How to turn on arousal?
Posted: Mon Oct 10, 2016 10:47 pm
In case this may be relevant to my question, or to the answer, I'm 70, gay, not currently in a relationship. I'm very fit, and go to the gym every day. The most recent test results had total T at 742, free T at 20.2 (H), E2 at 29.8, and DHEA-S at 168, all of which is pretty damed good for an old fart, so I don't think that's the problem. I can still attract men a good bit younger than me, but I have had ED for a number of years, and actually, never really was dependable topping even when younger, particularly with a condom on. I have always had a lot of performance anxiety, and of course there's nothing worse for getting an erection than worrying about whether you will get one. No history of prostate or diabetes issues, but I do take calcium channel blockers for blood pressure.
When I'm home alone curled up on the couch with a filthy story, I seem to get aroused easily, and stay hard, usually with a cockring, for an hour or more, so I don't think it's a vascular issue. But when I'm with someone, I just never even get started because the anxiety kicks in.
I've been through all four PDE-5 inhibitors, and while they seem to help some, it's not enough to make or keep me hard. And that's not surprising to me. Those meds block the breakdown of cGMP, which is the chemical that causes erections, but if you aren't producing any cGMP in the first place because you aren't aroused, they won't do anything for you.
I'm currently trying out another approach, which uses a centrally-acting dopaminergic called apomorphine, and I've ordered some CDP Choline and vitamin B5 to boost that process. The idea is that the effects of arousal are amplified in the brain via the dopamine receptors, which causes production of more cGMP. But, you still have to start with arousal. Today I tried out the apomorphine with a friend my age who volunteered to "edge" me to test out this stuff. But nothing happened, and I realized as Iay there on the massage table that I just wasn't turned on - at all.
Before finding this place, I had determined that if the dopamine idea wasn't succesful, I would go to injections. I don't know how many more years I have to be sexually active, and before I give it up, I really would like to do some serious topping, and be able to do that dependably. Of course injections aren't particulary convenient if you aren't in a relationship, so I want to be sure I haven't missed trying something else that might work for me.
The performance anxiety has been going on so long that I think it's really embedded now, and self-fullfilling. So I'm not sure any kind of sex therapy or counseling would do any good. I suspect having a husband would help a lot, but that's not something you can just make happen overnight.
So basically I'm asking if there's anything I haven't tried that would turn on that arousal switch even with the anxiety. The only thing I've found so far that would do that is yohimbe. Not yohimbine HCL, but full yohimbe extract. But Lord, the side effects - high blood pressure, high pulse rate, near panic attacks - not a pleasant experience, even if hard. So that's out. Oh, and I've tried all of the botanicals - tribulus, icariin, tongkat ali, cnidium, and half a dozen others. Nothing. Well, you know, my testosterone is already high. Even so, I still take all the usual suspects - zinc, maca, arginine, boron, etc. etc. etc.
Any other suggestions? Or is it just time to get some syringes and be done with it? My understanding is if the injections work for you, you get hard whether you want to or not, and whether you're turned on or not. And since I get hard when alone, I would expect injections to work since there don't appear to be any vascular issues.
The odd thing is - if I actually found something that worked, all the pressure would be off, and I could relax and enjoy sex, and it might be that just knowing that that backstop was there would make it unnecessary to actually use it.
I had my hopes up for the apomorphine (formerly a branded med called Uprima) because I thought it attacked where my problem actually was - generating arousal. But so far, it hasn't worked. Of course the friend I tried it with wasn't exactly Brad Pitt. Hey, maybe that's the answer. I understand he's unattached now.
Sorry to go on at such length.
Morgan
When I'm home alone curled up on the couch with a filthy story, I seem to get aroused easily, and stay hard, usually with a cockring, for an hour or more, so I don't think it's a vascular issue. But when I'm with someone, I just never even get started because the anxiety kicks in.
I've been through all four PDE-5 inhibitors, and while they seem to help some, it's not enough to make or keep me hard. And that's not surprising to me. Those meds block the breakdown of cGMP, which is the chemical that causes erections, but if you aren't producing any cGMP in the first place because you aren't aroused, they won't do anything for you.
I'm currently trying out another approach, which uses a centrally-acting dopaminergic called apomorphine, and I've ordered some CDP Choline and vitamin B5 to boost that process. The idea is that the effects of arousal are amplified in the brain via the dopamine receptors, which causes production of more cGMP. But, you still have to start with arousal. Today I tried out the apomorphine with a friend my age who volunteered to "edge" me to test out this stuff. But nothing happened, and I realized as Iay there on the massage table that I just wasn't turned on - at all.
Before finding this place, I had determined that if the dopamine idea wasn't succesful, I would go to injections. I don't know how many more years I have to be sexually active, and before I give it up, I really would like to do some serious topping, and be able to do that dependably. Of course injections aren't particulary convenient if you aren't in a relationship, so I want to be sure I haven't missed trying something else that might work for me.
The performance anxiety has been going on so long that I think it's really embedded now, and self-fullfilling. So I'm not sure any kind of sex therapy or counseling would do any good. I suspect having a husband would help a lot, but that's not something you can just make happen overnight.
So basically I'm asking if there's anything I haven't tried that would turn on that arousal switch even with the anxiety. The only thing I've found so far that would do that is yohimbe. Not yohimbine HCL, but full yohimbe extract. But Lord, the side effects - high blood pressure, high pulse rate, near panic attacks - not a pleasant experience, even if hard. So that's out. Oh, and I've tried all of the botanicals - tribulus, icariin, tongkat ali, cnidium, and half a dozen others. Nothing. Well, you know, my testosterone is already high. Even so, I still take all the usual suspects - zinc, maca, arginine, boron, etc. etc. etc.
Any other suggestions? Or is it just time to get some syringes and be done with it? My understanding is if the injections work for you, you get hard whether you want to or not, and whether you're turned on or not. And since I get hard when alone, I would expect injections to work since there don't appear to be any vascular issues.
The odd thing is - if I actually found something that worked, all the pressure would be off, and I could relax and enjoy sex, and it might be that just knowing that that backstop was there would make it unnecessary to actually use it.
I had my hopes up for the apomorphine (formerly a branded med called Uprima) because I thought it attacked where my problem actually was - generating arousal. But so far, it hasn't worked. Of course the friend I tried it with wasn't exactly Brad Pitt. Hey, maybe that's the answer. I understand he's unattached now.
Sorry to go on at such length.
Morgan