Update on Erection/Low T issues
For context: https://qna.themarriagebed.com/question/erection-issues-and-possible-low-t/
I was able to get in and see my urologist last Tuesday. He agreed that my testosterone levels were too low.
He wants me to try natural methods (i.e. exercise and higher physical activity) to raise my T levels and if there is no improvement in 3 months we can start looking at more aggressive treatments.
He doesn’t want to put me on ED meds if at all possible as long term use of them will lead to them becoming less effective.
I really appreciate those who have prayed and commented and encouraged me on this. It is so easy to get overwhelmed by negative emotions.
How low is your testosterone?
It is unlikely that exercise, losing weight, etc. will make much improvement. The problem is that exercising will be difficult and ineffective when your testosterone is low.
There is very little if any risk of taking moderate amounts testosterone if you are low. There are definite risks to NOT treating low testosterone.
Please see a doctor specializing in bioidentical Hormone Replacement Therapy or Life Extension Medicine. Go to http://a4m.com and click on DIRECTORY, or call a local compounding pharmacy and ask for referrals. A lot of people use Defy Medical, a clinic offering online/phone consultation and treatment.
“He doesn’t want to put me on ED meds if at all possible as long term use of them will lead to them becoming less effective. ” I agree with this, but for different reasons. Viagra and the like does not fix the underlying issues. It merely treats symptoms. If your testosterone is low, fix the root cause.
I agree with others, my dh was in his late 20’s when he started experiencing symptoms of low testosterone which is primary doctor incorrectly diagnosed simply as depression (he was depressed but low causes that so treating just the depression symptoms is not effective) and put him on an anti depressant which didn’t work. At the time he was very active (going to the gym to swim and lift weights and running at least 5 days a week) and eating healthy. His total T levels were in the mid 300’s. After much back and forth we finally found a doctor who agreed that those levels were much to low especially for someone his age and put him on testosterone injections. Unfortunately the process of finding that doctor and the back and forth with other doctors, and time it took was really rough on both of us and our marriage.
No amount of exercise is going to get a T level of 200 up to where it needs to be. I’d strongly recommend that you see someone who specialized in men’s health much sooner than three months (we had much better luck with a urologists as opposed to an endocrinologists). They will test all of your hormone levels and look into what’s really going on. My husband was miserable and had very little drive to seek out what was wrong but after he got treatment it was amazing to both of us the night and day difference in his overall well being (sexual, energy levels, focus etc.) and he was glad we kept pursing it.
DH was in his late 50’s when we finally realized that he had low T.
Boron, zinc and fish oil helped for a spell.
Also l-citrulline and l-arganine.
His levels did briefly improve.
Then he plummeted to below clinically low levels.
You are much younger, maybe it won’t be a brief improvement.
And you are motivated.
Prayers, and keep us posted.
SLS – I think your doctor’s advice is good – do what you can with exercise naturally and see if it improves. If in 3 months there is no improvement, then you can look at something more aggressive. I think leg muscles can help – maybe bring squats into the exercise plan.
Can you see a naturopathic dr? My dr did a test for me and put me on testerone cream. I know this is a lot different, as I’m female, but naturopathic drs generally don’t just follow the insurance guidelines and will try to get to root issues. I do pay out of pocket for cream however.
I’m going to be a dissenting voice, and suggest that what the doctor said sounds sensible. Testosterone levels fluctuate over time and there might be something causing them to be low temporarily, so waiting a couple of months sounds sensible in case regression to the mean brings things into the normal range.
Also bear in mind that most medications have side effects, so it’s better to try and see if lifestyle changes can improve things before prescribing medication. Encouraging you to make these changes now, before starting medication, will also help to measure how much of any improvement was down to the lifestyle changes and how much was the medication.
Of course, what you really need to do is to try and work out *why* your testosterone levels are low. The low testosterone might be a symptom of something else, which might be why your doctor wants to wait and see – if you notice any new symptoms that would aid the diagnosis.