Improve your sexual performance with dopamine agonists

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madman

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In this clip, Dr. Wayne Hellstrom explains how dopamine agonists can improve men's sexual performance if taken properly and weigh potential side effects.
 
Defy Medical TRT clinic doctor
Someone get the full text if you can:

178 Treatment of Delayed Ejaculation and Low Sex Drive with the D2-D4 Agonist Pramipexole (Mirapex): A Preliminary Report

The sexual reward system is intimately linked to dopamine activity within the nucleus accumbens. Dopamine agonists have been used in patients with Parkinson’s Disease and Restless Leg Syndrome, and a known side effect is hypersexuality. We set out to evaluate the outcomes of D2-D4 dopaminergic agonist therapy using pramipexole (Mirapex) in men with complaints of low sex drive, delayed ejaculation, and decreased orgasmic sensation with previously optimized testosterone levels and erectile function.
 
interesting, I also noticed that modafinil boosts my sex drive big time. it is an dopamine reuptake inhibitor which is essentially a very similar thing.
I would not however take any of those drugs on daily basis
 
High dose zinc as I have posted about before is a potent prolactin inhibitor (prolactin range is 10-30, and high dose zinc can take you from top end to bottom end of that range).

Since prolactin & dopamine have an inverse relationship, I would postulate that high dose zinc is a potent DA. High dose imo is around 50mg day.

Take the above within reason for those without prolactinomas. Zinc is probably not going to drop 200+ prolactin to within range.

My personal experiance has been that 50-100mg of zinc a day within 2-3 days drastically ups libido, especially sensitivity wise. It worked especially well with lower end test cyp doses ~ 70mg / week for me.
 
High dose zinc as I have posted about before is a potent prolactin inhibitor (prolactin range is 10-30, and high dose zinc can take you from top end to bottom end of that range).

Since prolactin & dopamine have an inverse relationship, I would postulate that high dose zinc is a potent DA. High dose imo is around 50mg day.

Take the above within reason for those without prolactinomas. Zinc is probably not going to drop 200+ prolactin to within range.

My personal experiance has been that 50-100mg of zinc a day within 2-3 days drastically ups libido, especially sensitivity wise. It worked especially well with lower end test cyp doses ~ 70mg / week for me
Do you take this much zinc on a continuing basis?
 
Do you take this much zinc on a continuing basis?

I used to have an abnormally long refractory period naturally, which is what led me to steroids/trt. I felt like total dogs**t after an orgasm. I will admit heavy porn use and subsequent desensitisation likely was the cause of this whole problem in the first case, but thats another story.

So anything that lessens the refractory and dopamine crash after an O is of interest to me. Obviously stopping the cause (heavy porn) is the long term solution, but sometimes you need a quick fix.

The answer to your question needs to be understood in light of the above.

50-100mg zinc lowers the refractory period for me vastly and quickly subjectively gets me out of the dopamine crash (anhedonia). Once I feel better, ill immediately drop the dose or even forget about it. So its not constant use. I find it kind of only works wonderfully on lower doses of TRT ~70mg/week as daily injections.

Perhaps the higher estrogen from higher T doses (and resultant higher prolactin) cannot be overcome by zinc.

Unless a study is done measuring PRL before and after O and then again after a few doses of zinc, my use case is all bro science. But it works for me.
 
Man, Mirapex and Cabers in general are awful drugs to play with no? The sides are real awful...

The idea of taking a Parkinson drug for libido just does not compute for me...
 
I don't think the doses used would be as high as for Parkinson, so the severity of the side effects should be lower.
 
I take 25mg of Zinc and 2mg of copper on an inconsistent basis. I have noticed a slight libido boost while taking zinc.

As for DA's, I have yet to find one that doesn't have unpleasant sides. I have had the best luck with caber at 2.5mg, but it still has side effects.
 
I used to have an abnormally long refractory period naturally, which is what led me to steroids/trt. I felt like total dogs**t after an orgasm. I will admit heavy porn use and subsequent desensitisation likely was the cause of this whole problem in the first case, but thats another story.

So anything that lessens the refractory and dopamine crash after an O is of interest to me. Obviously stopping the cause (heavy porn) is the long term solution, but sometimes you need a quick fix.

The answer to your question needs to be understood in light of the above.

50-100mg zinc lowers the refractory period for me vastly and quickly subjectively gets me out of the dopamine crash (anhedonia). Once I feel better, ill immediately drop the dose or even forget about it. So its not constant use. I find it kind of only works wonderfully on lower doses of TRT ~70mg/week as daily injections.

Perhaps the higher estrogen from higher T doses (and resultant higher prolactin) cannot be overcome by zinc.

Unless a study is done measuring PRL before and after O and then again after a few doses of zinc, my use case is all bro science. But it works for me.
Appreciate this information on zinc. I used zinc fair amount pre-TRT but not so much now. Do you need to take zinc daily to get that result? Or every couple of days?
 
There is always this little gem, almost forgot about it.

Selegiline, also known as L-deprenyl and sold under the brand names Eldepryl and Emsam among others, is a medication which is used in the treatment of Parkinson's disease and major depressive disorder.[1] It is provided in the form of a capsule or tablet taken by mouth for Parkinson's disease and as a patch applied to skin for depression.

Selegiline acts as a monoamine oxidase inhibitor, and increases levels of monoamine neurotransmitters in the brain. At typical clinical doses used for Parkinson's disease, selegiline is a selective and irreversible inhibitor of monoamine oxidase B (MAO-B), increasing levels of dopamine in the brain. In larger doses (more than 20 mg/day), it loses its specificity for MAO-B and also inhibits MAO-A, which increases serotonin and norepinephrine levels in the brain.

Not a DA, by inhibiting the enzyme that regulates dopamine, it keeps dopamine levels higher in the brain.

I have had some very positive experiences with this.
 
There is always this little gem, almost forgot about it.

Selegiline, also known as L-deprenyl and sold under the brand names Eldepryl and Emsam among others, is a medication which is used in the treatment of Parkinson's disease and major depressive disorder.[1] It is provided in the form of a capsule or tablet taken by mouth for Parkinson's disease and as a patch applied to skin for depression.

Selegiline acts as a monoamine oxidase inhibitor, and increases levels of monoamine neurotransmitters in the brain. At typical clinical doses used for Parkinson's disease, selegiline is a selective and irreversible inhibitor of monoamine oxidase B (MAO-B), increasing levels of dopamine in the brain. In larger doses (more than 20 mg/day), it loses its specificity for MAO-B and also inhibits MAO-A, which increases serotonin and norepinephrine levels in the brain.

Not a DA, by inhibiting the enzyme that regulates dopamine, it keeps dopamine levels higher in the brain.

I have had some very positive experiences with this.
Thanks for bringing up Selegiline. A number of guys have commented on positive libido experiences with it. I am still intrigued and may try it some day with Defy

 
Thanks for bringing up Selegiline. A number of guys have commented on positive libido experiences with it. I am still intrigued and may try it some day with Defy

It used to be fairly easy to source, but it’s been 7-8 years since I last had some.
 
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