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Thread: Trouble mainting am erection

  1. #1
    PistolPete33's Avatar
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    Trouble mainting am erection

    Looking for some advice. I’ve been on TRT for about 6 years now. 200mg/test C per week split in biweekly injections. For the past 2 years it’s been self administered due to the cost and losing my job. Anyways, even with Cialis I’m having trouble maintaining an erection and it’s going to kill me. I have a much younger (17 years) girlfriend and we have sex every day. During sex my penis goes about 50% limp. I’m able to finish but it’s a week erection

    I lost my PCP and need to get a new one which I’m working on but curious to see if anyone has any ideas of where to start? I know I need blood work but without the PCP this isn’t going to happen for a few weeks. I’m going to donate blood to see if lowering my Hematocrit will help. Thinking of adding Caber to lower Progesterone. I take Anastrole for E2 but not sure what I might be missing? Any supplements that have worked for you?

    The few weeks we had sex only 3-4 times a week I was fine but we average 7-10 times a week. She’s hott as hell so it’s not her. Haha

    Thankfully, I started a new job and insurance will kick in shortly so I can hopefully get it all done thru an endo and get the TRT prescribed again as well

  2. #2
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    Do you know where your E2 is currently at?
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    Quote Originally Posted by PistolPete33 View Post
    Looking for some advice. I’ve been on TRT for about 6 years now. 200mg/test C per week split in biweekly injections. For the past 2 years it’s been self administered due to the cost and losing my job. Anyways, even with Cialis I’m having trouble maintaining an erection and it’s going to kill me. I have a much younger (17 years) girlfriend and we have sex every day. During sex my penis goes about 50% limp. I’m able to finish but it’s a week erection

    I lost my PCP and need to get a new one which I’m working on but curious to see if anyone has any ideas of where to start? I know I need blood work but without the PCP this isn’t going to happen for a few weeks. I’m going to donate blood to see if lowering my Hematocrit will help. Thinking of adding Caber to lower Progesterone. I take Anastrole for E2 but not sure what I might be missing? Any supplements that have worked for you?

    The few weeks we had sex only 3-4 times a week I was fine but we average 7-10 times a week. She’s hott as hell so it’s not her. Haha

    Thankfully, I started a new job and insurance will kick in shortly so I can hopefully get it all done thru an endo and get the TRT prescribed again as well
    The caveat of getting a new doctor is the fact that he's not going to pool Bloods with you self-administering testosterone he's going to tell you to come off it cold turkey for 6 months then get Baseline blood then he'll refer you to an endocrinologist so you have to not take any test

    I had doctor switch and I was in the same situation you were and my doctor goes oh my God I'm not pulling blood while you're on testosterone no endocrinologist in their right mind is going to see you while you're self-administering testosterone and blah blah blah he told me to come off for 6 months and come back so around the time my appointment gets close I'm going to switch my enan dose to prop and drop the prop 10 days out fir bloods.

    Try doing 50mg test e EOD.

  4. #4
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    Quote Originally Posted by kelkel View Post
    Do you know where your E2 is currently at?
    I don’t bc I haven’t run bloods. This isn’t like me but unfortunately with lack of funds this creates more problems.

    I was thinking this was prob the most likely issue. I wonder if I can get simple labs from Quest like E2, Hematocrit, and Prolactin?

  5. #5
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    Quote Originally Posted by PistolPete33 View Post
    I don’t bc I haven’t run bloods. This isn’t like me but unfortunately with lack of funds this creates more problems.

    I was thinking this was prob the most likely issue. I wonder if I can get simple labs from Quest like E2, Hematocrit, and Prolactin?
    Holly crap. I thought you were alpha mindz from your Avi.

    U, and alpha minds have very very similar builds and lighting in Avi.

    You 2 could start a twin tag team wrestling duo.

    I'm thinking it's E2 as well I dose my adex @ .125mg EOD with my EOD 50mg test e shots and 5mg nolva eod as well.

  6. #6
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    Quote Originally Posted by PistolPete33 View Post
    I don’t bc I haven’t run bloods. This isn’t like me but unfortunately with lack of funds this creates more problems.

    I was thinking this was prob the most likely issue. I wonder if I can get simple labs from Quest like E2, Hematocrit, and Prolactin?
    Not sure where you live Pete but check www.discountedlabs and see if your state allows you to use them. Quite cheap actually.
    Remember, your bodies needs will change over time. Meaning you may have not needed an AI for years at your T dose but now you do. Happened to me as well.
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  7. #7
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    Awesome, thanks for the info. I will check out the link. Would be great if I can use it here. I agree that our needs change and maybe it’s time to up my Anastrozole. I desperately need blood work



    Quote Originally Posted by kelkel View Post
    Not sure where you live Pete but check www.discountedlabs and see if your state allows you to use them. Quite cheap actually.
    Remember, your bodies needs will change over time. Meaning you may have not needed an AI for years at your T dose but now you do. Happened to me as well.

  8. #8
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    An example regarding cost. When I run an E2 sensitive via labcorp my insurance pays a little over $200 for it. If I were to run it myself via Discounted Labs (which uses Labcorp) it would cost about $49 total. Quite a difference. Labcorp's making a killing.
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  9. #9
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    Sex every day? hard work. I don't do it even if I got paid lol

    Check E2/Prolactin, every time I had a problem related to erectile dysfunction or ejaculation problems it was because I had high E2 & high Prolactin. (usually comes together). Never used caber, just controlling E2 has been enough.
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  10. #10
    Youthful55guy is offline Senior Member
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    Quote Originally Posted by PistolPete33 View Post
    Looking for some advice. I’ve been on TRT for about 6 years now. 200mg/test C per week split in biweekly injections. For the past 2 years it’s been self administered due to the cost and losing my job. Anyways, even with Cialis I’m having trouble maintaining an erection and it’s going to kill me. I have a much younger (17 years) girlfriend and we have sex every day. During sex my penis goes about 50% limp. I’m able to finish but it’s a week erection

    I lost my PCP and need to get a new one which I’m working on but curious to see if anyone has any ideas of where to start? I know I need blood work but without the PCP this isn’t going to happen for a few weeks. I’m going to donate blood to see if lowering my Hematocrit will help. Thinking of adding Caber to lower Progesterone. I take Anastrole for E2 but not sure what I might be missing? Any supplements that have worked for you?

    The few weeks we had sex only 3-4 times a week I was fine but we average 7-10 times a week. She’s hott as hell so it’s not her. Haha

    Thankfully, I started a new job and insurance will kick in shortly so I can hopefully get it all done thru an endo and get the TRT prescribed again as well
    That's a lot of T for TRT. Is your goal hormone replacement or hormone augmentation? No judgement here, but it does affect advice.

    Since I generally do not give advice on hormone augmentation, I'll confine my comments to hormone replacement.

    Most guys can get by with nearly half the amount of T you are using and still be in the upper end of the "normal" range. That is, provided they switch to a 2X per week protocol or (my preference) an E3D protocol. With more frequent injections, you will not have the huge swings in T levels and you will be more constantly within the normal ranges. It's the spikes in T that cause E spikes (hence ED), DHT spikes, mood swings, and hemoglobin production. Get the spikes under control, and you will minimize the side-effects and feel better.

    Here's what you T release per day looks like with 100mg 2X per week:
    Click image for larger version. 

Name:	100 mg T-Cyp 2X per Week (E3.5D).PNG 
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    Here's what it would look like with half that amount per week:
    Click image for larger version. 

Name:	100 mg T-Cyp 2X per Week (E3.5D).PNG 
Views:	170 
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ID:	174589

    Here's my protocol that I've maintained for the past 6.5 years with no major side-effects:
    Click image for larger version. 

Name:	44 mg T-Cyp Every 3 Days.PNG 
Views:	167 
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ID:	174590

    When interpreting these graphs, keep in mind that the average adult male produces about 7mg of T per day. With your current protocol, you are releasing about an average of 20mg per day, or about 3X the normal guy. Even with my protocol, I receive about an average of 10mg per day released from the ester. This is more than enough to keep me in the upper end of the range.

    You also have to interpret results in light of SHBG levels too. I genetically have very high SHBG, but when I treat the condition and maintain mid-range SHBG levels, this protocol of 44mg E3D maintains my Total T levels in the 850 to 1000 ng/dL range (upper end being 916), with my Free T in the 26-30 pg/mL range (upper end of normal being 24).

    I do not have any hemoglobin problems (but I do donate regularly) and my E is always within range, even without an AI. I usually have solid erections, except for a time when I crashed my E a couple of time experimenting with an AI (low E is often worse for erection than high E). I do use low dose Cialis regularly, but I view this as a recreational drug and not absolutely necessary. I'm also currently experimenting with very low dose PT-141 as an additional recreational erection enhancer.
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  11. #11
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    That’s crazy how they charge different amounts. I’m looking into it now. What essays would you recommend besides E2 and Hematocrit?

  12. #12
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    I was looking into PT-141 before but does it have to be injected INTO the penis shaft? Or can you simply inject sub-q?


    Quote Originally Posted by Youthful55guy View Post
    That's a lot of T for TRT. Is your goal hormone replacement or hormone augmentation? No judgement here, but it does affect advice.

    Since I generally do not give advice on hormone augmentation, I'll confine my comments to hormone replacement.

    Most guys can get by with nearly half the amount of T you are using and still be in the upper end of the "normal" range. That is, provided they switch to a 2X per week protocol or (my preference) an E3D protocol. With more frequent injections, you will not have the huge swings in T levels and you will be more constantly within the normal ranges. It's the spikes in T that cause E spikes (hence ED), DHT spikes, mood swings, and hemoglobin production. Get the spikes under control, and you will minimize the side-effects and feel better.

    Here's what you T release per day looks like with 100mg 2X per week:
    Click image for larger version. 

Name:	100 mg T-Cyp 2X per Week (E3.5D).PNG 
Views:	170 
Size:	24.7 KB 
ID:	174589

    Here's what it would look like with half that amount per week:
    Click image for larger version. 

Name:	100 mg T-Cyp 2X per Week (E3.5D).PNG 
Views:	170 
Size:	24.7 KB 
ID:	174589

    Here's my protocol that I've maintained for the past 6.5 years with no major side-effects:
    Click image for larger version. 

Name:	44 mg T-Cyp Every 3 Days.PNG 
Views:	167 
Size:	26.6 KB 
ID:	174590

    When interpreting these graphs, keep in mind that the average adult male produces about 7mg of T per day. With your current protocol, you are releasing about an average of 20mg per day, or about 3X the normal guy. Even with my protocol, I receive about an average of 10mg per day released from the ester. This is more than enough to keep me in the upper end of the range.

    You also have to interpret results in light of SHBG levels too. I genetically have very high SHBG, but when I treat the condition and maintain mid-range SHBG levels, this protocol of 44mg E3D maintains my Total T levels in the 850 to 1000 ng/dL range (upper end being 916), with my Free T in the 26-30 pg/mL range (upper end of normal being 24).

    I do not have any hemoglobin problems (but I do donate regularly) and my E is always within range, even without an AI. I usually have solid erections, except for a time when I crashed my E a couple of time experimenting with an AI (low E is often worse for erection than high E). I do use low dose Cialis regularly, but I view this as a recreational drug and not absolutely necessary. I'm also currently experimenting with very low dose PT-141 as an additional recreational erection enhancer.

  13. #13
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    I have found it easiest to blame her.

    "Baby... You are having trouble maintaining my erection... Wtf are you doing wrong?"

    When she cries just comfort her, tell her its ok, and assure her she will get better at it, but let her know you may need a break from the boring sex for a minute.

    This will buy you time to correct your issue and she will fuck your brains out. -sincerely, Dr.Obs (relationship MD)
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  14. #14
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    Haha. She’s a hot 26 year old blonde. She will just find someone with a working dick. Lmao

    Quote Originally Posted by Obs View Post
    I have found it easiest to blame her.

    "Baby... You are having trouble maintaining my erection... Wtf are you doing wrong?"

    When she cries just comfort her, tell her its ok, and assure her she will get better at it, but let her know you may need a break from the boring sex for a minute.

    This will buy you time to correct your issue and she will fuck your brains out. -sincerely, Dr.Obs (relationship MD)
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  15. #15
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    Quote Originally Posted by PistolPete33 View Post
    Haha. She’s a hot 26 year old blonde. She will just find someone with a working dick. Lmao
    You may be right....
    How you been?
    Is this the same gf as before?

  16. #16
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    Yes, same gf. She’s awesome. I’ve been good for the most part. Financially this has been a brutal year but things are coming together. Otherwise, things have been great. The gf is insane. I love her and she’s a freak so it’s a win/win. Haha


    Quote Originally Posted by Obs View Post
    You may be right....
    How you been?
    Is this the same gf as before?
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  17. #17
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    Quote Originally Posted by PistolPete33 View Post
    Yes, same gf. She’s awesome. I’ve been good for the most part. Financially this has been a brutal year but things are coming together. Otherwise, things have been great. The gf is insane. I love her and she’s a freak so it’s a win/win. Haha
    Damn glad to hear! I know it was rocky when she was sick.
    I hope you get your cure. I would check prolactin levels.
    Actually I am wreckless I would just eat a few caber and see what happened.

  18. #18
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    Oh shit, it’s been a long time. Haha. No, that was my ex wife. She had Lyme disease but we got divorced when I started dating my girlfriend the past year and a half. Haha. The new gf is awesome the ex sucks. Haha



    Quote Originally Posted by Obs View Post
    Damn glad to hear! I know it was rocky when she was sick.
    I hope you get your cure. I would check prolactin levels.
    Actually I am wreckless I would just eat a few caber and see what happened.
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  19. #19
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    Quote Originally Posted by PistolPete33 View Post
    Oh shit, it’s been a long time. Haha. No, that was my ex wife. She had Lyme disease but we got divorced when I started dating my girlfriend the past year and a half. Haha. The new gf is awesome the ex sucks. Haha
    Lol! I feel the same way...
    Sorry for the shit you had to endure then.

  20. #20
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    Quote Originally Posted by PistolPete33 View Post
    I was looking into PT-141 before but does it have to be injected INTO the penis shaft? Or can you simply inject sub-q?

    SQ for PT-141. If all else fails then go the Tri-Mix route. That is a weiner injection but it doesn't hurt at all.
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  21. #21
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    I doubled up my Anastrozole on Monday and Wednesday. Wednesday night had sex and has a rock solid erection. I’m going to taper it down and try to get bloods at the end of next week and again in 4 weeks. That seems (at first) the likely issue.

  22. #22
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    Quote Originally Posted by kelkel View Post
    SQ for PT-141. If all else fails then go the Tri-Mix route. That is a weiner injection but it doesn't hurt at all.
    UM, yeah..... Love you Kel.

    And Pt-141. instant nausea, immediately followed by the highest libido I have ever experienced, bar none. I always wanted to sneak up and pin my wife with that shit while she was sleeping. only joking......kinda.
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    Quote Originally Posted by PistolPete33 View Post
    I doubled up my Anastrozole on Monday and Wednesday. Wednesday night had sex and has a rock solid erection. I’m going to taper it down and try to get bloods at the end of next week and again in 4 weeks. That seems (at first) the likely issue.
    there you go!
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    Quote Originally Posted by -Ender- View Post
    UM, yeah..... Love you Kel.

    And Pt-141. instant nausea, immediately followed by the highest libido I have ever experienced, bar none. I always wanted to sneak up and pin my wife with that shit while she was sleeping. only joking......kinda.
    Scopalamine look into it.

  25. #25
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    I ordered some and we are going to a swingers party tonight hoping to add a hot chick to the mix. Lmao


    How much did you dose it at? I’ve seen .5 - 1mcg. I always prefer the lower number but I’m gonna try it for tonight. Haha. I’ve done a few cycles of MT 2 so I’m familiar with the facial flushing and nausea. I remember taking that and being at the pool and had a solid hard on. I couldn’t get out of the water for about 40 min until it went down. It will be fine running around with one tonight that as I’m certain to get attention from the ladies. Haha

  26. #26
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    I tried the PT-141 last night dosed at .75mg and it was interesting. About 10 min after inkecting I turned all red for about s half hour. My face was bright red along with my chest. I did go away but that sucked. A little bit of nausea but not too bad. Sex was not good because I finished so quick. Def not used to that. Not sure if it was from that but I didn’t last long at all. Haha. Then I kept waking up horny as hell
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    pointman81 is offline New Member
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    I am new to this could someone please explain what E2 is?
    Thanks

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    Quote Originally Posted by pointman81 View Post
    I am new to this could someone please explain what E2 is?
    Thanks
    Estradiol.

    There are 4 biologically important forms of estrogen in the body: estrone (E1), estradiol (E2), estriol (E3), and estetrol (E4). Estradiol (E2) , but Estadiol is the most potent and generally the most important to men. In non-medical communications it is often simply called 'Estrogen' and abbreviated 'E'.

    There is much confusion about E in the forum posts I've read. Many guys are paranoid about it and want to drive production into the ground with anastrozole or some other estrogen inhibitor or blocker. However, this is a mistake because men need E within the normal range for normal libido and to maintain erections. However, too much E as can happen with testosterone abuse can cause E to increase too much and cause basically the same problems as low E in addition to gynecomastia (bitch tits). This is because testosterone can convert to E2 via an esterase enzyme (which anastrozole inhibits).

    The conversion is mass dependent within normal biological parameters. That is, the more T available to the enzyme, the faster it converts T to E. This is why I strongly recommend that guys keep their T levels ALWAYS within the normal physiological range and about the only way to do this with the most common E esters (T-cyp and T-eth) is with frequent dosing of smaller amounts. I generally recommend starting with about 40mg T every 3 days (E3D) or 50mg 2X per week. That way, the peek blood levels which occur 24 to 48 hours post-injection remain below the upper end of the normal range and the nadir (lowest) level which occurs just prior to the next scheduled injection is also well within normal ranges. Since T converts to E in a mass-order fashion, E levels usually stay within normal physiological ranges for men too.

    So ends today's Reproductive Endocrinology class. Hope that helps!
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  29. #29
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    Quote Originally Posted by Youthful55guy View Post
    So ends today's Reproductive Endocrinology class. Hope that helps!

    Hopefully no quiz?
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  30. #30
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    Quote Originally Posted by PistolPete33 View Post
    I ordered some and we are going to a swingers party tonight hoping to add a hot chick to the mix. Lmao


    How much did you dose it at? I’ve seen .5 - 1mcg. I always prefer the lower number but I’m gonna try it for tonight. Haha. I’ve done a few cycles of MT 2 so I’m familiar with the facial flushing and nausea. I remember taking that and being at the pool and had a solid hard on. I couldn’t get out of the water for about 40 min until it went down. It will be fine running around with one tonight that as I’m certain to get attention from the ladies. Haha
    Pics or it didn’t happen.
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  31. #31
    pointman81 is offline New Member
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    Thank you Sir, I think I got it. No anastrozole and you grow breast to much and no chubby. I guess you need to find your own balance of anastrozole. Hey Pistol Pete what is PCP and TRT sorry for the dumb questions. Is there a post that explains all the acronyms?

    Thanks

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