Let's talk about sex: Cialis not working like it did, and ejaculate volume is down

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JohannDE

New Member
Hello everybody.

I am a 40 years old male from Germany.
For 2 years now, I have been on TRT - Self administered 200mg Testosteron Enanthate EW.
I inject once a week and TRT have changed my life.

This means i have gotten my interest in sex back and have a few questions on the topic.

I have allways had ED and use Viagra and Cialis.
It used to work great, but now it is not a guarantee that I can complete intercourse.

My questions:

* Can I make Viagra/Cialis work like in the beginning again?

* When I ejaculate, my cum just "flows out" and do not "spray" 10-15cm, like I guess it normally do?
Can i do something about that?

* Why can I get nocturnal erections lasting for a long time, when I can not keep my erection during sex/masturbation?


Theese problem I have had since before TRT, so TRT dosing is not the problem.

I would appreciate any thoughts on the subject :)

Thank you.
Johann
 
Defy Medical TRT clinic doctor
I’ve never used dim or an AI, but I love this thread.

 
@JohannDE You will find good information and help here because of vast experience of members. More help if you can post lab work. As far as effectiveness of DIM, it will vary with individual. To me, anecdotal evidence is not much help at all.
You say you have always had ED. You are still quite young but did you have same at age 25? Was there a specific cause?
Your questions:
* Can I make Viagra/Cialis work like in the beginning again?
Some people say if you stop taking any V/C for 3 months, it may become more effective again.

* When I ejaculate, my cum just "flows out" and do not "spray" 10-15cm, like I guess it normally do?
Can i do something about that?

Again, plenty of opinions about supplements but little hard evidence. Some claim additional tocotrienols increase it. Probably you will notice more of a difference if you double your intake of water and add some additional protein powder once a day. Don't have sex or ejaculate for 3 weeks and then compare volume and viscosity. Lastly, spray distance is related to strength of contraction on orgasm, which in turn, is directly proportional to attractiveness of your partner. (seems logical)

* Why can I get nocturnal erections lasting for a long time, when I can not keep my erection during sex/masturbation?

Great question. I hope someone has an answer.
 
Ejaculation and orgasm are two different things that may occur at different times. What the original poster describes sounds like ejaculation (flowing out of semen) without or before the actual orgasm (the pleasant contractions).

I've had such experience when I took herbal ephedra or phentermine or midodrine. They all increase the tone of the urethra muscles and one can ejaculate without the actual orgasm at the end. Also, they all impaired erection so make sure you do not take any stimulants (ephedrine and phentermine are from the amphetamine class).

I've had somewhat similar experience on injectable HCG (I'm not on TRT and my total T is normal, free T low normal, SHBG high). HCG boosted my free testosterone and it made the orgasm more probable for me (in general I have problem reach orgasm) but the ejaculation/orgasm came gradually and softly, not explosive or strong.
 
Why can I get nocturnal erections lasting for a long time, when I can not keep my erection during sex/masturbation?

Theese problem I have had since before TRT, so TRT dosing is not the problem.

Really hoping to see an actual answer to this. Tired of people saying "it's all in your head." It's not. This is the exact issue I have been struggling with for years.
 
I looked it up, looks like it’s true. How much is a lot a lot? How much of a volume increase?
at least a celery stock per day. you can also dip celery in almond butter. i'm going to start making one drink every morning of beats, celery, spinach, ginger in order to keep nitrogen up and volume up.
 
Selery contains low levels of androstenone and androstenol. These are found in humans and are thought to be pheromones that supposedly increase testosterone production in males but the actual research is lacking.
 
Ejaculation and orgasm are two different things that may occur at different times. What the original poster describes sounds like ejaculation (flowing out of semen) without or before the actual orgasm (the pleasant contractions).

I've had such experience when I took herbal ephedra or phentermine or midodrine. They all increase the tone of the urethra muscles and one can ejaculate without the actual orgasm at the end. Also, they all impaired erection so make sure you do not take any stimulants (ephedrine and phentermine are from the amphetamine class).

I've had somewhat similar experience on injectable HCG (I'm not on TRT and my total T is normal, free T low normal, SHBG high). HCG boosted my free testosterone and it made the orgasm more probable for me (in general I have problem reach orgasm) but the ejaculation/orgasm came gradually and softly, not explosive or strong.


Thank you alle for your input <3

To clarify:

I have had ED problems all my life....Before i started TRT 1-2 years ago.
Nocturnal erections only happened 1 a week before TRT (more when i was younger)
And my interest in sex was low.

Now i have high libido and am more interested in sex again.

Viagra/Cialis worked great for 4-5 years, but now only have little effect.
Erections last 10-15 min.

When i talk about ejaculation, then i mean when i orgasm/come.
Most people spray out sperm, mine just flows out.
I would like to spray, like most people do
My naughty girlfriend would love that too :)

Keep the advice coming.
I appreciate all of you <3
 
Erection: if you really have "long" nocturnal erection (how do you know they are long when you are half-asleep: the sense of time during sleep may not be correct), but short erection during masturbation, is suggestive of a psychological problem (thinking more of the erection than of the pleasure, which kills the erection). Try a different erection drug: Levitra. They work in a slightly different way and if some drug loses effectiveness, another may still help.

Ejaculation during orgasm is week: that is possible if the contractions are not strong enough and that may happen if they are initiated at low nerve excitory level i.e. too PRELIMINARY. I've had such experience on ephedra (increases muscle responsiveness too much and ejaculation is possible even without orgasm) and on HCG (increased free Testosterone and reaching orgasm was easier but ejaculation was soft, not explosive). Your dose of 200mg/week testosterone seems high for TRT so maybe reduce it to 100mg/week. That may reduce responsiveness of urethra muscles so they react when more pressure has built up before ejaculation.
 
One other thing occurs to me regarding ejaculation force. Strong pelvic floor muscles, I believe, can improve it. Abdominal exercises, squats, etc that strengthen. I attribute lots of such exercise when I was younger to orgasm contraction strength. Could blow out a window almost. 'Course what couldn't we do when we were 25 where sex was concerned. Damn aging.
 
 
Beyond Testosterone Book by Nelson Vergel
Erection: if you really have "long" nocturnal erection (how do you know they are long when you are half-asleep: the sense of time during sleep may not be correct), but short erection during masturbation, is suggestive of a psychological problem (thinking more of the erection than of the pleasure, which kills the erection). Try a different erection drug: Levitra. They work in a slightly different way and if some drug loses effectiveness, another may still help.

Ejaculation during orgasm is week: that is possible if the contractions are not strong enough and that may happen if they are initiated at low nerve excitory level i.e. too PRELIMINARY. I've had such experience on ephedra (increases muscle responsiveness too much and ejaculation is possible even without orgasm) and on HCG (increased free Testosterone and reaching orgasm was easier but ejaculation was soft, not explosive). Your dose of 200mg/week testosterone seems high for TRT so maybe reduce it to 100mg/week. That may reduce responsiveness of urethra muscles so they react when more pressure has built up before ejaculation.


You know how you sometimes sleep light, wake a lot?
I do that often, drift in and out of sleep.
Whenever i wake i often have an erection over longer time.
Hard to explain, but i know that the fact i have this hard erection, also wakes me more often. Feeling horny.

I can lie awake with a hard erection too, for some time.
Without touching my penis.

But when i rise the erection goes away.
Also during sex i need constant manipulation or the erection goes away.
Even changing position can make that happen.

Since my problems have been there for years, before TRT.
That leads me to believe that the dose is NOT the problem.

Reguarding strenght and exercise.
I am pretty fit and strong after many years of weight training.
But maybe kegels will improve spray distance?
 
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