Need Advice

[Guest guest]

Hello All,

I started under the care of Dr. McClain in November for moderate ED issues.

I've been happy with his care for the most part. Sometimes it is hard to get

questions answered but maybe I asked too many. He put me on testosterone cyp

200 1 mg weekly, HGC 50 cc MWF, and Anastrozole 1 mg MWFS. I have been on this

therapy for 90 days. I had my blood drawn Saturday for CBC, CMP, THS, Fasting

lipids, Testosterone free and total, DHEA, DHT, Progesterone, Estradiol, and

Magnesium. I should have the results in about seven business days. I'd like

to have had my cortisol checked but that wasn't included in the lab request. In

the past 90 days I have noticed a little improvement in the ED but it is still

not where it should be. I'm not reliable all the time when I need to be. My

libido seems to be fine but for some reason there seems to be a disconnect

between my brain and downstairs sometimes. It is very frustrating. I also from

time to time have delayed ejaculation which is an added frustration. The odd

thing is I'm rock hard all night into the morning when I wake up. Because of

that Dr. McClain says it is not an organic issue so he has ruled out hormonal

and vascular issues. He believes it is psychological due to anxiety. He is

probably right but how does one calm anxiety? I'm told anxiety medications are

not only addictive and a patch to the problem but also contribute to ED! My

understanding is there are three to four pathways in the brain, dopamine, GABA

and acetylcholine which can all affect erections and orgasm. I also understand

measuring dopamine and GABA are very difficult. I believe the brain is one of

the least understood parts of the body and when something is " psychological "

drug therapy is hit and miss. A patient is told " try this and see if it works,

if it doesn't we'll try something else " . Or patients are told, " just stay calm

and relax and practice living in the moment " . I've tried all of that long ago

and if it were that easy I wouldn't have gone to a professional for help.

Cialis works like a charm but rather than becoming dependant on something that

my lose its effectiveness I'd rather get to the root source of the problem and

correct it. So I guess at this point I'm being told it is all in my mind so

I've been told I should see Dr. Midyett a psychologist in his office. I met

with her Friday and she was very nice and calming and agreed I have anxiety and

I'm a worrier. I don't dispute any of that. However, I find it odd that I've

had those same traits all my life and now suddenly they are causing ED? It is

also odd that is starts to affect men right around my age in the late 40's. I

see this as more than a coincidence.

I have also been in contact with Jasen Bruce as APS Pharmacy who has been a

great source of information. I recently read two books on the subject.

" Testosterone A Man's Guide " by Vergel and " The Testosterone Syndrome " by

Eugene Shippen M.D. In 's book he seems to indicate that testosterone

should be cycled. I've been on it for nearly two years without a break so I

asked Jasen about this and he said it does not need to be cycled if one is

replacing it to the natural levels one had before they declined. It only needs

to be cycled in cases where men are raising their levels to an unnaturally high

level higher than they would normally have been i.e. bodybuilders abusing

steroids. In Dr. Shippen's book he says injectable testosterone is the least

effective way to administer testosterone, Jasen disagrees with this. I'd like

other opinions if anyone out there would like to chime in.

To sum it up, my issue appears to be " psychological " according to the experts

I've conferred with. Do others out there agree with that? If not what is your

opinion? If you do what would you recommend to do to overcome a psychological

ED issue? Thanks!

Larry

[Guest guest]

Hi Phil,

Thanks for the welcome. On the bottle it reads " Testosterone Cyp 200 mg/ml " and

it is a 10 ml vial. I take 1 ml a week in an injection. That is good

information to know that now Dr. Shippen prefers injections now. It is so

confusing to read one thing by an expert in one place and something totally

different by another expert in another. The testosterone I'm on is supposed to

be time released so at the end of the week the levels are still consistent. For

the HCG, I'm using a 1 cc syringe and filling it to the 50 mark so I was

incorrect in saying I'm using 50 cc's. That is good information about the

Anastrozole. I'll be very interested to see where my E2 levels are when I

receive my blood work results. My understanding is that a good place for it to

be is around 20. I have had thyroid tests and those come back normal. My

pregnenolone levels were not ordered on the lab slip only the Porgesterone.

It is also reassuring to know that I don't need to cycle my testosterone. It

sounds like I may have been prescribed too much Anastrozole. I'm sure Dr.

McClain had a reason for it and he will adjust it accordingly when my lab

results come back. The last time I had my Estradiol level checked before I

started on the Anastrozole it was 37 which was a bit high but that was when I

was on Androgel and not injectable testosterone which has the propensity to

convert more to estradiol. Thanks for posting this story one more time. LOL

Larry

>

> > From: Larry <laurenceinorlando@...>

> > Subject: Need Advice

> >

> > Date: Sunday, January 23, 2011, 8:39 PM

> > Hello All,

> >

> > I started under the care of Dr. McClain in November for

> > moderate ED issues.  I've been happy with his care for

> > the most part.  Sometimes it is hard to get questions

> > answered but maybe I asked too many.  He put me on

> > testosterone cyp 200 1 mg weekly, HGC 50 cc MWF, and

> > Anastrozole 1 mg MWFS.  I have been on this therapy for

> > 90 days.  I had my blood drawn Saturday for CBC, CMP,

> > THS, Fasting lipids, Testosterone free and total, DHEA, DHT,

> > Progesterone, Estradiol, and Magnesium.  I should have

> > the results in about seven business

> > days.   I'd like to have had my cortisol

> > checked but that wasn't included in the lab request. 

> > In the past 90 days I have noticed a little improvement in

> > the ED but it is still not where it should be.  I'm not

> > reliable all the time when I need to be.  My libido

> > seems to be fine but for some reason there seems to be a

> > disconnect between my brain and downstairs sometimes. 

> > It is very frustrating.  I also from time to time have

> > delayed ejaculation which is an added frustration.  The

> > odd thing is I'm rock hard all night into the morning when I

> > wake up.  Because of that Dr. McClain says it is not an

> > organic issue so he has ruled out hormonal and vascular

> > issues.  He believes it is psychological due to

> > anxiety.  He is probably right but how does one calm

> > anxiety?  I'm told anxiety medications are not only

> > addictive and a patch to the problem but also contribute to

> > ED!  My understanding is there are three to four

> > pathways in the brain, dopamine, GABA and acetylcholine

> > which can all affect erections and orgasm.  I also

> > understand measuring dopamine and GABA are very

> > difficult.  I believe the brain is one of the least

> > understood parts of the body and when something is

> > " psychological " drug therapy is hit and miss.  A

> > patient is told " try this and see if it works, if it doesn't

> > we'll try something else " .  Or patients are told, " just

> > stay calm and relax and practice living in the

> > moment " .  I've tried all of that long ago and if it

> > were that easy I wouldn't have gone to a professional for

> > help. 

> >

> > Cialis works like a charm but rather than becoming

> > dependant on something that my lose its effectiveness I'd

> > rather get to the root source of the problem and correct

> > it.  So I guess at this point I'm being told it is all

> > in my mind so I've been told I should see Dr. Midyett a

> > psychologist in his office.  I met with her Friday and

> > she was very nice and calming and agreed I have anxiety and

> > I'm a worrier.  I don't dispute any of that. 

> > However, I find it odd that I've had those same traits all

> > my life and now suddenly they are causing ED?  It is

> > also odd that is starts to affect men right around my age in

> > the late 40's.  I see this as more than a

> > coincidence. 

> >

> > I have also been in contact with Jasen Bruce as APS

> > Pharmacy who has been a great source of information.  I

> > recently read two books on the subject.  " Testosterone

> > A Man's Guide " by Vergel and " The Testosterone

> > Syndrome " by Eugene Shippen M.D.   In

> > 's book he seems to indicate that testosterone should

> > be cycled.  I've been on it for nearly two years

> > without a break so I asked Jasen about this and he said it

> > does not need to be cycled if one is replacing it to the

> > natural levels one had before they declined.  It only

> > needs to be cycled in cases where men are raising their

> > levels to an unnaturally high level higher than they would

> > normally have been i.e. bodybuilders abusing steroids. 

> > In Dr. Shippen's book he says injectable testosterone is the

> > least effective way to administer testosterone, Jasen

> > disagrees with this.  I'd like other opinions if anyone

> > out there would like to chime in. 

> >

> > To sum it up, my issue appears to be " psychological "

> > according to the experts I've conferred with.  Do

> > others out there agree with that?  If not what is your

> > opinion?  If you do what would you recommend to do to

> > overcome a psychological ED issue?  Thanks!

> >

> > Larry

> >

> >

> >

> >

> > ------------------------------------

> >

> >

[Guest guest]

Are you trying to make a baby and working with a fertility Dr..

Co-Moderator

Phil

>

> > From: uu1845@...

> <uu1845@...>

> > Subject: RE: Need Advice

> >

> > Date: Tuesday, January 25, 2011, 6:09 PM

> > So Phil, if take one shot which is

> > 1,000 (1ml) out of 10,000, its 10 shots total?

> >

> > Maybe I should buy the 10,000 instead of the 2,000

> you

> > recommended.....

> >

> >

> >

> > -----Original Message-----

> > From: philip georgian <pmgamer18@...>

> > Sent: Monday, January 24, 2011 10:38 AM

> > To:

>

> [The entire original message is not included]

>

>

[Guest guest]

No, but I have told by my first endo it couldn't happen, but my second endo doc

said I may have some left to conceive. So now, I make a month supply of Andogel

last two months out of fear my testicles will continue and get smaller on top of

small. I see my window to conceive xlose more each day and its scary! I long for

a woman and child.

RE: Need Advice

>

>

> NO NO NO what I ment was to show you how many IU's are in 1

> ml. If you buy the 2000 IU's to do a 250 IU's shot it's .25

> mls or CC's on your pin. 1000 IU's is 1 ml. Never do a 1000

> IU or 1ml. shot if HCG. A 2000 IU' vial will last you 4

> weeks doing the 250 IU's 2x's / week or the 2 days each

> before your next T shot. If on gels 250 IU's every 3 da

[The entire original message is not included]

[Guest guest]

Well he have had some men not go on TRT because they were trying to make a baby

and seeing a Dr. for this they found out they have low T and needed to be on

TRT. But did not go for it because they felt it would keep them from making a

baby.

Yet they never had there sperm tested a good time went by they were getting

sicker seen a Dr. to help them make a baby and when this Dr. tested his sperm he

had none. He suffered not going on TRT all for nothing.

Others we tell them get it tested if it's good get some frozen for a back up

they did and when they needed it it worked out.

Co-Moderator

Phil

>

> > From: uu1845@...

> <uu1845@...>

> > Subject: RE: Need Advice

> >

> > Date: Wednesday, January 26, 2011, 4:48 PM

> > Thanks and I want a baby! Its the

> > woman equation that I need to solve first.... Ill

> pump

> > whatever to boost my sperm count.

> >

> > RE: Need Advice

> >

> >

> > NO NO NO what I ment was to show you how many IU's

> are in 1

> > ml. If you buy the 2000 IU's to do a 250 IU's shot

> it's .25

> > mls or CC's on your pin. 1000 IU's is 1 ml. Never do

> a 1000

> > IU or 1ml. shot if HCG. A 2000 IU' vial will last you

> 4

> > weeks doing the 250 IU's 2x's / week or the 2 days

> each

> > before your next T shot. If on gels 250 IU's every 3

> da

>

> [The entire original message is not included]

>

>

[Guest guest]

Thanks Phil for confusing me more! My endo doc told me if I found a good woman

and we decided to try for a child, if I couldn't do it naturally to stop taking

trt because it lowers my fsh and lh homones responsible for sperm production.

Next month I will test these hormones again. At least if they are slightly below

or normal, despite my testes size, I should have enough to conceive naturally.

If I go off trt, I should have a better chance but now you say no?

RE: Need Advice

>

> Date: Thursday, January 27, 2011, 10:34 AM

> No, but I have told by my first endo

> it couldn't happen, but my second endo doc said I may have

> some left to conceive. So now, I make a month supply of

> Andogel last two months out of fear my testicles will

> continue and get smaller on top of small. I see my window to

> conceive xlose more each day and its scary! I long for a

& g

[The entire original message is not included]

[Guest guest]

Sorry but I am not trying to confuse you I am just telling like it is going on

TRT with good sperm levels men can make baby's they do it every day go to Dr.

's forum and post about this the men that made a baby will tell you.

http://www.musclechatroom.com/forum/forumdisplay.php?2-All-Things-Male

I say this over and over again Endo's are not good Dr. for treating men with low

T I have seen 7 in the last 30 yrs not one was good or got it right.

I talk to a huge amount of men everyday just do a Google Search on my nick

pmgamer18 ane before I changed it pmgamer. You will get over 22,000 hits on one

and 12,000 on the other.

Men post to me seeing Endo's all the time complaining about the bad job they do.

Your Endo is dead wrong saying your LH and FSH will start back up stopping TRT.

It will do something but not what it was before you tried TRT.

You stop TRT your going to crash and burn.

Bodybuilders that use Steroids cycle them and use other meds Clomid and HCG to

restart there brain to send LH and FSH to there Testis to keep them working.

Yet most of the time this does not work for them and they end up on TRT. And

they had good levels of Testosterone before going on Steroids.

Test your sperm if it's good get it frozen for a back up. If you need to go on

TRT if you don't and you need it your damaging your body and brain.

Co-Moderator

Phil

>

> > From: uu1845@...

> <uu1845@...>

> > Subject: RE: Need Advice

> >

> > Date: Thursday, January 27, 2011, 10:34 AM

> > No, but I have told by my first endo

> > it couldn't happen, but my second endo doc said I may

> have

> > some left to conceive. So now, I make a month supply

> of

> > Andogel last two months out of fear my testicles

> will

> > continue and get smaller on top of small. I see my

> window to

> > conceive xlose more each day and its scary! I long

> for a

> & g

>

> [The entire original message is not included]

>

>

[Guest guest]

I hear you Phil, and thanks. However can it be fair to say a man who's levels w

and w/o TRT have always been under the 500 range for example, he will crash like

a bodybuilder?

So TRT doesn't suppress FSH and LH hormones?

If not, my endo was incorrect. Out of fear of being w/o TRT for a few months, I

refuse to do a sperm count test. I want too but I was told to be off TRT for a

few months.

RE: Need Advice

Sorry but I am not trying to confuse you I am just telling like it is going on

TRT with good sperm levels men can make baby's they do it every day go to Dr.

's forum and post about this the men that made a baby will tell you.

http://www.musclechatroom.com/forum/forumdisplay.php?2-All-Things-Male

I say this over and over again Endo's are not good Dr. for treating men with

low T I have seen 7 in the last 30 yrs not one was good or got it right.

I talk to a huge amount of men everyday just do a Google Search on my nick

pmgamer18 ane before I changed it pmgamer. You will get over 22,000 hits on one

and 12,000 on the other.

Men post to me seeing Endo's all the time complaining about the bad job they

do.

Your Endo is dead wrong saying your LH and FSH will start back up stopping TRT.

It will do something but not what it was before you tried TRT.

You stop TRT your going to crash and burn.

Bodybuilders that use Steroids cycle them and use other meds Clomid and HCG to

restart there brain to send LH and FSH to there Testis to keep them working. Yet

most of the time this does not work for them and they end up on TRT. And they

had good levels of Testosterone before going on Steroids.

Test your sperm if it's good get it frozen for a back up. If you need to go on

TRT if you don't and you need it your damaging your body and brain.

[The entire original message is not included]