men of ALL ages. I have seen some that give doctors nice age separated reference values, but obviously this kid's doctor does not have that luxury.

A testosterone level in the 300-400 range (and this comes from the medical experts I speak with) is NOT proper for a man his age. But, guess what? 90% of GP's will tell you it is!

Are you a doctor and what study are you basing your assertion that 90% of GP's will tell someone this? One of a GP's primary functions is to identify when something is out of tolerance, and yes -- that includes tolerance for age -- and then make a decision to do a referral.

You are completely incorrect. A significant number of people have medical insurance, and I can tell you that most insurance companies will not simply allow you to walk in and see a specialist -- you have to get a referral from a GP. The GP is trained to a level to identify discrepancies in matters such as this and refer it to the appropriate specialist. If you were correct in your assertions, and GP's are not trained to tell when there is a problem -- then most people with hormonal problems would never get to see a specialist about it because they would never get a referral from a GP.
Quote from zak:
As a guy with hypogonadism I can tell you from direct experience that most GP's know nothing about it and neither do endocrinologists.


The problems I have with your post are .... First, the original poster has not been diagnosed with hypogonadism, in spite of some unfounded assertions made by some posters to this forum to convince him that he has it. Erectile difficulty is a symptom of hypogonadism, but then again, Erectile difficulty is also a symptom of stress, poor health, fatigue, or any one of possibly a hundred other medical / emotional conditions -- of which hypogonadism is only one.

Second, your experience with 3 doctors (assuming you are even being truthful -- you can never be sure in these online forums) is anecdotal. Experience with 3 bad doctors is not sufficient for you to make a claim that MOST docs don't know this, or most docs don't know that.

The original poster, if he is still experiencing his problem and still has concern that his original GP was incorrect in his diagnosis -- should go to another GP for a second opinion. If he has medical insurance, many companies will pay for that. However, it is BAD advice to insist that he must, on his own dime, jump to a specialist because no GP, or even most GP's, will be unable to find anything wrong with him. That is simply not true. Although GP's are not trained to treat specialized hormonal problems -- GP's ARE trained to recognize when there is a problem and refer that problem to the appropriate specialist -- that is a fact and you should consult the curriculum that GP's go through in medical school before asserting otherwise.

I don't want to be provocative here, but the doctors are the medical experts and thier advice should always take precidence over advice recieved over an online forum. And, nothing against you personally (I'm sure you're a great guy), but I think it's irresponsible to jump to the conclusion that his doctor is incompetant.
I think you are taking the right steps here -- especially with getting the counseling because, although ED can be due to a physical problem, it can also be due to emotional / stress issues (some of them you might not even be aware of). You're covering all the bases and that is a good thing.

I wouldn't fear becoming dependant on the Viagra. When your doctor talked about getting your confidence back -- that's important. If you have the Viagra and use it when you know you are going to have sex -- then you'll have no concern about failure because you already know it works. With that worry gone -- providing this is a confidence / emotional issue -- pretty soon you'll find yourself getting excited at moments when you haven't taken Viagra -- which will lead to successful sex. Before long, you won't feel you need it anymore and can discard it (or always keep a little on hand -- just in case -- if it makes you feel better). This of course, all assumes that you have a confidence or emotional / stress type issue and the problem is not physical (which it still could be).

Also, take care of your body, and exercise -- that helps a lot no matter if your problem is emotional or physical. If you can see another GP -- then do so for a second opinion. If you can somehow swaggle getting in to see a specialist on your insurance company's dime -- then do that too. However, I wouldn't go to battle stations and start forking out my own cash for a specialist at this point.
[QUOTE=Jamie Silent]Medical doctors are not specialists. A specialist is REQUIRED to gauge something like testosterone levels.

The ONLY thing a GP will do is tell you if you are out of the lab's range. The lab's range means nothing, as it is just a sample of men of ALL ages. I have seen some that give doctors nice age separated reference values, but obviously this kid's doctor does not have that luxury.

A testosterone level in the 300-400 range (and this comes from the medical experts I speak with) is NOT proper for a man his age. But, guess what? 90% of GP's will tell you it is!


Right on. When I was 24 (I'm 31 now), a GP told me that a total test of 320 was "a bit on the low side", but that since frankly I had a beard (stubble, I hadn't shaven in several days), he was not willing to discuss the matter any further.

I just recently procured some Androgel for myself, without a doctor's prescription, in order to see if it does anything. i rationalized that it might at least give me enough energy and aggressiveness to search for a compassionate and knowledgeable Urologist/endo who is willing to listen to my list of symptoms.
I used to be so strong growing up as a teen, but in my adult life it has become difficult to carry groceries and open a window(even a jar), let alone make much progress in the gym (which I used to excel at 10+ years ago) or have much staying power.

So far, the Androgel is helping a bit, but it has only been a few days on 5g-6.25 gm/day (Androgel pump 1%squirts out 1.25gm doses). The main area of improvement is that, in combination with 10mg cialis (which never did much before), sex is great (hard to the end) and my confidence has improved with that alone.

I plan to order some HCG and Nolvadex just in case I need to restart my nuts, which leads me to a question: Has anyone here (other than Jamie Silent) experienced a surge of E2 or testicular shrinkage while taking either Androgel or Testogel (UK version)? If so, what dosage and how long were you on it?

Any other testimonials would also be appreciated.

BTW- After getting my 320 test count way back when (2001), I did one of the online HRT progrmas with injectable testosterone cypionate at 200mg/wk + Nolvadex and HCG after 12 weeks of treatment. Although my muscular gains were good, and there were some psychologically encouraging moments, my libido sucked after the first week, the ups and downs were atrocious, and I believe that may have exacerbated my current state. Needless to say i never did another cycle, and i wouldn't recoommend the program to anyone. The only thing I have to show for it (all gains disappeared) is that I look damn handsome in my sister's wedding album! The fact that people complimented for looking "somehow much better, better facial color, etc" only added to the crash following the cycle.

Aphex