Impotence Support - New to Group, Looking for Advise

Author

New to Group, Looking for Advise

Magnolia

2005-03-29, 6:39 pm

Hi. I'm new to this group, and would appreciate any advise any of you
may be able to offer. I am 35 but have been experiencing ED problems
since I was 32. I have been seeing a doctor in NYC for several months
and there is at least some reason to belief (IMO) that my ED is
testosterone related. Here are the results from my initial lab work:

1/17/05 Testosterone 289.0 ng/dL (286.0 - 1511.0)

He gave me a DHEA supplement (25 mg capsules) and told me to take one
a day. After a week or so on the supplement I got about one week of
spectacular results and then nothing.

He next put me on AndroGel (which I hate btw) which also produced
results for a week before fading.

I just returned from my last appointment and received these results
from my latest lab work:

3/21/05 Testosterone 629 ng/dL (270-1734)
Prolactin 3.5 ng/mL (2.5-17.0)
FSH 2.2 mUI/mL (0.7-11.0)
LH 0.5 mUI/mL (0.8-7.6)

So, despite my subjective evaluation of my condition, it seems that
some part of my treatment has increased my Testosterone levels
considerably.

Here are some questions/comments I have that I would appreciate your
feedback on:

1. I am becoming generally dissatified with my doctor. The fact that
tests to measure my prolactin, FSH, and LH levels were not performed
until well after a course of TRT had begun is upsetting to me. Would
not TRT affect these values (at least FSH and LH) and thus make it
more difficulty to determine whether my problem was primary or
secondary hypogonadism?
2. There are two other tests I have read about in this group that my
doctor has never even mentioned: estrogen and Free Testosterone. From
what I have read isn't initial success on a course of treatment
followed by decline consistent with FT being eaten up by increased
estrogen production? So it seems to me that test may be especially
important for me.
3. My doctor has advised our next step to be bi-weekly injections of
Testosterone. He did not specify a dosage. But from what I have read
here, bi-weekly seems far too infrequent and likely to result in
drastic swings in my T level.
4. I have been told that Dr. Shippen is not taking new patients now,
but that if I call back I may be able to get in at the end of June or
July. I am going to continue to follow up on that, but certainly there
must be someone in this group that can give me a referral to a good
"Shippen-like" doctor in NYC. I tried looking up a referral on the
website that Wanderer listed
(http://www.tuneupyourt.com/find_a_doctor.html), but all I got was
"can not connect" message. So if anyone can help me with a NYC doctor
referral or even get a listing that that website for me I would
appreciate it.

If anyone can offer me any advise or any comments on my test results
or the above questions I would appreciate it.

Thank you all for your ear and your help...

Mag

ernestnolan

2005-03-29, 6:39 pm

Hi,

First thing wrong is your belief that TRT is a cure for ED. It is not unless
you are having developmental problems as a teen.

You can have high E2 which is a real mess as it impacts you as an ED problem
from what I understand. It is not related to T levels but a balance that has
somehow gotten shifted and the body regulation systemn is not responding
correctly. I picked this up from several entries by those that have
experienced it. The body can also start converting T to E2 when spurts of T
appear in the blood stream. Not in every case but patches, creams, ointments
and injections cause a surge in the T level which can trigger the body's
conversion of T to E2..

When you started TRT your uro should have had the testing all done when your
base was available. You are right that now is not the time to start reaching
for the messenger hormones that may now be different because of the
introduction to outside the body T.

Another item of great interest is the first few weeks of TRT when the level
of T is beginning to rise. As long as the level is increasing there is this
fantastic benefit to your erection performance. I thought I had a cure back
in 1991 when I received my first set of 20 - 75mg testosterone pellets which
last 4 months. These pellets have been around since the 50's and are now
approved in the treatment of andropause. When my erections began slow down
again after a few weeks, I figured I needed another set of pellets. Not so.
The next set of pellets did not help my ED which was back just as bad as
before.

My body was now benefitting from the new high normal T levels, 800-1000. As
in Shippen's book I was enjoying all of the benefits such as, energy level,
mental agility, sense of well being (lack of depression) and the most
interesting was my renewed interest in having sex. When a dress blew up in
the wind, I almost got an electric shock in my crotch which was a brand new
sensation.

There are many things like medications for anxiety, blood pressure,
depression and I even think cholesterol can hit you with ED. Stress from job
family or health problems or others can build to a point where ED happens.
Diabetes frequently exhibits itself for the first time as ED because of the
nerve damage that has happened gradually in those nerves involved in
erections. Nerve damage can be offset with viagra when nerves begin to go.
Ultimately the nerves become damaged to the point Viagra and others will not
work anymore and those near 60 see that as age relatetd ED. Then injection
therapy can come to the rescue with very quick, reliable, firm erections
that last for several hours. This allows fantastic casual sex.

My doctor is Dr. R. Don Gambrell, Augusta, GA who has been treating couples
with fertility problems and treating both men for andropause and women after
menopause for decades. His mentor, Dr. Greenblatt, now deceased, pioneered
hormone therapy beginning in the 50's I believe. Check their credentials on
GOOGLE.

He provides both pellets and all of the other forms of testosterone therapy.
His experience says those receiving pellets will repeat the therapy 65% of
the time because they enjoyed reaching the normal high level of
testosterone. Those receiving the alternative forms of therapy repeat only
45% of the time because the levels of T they were able to reach were rarely
in the 800-1000 level where the benefits are enjoyed.

Hope this helps.

ernestnolan

"Magnolia" <Magnolia@pta.com> wrote in message
news:c9dg41hcnhi457g48enkcjm08pa1q53a2l@4ax.com...
> Hi. I'm new to this group, and would apprecia

te any advise any of you
> may be able to offer. I am 35 but have been experiencing ED problems
> since I was 32. I have been seeing a doctor in NYC for several months
> and there is at least some reason to belief (IMO) that my ED is
> testosterone related. Here are the results from my initial lab work:
>
> 1/17/05 Testosterone 289.0 ng/dL (286.0 - 1511.0)
>
> He gave me a DHEA supplement (25 mg capsules) and told me to take one
> a day. After a week or so on the supplement I got about one week of
> spectacular results and then nothing.
>
> He next put me on AndroGel (which I hate btw) which also produced
> results for a week before fading.
>
> I just returned from my last appointment and received these results
> from my latest lab work:
>
> 3/21/05 Testosterone 629 ng/dL (270-1734)
> Prolactin 3.5 ng/mL (2.5-17.0)
> FSH 2.2 mUI/mL (0.7-11.0)
> LH 0.5 mUI/mL (0.8-7.6)
>
> So, despite my subjective evaluation of my condition, it seems that
> some part of my treatment has increased my Testosterone levels
> considerably.
>
> Here are some questions/comments I have that I would appreciate your
> feedback on:
>
> 1. I am becoming generally dissatified with my doctor. The fact that
> tests to measure my prolactin, FSH, and LH levels were not performed
> until well after a course of TRT had begun is upsetting to me. Would
> not TRT affect these values (at least FSH and LH) and thus make it
> more difficulty to determine whether my problem was primary or
> secondary hypogonadism?
> 2. There are two other tests I have read about in this group that my
> doctor has never even mentioned: estrogen and Free Testosterone. From
> what I have read isn't initial success on a course of treatment
> followed by decline consistent with FT being eaten up by increased
> estrogen production? So it seems to me that test may be especially
> important for me.
> 3. My doctor has advised our next step to be bi-weekly injections of
> Testosterone. He did not specify a dosage. But from what I have read
> here, bi-weekly seems far too infrequent and likely to result in
> drastic swings in my T level.
> 4. I have been told that Dr. Shippen is not taking new patients now,
> but that if I call back I may be able to get in at the end of June or
> July. I am going to continue to follow up on that, but certainly there
> must be someone in this group that can give me a referral to a good
> "Shippen-like" doctor in NYC. I tried looking up a referral on the
> website that Wanderer listed
> (http://www.tuneupyourt.com/find_a_doctor.html), but all I got was
> "can not connect" message. So if anyone can help me with a NYC doctor
> referral or even get a listing that that website for me I would
> appreciate it.
>
> If anyone can offer me any advise or any comments on my test results
> or the above questions I would appreciate it.
>
> Thank you all for your ear and your help...
>
> Mag

Magnolia

2005-03-29, 6:39 pm

Thanks much for you response. But I had question of clarification. You
said:

>When my erections began slow down
>again after a few weeks, I figured I needed another set of pellets. Not so.
>The next set of pellets did not help my ED which was back just as bad as
>before.

But then you followed with this:

>My body was now benefitting from the new high normal T levels, 800-1000. As
>in Shippen's book I was enjoying all of the benefits such as, energy level,
>mental agility, sense of well being (lack of depression) and the most
>interesting was my renewed interest in having sex. When a dress blew up in
>the wind, I almost got an electric shock in my crotch which was a brand new
>sensation.

So I am a little confused. After your first set of pellets did the
effect abate permanently or did you continue to benefit from the new
high normal T levels? Since you first received treatment in 1991 I
guess a simpler thing to ask is have you been able to find a solution
to ED that has continued to work over time?

Thanks again...

ernestnolan

2005-03-29, 6:39 pm

Hi,

My ED was not cured by TRT but I have continued to receive TRT now for more
than 10 years. The benefits of TRT are very impressing and should not be
discounted. I was attempting to encourage TRT for these benefits.

The fantastic erection only happen when the T level is going up and once it
stabilizes my ED returned just as before. I found a book by Dr. Irwing
Goldstein, Boston Univ. "The Potent Male" in 1992 describing all of the
different ED therapies including injection therapy, trimix, and surgical
implants. This was before viagra.

I went to Dr. Goldstein after writing with my symptoms and he accepted me as
a patient. I had to travel 6 hours one way to Boston so it was a very long
day.

My first visit, I was checked for leakage, psychological problems as the
cause of my ED and good circulation to the penis. I was given a sample
injection to show me what the erections would be like and was literally
amazed at the firmness. After 4 hours it did not go down so an injection
brought it down in minutes. The dosage chosen was arbitrary and there was no
danger with the large dose when in the doctors office. Two visits later I
was on my own with the right dosage and the skills needed to inject myself.

Years later I tried viagra and got a severe headache and a soft erection.
Trimix was superior with a very firm teen like erection that comes up
quickly and lasts for several hours if I choose to inject that much. It
becomes tender after about 3 hours making to 4th hour painful even though it
was not a medical problem. I was encouraged to vary the dose to see what
amount I preferred.

Lots of things cause ED. My problem was age related nerve damage.

When a man gets older or a man has diabetes, the nerves become less
sensitive that are involved with erections. Viagra and others only help
nerves perform well again until the nerves get seriously bad. Then injection
therapy like trimix comes to the rescue. Caverject is a poor performer and
costs more.

I get my 10ml vial trimix from Franck's Pharmacy, Ocala FL for $119.
delivered overnite. Once the urologist teaches you how to inject yourself,
Franck's will help your GP write the following prescriptions which in my
case was very important. I would have to travel to Boston every year and
also pay for an appointment just to keep the opportunity for a refill of my
prescription.

Any more questions?

ernestnolan

"Magnolia" <Magnolia@pta.com> wrote in message
news:o8nh41dea6pn0np80v5642i9o3r9ks51bj@4ax.com...
> Thanks much for you response. But I had question of clarification. You
> said:
>
>
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>
> But then you followed with this:
>
As[vbcol=seagreen]
level,[vbcol=seagreen]
in[vbcol=seagreen]
new[vbcol=seagreen]
>
> So I am a little confused. After your first set of pellets did the
> effect abate permanently or did you continue to benefit from the new
> high normal T levels? Since you first received treatment in 1991 I
> guess a simpler thing to ask is have you been able to find a solution
> to ED that has continued to work over time?
>
> Thanks again...