joeban wrote:Simbarn
Hi all. Yesterday I had my 2nd blood test for T level by my URO. The results for my total T on separate days are was 330 and 300. The doctor wants me to go on T therapy. It is scheduled for next week. After reading the post it open my eyes to the fact that i am 62 years old with a moderate ED issue . The pills worked at one time and not so much in addition I started having an issue with a Subconjunctival hemorrhage while on daily Cialis or the 25mg Viagra. The doctor mentioned the T therapy might welp with Erection. Do i need to ask him for the Enlomiphene rather the clomid? or it does not matter at my age? In general will it improve Erection and mess up the hormone in you body? ? Any repercussion. Any one wold like to share their experiences. Thank you
If I had the opportunity to try Enclomiphene over T replacement, even if I was in my 60's and I had not been on TRT before, I would most certainly try this first. It is ALWAYS preferable to have all your natural hormones running and working instead of causing HPTA shutdown and have the unnatural rhythm of testosterone replacement. Our body produces testosterone in a diurnal rhythm with two specific peaks in the day. Artificial T replacement cannot replicate this. Enclomiphene citrate can as it gives the pituitary a push to do what it does naturally.
Clomid should only be used in the short term and will be of little use generally for older men as something is needed permanently to keep giving the HPTA the stimulus to produce higher levels of natural T. Enclomiphene is the safer option for this. This of course may not work at your age and T replacement may be the best option. Enclomiphene can still be used alongside T replacement so as to keep some natural upstream hormones working which will also keep the testes functioning to some degree, this will maintain testicular size and some ejaculate quantity as well. Obviously most men would prefer to keep their balls at a reasonable size and have some ejaculate! HCG can as I have mentioned previously be used to compensate for the loss of upstream hormones. However, it is another injection twice weekly and needs to be refrigerated. Over time it can also stop working for some men as the body develops a tolerance to it. As Enclomiphene is just a tablet it would appear to be the easier option.
I doubt a URO will prescribe Enclomiphene as it has not been approved by the FDA. A clinic such as Defy medical may do. I personally would not as I have said before use a URO for hormone issues unless they have really gone out of their way to understand and research modern TRT protocols.
T replacement can make erectile function worse in some men because of the shutdown of the other hormones and the excess of estrogen production that exogenous T can cause. The body will convert what it sees as an excess of T into estrogen if the amount of T being administered is not finely tuned to the individual. Some doctors then throw aromatase inhibitors into the mix to try and combat this, not realising how potent these drugs are and end up causing more problems.
If you do go onto T replacement and do not like it in the short term, don’t panic, as generally it is no problem to stop as your body will reinstate natural production, sometimes with the help of short term Clomid use relatively easily. It can be a very different matter if you have been on it for a year or more as restarting natural production can be difficult, especially in older age. If the testes have had constant stimulation to keep working with either the use of HCG or Enclomiphene during the period of TRT use, this restart is much easier to accomplish as the testes have not atrophied, they can be the slowest to respond when compared to the pituitary.
Age 57, ED issues for 15-20 years. Testosterone replacement with Enanthate and Ovidrel. Currently using generic Tadalafil 2.5mgs and Resveratrol daily.
