erectile dysfunction

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  1. T

    Should I Have Morning Wood Every Day on Testosterone?

    Should I have it every morning or occasionally while on TRT?
  2. Z

    Estrogen and sensitivity

    So after a long month of struggling with my erectile dysfunction I was able to be intimate with my wife for a whole session tonight )not saying that to boast there is a reason for me stating this) over the past month I have done tons of labs and research on here as well. People have been helpful...
  3. Z

    Recovery time

    So I posted a little bit ago (3 days) about my e2 bottoming out. It’s been 10 days since I took my AI dose. It was weird as well. Right when I took the dose the next morning I couldn’t get out of bed. As the week progressed my ED got worse. Yesterday had a pretty decent erection but just didn’t...
  4. J

    Erectile Dysfunction in Younger Men Correlated with Free Testosterone

    The abstract says: Erectile dysfunction (ED) due to androgen deficiency is rare in the young population. We retrospectively evaluated in this study men aged 18–40 years presenting with ED from 2015 to 2017. The International Index of Erectile Function-5 (IIEF-5) and Erection Hardness Grade...
  5. R

    Testosterone and erectile function

    I was speaking with a doctor and he said testosterone has nothing to do with erectile function/ strength. He just said testosterone affects libido. Is he correct ? Would love to hear opinions.
  6. Nelson Vergel

    Study: Reasons for Decreased Sex Drive in Men

    .."A total of 50.8% gave fatigue as a cause of their decreased sex drive and 49.4% reported that stress at work was partly responsible. A quarter of men stated that being in a long-term relationship had a negative impact on their sexual desire, with 14.3% fully attributing their loss of desire...
  7. K

    No ED = no low test?

    Hi guys what do you think about my endocrinologist's statement: "If you don't have erectile dysfunction or other sex-related issues, your test level is high enough. All other symptoms (fatigue, lack of focus etc...) are secondary" Is there some truth to this blanket statement? Thanks
  8. A

    estradiol issues

    I'm 29 years old, taking 160 mg of test once per week (sometimes bump it up to 200) and 900-1000 iu of hcg per week. My doctor had me on 1 mg of anastrozole once per week (which is split up as much as possible) My last labs had my estradiol off the scale under 5.0 (range of 9-26 being normal)...
  9. T

    Trimix for ED

    Currently taking trimix 10mcg/30mg/1mcg dose is about .05 cc and after taking it for a while now I still teeter on the 4 hr erection mark. Eventually will subside at about 3 hours and 45 mins with sudafed (not the extended release tablets) but I worry about priapism. Should I take less? If so...
  10. T

    Clomiphen 25 mg ed or 50 mg eod

    Currently taking clomiphene 50 mg eod. Most recent t levels were 822 (range 300-1080) but my Estradiol is 52.8 (range <=60) which is closer to the high end as well. Should I take a lower dose (25 mg eod) or should I use an AI? Currently a 27 year old male with hypogondiasm and ED. Still...
  11. T

    Testosterone Replacement and ED

    Ok, so I am 26 years old and have been suffering with ED and low T for a while. Low libido, weak erections, low energy, etc. A urologist originally started me on clomiphene 50 mg EOD and a daily 5 mg cialis. For the first year or so, that really worked for me. My testosterone levels were jn the...
  12. T

    Converted from pellets to T-Cyp & HCG Inj. Mixed Results, Any Advice?

    Hi All- Long term member here. 58 yo white male with 5+ year history and symptoms of low T. After 3.5 years on pellets that shrunk my testicles and had me on roller coaster mood swings changed to injections. I am on protocol with 20mg T-Cyp, 500iu HCG and 0.15 mg Anastrozole every 3.5 days...
  13. Nelson Vergel

    Comprehensive Evaluation of Erectile Function: Interview with Dr Lisbeth Roy

    Nelson Vergel, the founder of ExcelMale.com, DiscountedLabs.com, and ClinicOptimizers.com, interviews Dr. Lisbeth Roy, a functional physician in Boca Raton, Florida. She is an expert Anti-Aging, Sexual, Regenerative and Functional Medicine Physician, Founder of Doctors Studio of South Florida...
  14. Nelson Vergel

    Interview with Dr Lisbeth Roy

    Nelson Vergel, the founder of ExcelMale.com, DiscountedLabs.com, and ClinicOptimizers.com, interviews Dr. Lisbeth Roy, a functional physician in Boca Raton, Florida. She is an expert Anti-Aging, Sexual, Regenerative and Functional Medicine Physician, Founder of Doctors Studio of South Florida...
  15. C

    Erectile Dysfunction and Osteoporosis: An Association

    Sexual dysfunction in general and erectile dysfunction (ED) in particular significantly affect men's quality of life. It has been observed clinically that some patients who have ED, also develop osteoporosis. In this study Prague researchers investigated the relationship between erectile...
  16. Nelson Vergel

    BOTOX for Erectile Dysfunction- Yes, Really.

    Botulinum Neurotoxin and Its Potential Role in the Treatment of Erectile Dysfunction Introduction Botulinum toxin type A (BoNT-A) has been used to treat several striated and smooth muscle disorders. During the past year, human and animal studies conducted in Egypt and Canada by two different...
  17. M

    Caverject Injections

    I have read that Caverject injections should not be used more than three times a week and that at least 24 hours should before the next use. What can happen if it is used daily? I am going on vacation for ten days and just during that ten day period I want to use it every day or at least every...
  18. Nelson Vergel

    Interaction Between a Daily Dosed Tadalafil, Dosazoxin and Tamsulosin

    Abstract The hemodynamic interaction between tadalafil (5 mg/d) and doxazosin or tamsulosin was investigated in 2 randomized, double-blind, crossover phase 1 studies. Healthy men (n = 45) received tadalafil or placebo for 28 days and increasing doses of doxazosin (1, 2, and 4 mg/d) for the last...
  19. Nelson Vergel

    Shockwave treatment of erectile dysfunction

    Has anyone heard or used this therapy? I am skeptical. What is GAINSWave and How Does it Treat Erectile Dysfunction? | GAINSWave Research I think Dr Gains is Gene's doctor.
  20. Nelson Vergel

    Stem Cells for ED

    The best paper to date summarizing research therapies for ED. I highly recommend reading the full paper below (attached file- Register on ExcelMale to open it). Abstract: Although oral phosphodiesterase-5 (PDE5) inhibitors are generally accepted as an effective therapy for erectile...
  21. Nelson Vergel

    Erectile Dysfunction Lecture- American Urological Association

    Excellent handout given at the conference: Registered ExcelMale members can download this attached PDF.
  22. J

    Past Experience With Anabolics - Hoping For a Restart

    Hi, im a noobie to this forum but thought I'd share my past experiences in the hope that it will help some of you as well as getting any insight. Ill try to make it short. When i was 18 i was arrogant etc, hopped on my first steroid cycle of test 500 each week, trenbolone 250 Each week...
  23. C

    4 weeks on TRT - anxiety advice

    Hey everyone, I had an appointment with Dr. Saya at the beginning of Nov. and have been on Testosterone Cypionate 70 mg and 3.5 ml of HCG every 3.5 days (2x week, so 140 mg t-cyp) since then (4 weeks). So, I have had anxiety problems most of my life (that are hereditary) and had been on...
  24. C

    Any doctors willing to prescribe trimix in Washington DC Metro area (Maryland, Virginia, DC)

    I was wondering if anyone had a good recommendation for a urologist or endo who would prescribe Trimix and TRT in the DC Metro area. I have had ED for 2 years and diagnosed with low-t 6 months ago. I will soon be starting TRT but have gone to two urologists and both have been dead set...
  25. C

    About to start TRT...incompetent docs?

    I am 41 and have had low-t for probably 2 years now, but only had it checked 6 months ago (total t = 308). -First Urologist, said exercise and lose weight for 3-6 months, and then try TRT. -Endocrinologist said Androgel and come back in 3 months. -Second Urologist (second opinion) said...
  26. E

    Seeking Erectile Dysfunction SPECIALISTS- nationwide

    I'm seeking recommendations for the top 5 erectile dysfunction specialists in the country for referral for advanced diagnostic imaging and interpretation of color Doppler ultrasound of the penile vasculature- (preferably with and without intracavernous injections). I'd like to offer patients a...
  27. Bentiger07

    Low Testosterone and Erectile Dysfunction in Young Men. Good doctor in New York?

    Low Testosterone and Erectile Dysfunction in Young Men. Good doctor near NY or telemedicine? Hello ExcelMale, I appreciate help and will certainly do the same. I found you by reading much online on ED, low libido, and testosterone. I'm 30. I've heard 20s are the best yrs and it's been my worst...
  28. Nelson Vergel

    Erectile Dysfunction and Phosphodiesterase Type 5 Inhibitor Use

    "Although the majority of PDE5i users in ELSA reported the effect of these medications on their sex lives as positive, when compared with men without ED they consistently reported higher levels of concern and dissatisfaction with various aspects of their sexual activity, function and...
  29. Nelson Vergel

    Porn: An often ignored cause of ED

    Gary Wilson asks whether our brains evolved to handle the hyperstimulation of today's Internet enticements. He also discusses the disturbing symptoms showing up in some heavy Internet users, the surprising reversal of those symptoms, and the science behind these 21st century phenomena.
  30. Nelson Vergel

    Erectile Dysfunction Drugs Can Cause Sudden Hearing Loss

    Phosphodiesterase Type 5 Inhibitors and Sudden Sensorineural Hearing Loss Posted: 01 Oct 2014 Barreto MA, Bahmad Jr F. Phosphodiesterase type 5 inhibitors and sudden sensorineural hearing loss. Braz J Otorhinolaryngol 2013;79(6):727-33. Phosphodiesterase type 5 Inhibitors, such as...
  31. Nelson Vergel

    A quarter of men diagnosed with erectile dysfunction are young men

    One patient out of four with newly diagnosed erectile dysfunction is a young man--worrisome picture from the everyday clinical practice. Capogrosso P, et al. J Sex Med. 2013 Jul;10(7):1833-41. doi: 10.1111/jsm.12179. Epub 2013 May 7. Abstract INTRODUCTION: Erectile dysfunction (ED) is a...
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