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Urologist

Discussion in 'Porn-Induced Sexual Dysfunctions' started by Jerseyguy1963, Jan 15, 2020.

  1. Jerseyguy1963

    Jerseyguy1963 Fapstronaut

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    I just got back from seeing a urologist. I told him I have ED and DE.

    He said, "What do you mean by delayed ejaculation?"

    I told him sometimes I go and go and nothing happens. He said it sounds like a mechanical issue because I'm not hard enough.

    I think it's a dopamine receptor problem with the erectile dysfunction and a norepinephrin receptor problem with the delayed ejaculation. I think I have to simply stay completely away from porn and masturbation and that should fix my brain. But, he thinks that's not it. He's testing for hormones like testosterone, prolactin and estradiol.

    This is frustrating. Mainstream medical science lags so far behind.

    I have no idea how the blood tests are going to come out. But, I'll have to be prepared to give an answer as to whether I'm willing to accept testosterone replacement if it comes back low. I know that once you are on it, your body stops making its own.
     
    getbetter73 and Anonymous86 like this.
  2. Man, I had ED and DE but now I cured my ED (sexual exhaustion from compulsive PMO) by abstaining.

    I thought my DE was due to desensitization from compulsive unhealthy M (deathgrip) but I think it's almost cured now (btw your urologist is fucking retarded if he doesn't even know about DE....ED problems are supposed to be his field).

    But I had sex two months ago and I think I have another problem that most likely explain my DE:

    I thought, but now doubt, my DE comes from desensitization or nerves numbing. I feel hardly anything with a condom on, but I believe from talking with friends that it's a common problem. So I did this to test my sensitivity:

    I bought a japanese vagina replica (sextoy) that's supposed to be as realistic as you can get on the market 4-5 months ago and tried it for the first time on my last day of PMO (August 16). I couldnt even get erect enough to put my dick in it and use it. But I used it again like 2 months later and I was able to O easily.

    Which led me to suspect that my inability to reach an O with a girl (unless she gives me a long BJ) was not due (or at least no longer due) to penile desensitization: it is due to anxiety and shame issues.

    Have you noticed if you are always stuck in yiur head during sex? Are you lost in your thoughts, wondering if you will be able to come? And thinking that if you don't, the girl will freak out and get pissed? That's always what I experience, but by not being in the present, it's hard to O.

    Another side of the issue is my deep rooted shame. In particular my shame of my masculinity and my shame of having the feeling that I'm just using a woman for sexual gratification. Like, feeling like if you O, she will be "grossed out" because you're just some animal trying to use her to unload. It's kind of messed up, but maybe you have this problem too. I was brought up by my mom and grandmother to always put women first, "respect" them and never "impose" myself (that would be rude!... so I thought). As a result, I developed this erroneous belief that if I show signs of sexual intent to a woman, I will be disrespectful and just a "gross guy". Know what I mean? And that causes DE imo.
     
  3. Jerseyguy1963

    Jerseyguy1963 Fapstronaut

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    That has never been a problem for me.

    My job as a lover is to be kind and gentleman passionate. I am in the moment. I touch her. I stroke her face. I kiss her. I thrust inside her. She cums multiple times. When I finally get close, I growl something like, "Do you want my c@m, bi%ch?" I always get a response that is more squeal than anything, "YES!!!"

    Shame is definitely not a problem.

    Unfortunately, porn has broken me. None of that is currently possible.
     
    Optimum Fortitude likes this.
  4. Ok. Then it's probably not shame and anxiety. Probably desensitization. You need to abstain (that includes not having sex) for 60-90 days to see what happens.
     
  5. Jerseyguy1963

    Jerseyguy1963 Fapstronaut

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    Thanks.

    I have done so for 29 days. I see no reason to masturbate to porn ever again. It has cost me too much.

    I will be very interested to hear what the urologist's tests say. I called this morning but the results are not yet in.
     
  6. Let us know how it went.

    I myself have a urologist appointment next week. I have a bunch of stuff to get checked and DE is at the bottom of the priority list and I don't think we can cover everything in one appointment.
     
  7. Jerseyguy1963

    Jerseyguy1963 Fapstronaut

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    May the gods of urology find your a swers, good sir.
     
  8. parad0x

    parad0x Fapstronaut

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    5 months porn free fixed the exact same issues you had.

    I had blood work at the time and all came back normal. Except raised prolactin (slightly) which is to be expected with frequent fapping.

    Have not retested as I feel fine now in the bedroom department if you will.
     
    Optimum Fortitude likes this.
  9. I'm willing to bet that you have pinpointed the issues:
    1. being stuck in your head, always analyzing and assessing rather than relaxing and simply enjoying
    2. feeling that you are "using" the woman in a consensual encounter

    The thing is, most people (of both sexes) are turned on by seeing their partner lose their inhibitions and experience pleasure from them. If you do this you are actually enhancing her experience a lot, not using her. (And vice-versa, I imagine.) I suppose the question is how you make these changes, since it's a big shift of mindset for you. At its best sex is not a high-pressure test of performance—it can just be fun. Or depending on the personal relationship, it might have much deeper meaning-- but still enjoyable, not a stressful task!
     
    Optimum Fortitude likes this.
  10. Nuallann

    Nuallann Fapstronaut

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    Post your labs blood work when you get it, can give you some pointers maybe, not real medical advice of course. I work as an assistant to a doctor, and nurse practitioner that treat patients with TRT, really good ones too, not the jackasses who don't understand the science behind it.

    Also, join this group on facebook, thousands of guys on TRT in it, a few doctors, and nurses as well, can give you advice, educate you on it, tell you if your doctor is full of shit on something, it happens: https://www.facebook.com/groups/testosteronereplacement/
     
    Optimum Fortitude likes this.
  11. Jerseyguy1963

    Jerseyguy1963 Fapstronaut

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    Hey, Nuallan! Thanks for your great post. I love your screen name. Are you a fan of the band?

    I will be certain to come here and update this thread as soon as those results come in!
     
  12. Nuallann

    Nuallann Fapstronaut

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    Never heard of a band named that, it's actually an old celtic name I've used when gaming :) lololol.

    Let me know when you get your labs!
     
  13. Jerseyguy1963

    Jerseyguy1963 Fapstronaut

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    So, my labs came in today. My testosterone is extremely low at 304.

    this is obviously bad news. They want me to repeat the test before moving forward. Otherwise, treatment won’t be covered by Aetna.

    I’ve always been a natural kind of guy. The idea of TRT scares me. Once you start taking it, your body stops making it. The internet says that long-term use leads to the nads shriveling up. That doesn’t sound good.

    all of this was told to me verbally over the phone. The nurse is sending me more detail by mail.

    PS - I knew that Nuallann was Irish. I've seen Nuala many time in the ancient Irish texts. Plus, any word that ends in two n's is Irish, like my daughter's name, Muirenn. I am a medieval Celtic women's historian.
     
    Last edited: Jan 22, 2020
    Nuallann likes this.
  14. Nuallann

    Nuallann Fapstronaut

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    Yeah, thats low, but you need to confirm it with at least 2 test between about 8am-10am so insurance will cover stuff, and also to really confirm if you're low, or you just didn't sleep for over 24 hours or something.

    Yeah, it can be a little scary at first when you're learning the process, but most guys get on it and feel amazing once their TRT protocol is stabilized.

    There are two kinds of Hypogonadism(low-T), primary, and secondary. Primary is where your testicles have stopped producing, or stopped producing enough to be optimal. Secondary is where the pituitary gland in the brain which releases the hormones that tell the testicles to make testosterone is no longer working sufficiently. Either way, TRT is the way to go for treating both of these conditions.

    So, here is why your testicles might shrink up(some guys don't, or just don't notice). The Leydig cells of the testicles are the cells which produce your testosterone. TRT shuts down your natural production since you're replacing it with an exterior testosterone source. Your brain senses a constant supply of testosterone in the body, and doesn't send the signaling hormones to the Leydig cells to produce testosterone that it does for normal guys whose T has dropped due to natural fluctuations. So the cells shrink, testicles get a little smaller, won't get crazy small like guys on steriods though. This might sound scary, but guys who decide to come off TRT almost always go back to their baseline of where they were before they got on it, and their balls return to normal size.

    Sounds to me like you don't have PIED, and can give up worrying about it all together. I know this might sound weird, but I'd be happy to know whats going on with me. TRT changes guys lives when conducted by a competent doctor. Guys in our clinic go from no sex drive, weak erections, to can't keep their hands off their partners.

    Not to sound like a tech junkie or something, but natural is overrated. It's natural for guy's T levels to drop as we age, and in some guys it happens earlier than others. With TRT, and other potential treatments coming in years to come(some really cool stuff) we can be like teenagers until we're old as dirt. TRT simply puts you back into your youthful levels, thats it.

    For right now you need to educate yourself on it, and honestly, there is no better way to do that than learning from guys who are on it, and have been on it, and stable for a really long time.

    Join this facebook group, thousands of guys on TRT, will gladly answer your questions, give you pointers, and more importantly if you decide to get on TRT will tell you if your protocol is solid or not: https://www.facebook.com/groups/testosteronereplacement/
     
    Last edited: Jan 23, 2020
    Marshall 5 likes this.
  15. Jerseyguy1963

    Jerseyguy1963 Fapstronaut

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    Thank you for your comments, Nuallann.

    I've been madly googling everything testosterone. Everything in my life begins to make sense.

    When I tell you guys I've been going hard in the gym for years, that's an understatement. I still look pretty good. But, it's been difficult to push myself the last three years.

    My general practitioner told me last week that my sugar was a bit high at 112. His advice? Cut back on the fruit.

    My colitis has been difficult to control and I just keep injuring myself.

    It's all testosterone, isn't it?

    According to the studies I'm reading, it is.

    If there's such a strong relationship between testosterone and colitis, why has my gastroenterologist never tested for it?

    If there's such a strong relationship between testosterone and prediabetes, why didn't my gp test for testosterone when I told him I had ed?

    It's so frustrating.
     
    Nuallann and Marshall 5 like this.
  16. Nuallann

    Nuallann Fapstronaut

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    To be honest with you, most older doctors are so poorly trained when it comes to men's sex hormones that I would only use them to get connected with a doctor that know's the science. They only went over it briefly in medical school as the science of it really only came into it's own about a decade ago, even though it was solid long before then. There is just a stigma around it that is slowly, and thankfully, dying off, and also many doctors still buy into poorly done studies that it can cause heart disease, and heart attacks. That was taught in many medical schools for years, and was based off a study where they took 200 men, all of them over 60, and a decent percentage of them had heart attacks. Why is that bullshit? Because the 60+ crowd is where guys are already likely to have to have heart disease, so if you pump them with youthful T levels, and they want to do youthful guy stuff( ;) ) yeah, gunna have heart attacks.

    What we know now is, is that the male body makes estrogen from testosterone, and estrogen is heart, and cardioprotective. In other words estrogen in the healthy range due to normal T levels actually helps prevent heart disease. If you put a young man on it who needs it he's less likely to develop it, of course you still want to eat healthy, it's not a one size protection shield against the disease.

    Did you happen to be fasted for 12 hours before your blood work? If not your insulin levels could have been spiked due to any food, or drink(not water) you may have had. I wouldn't jump the gun on prediabetes, but you deff want to get your insulin levels under control. My personal recommendation besides TRT is intermittent fasting, it's been proven to lower fasting blood insulin levels, and improve insulin sensitivity. As modern people we eat through out the day, and honestly it's not natural, our ancestors ate rather sparingly, and our biology is not different than theirs. The body really does it's best repair work when it's been feed, and then goes into a fasting state for 16 hours or so before the next feeding. I do this 5 days a week while working, and I honestly never get hungry because your body gets used to it.

    The simple truth is most doctors are poorly educated as too how important optimal T levels are for a man. If a guy comes back in the 350-1200 range a doctor will go "you're good", and never really thinking "well this guy might have been 850 at one time, and is now 400, thats a 50% drop, no wonder he feels like crap". I worked at one clinic one time where a doctor told a patient with borderline low T "you don't need that much T to live". Looking back, that guy likely sent a lot of guys away whose lives could have been vastly improved with TRT. Not to mention testing for testosterone is not standard, even though it should be.
     
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  17. Nuallann

    Nuallann Fapstronaut

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  18. Jerseyguy1963

    Jerseyguy1963 Fapstronaut

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    So, I went to the Male Vitality Center for a free consultation on Friday. I immediately set up an appointment for Monday. The exam cost $350. The doctor agrees that my testosterone is low. He also said the thyroid isn’t fully functioning. So, he wrote three prescriptions: one for a month of weekly self-injections of 75 mg. Of testosterone, one for Armour Thyroid and a third for HCG sublingual.

    I’ve taken two days of the thyroid meds and injected myself last night. I know I should exercise patience. But, so far I feel no difference at all. The injection was so painless that I almost feel like I wasn’t injected. (I know I was. The window turned orange as it is supposed to do.)

    I’ve been doing intermittent fasting for years. Until three years ago, it worked perfectly. My body fat was consistently 11 percent. In the last three years, it’s jumped to 20 percent.
     
    Last edited: Jan 29, 2020
    Nuallann likes this.
  19. Nuallann

    Nuallann Fapstronaut

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    The HCG will preserve your fertility, and keep your testicles around the same size. Some guys find it helps with libido, others find it makes no difference, and stop taking it once they're done having kids.

    75 mg is kinda low, but he's likely just starting you that low to see how you respond, everyone is a little different, might do the trick for you, but my bet is you will need at least 100 mg, maybe more. This isn't a switch you flip, and you feel great again the day of, or a week after your first injection. You're going to need at least 6 weeks before you start to feel the effects if the dosage relative to your biology is correct, you might need to up dose, and switch frequency. Just be patient, the start up phase is you, and your practitioner getting your protocol down relative to you. Just because it's in your body doesn't mean it's saturated in your bloodstream, and effected your receptors yet, it's just getting started.

    In our clinic we typically put guys on injections every 4 days, helps maintain consistent levels with less peaks, and valleys, goes a long way to feeling better. Maybe talk to him about more frequent injections down the road, but I'm glad he's got you on at least once a week, lots of guys do fine on that.

    If your thyroid has issues then that can effect the bodies ability to handle glucose levels, and will effect sex drive, weight, and lots of other stuff. Glad they picked that up, my mom has hypothyroidism, she's fine when she's on her meds. Truth be told, we all get hypothyroidism if we live long enough, and it's easily treatable.

    Post your blood work when you get it done next, we'll see how much that low dosage increased your T. You might be one of the guys who is really sensitive, and don't need much.
     
    Last edited: Jan 29, 2020
    Jerseyguy1963 likes this.
  20. Daxos

    Daxos Fapstronaut

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    I know how it feels man. I visited 3 urologists and all 3 of them thought I was a f*cking looney. No one believed me, until my pelvic floor therapist confirmed I had CPPS (Chronic Pelvic Pain Syndrome). CPPS finally brought so much light to my conditions and made it easyier to complete NoFap. I will never forgive those old fart urologists
     
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