I am from Germany, please excuse me for english language mistakes.
Actually I am neither working out nor am I on TRT.
I found this forum through googling and it seems some members here really do have very high knowledge about hormones and their impact on certain things in our body and our brain.
I am 187cm and weight 66kg, so I’m fairly thin. Since about 3 or 4 years I have got massive ED and Libido problems. Before everything was fine, morning wood and spontaneos erections happening alle the time. And I was usually getting horny if I didn’t masturbate 1-2 days.
Now ALL of that is gone. No morning erections at all, not getting horny even after 4 weeks of not having an orgasm, no spontaneos erections.
When masturbating I sometimes manage to get a full 100% erection after 10-15 minutes through slow and soft masturbating, and can even hold it at 100% for 10-20 minutes by continuing this slow and soft masturbation. I feel somewhat aroused then but not comparable to what it was before. It’s not happening in my head anymore, more like only in my penis.
Orgasm still feels good but not as intense anymore. My cum doesnt squirt anymore, it just flows out without “flying”. Only the very first “push” flies for very short 5-10 cm when lying on my back in the bed.
Of course I have been to several urologists already but they seem to have no clue at all. Basically they just check for testosterone and bloodflow in my penis with ultrasonic which is both fine, and then proceed to say it’s all in my head, I need to reduce stress and should try out viagra.
I sometimes have stress, yes, but when I have freetime for like 3 weeks and feel really great, have fun, no stress at all, my libido doesnt improve at all.
I tried viagra max dose of 100mg and it helps a bit. I even got a 100% erection once and started having intercourse with it, but in my head I was only slightly aroused and even lost the erection after 2min to the point where I was not able to continue having sex anymore because the penis was too soft.
However, then I gave her oral sex and got my erection quickly back and was able to have sex for 10min with an 80% erection until I got an orgasm.
Without viagra I often get an 80% erection when starting to cuddle or getting naked for 5min, but if we dont start intercourse most of the times I will lose the erection completly and unable to get it back. Then need a break from touching each other for at least 5min and then I have a chance to get the erection back when starting to cuddle again.
Very weird… And obviously not satisfying at all. I am very sad and desperate sometimes. My life feels incomplete. I know that being unhappy doesnt help with Libido at all, so most days I manage to not think about it too much and be fairly happy actually.
Now my Blood Tests:
from MARCH 2016:
- Testosterone: 24.1 nmol / l … reference range: 8.64 - 29.0
- SHGB: 53.7 nmol / l … reference range: 18.3 - 54.1
- Free androgenindex 44.9 Ratio … reference range: 45 - 75
- PSA: 1.735 ng / ml … reference range <4
from NOVEMBER 2016:
(the bloods tests are in german but most hormones have the same or very similar names in german/english, so I guess you understand most of it. I edited the image from Nov 2016 on my pc with some notes to understand it better. Unfortunately the printing messed up two Lab Ranges. The Hormones are in alphabetical order.)
In five days I will have another urologist appointment, so I need to find out what tests I should be asking for.
From reading forums I found out that I need estradiol and prolactin getting checked because these play an important role for Libido and ED, correct?
About the estradiol test:
I have read that the standard estradiol test is very unreliable for men because men have much less estradiol in their blood thus it’s more difficult to get a correct result. Some Labs have a special “sensitive test” for estradiol for men.
I found out that some kind of technology called “LC/MS-MS” should be used when testing for estradiol in men. But in Germany I probably wont be able to get that.
Let me quote someone from another forum talking about what you can do if you cant get the sensitive test:
You can add “C reactive protein”, as that’s what interferes with the test. I don’t know how much c reactive protein = false elevation on the E2 test though.
What do you think about all that? And should I ask for anything else to get tested besides the estradiol and prolactin?