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.

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    8 Answer(s)

      Thanks for the update. But to be honest, your doctors attitude and approach makes me cringe. My husband tried natural things for 2 years, nose-dived our marriage…at least he’s given you a much shorter time to get worse.

      Under the stars Answered on August 16, 2020.

      SAME ugh! Maybe that advice COULD be applicable for a young man in his 20’s but not older men (i don’t know how old SLS is) Oh now i see he’s in his 20’s, wow.

      SLS please join the EXCEL MALE forum, they have a lot of seasoned veterans on there than can give you great advice. 

      on August 16, 2020.
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        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.

        King bed Answered on August 16, 2020.

        He shared details in the past, but because of the glitch, it’s not easy to get back to it. His T levels were in the 200’s, and he’s in his 20’s.

        on August 16, 2020.

        Specifically, 219 ng/dL for total testosterone. The reference range given was 175-781 ng/dL.

        -Scott

        p.s. Dang glitch.

        on August 16, 2020.

        Ok, thanks folks.  200  is super-low.

        Being in your 20’s complicates things.

        SLS, read up on  primary vs secondary hypogonadism. If you were in your 50’s it would be a pretty safe bet your nuts just quit doing their job (primary).  But being in your 20’s it is possible that FSH or some other signaling hormone is low, or pituitary issues, or…..

        At any rate, you need a different doctor, and unfortunately there aren’t a lot of people with experience in treating secondary.  I’d give Defy a call. It wouldn’t cost anything to ask them if they can  diagnose and treat secondary.

        One thing for sure, diet and exercise ain’t going to fix that.

        on August 16, 2020.
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          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.

          On the floor Answered on August 17, 2020.
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            Thx for the update and I’m glad you didn’t just let it go without investigation.

            Under the stars Answered on August 16, 2020.
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              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.
              That helps.

              Prayers, and keep us posted.

              Hammock Answered on August 16, 2020.
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                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.

                On the floor Answered on August 16, 2020.
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                  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.

                  On the floor Answered on August 16, 2020.
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                    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.

                    On the floor Answered on August 18, 2020.
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