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Home > Archive > Impotence Support > January 2006 > Just got back from my Uro
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Just got back from my Uro
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| Raymond Cortázar 2005-12-20, 5:51 pm |
| The background:
26 years old.
Been off and on impotent since I was 17 (during my first sexual
experience - due to a strict religious upbringing, I have no idea about
erectile function during masturbation, as I didn't try that until after
my first sexual experience. Go figure).
Basically, I'll describe my erections as being at roughly 80-85%
tumescence, which quickly fade to 50-55% after penetration. Of course,
neither state is satisfactory for orgasm, which typically depends on
aggressive oral sex or aggressive mutual masturbation.
To achieve orgasm, I also have to tense up all muscles in my legs and
groin area to "force" enough sensation to get there.
I was a pack a day smoker from the age of 17 until almost 3 years ago.
Also, I was a 5-7 drink a day boozer, seven days a week from the age of
20 to the age of 24.
Currently, I'll have a few smokes, about 1 night a month (I afford
myself this pleasure). I drink 2-3 drinks about twice a week. (There
are of course exceptions, such as going out to see a live band or going
to a party, where that number will rise to 7-9 drinks in an evening,
but this is, at most, once a month).
I also work a very sedentary job, at a desk roughly 10 hours a day.
So, this should be enough to get you all started.
Visited my uro, he offered the common: "it's all in your head, do you
want Cialis?" reply. And, I'd be inclined to believe him, 2 other uros
have offered the same diagnosis. Like I said, I grew up in a vehemently
anti-sex household, so it's very possible some psychological "wiring"
plus enough erectile failues could well be causing it.
And, like I said, I figured that cutting out the daily binge drinking
and the pack-a-day habit would cause things to improve, and they
have... slightly (call it a 15% improvement over the past) in the past
two years.
So, went to the uro, and forced him to run blood tests.
Do any of the following numbers look odd to you?
TSH = 1.61 MIU/ML
Prolaction = 6.1 NG/ML
Testosterone = 441 NG/DL
Cholesterol = 166 MG/DL
Triglyceride = 108 MG/DL
HDL = 47 MD/DL
LDL = 97 MG/DL
Risk Factor = 3.53 ?
I have other results I can share if anyone is interested.
Does the T number appear low for a 26 year old male?
Thanks for any help.
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"Raymond Cortázar" <rcortazar@gmail.com> wrote in message
news:1135121494.882187.195460@f14g2000cwb.googlegroups.com...
> The background:
>
> 26 years old.
> Been off and on impotent since I was 17 (during my first sexual
> experience - due to a strict religious upbringing, I have no idea about
> erectile function during masturbation, as I didn't try that until after
> my first sexual experience. Go figure).
>
> Basically, I'll describe my erections as being at roughly 80-85%
> tumescence, which quickly fade to 50-55% after penetration. Of course,
> neither state is satisfactory for orgasm, which typically depends on
> aggressive oral sex or aggressive mutual masturbation.
>
> To achieve orgasm, I also have to tense up all muscles in my legs and
> groin area to "force" enough sensation to get there.
>
> I was a pack a day smoker from the age of 17 until almost 3 years ago.
> Also, I was a 5-7 drink a day boozer, seven days a week from the age of
> 20 to the age of 24.
>
> Currently, I'll have a few smokes, about 1 night a month (I afford
> myself this pleasure). I drink 2-3 drinks about twice a week. (There
> are of course exceptions, such as going out to see a live band or going
> to a party, where that number will rise to 7-9 drinks in an evening,
> but this is, at most, once a month).
>
> I also work a very sedentary job, at a desk roughly 10 hours a day.
>
> So, this should be enough to get you all started.
>
> Visited my uro, he offered the common: "it's all in your head, do you
> want Cialis?" reply. And, I'd be inclined to believe him, 2 other uros
> have offered the same diagnosis. Like I said, I grew up in a vehemently
> anti-sex household, so it's very possible some psychological "wiring"
> plus enough erectile failues could well be causing it.
>
> And, like I said, I figured that cutting out the daily binge drinking
> and the pack-a-day habit would cause things to improve, and they
> have... slightly (call it a 15% improvement over the past) in the past
> two years.
>
> So, went to the uro, and forced him to run blood tests.
>
> Do any of the following numbers look odd to you?
>
> TSH = 1.61 MIU/ML
> Prolaction = 6.1 NG/ML
> Testosterone = 441 NG/DL
> Cholesterol = 166 MG/DL
> Triglyceride = 108 MG/DL
> HDL = 47 MD/DL
> LDL = 97 MG/DL
> Risk Factor = 3.53 ?
>
> I have other results I can share if anyone is interested.
>
> Does the T number appear low for a 26 year old male?
>
> Thanks for any help.
>
Your T number should be fine. Your problem as stated
is smoking, drinking and lack of exercise. Try to remedy
those first and see how you are. You may live longer
if you do.
| |
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| ray wrote:
> "Raymond Cortázar" <rcortazar@gmail.com> wrote in message
> news:1135121494.882187.195460@f14g2000cwb.googlegroups.com...
>
>
>
> Your T number should be fine. Your problem as stated
> is smoking, drinking and lack of exercise. Try to remedy
> those first and see how you are. You may live longer
> if you do.
>
>
Agree. A gradual increase in aerobic exercise to at least 20 min on
each of three days a week will help. Walking first then a gentle jog
after a couple of weeks will get you started. Target is to raise the
HDL number into the high 50s and improve your oxygenation while not
bleeding your Testosterone downward.
When the smoking and drinking is avoided for several weeks your night
time erections should improve then increase ejaculation frequency to
twice a week.
HTH .... LMac
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| Raymond Cortázar 2005-12-21, 12:54 am |
| How do you all feel about bike riding (with the whole "safety" seat
thing) ?
Would 20 mins of very strenuous bike riding do it? How about 30-45?
And, like I said, the drinking is at most once a week these days, and
the smoking's only once a month... can that really be having that
adverse of an effect?
Moreover, what anaerobic exercises should I consider?
| |
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| Raymond Cortázar wrote:
> How do you all feel about bike riding (with the whole "safety" seat
> thing) ?
>
> Would 20 mins of very strenuous bike riding do it? How about 30-45?
>
> And, like I said, the drinking is at most once a week these days, and
> the smoking's only once a month... can that really be having that
> adverse of an effect?
>
> Moreover, what anaerobic exercises should I consider?
>
Anaerobic is great for building muscle mass at your age and T level. If
you want to burn up some T with anaerobic, stick with some Kegels to
build up your pelvic floor. That will give you better physical control
during sex and should improve erectile quality. (Read Shippen regarding
value of pelvic floor musculature on erectile quality). On a
Testosterone-burned-up versus sexual-ability payoff, Kegels will be your
best anaerobic bet. Work on biceps, pecs and other body features after
you lick the E.D. (saving the T for something better). Regardless of
what the muscle magazines imply, ectomorphic bodies have a reputation
for doing better in the sack than mesomorphs. (This is a 195 lb
mesomorph doing the writing.)
Meanwhile, light aerobics should do the most for improving oxygen flow,
lung function and improving stored glycogen to achieve good sexual
function and orgasm. The only significant thing about 20 minutes is
that my cardiologist recognizes it as a working minimum to do much good.
Thirty minutes three times a week is certainly better; but, leave
yourself some reserves. Assuming your doc says OK, start at about 60%
of your cardiac maximum and stay below 75% until your sexual performance
improves. Above 75%, you'll probably reduce your total T and slow down
progress toward building your pelvic floor and maximizing your progress
against E.D.
I think being well oxygenated makes for better performance in the sack.
You may find that it lets you to use breathing to control your
approach to orgasm.
I have a slotted "safety" seat on my own bike but am not convinced that
it provides adequate nerve/blood vessel protection. Work on your pelvic
floor first then judge how good/bad the seat is.
--
LMac
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| Muerta 2005-12-21, 10:55 am |
|
"Raymond Cortázar" <rcortazar@gmail.com> wrote in message
news:1135121494.882187.195460@f14g2000cwb.googlegroups.com...
> The background:
>
I agree with the other responders with one caveat. we all react differently
to things, and the drinking thing *can* screw you up, but at the level
you're at now, and for as long as you've cut back, it shouldn't be an issue.
I have been both a drinker and non-drinker, I'm in my 50's, and smoked all
my life until a couple of months ago.
Currently, I have been in a phase for quite some time where I finally
decided that at the last of my career, I am in a position to be able to
enjoy fine Bourbons (my 3rd love), and, by god, I do.
Hasn't had much of an effect on me.
However, my son rides a bike, serious amateur (Those suckers can run almost
as much as a luxury car) and injuries from the seat are well known. There
are special seats to bypass that and make it a non-issue.
As you know, if you've browsed the group, you're never too young to try one
or more of the ED-related drugs we discuss.
| |
| Jerry Sturdivant 2005-12-21, 5:52 pm |
|
"Raymond Cortázar" <rcortazar@gmail.com> wrote
> Visited my uro, he offered the common: "it's all in your
> head, do you want Cialis?" reply. And, I'd be inclined to
> believe him, 2 other uros have offered the same diagnosis.
I'm sure all the exercise stuff suggested will benefit you. But for now I'd
start with the doctor's suggestion and at least try the Cialis. Get going.
Jerry of ASI
| |
| Raymond Cortázar 2005-12-23, 10:52 am |
| Okay, I talked with my wife. She's kind of unhappy about the whole
affair. Neither of us are huge fans about long-term drug dependence, to
be sure.
I also suppose I'm a bit scared about "taking off the training wheels".
I found that with Viagra, I was typically "good" for about a week after
stopping it. But, I have no idea if that is psychological, or physical
(more Viagra =3D=3D more oxygenation).
But, soon thereafter, the normal pattern kicked back up again.
I suppose, I'm concerned about psychological dependence on the stuff.
Thanks,
R=2E Cort=E1zar
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| Mr. Softy 2005-12-23, 10:52 am |
|
"Raymond Cortázar" <rcortazar@gmail.com> wrote in message
news:1135347570.775861.111650@g44g2000cwa.googlegroups.com...
>Okay, I talked with my wife. She's kind of unhappy about the whole
affair. Neither of us are huge fans about long-term drug dependence, to
be sure.<
Why? What does that mean? Are you equating "drug dependence" and
"addiction?" Is there a difference if your body requires insulin,
digitalis, or Viagra to work properly? Beyond the financial considerations,
what is the nature of the unhappiness that centers around taking a few
milligrams of sildenafil citrate?
>I also suppose I'm a bit scared about "taking off the training wheels".
I found that with Viagra, I was typically "good" for about a week after
stopping it. But, I have no idea if that is psychological, or physical
(more Viagra == more oxygenation).<
There may be some long-term benefit from taking ED meds in that they
facilitate nocturnal erections. To have a healthy penis, you have to have
erections. That benefit probably lingers. I would expect that eventually
you would get back to your pre-treatment baseline after discontinuing the
medication. In other words, there is probably a physiological reason why
you function better for a week or so after discontinuing the medication.
<I suppose, I'm concerned about psychological dependence on the stuff.<
If you have erectile dysfunction caused by a physical problem, then taking
the drug is no different that taking thyroid hormone for a defective
thyroid. Yes, you are dependant on that drug, but that isn't anything to
wring your hands over. Of course sex has a huge psychological component and
anyone who has experienced repeated sexual dysfunction will have some
psychological concerns. It is important to figure out which came first, the
ED or the anxiety. Anxiety can cause ED, and ED can cause anxiety.
The bottom line is that if you have ONLY psychologically based ED, then you
should get some therapy from a psychologist. If you have a physical problem
that is causing ED, all the talk in the world isn't going to help you,
except that it might make you fell better about not being able to have sex.
I am perplexed at why a female partner would be hesitant to have her partner
treat a physical problem with medication. Now THAT would be an issue that I
would take up with a psychologist. Perhaps she doesn't want to have sex.
Maybe she has some sexual dysfunction like reduced libido. Maybe there are
other issues in the relationship that need attention.
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| Raymond Cortázar 2005-12-23, 12:51 pm |
| " I am perplexed at why a female partner would be hesitant to have her
partner
treat a physical problem with medication. Now THAT would be an issue
that I
would take up with a psychologist. Perhaps she doesn't want to have
sex.
Maybe she has some sexual dysfunction like reduced libido. Maybe there
are
other issues in the relationship that need attention. "
Probably barking up the wrong tree there... the issue is really a
matter of fear of long-term effects and side-effects of various
medications. She's got a background in biology, zoology, and
toxicology, and is, for this reason, wary of lots and lots of foods and
drugs.
We have nutrition and toxicology literature floating all over the house
- she watches her fat, sodium, cholesterol, and partially hydrogenated
oils (and countless other food-oriented things).
We're kind of trending towards an all free-range meats + veggies kind
of diet.
Hope that explains that, if only a little.
Raymond Cort=E1zar
| |
| Mr. Softy 2005-12-24, 10:52 am |
|
"Raymond Cortázar" <rcortazar@gmail.com> wrote in message
news:1135360048.305340.235150@g14g2000cwa.googlegroups.com...
" I am perplexed at why a female partner would be hesitant to have her
partner
treat a physical problem with medication. Now THAT would be an issue
that I
would take up with a psychologist. Perhaps she doesn't want to have
sex.
Maybe she has some sexual dysfunction like reduced libido. Maybe there
are
other issues in the relationship that need attention. "
Probably barking up the wrong tree there... the issue is really a
matter of fear of long-term effects and side-effects of various
medications. She's got a background in biology, zoology, and
toxicology, and is, for this reason, wary of lots and lots of foods and
drugs.
We have nutrition and toxicology literature floating all over the house
- she watches her fat, sodium, cholesterol, and partially hydrogenated
oils (and countless other food-oriented things).
We're kind of trending towards an all free-range meats + veggies kind
of diet.
Hope that explains that, if only a little.
From what I am reading, it seems that long-term use of PDE5 inhibitors may
actually prove to be beneficial. Short of using drugs, I can only think of
two alternative. One would be a pump and the other an implant. Of course,
the implant is an irreversable procedure and there may be long-term
considerations with using a pump.
| |
|
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"Raymond Cortázar" <rcortazar@gmail.com> wrote in message
news:1135360048.305340.235150@g14g2000cwa.googlegroups.com...
" I am perplexed at why a female partner would be hesitant to have her
partner
treat a physical problem with medication. Now THAT would be an issue
that I
would take up with a psychologist. Perhaps she doesn't want to have
sex.
Maybe she has some sexual dysfunction like reduced libido. Maybe there
are
other issues in the relationship that need attention. "
Probably barking up the wrong tree there... the issue is really a
matter of fear of long-term effects and side-effects of various
medications. She's got a background in biology, zoology, and
toxicology, and is, for this reason, wary of lots and lots of foods and
drugs.
We have nutrition and toxicology literature floating all over the house
- she watches her fat, sodium, cholesterol, and partially hydrogenated
oils (and countless other food-oriented things).
She sounds a bit neurotic with an irrational fear of drugs. Try the ED drugs
but don't let her know, in fact you shouldn't have even mentioned this to
her. Pretend to follow her advice on nutrtion and after a few weeks tell her
you're much better. Then see if she has any interest in sex because her
objection to ED drugs may just be a pretext for not really wanting to have
sex. Some advice to other men here, don't tell your girlfriend or wife what
you're taking they don't have to know everything. Do you really believe they
tell you everything? lol You know how women like to talk, do you really wany
everyone to know your personal business?
We're kind of trending towards an all free-range meats + veggies kind
of diet.
It may taste better but there's no proof it's better for you.
Hope that explains that, if only a little.
Raymond Cortázar
| |
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"Raymond Cortázar" <rcortazar@gmail.com> wrote in message
news:1135121494.882187.195460@f14g2000cwb.googlegroups.com...
> The background:
>
> 26 years old.
> Been off and on impotent since I was 17 (during my first sexual
> experience - due to a strict religious upbringing,
It has nothing to do with that.
I have no idea about
> erectile function during masturbation, as I didn't try that until after
> my first sexual experience. Go figure).
>
> Basically, I'll describe my erections as being at roughly 80-85%
> tumescence, which quickly fade to 50-55% after penetration. Of course,
> neither state is satisfactory for orgasm, which typically depends on
> aggressive oral sex or aggressive mutual masturbation.
>
> To achieve orgasm, I also have to tense up all muscles in my legs and
> groin area to "force" enough sensation to get there.
>
> I was a pack a day smoker from the age of 17 until almost 3 years ago.
> Also, I was a 5-7 drink a day boozer, seven days a week from the age of
> 20 to the age of 24.
>
> Currently, I'll have a few smokes, about 1 night a month (I afford
> myself this pleasure). I drink 2-3 drinks about twice a week. (There
> are of course exceptions, such as going out to see a live band or going
> to a party, where that number will rise to 7-9 drinks in an evening,
> but this is, at most, once a month).
>
> I also work a very sedentary job, at a desk roughly 10 hours a day.
>
> So, this should be enough to get you all started.
>
> Visited my uro, he offered the common: "it's all in your head, do you
> want Cialis?" reply. And, I'd be inclined to believe him, 2 other uros
> have offered the same diagnosis. Like I said, I grew up in a vehemently
> anti-sex household, so it's very possible some psychological "wiring"
It's possible but at your age horniness would quickly override any
"psychological wiring" and rewire the chemical pathways of your brain for
sex.
> plus enough erectile failues could well be causing it.
>
> And, like I said, I figured that cutting out the daily binge drinking
> and the pack-a-day habit would cause things to improve, and they
> have... slightly (call it a 15% improvement over the past) in the past
> two years.
>
> So, went to the uro, and forced him to run blood tests.
>
> Do any of the following numbers look odd to you?
>
> TSH = 1.61 MIU/ML
> Prolaction = 6.1 NG/ML
> Testosterone = 441 NG/DL
> Cholesterol = 166 MG/DL
> Triglyceride = 108 MG/DL
> HDL = 47 MD/DL
> LDL = 97 MG/DL
> Risk Factor = 3.53 ?
Test results are excellent.
>
> I have other results I can share if anyone is interested.
>
> Does the T number appear low for a 26 year old male?
>
> Thanks for any help.
>
| |
|
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"Raymond Cortázar" <rcortazar@gmail.com> wrote in message
news:1135347570.775861.111650@g44g2000cwa.googlegroups.com...
Okay, I talked with my wife. She's kind of unhappy about the whole
affair. Neither of us are huge fans about long-term drug dependence, to
be sure.
I also suppose I'm a bit scared about "taking off the training wheels".
I found that with Viagra, I was typically "good" for about a week after
stopping it.
So take it once a week then.
But, I have no idea if that is psychological,
Perhaps more oxygen to the brain as well as penis?
or physical
(more Viagra == more oxygenation).
But, soon thereafter, the normal pattern kicked back up again.
I suppose, I'm concerned about psychological dependence on the stuff.
Thanks,
R. Cortázar
| |
|
|
"Mr. Softy" <mrsofty@cinci.rr.com> wrote in message
news:j5Uqf.223084$tD4.138109@tornado.ohiordc.rr.com...
>
> "Raymond Cortázar" <rcortazar@gmail.com> wrote in message
> news:1135347570.775861.111650@g44g2000cwa.googlegroups.com...
> affair. Neither of us are huge fans about long-term drug dependence, to
> be sure.<
>
> Why? What does that mean? Are you equating "drug dependence" and
> "addiction?" Is there a difference if your body requires insulin,
> digitalis, or Viagra to work properly? Beyond the financial
> considerations,
> what is the nature of the unhappiness that centers around taking a few
> milligrams of sildenafil citrate?
>
>
>
> I found that with Viagra, I was typically "good" for about a week after
> stopping it. But, I have no idea if that is psychological, or physical
> (more Viagra == more oxygenation).<
>
>
> There may be some long-term benefit from taking ED meds in that they
> facilitate nocturnal erections. To have a healthy penis, you have to have
> erections. That benefit probably lingers. I would expect that eventually
> you would get back to your pre-treatment baseline after discontinuing the
> medication. In other words, there is probably a physiological reason why
> you function better for a week or so after discontinuing the medication.
>
> <I suppose, I'm concerned about psychological dependence on the stuff.<
>
> If you have erectile dysfunction caused by a physical problem, then taking
> the drug is no different that taking thyroid hormone for a defective
> thyroid. Yes, you are dependant on that drug, but that isn't anything to
> wring your hands over. Of course sex has a huge psychological component
> and
> anyone who has experienced repeated sexual dysfunction will have some
> psychological concerns. It is important to figure out which came first,
> the
> ED or the anxiety. Anxiety can cause ED, and ED can cause anxiety.
And ED can certainly cause depression.
>
> The bottom line is that if you have ONLY psychologically based ED, then
> you
> should get some therapy from a psychologist. If you have a physical
> problem
> that is causing ED, all the talk in the world isn't going to help you,
> except that it might make you fell better about not being able to have
> sex.
> I am perplexed at why a female partner would be hesitant to have her
> partner
> treat a physical problem with medication. Now THAT would be an issue that
> I
> would take up with a psychologist. Perhaps she doesn't want to have sex.
> Maybe she has some sexual dysfunction like reduced libido. Maybe there
> are
> other issues in the relationship that need attention.
>
>
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