Guest guest Posted February 16, 2009 Report Share Posted February 16, 2009 Hello...I'm 42 and on Androgel...8 pumps per day. My levels are lower than what I'd like, but my Urologist says it's fine...Level is around 250-300. Last checked 6 months ago. I have good AM erections...Some last for quite a while and can be quite uncomfortable. However, in the evening, my penis just doesn't want to cooperate. I take long acting decongestant every Am upon waking (12 hrs). I'm also on chronic pain meds...So that can also be a big part of the problem. My refractory period is quite long...Usually 48 hrs. I can get an erection the next day, but it comes and goes...up and down, if that makes sense. My Low T is pain med related...The more I take (tolerance), the lower it gets. There's no way around the pain meds due to the chronic pain I have. Any ideas? Advice would be much appreciated. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 16, 2009 Report Share Posted February 16, 2009 Hello Chris. Good that you can get morning erections, but that level of T is at the cutoff point of hypogonadism. You shouldn't have to tolerate such a low level as " normal " (assuming the test was accurate, taken at the right time, & is reflective of your average levels throughout the day). Between 600-1000 ng/dL total testosterone is a good number to aim for, though the gel probably won't bring you up that high. Hopefully, your test result is reflective of the moment immediately before you administer your next dose. Do you have test results for your estrogen levels? Estrogen/estradiol can sensitize pain perception. & though it isn't the primary purpose of T, is Androgel helping reduce the pain at all? What is the nature of the pain? Some men here have complained about joint pain while on Androgel that subsided when they switched to shots. Depending on the type of pain, a different type of testosterone might help. Though you had this issue before TRT, it might be addressed somewhat by the right type of TRT for you. ~Xian > > Hello...I'm 42 and on Androgel...8 pumps per day. My levels are lower than what I'd like, but > my Urologist says it's fine...Level is around 250-300. Last checked 6 months ago. > > I have good AM erections...Some last for quite a while and can be quite uncomfortable. > > However, in the evening, my penis just doesn't want to cooperate. I take long acting > decongestant every Am upon waking (12 hrs). I'm also on chronic pain meds...So that can > also be a big part of the problem. My refractory period is quite long...Usually 48 hrs. I can > get an erection the next day, but it comes and goes...up and down, if that makes sense. > > My Low T is pain med related...The more I take (tolerance), the lower it gets. There's no way > around the pain meds due to the chronic pain I have. > > Any ideas? Advice would be much appreciated. > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 17, 2009 Report Share Posted February 17, 2009 Thanks for the response! My pain is migraine pain and facial pain. So, I take a pretty good level of narcotics. I didn't start showing low T symptoms until I started increasing my dosages. Narcotics effect the pit gland, which slows everything down. My pain mgt doc said that most of his male patients end up on some form of HRT. I have no idea about my estrogen level. I have an appt in a week with the URO. What exactly should I be asking him? Do you think my low level T is responsible for my erection problems? Chris ________________________________ From: d00fu524 <calvin1564@...> Sent: Tuesday, February 17, 2009 12:22:04 AM Subject: Re: Erection Problem(s) Hello Chris. Good that you can get morning erections, but that level of T is at the cutoff point of hypogonadism. You shouldn't have to tolerate such a low level as " normal " (assuming the test was accurate, taken at the right time, & is reflective of your average levels throughout the day). Between 600-1000 ng/dL total testosterone is a good number to aim for, though the gel probably won't bring you up that high. Hopefully, your test result is reflective of the moment immediately before you administer your next dose. Do you have test results for your estrogen levels? Estrogen/estradiol can sensitize pain perception. & though it isn't the primary purpose of T, is Androgel helping reduce the pain at all? What is the nature of the pain? Some men here have complained about joint pain while on Androgel that subsided when they switched to shots. Depending on the type of pain, a different type of testosterone might help. Though you had this issue before TRT, it might be addressed somewhat by the right type of TRT for you. ~Xian > > Hello...I'm 42 and on Androgel...8 pumps per day. My levels are lower than what I'd like, but > my Urologist says it's fine...Level is around 250-300. Last checked 6 months ago. > > I have good AM erections... Some last for quite a while and can be quite uncomfortable. > > However, in the evening, my penis just doesn't want to cooperate. I take long acting > decongestant every Am upon waking (12 hrs). I'm also on chronic pain meds...So that can > also be a big part of the problem. My refractory period is quite long...Usually 48 hrs. I can > get an erection the next day, but it comes and goes...up and down, if that makes sense. > > My Low T is pain med related...The more I take (tolerance), the lower it gets. There's no way > around the pain meds due to the chronic pain I have. > > Any ideas? Advice would be much appreciated. > Quote Link to comment Share on other sites More sharing options...
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