I'm 39 and I've been on TRT for about 3 years. My current protocol is 50mg enathate twice a week with the occasional (one month every few months) HCG to prevent my testicles from disappearing. I still don't have morning erections even though my libido is alright. I used to have insomnia i.e. waking up too early and I thought that might be the reason but even after my insomnia improved still no morning wood.
Why I still don't have morning erections?
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Mountain Man
Member
Tumescent erections don’t just occur first thing in the morning. You may be getting the erections at other times during the sleep cycle. If Your erections are good during sex, you are definitely having them at some time during the night. It is a part of penis health that occurs automatically.
htx
New Member
like @Mountain Man said, if you've got no problems whenever you're aroused, it's likely happening while you sleep. You might be waking up during a different part of a sleep phase and it's already passed, or might not be getting enough/restful sleep?
I didn't have morning wood for quite a long time, until I started taking 5mg of Cialis every day. Now I get the random erections with my wandering imagination that I used to get when I was in my 20's, and morning wood almost every morning.
I didn't have morning wood for quite a long time, until I started taking 5mg of Cialis every day. Now I get the random erections with my wandering imagination that I used to get when I was in my 20's, and morning wood almost every morning.
for some reason I don’t like not having morning wood, which used to come during honey moon periods. I not experienced guy here but I think fluctuations in level have something to do with it. When I was on EOD protocol I didn’t have morning wood, I cha he’s it to once weekly and morning wood is daily now.
I have also taken iron to adjust my ferritin levels beside this my protocol didn’t change except for testosterone.
500 HCG EOD and FSH EOD. And currently 100mg once weekly sustanon.
I have also taken iron to adjust my ferritin levels beside this my protocol didn’t change except for testosterone.
500 HCG EOD and FSH EOD. And currently 100mg once weekly sustanon.
DorianGray
Active Member
Damn Vince, now I'm wondering if I wake up in the morning with nice wood due to the nightly 5mg Cialis or because I need to go to the bathroom!
madman
Super Moderator
The Role of Nocturnal Penile Tumescence and Rigidity (NPTR) Monitoring in the Diagnosis of Psychogenic Erectile Dysfunction: A Review
Nocturnal Penile Tumescence and Rigidity Halverson et al43 first recorded spontaneous penile erection in infants during sleeping in the scientific literature in 1940, and Ohlmeyer et al44 and van Driel 45 recorded the phenomenon in healthy men in 1944. Afterward, Fisher et al46 reported that spontaneous erections were usually in conjunction with the rapid eye movement phase. Normal NPTR includes 3-6 tumescence periods, with at least 1 erectile event having tip rigidity >60% lasting an average of 10-15 minutes during 8 hours of monitoring.47 NPT are present in healthy men throughout their whole life and represent an intrinsic mechanism to protect the morphologic and dynamic integrity of the corpora cavernosa by regulating oxygen-required biologic processes.48 The definite regulation mechanisms of NPT are not clear, but there is some evidence indicating that NPT is associated with neurovascular mechanisms and hormonal control.47 In addition, spinal regulation has been proven important for nocturnal erectile activity. Schmid et al49 found that nocturnal erections of normal quality required preservation of thoracolumbar and sacral neuronal control, as well as partially intact connections between the spinal erection centers and brain areas responsible for sexual arousal. Suh et al50 found that the isolated cervical cord was more critical than the isolated thoracic cord in maintaining NPT.
Normal NPTR indicates that vascular and neural supplies of the penis, as well as the penile structures, are intact. In the study by Yilmaz et al51 with the immunohistochemical method, it was found that the content of penile smooth muscle cells (pSMC) in patients with ED and with normal NPTR was equal to the content of pSMC in men with normal EF but was significantly more than the content of pSMC in patients with ED and with abnormal NPTR. Since its introduction in 1970,52, the measurement of NPTR has been used as a diagnostic approach in the evaluation of ED, especially in the differentiation of causes. The general belief is that a normal NPTR recording in a man with ED complaints may suggest pED, whereas an abnormal pattern recording is indicative of organic ED.
JanSz
New Member
50mg enathate twice a week =100mg/week on average (may not be enough)
When doing blood draw for testing, draw blood on the day of testosterone injection (BEFORE) testosterone injection.
occasional (one month every few months) HCG
looks erratic and insufficient to me, but if you still have balls and scrotum, then it may be ok.
My thinking ----> 2x/week, (250-500iu)
=================================
Being on testosterone replacement and worrying only about testosterone level
is wishful optimism.
I am an 80yo.
Been on testosterone replacement for over 20 years.
Have nightly erections.
Have sex more often than able to get an orgasm.
That is my problem that I still have not solved. Could use suggestions.
The testing I do is as follows:
DUTCHtest.com
Spectracell.com
At LabCorp.com I do this:
VacationMan
Active Member
Isn't getting older fun? Remember when we were kids and couldn't wait to grow up? WTH were we thinking?
I'm taking 40mg of testosterone cypionate twice per week (Tues morning / Fri evening protocol). I've often noticed that my morning wood gets better the day before taking my test shot. I'm also on Anastrazole to control conversion to estrogen, although at a very low dose (< 1/8 mg each time, 2x per week). I've also found that by taking the Anastrazole around 12 hours before the test shot that my morning wood intensifies a bit and it's very noticeable. E2 labs have me between 20 and 30, test between 800 and 1000 consistently. Finally have the thyroid condition under control too. No real good reason why I'm not feeling like I'm 20 again.
Next consult with Defy, I'm going to discuss this observation and see what comes of that. Obviously, I'd love to wake up every morning with that stiffy that just won't go down (i.e. hit the ceiling in the morning), but alas I'm close to 60 and I think those days have come to pass. But man, doesn't morning wood feel good? <sigh>
I'm taking 40mg of testosterone cypionate twice per week (Tues morning / Fri evening protocol). I've often noticed that my morning wood gets better the day before taking my test shot. I'm also on Anastrazole to control conversion to estrogen, although at a very low dose (< 1/8 mg each time, 2x per week). I've also found that by taking the Anastrazole around 12 hours before the test shot that my morning wood intensifies a bit and it's very noticeable. E2 labs have me between 20 and 30, test between 800 and 1000 consistently. Finally have the thyroid condition under control too. No real good reason why I'm not feeling like I'm 20 again.
Next consult with Defy, I'm going to discuss this observation and see what comes of that. Obviously, I'd love to wake up every morning with that stiffy that just won't go down (i.e. hit the ceiling in the morning), but alas I'm close to 60 and I think those days have come to pass. But man, doesn't morning wood feel good? <sigh>
tropicaldaze1950
Well-Known Member
I went off TRT six months ago after several years of no improvement in erectile function. Now working with my psychiatrist focusing on the possibility of central hypothyroidism or cellular thyroid resistance because of depression, years of weight gain and of course, no or few erections. Turned 70 in May. Currently taking 50 mcg of liothyronine in the evening. Sleep is improving.
tropicaldaze1950
Well-Known Member
Jan, I've followed your posts on other forums over the years. You're one of my TRT inspirations. I've been working or regaining my health/sexual function. My wife has significant emotional problems related to her youthful sex life for which she carries unnecessary guilt and my words of acceptance do nothing to ameliorate her guilty feelings. Sad.
JanSz
New Member
Turned 70 in May. Happy Birthday!!
I turned 80 in May.
===================================
psychiatrist
liothyronine
wife has significant emotional problems
thyroid resistance because of depression
weight gain
===================================
More or less
you have to become your own doctor (no offense to exceptional and wonderful doctors supporting this board)
===================================
I have posted above what I do (and it works for me).
If you do those tests I may figure out my suggestions, but I am mostly a numbers guy, I am not a doctor.
===================================
.
tropicaldaze1950
Well-Known Member
Happy Birthday to you, too, Jan! When I was on test shots, all I did was gain weight, whether low dose, daily, to 100 through 200 mg doses EOD or E 3.5 days. No improvement in mood, either. That's why focusing, now, on thyroid hormone. Can't tolerate PDE-5 inhibitors. All of them gave me migraines, which I've had since I was young. Longjack is something I never tried, but I know about it. My urologist moved from Maryland to Florida. I need to see him. He's quite knowledgeable. With or without a doctor, we all have to keep trying.
OMG , this is so true! LOL
tropicaldaze1950
Well-Known Member
Our fathers never told us that part of getting older. That's why we're here, trying by any means, to get Mr. Johnson to stand tall.
This is a great recommendation, thanks.
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