I appreciate help and will certainly do the same. I found you by reading much online on ED, low libido, and testosterone. I’m 30. I’ve heard 20s are the best yrs and it’s been my worst. It’s tough to be in a relationship with these issues. On the bright side, these issues gave me more understanding to help others struggling, especially youngins’ who tend to get more resistance from docs and are left feeling there’s nothing else to do. I was that guy. I tried to stay positive for yrs because I hoped more diet, sleep, and exercise would work, but I was already in decent shape. I’m uncertain if my ED and low libido is being caused by low T alone, but I have no idea what’s causing my low T anyways! I want to explore the cause at my age to rule out serious issues. Due to clomid raising levels, I believe I have secondary hypogonadism. I’ve read most common causes are related to the pituitary or hypothalamus, but it can also be due to chronic kidney failure, cirrhosis, chronic lung disease, glucocorticoids, and more.
Without researching specialists, I saw 2 local urologists. In 2013, Dr. Gary Goldberg prescribed 5-10mg of cialis. It helped erections somewhat but did nothing for libido. He saw my T levels were around 250 and prescribed dhea. I can’t remember but I THINK I took it for a few months & it raised my T by about 100. What I do remember is it did nothing for libido/erections & I had more hair loss. I was then prescribed clomid. After about a month, it made my T jump from about 350 to 800, and elevated my estradiol to 65 pg/mL. I still felt no change. I would have tried clomid longer than a month, but my concern was that the doc didn’t think estradiol was high when I read it was. I didn’t want it to raise more. A month on clomid didn’t help ED/libido anyways. I read it sometimes makes it worse compared to other forms of HRT.
Around mid 2016, Dr. Bruce Gilbert did a bone density and penile doppler scan. Bone results came back normal. As for the penile doppler, he stated I have a primary arterial issue that is contributing to ED. I can’t remember for sure but I THINK he also said the arterial issue was indirectly leading to a venous leakage. He said while rare, people are usually born with the arterial issue I had or it’s caused by injury which I don’t remember having. He felt Trimix was the best solution. It did nothing for my libido, helped somewhat with erections, but it felt a bit painful. He also didn’t feel my T of 190 ng/mL was low enough to be a possible cause for ED. That’s when I decided researching my issues isn’t enough. I have to research knowledgeable docs on my issue too. I’m unsure but I felt both docs didn’t have much experience in treating my issues in a younger man, or they didn’t realize how tough it is to be in a relationship with this problem.
I don’t do drugs. I rarely get morning wood. My erections get worse if I stand, which I’ve read low T & venous leakage may be the cause of. My appetite isn’t strong. I used to have eczema but I haven’t had it for 1-2yrs now. I live in Bellerose, New York City. Do you guys have any recommendation for which doctor I should see specializing in low T, ED, and libido in the NY, CT, or NJ? I’m open to telemedicine if better. Since I’m taking health more seriously now, I’m willing to travel for a knowledgeable specialist if I must. Can anyone recommend Dr. Michael A. Werner?
About Me: South Asian, Male, 30yrs, 5’11", 190lbs, average-somewhat muscular
Results in April2016 (included only what is out of normal range, and what is normal but has relation to Low T/ED):
Free Testosterone: 6.0 pg/mL LOW (Reference 9.3-26.5)
Total Testosterone: 189.8 ng/dL LOW (Reference 348.0-1197.0)
Estradiol: <5 LOW? (Reference 26-61 pg/mL)
Prolactin: 3.2 ng/mL LOW (Reference 4.0-15.2)
Follicle Stimulating Hormone: 4.2 IU/L (Reference 1.5-12.4)
Luteinizing Hormone: 5.9 IU/L (Reference 1.7-8.6)
Vitamin D 18.5 ng/mL LOW (Reference 30-100). Working on it. Getting more sun since Feb2016. 10am-3pm spring-fall are ideal times to get some D.
Results in March2016:
Estradiol: 8 pg/mL LOW (Reference 26-61 pg/mL)
Prolactin: 6.1 ng/mL (Reference 4.0-15.2)
Cholesterol: 218 mg/dL HIGH (Reference 10-199). Working on it by dropping weight from 190 to 175.
LDL Cholesterol: 137 mg/dL HIGH (Reference <=129)
Total Cholesterol/HDL Ratio: 4.0 (Reference: 3.4-9.6)
Glucose: 115 mg/dL HIGH (Reference 70-99)
HGB A1C: 5.7% HIGH (Reference 4.0-5.6%, High risk prediabetic 5.7-6.4%)
TSH: 2.46 uIU/mL (Reference: 0.27-4.20)