26 YO make with ED circulation issue?

[JerseyDude Junior Member Find all posts View Profile Close JerseyDude]

Hey everybody. I’m 26 years old and relatively healthy as far as I know. I workout five times a week and do light cardio three times a week.

My ED goes back a few years to when I had a very active sex life with my then girlfriend. It started getting difficult to achieve an erection, and when we did have sex it took a lot of effort for me to orgasm. I thought I was either having too much sex or watching too much porn. So, I stopped masturbating to porn for about 8 months. After not seeing any improvement I gave up on that. I can achieve about 60% of a normal erection. It’s really more of a chub than a full erection. And without constant stimulation it deflates pretty quickly. It’s just barely hard enough for vaginal penetration in some positions, but the girl can’t feel it, and it doesn’t feel very good for me either.

Fast forward to last summer, I decided to see my primary doctor about this problem. He handed me a prescription for Viagra and basically had no answers for me. I implored him to order some blood work for me to which he agreed. After getting my results he informed me that my prolactin was slightly elevated, my testosterone was slightly low, and my thyroid level was slightly low.

A few weeks later I visited an endocrinologist. He said that I may have hypothyroidism. He also told me that my levels might have been off because I got the blood work done in the afternoon. He instructed me to get the tests re done early in the morning. Upon getting the tests re done he informed me that my levels were fine.

Finally, I decided to visit a urologist. After hearing my symptoms he told me that I probably have a venuous leak. He prescribed me 5mg Cialis for daily use, and wants me to see him again in three months. I took it for five days and didn’t see any difference. I’m thinking about trying two pills at a time to equal 10mg. He told me I would have to play around with the dosage a little to find what works for me. Does anybody have any experience doing that and is it safe? I know 10mg is still a relatively low dose but I want to make sure.

I’m not really fond of having to keep taking a pill so I don’t plan on making it a permanent thing. At this point I just want to see if I’m even capable of getting a full erection. If nothing else, I’d much rather take a natural supplement instead of a pill. But, I plan on seeing a cardiologist soon as well. I believe I might have some circulation issues and I have read that can cause erectile issues. My hands are constantly cold, and I often get pins and needles/numbness in my feet. Plus I have some familial history of heart disease on my mothers side.

At this point, I’d appreciate any advice or insight that you guys could provide me. Thank you!

[WaT30 Member Find all posts View Profile Close WaT30]

It seems doing consultations with the cardiologist might be the best choice. It's definitely not normal to feel numbness in feet. It's also a no surprise if your circulation is bad, that your erections aren't good either.

[Pegasus AdministratorPE Gym EditorPEGym Hero ☺ Admin of the Month Mar 2015 Find all posts View Profile Close Pegasus]

Post the results of the hormone test . Always post the numbers .

[JerseyDude Junior Member Find all posts View Profile Close JerseyDude]

Unfortunately, I don’t have the numbers of the test that the endocrinologist ran. All I got from him was a phone call saying my numbers were good, and to not come back. I do have the numbers from the original blood work that my primary ran though:

Testosterone level: 430 nf/dL

Free testosterone: 8.4 pg/mL

Sex hormone binding globulin: 44.1

Prolactin: 17.3 ng/mL

FSH: 3.4 mlU/mL

LH: 4.8 mlU/ mL

TSH: 6.000 ulU/mL

Again, these are the original numbers that my primary ran. My endocrinologist told me that my levels were off because I got the lab work done in the afternoon instead of the morning.

[Pegasus AdministratorPE Gym EditorPEGym Hero ☺ Admin of the Month Mar 2015 Find all posts View Profile Close Pegasus]

Get the numbers for the second test .

In general a number below 500 for total test will cause an issue . A test done outside the morn will tend to give a lower result though . They usually make sure you test in the time envelope.

You could need a bit more testosterone than most to run same way some cars need high octane petrol. Your testosterone looks marginal.

[Pegasus AdministratorPE Gym EditorPEGym Hero ☺ Admin of the Month Mar 2015 Find all posts View Profile Close Pegasus]

Measurements in Conventional Units

617	123	4.0	236	37.3
668	103	4.5	221	36.5
606	90	5.0	177	38.7
562	83	5.1	118	35.1
524	69	5.5	96	36.0
471	60	5.7	44	37.9
376	54	7.4	44	37.1

You can see here you have the total testosterone of a 70year old and the free testosterone of a gelding.
However free testosterone the way it is normally measured is very inaccurate .
You need to get free testosterone measured by sensitive method.

[JerseyDude Junior Member Find all posts View Profile Close JerseyDude]

Ok. I’ll give the endocrinologists office a call tomorrow and try to get the actual numbers from the second test. Thanks Pegasus!

In the meantime, can anyone answer the question I had regarding Cialis? My urologist prescribed me 5mg for daily use, but after taking it for five days it didn’t make any difference. He told me it would take some trial and error to see how it worked best for me. Would it be ok for me to take two of the 5mg daily tablets to equate to 10mg? And should I take them together or one in the morning and one at night? Any insight you could give would be much appreciated!

[Pegasus AdministratorPE Gym EditorPEGym Hero ☺ Admin of the Month Mar 2015 Find all posts View Profile Close Pegasus]

They prescribe it because they are lazy . It is addictive .

[JerseyDude Junior Member Find all posts View Profile Close JerseyDude]

I understand your point, but I don’t plan on becoming addicted to it or to keep using it as a crutch. Like I said before, I really have no desire to become dependent on a pill to have sex. Obviously, I’m still the process of narrowing down my exact problem, and I don’t plan to give up until I have a definitive answer. The only reason I’m even trying the Cialis out is to reassure myself that my body is capable of producing a full erection at this point ya know?

[Pegasus AdministratorPE Gym EditorPEGym Hero ☺ Admin of the Month Mar 2015 Find all posts View Profile Close Pegasus]

I understand your point, but I don’t plan on becoming addicted to it or to keep using it as a crutch. Like I said before, I really have no desire to become dependent on a pill to have sex. Obviously, I’m still the process of narrowing down my exact problem, and I don’t plan to give up until I have a definitive answer. The only reason I’m even trying the Cialis out is to reassure myself that my body is capable of producing a full erection at this point ya know?

Uh huh .

[INS Senior Member Find all posts View Profile Close INS]

Taking cialis can cause psychological dependence, however its daily use is to perfuse the tissue with more blood and help rejuvenate the tissue if there is an organic cause

studies on it have shown reduction in fibrosis and increase in the smooth muscle cell count (smc:collagen ratio) and also the collagen iii/i ratio

[Sawm Junior Member Find all posts View Profile Close Sawm]

hello. i have same issue with tickling feeling all the time in my left foot and sometimes left arm. i already consulted 4 urologists but still problem persist. now i consulted nuerologist who gave me medicine for 2 wks after that he said if issue still persist he will conduct nuero test. a little about me.. i also face ED a little bit and 26 years of age. hardly get full erection. will update soon. regards

[Pegasus AdministratorPE Gym EditorPEGym Hero ☺ Admin of the Month Mar 2015 Find all posts View Profile Close Pegasus]

Taking cialis can cause psychological dependence, however its daily use is to perfuse the tissue with more blood and help rejuvenate the tissue if there is an organic cause

studies on it have shown reduction in fibrosis and increase in the smooth muscle cell count (smc:collagen ratio) and also the collagen iii/i ratio

The lazy docs tell you this.?

[JerseyDude Junior Member Find all posts View Profile Close JerseyDude]

Uh huh .

I’m not trying to be a dick, but do you have any actual insight to my other questions beside these sarcastic comments? Like if I can get these numbers back from my second test and they’re still similar? I can’t force the guy to treat me. At that point I’d obviously try a different doctor but what if he says the same thing? Also, do you think there’s any chance it could be a circulation problem like I stated in my OP?

[Treant Junior Member Find all posts View Profile Close Treant]

To be honest with you, I've followed the things Pegasus says most of my time lurking and becoming an official member here. Even when he's off, you can generally get a good bit of direction from his thoughts and zero in better on whatever you are dealing with. I had lazy docs. I went to the ER with a small hematoma in my penis head and the ER doc told me they don't do Doppler ultrasounds of the penis, that he's never heard of it except for testicular tortion. Called a urologist with "40 years of experience" and got the same thoughts backing him up. There ARE lazy docs out there. My other doc was with Advanced Urology, who's own website supports tamoxifen and other treatments for peyronies / firbrosis, yet he himself said there were no treatments, despite his own affiliated institution's site contradicting him.

Pegasus won't spell out all of that for you, but generally, when the more experienced people speak on this site in a few words, you can do a lot with the mentality those few words come from. Just my thoughts.

And not to make you worried or stress, but yes, you may very well miss what's wrong by just agreeing to the wrong diagnostic. Even if docs aren't lazy. You have to be your own advocate. There are primary care providers who will support a medication or treatment if you just show them research sometimes, even when the "specialists" who should know about it completely fuck the chicken regarding your well being / being knowledgeable. I walked out of the ER with a fixable condition with a 92% success rate and am now dealing with it after the fact, but that's the nature of this. It's a pathology. Zero in, track it, and be damn well prepared and ready to speak to your doc in humble but specific and easily summarized terms to expedite the hopeful resolution of your condition. That is the name of the game, whether it's fair or right or not. And it sucks. But here we are. Good luck brother.