Running out of options - help!

[tommydog]

I am 42 years of age and have had ED all my life, even as a teenager at 16 years of age. Over the years, I have only managed on a handful of occasions to penetrate women for a few minutes. These days, I struggle to penetrate for more than a few seconds (if at all, as it's not normally erect enough to get inside a woman), before the weak erection is lost completely. Even when I masturbate alone, I have a weak erection (and need a constant stopping and starting technique to maintain even a weak erection), but this has got much worse over the years. In addition, I used to get morning erections when waking up, but in recent years I rarely get these and if I do they are weak. The only time I seem to be able to maintain a weak erection is when receiving oral sex over a prolonged period of time from my partner. But this requires constant stimulation from my partner and even then the erection is sometimes lost. If transitioning to penetrative sex from oral sex, the weak erection will be lost almost immediately. If penetrating, I probably have the most luck in missionary or cowgirl to maintain an erection for a few seconds.

Last year I tried cialis prescribed by a doctor, and even at 3x the maximum dose, it does absolutely nothing. I have now been prescribed caverject (alprostadil) injections and have worked my way up to 30 micrograms (will be trying 40 shortly). When experimenting on my own, it seems to work (about 70% of the time) to get a weak erection, but the erection is lost very quickly, after a minute or so. So much for the story of people having to go to hospital to deal with a 4 hour erection! I wonder if this evidence is pointing to a vascular leak? But then I wonder why is possible on occasions to get a constant weak erection from masturbation or prolonged oral sex?

Then there is the issue of my testosterone. This is low at 203. I look flabby and not very muscular. This is despite an active lifestyle of running 5km 3 times a week, cycling, long distance swimming and weight lifting. I am 170cm tall and weight 93kg. In terms of my lifts, I bench press a maximum of 125kg, squat 150kg and deadlift 200kg. On paper, this places me significantly stronger than the average person, but they are not very impressive lifts considering I have been training for 10 years. If I did not lift, I believe I would be significantly weaker than the average person (I was always the weakest kid in my class at school when it came to shot-put / Javelin). On paper, I am stronger than a few other guys I know who train, but they are viably much more muscular with much higher T levels. I just look flabby and fat, despite good form and a clean diet. I guess there is muscle there, but its hidden underneath my fat. I also have problems sleeping and have sweats at well, which is consistent with low testosterone. In light of this evidence, I wonder if testosterone could be the issue? The problem is because I am in the UK and not below 200, my testosterone is seen as "normal" and not low. Therefore testosterone will not be prescribed in the UK. Reading online, many doctors in the USA regard anything under 300 as low and therefore prescribe testosterone. It seems arbitrary that if I go down to 199 I am entitled to this treatment, but at 203 I am not. In terms of supplements, I am currently taking these in the hope of a small boost in T levels:

L-Arginine
L-Carnitine
ASHWAGANDHA
Maca Root with Ginseng

I have been taking these for a couple of weeks, but can't say I notice any massive changes anywhere (although its been a couple of months since my testosterone was last measured)

In light of my low testosterone, I was wondering if I should try and order some testosterone online? If I went this root, I would not start the testosterone without fist embarking on a massive diet to try and loose as much fat as possible. I may also look at obtaining something like Anastrozole to reduce the changes of the testosterone converting to estrogen. I would also continue the weight lifting alongside testosterone injections.

What do people think about my situation? If I am honest, I want to exhaust all options before I consider an implant.

[Mazzio]

I would try pills+injection combo. Maybe with 50 mg sildenafil. Take the pill first and wait that your dick reacts to the medicine and gets a little bloated. Then it is easier to shoot the injection.

Your case sounds like a venous leak to me. It will not get better. It will get worse.

[Old Guy]

When ED started, I tried numerous herbal pills/drugs stated to enhance male performance and erections. Not one did anything for me. Viagra worked for a few years, then I had to go to injections. Typical male venous leak that just got worse until nothing worked.

[tommydog]

I would try pills+injection combo. Maybe with 50 mg sildenafil. Take the pill first and wait that your dick reacts to the medicine and gets a little bloated. Then it is easier to shoot the injection.

Your case sounds like a venous leak to me. It will not get better. It will get worse.

Sildenafil does nothing for me. I have done 60mg before and it had zero effect. I did not get any side effects either, but in terms of an erection it did nothing. Maybe I should try 100mg?

If it is a venous leak, why can I maintain a weak erection when masturbating using a stopping / starting technique? Or why can I maintain a weak erection if I receive prolonged oral sex?

[tommydog]

When ED started, I tried numerous herbal pills/drugs stated to enhance male performance and erections. Not one did anything for me. Viagra worked for a few years, then I had to go to injections. Typical male venous leak that just got worse until nothing worked.

You are lucky that Viagra worked for you. Viagra has never done anything for me, and the injections seem to be not doing very much either.

I have to say, i am very tempted to do a testosterone cycle as a last resort. What is there to loose?

[s7utty]

When ED started, I tried numerous herbal pills/drugs stated to enhance male performance and erections. Not one did anything for me. Viagra worked for a few years, then I had to go to injections. Typical male venous leak that just got worse until nothing worked.

You are lucky that Viagra worked for you. Viagra has never done anything for me, and the injections seem to be not doing very much either.

I have to say, i am very tempted to do a testosterone cycle as a last resort. What is there to loose?

Im 27 years old. I’m actually quite terrified from what i read from you about start/stopping technique. I never thought about it previously but yeah i got it EXACTLY the same. I don’t know why this happens to be honest. Every time i stroke my glans with foresking slowly i can get decent erection. Even close to my maximum size. Then i want to do some rapid moves and in matter of seconds it deflates. If i slow down and keep stroking in specific way - it returns slowly but is often not what was at the beginning…. I read somewhere that jerking off penis alone in the way that most stimulates you is better than having it from a partner or by penetration because you know exactly what stimulates you the most. Considering this - as you and I are at the most peak moments of stimulation we are overcoming outflow by comprehension of good stimulation that provides good/max inflow.

This make sense to me especially because my girlfriend when she starts to jerk me off she does it on maybe 50% of erection. Even when i “pass” her my penis that i grow up to maximum with my style of stimulation.

I’ve run through doppler and it said venous leak found. EDV 15cm/s
I was devastated “…..

then i performed CT angiography and narrow arteries were revealed and NO leak…
i’m very lost at this point.

Thanks fully pills work for me but i’m not using them cos don’t want to lose their effectiveness.

I cannot have spontaneous sex never. Must be mentally prepared and be lying in bed for some minutes then proceed to arousal etc.

I stopped smoking and changed my diet to better one but it only helped partially. Like if previously when smoking and eating junk food i could penetrate for 3-4 minutes now i can for 5-7 and also not always and in certain positions.

This problem is very shit because you can have sex but it’s shit quality sex that last very short time. I often force myself to cum as i notice my erection is melting already and if i only could -
i would bang for 30+ minutes….


About testosterone - DONT DO IT WITH THIS CONDITION.
it will just make u horny more and your body won’t follow this. Testosterone just shown me how life can be beautiful in sexual way cos especially at the beginning i wanted to have sex couple times a day but that doesn’t matter if your body can’t adjust…. i felt like i was a prisoner of my own body… you will just suffer.

I also didn’t wanted to believe what people here say about implant being last resort but with every new day i start to believe it more and more.
It’s sad but true. We was born in bad way and need to agree finally we are fucked up and only cyber penis will provide us normal sex life. I’m tired of hearing my friend stories about car sex, forest sex and threesomes etc.

I’ll give myself time to end of February with my new non smoking/better food regimen and i’ll go back to my doc to repeat maybe angiography and see results.

Doc offered my shockwave therapy and said i might benefit from it as i have only narrow arteries in penis. Not deep arteries providing blood to penis. Fact that cialis helps me also add some encouraging to this.
But all people on this forum say shockwave is bullshit…

[tommydog]

About testosterone - DONT DO IT WITH THIS CONDITION.
it will just make u horny more and your body won’t follow this. Testosterone just shown me how life can be beautiful in sexual way cos especially at the beginning i wanted to have sex couple times a day but that doesn’t matter if your body can’t adjust…. i felt like i was a prisoner of my own body… you will just suffer.

Why do you say don't do it? I was only going to do a cycle to see if it made any difference. I did see one study of testosterone therapy helping men with a vascular leak. If it does not help the ED, at least I may get some weight lifting gains out of it. Of course, I would massively cut fat before going anywhere near testosterone.

If I don't try the testosterone, it seems I am at the end of the road. What else is there left? Tablets don't work, injections don't work. I even tried abstaining from masturbation and sex for a couple of months, but I had the same old erection problems when I eventually had sex. I feel pretty down about it all and don't know what options are left other than an implant.

[s7utty]

About testosterone - DONT DO IT WITH THIS CONDITION.
it will just make u horny more and your body won’t follow this. Testosterone just shown me how life can be beautiful in sexual way cos especially at the beginning i wanted to have sex couple times a day but that doesn’t matter if your body can’t adjust…. i felt like i was a prisoner of my own body… you will just suffer.

Why do you say don't do it? I was only going to do a cycle to see if it made any difference. I did see one study of testosterone therapy helping men with a vascular leak. If it does not help the ED, at least I may get some weight lifting gains out of it. Of course, I would massively cut fat before going anywhere near testosterone.

If I don't try the testosterone, it seems I am at the end of the road. What else is there left? Tablets don't work, injections don't work. I feel pretty down about it all.

Have you run through any kind of special examinations ? doppler , cavenosogram.

[tommydog]

Have you run through any kind of special examinations ? doppler , cavenosogram.

I have not had any tests done. Only been prescribed callias and sildenafil by the doctor and then alprostadil injections. As I say, I am coming up to maximum does for the alprostadil. Then it will be back to the clinic and they said they will refer me to another hospital for tests. Its all going to take a considerable time. Given my symptoms, I suspect it is a venous leak.

[Reggieman]

tommydog:

Go to a urologist who specializes in men's sexual health. One who works daily with ED issues. I found mine at the University of California-San Francisco. That's all he does all day long and has written many papers on the subject. Get the appropriate tests done so you absolutely know the cause of the problem. Mine resulted in using injections of Bimix.

Most local Uros are not specialists in ed issues. It's worth driving to a locale where you can get an answer instead someone's guesses.