Dealing with erectile dysfunction as a young male

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Dealing with erectile dysfunction as a young male

Post by Afro_Vacancy » 1 year ago

My first encounter with erectile dysfunction (E.D. for short) was at age 23, and it's been a long journey since, during which I've had intermediate success. There are various factors that tie into ED, and to a significant extent a lot of young men and a lot of doctors either don't understand them or don't discuss them. I'm writing this summary as a resource, so that others who find themselves in a similar situation at too young an age may know what to expect and where to go.

You have ED if you have trouble achieving and maintaining an erection that is sufficient for satisfactory sexual intercourse. There are multiple reasons why this might be related to each of your blood flow, your hormones, your brain, et cetera. The first thing that you should do if you have ED is go discuss the issue with a doctor.

The big three factors that doctors look at are nitric oxide (related to viagra and cialis), testosterone, and dopamine. Dopamine is a neurotransmitter that makes you want things, if you're depressed you might just not want women. Nitric oxide is what dilates the blood vessels, viagra and cialis work by inhibiting PDE5 (which undermines nitric oxide), and thus their effect can be viewed as a double negative on nitric oxide. Testosterone ties into both.

ED is very much a canary in the coal mine. If anything is wrong with you, you are at risk of ED. The following is the approximate order with which many doctors will treat ED:
  • When you meet a doctor to discuss this, he will likely first ask you what medications you're on. Any number of medications can trigger ED, including blood pressure medications, adderall, propecia, and so on. Other people take these medications and do not suffer these side effects. The response varies. This may or may not be the cause of your problems.
  • Your doctor might perceive you as depressed, or suspect it, and then refer you to a psychiatrist. That is a reasonable course of action, and may improve your lot over a few months.
  • Your doctor may worry that you have diabetes, obesity, high blood pressure, etc. These factors are associated with ED. He can test for them with a few checks. If they describe your situation, then he will suggest lifestyle modifications, and you might improve over a few months.
  • The next line of defense is to test for serum hormones. The exact list will vary from doctor to doctor but will typically include testosterone, estrogen, SHBG, the thyroid hormones, prolactin, FSH, LH, etc. Low testosterone can cause ED. Thyroid problems can cause ED. High prolactin can cause ED. If a specific hormonal failure is identified, then you will get follow up in that area.
  • Through this all they are likely to prescribe PDE5 inhibitors. These are viagra, cialis, and levitra. In my opinion, cialis is the best option as it has a long half life in the blood. You can just take it once a day, in the morning. Viagra only lasts a few hours so you need to plan things.
  • There are other, different drugs that can be tried, that have other effects on the body.
  • Your doctor may follow up with a penile doppler ultrasound, during which they give you a combination of drugs to cause an erectio, and then monitor your blood flow in both the flaccid and erect states. This can be used to assess the physical health of your veins.
That can go on and on. Treatments suggested over the internet vary.

"NoFap" is very famous in the last few years for example. The notion is that men's minds become desensitized to real women due to pornography, and their dicks become desensitized to real women due to excess masturbation. That is plausible. I have tried it twice, and in both cases I had the same trajectory. Difficulty in the first few days, then a "Flatline" during which my sex drive drops to zero, and then my spontaneous erections were restored after roughly ~23 days of abstention. However, it then becomes very difficult to maintain outside of a relationship, as sex drive just builds up, and up, and up. It culminates in my waking up horny and hard in the middle of the night. After masturbating, I'm not quite back at square one but close to it. This might work better in the context of a real relationship. Psychologically, this seems to be a more plausible issue for incels than for regular men.

A lot of people claim to have cured ED with very long water-only fasts. I have never fasted as long as them ... I've done 10 days. The people reporting cures have gone 20, 30, 60 days even. I am not sure what happens in that process, nor if it's reliable.

A lot of successes are claimed off of various herbs and supplements. This seems like a minefield -- way too much BS. Though I might try cycling a few at some point.

What did work for me was a combination of cialis (for blood flow) and cabergoline (for reduced prolactin and increased dopamine binding). But, my body seemed to build a tolerance quickly, and the cabergoline disrupted my sleep. I'm now off it for a while, in the hope of finding something else, and rebuilding tolerance. Since I'm taking a break from dating as well, it doesn't matter.

The websites
http://www.peaktestosterone.com
http://www.totalmaleoptimization.com
Are good resources for dealing ED and related issues, and include testimonials from various people who have recovered.
Last edited by Afro_Vacancy 1 year ago, edited 1 time in total.

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Re: Dealing with erectile dysfunction asa young male

Post by Admin » 1 year ago

This is gold for people suffering from ED but dude, you scared me, I was so sure this post was spam :p.

Nice job! Same for the intermittent fasting bibliography.

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Re: Dealing with erectile dysfunction asa young male

Post by Afro_Vacancy » 1 year ago

When I went for my penile doppler ultrasound a while back, the doctor looked at the two veins responsible for erections. The one my right side was normal, the one on my left was a little weak. He referred me to a cardiologist to do a better analysis of my cardiovascular system. I saw her this week, she said that everything looks great, but she's ordering a few tests (e.g. calcium score) just to be sure. We have the tests coming up and then a follow-up soon, during which we'll probably rule out this cause.

Given that I had a few weeks of success a while back, I am now more motivated than ever to get better. It was simply such a wonderful feeling to be with women and to crave them. I made out with one at the end of a date, and it felt amazing. Within a few seconds I was hard. Her lips tasted like cherry pie. I was actually numb, I wasn't used to the feeling anymore, and thus I didn't respond that aggressively, I didn't embrace her or slide my fingers down her cheeks or anything like that. I kind of just sit there and thought "wow, this is fun, and I have a boner!"

Right now I'm off a 10-day fast and eating again, off my ED drugs, I'm about ~12 days into a no-fap schedule, and have reduced caffeine to 1 cup of coffee a day. I notice no improvement in erections, but I do notice a reduction in post-urinary drip, which I think is a good sign. Yesterday, I went over 12 hours without going to urinate at some point, which is unusual for me. I'm no longer waking up in the middle of the night needing to go to the bathroom either.

Plan for the next while:
- Stay off the drugs for now;
- Follow up with the cardiologist;
- Add in acupuncture and cold showers;
- Eat well and exercise with high intensity for another month or so, keeping fapping infrequent, then try another 7+ day water-only fast, this time with no caffeine;
- Then do much more aggressive exercises, try cycling some supplements.
- If these don't work, go back on the anti-ED drugs at a reduced dose, and titrate my way up.

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Re: Dealing with erectile dysfunction as a young male

Post by Murkey Thumb » 1 year ago

I remember going though a issue in my late 20s after a very nasty breakup with a long term partner, I couldn't get it up with new women I met. I knew it was partly psychological but generally I didn't have interest in sex at all! I know this is weird but at the time I was doing a lot of body building and was interested in building my old fella in line with my new muscle so bought some cream off the internet called 'Enlargo'. Whilst it didn't really do that much for my old man(not erect anyway) it certainly solved the problem I had with erectile dysfunction and drive. It uses capsicum peppers which increase blood flow and irritates at the same time.

Don't know if this will help you but its worth a try and is cheap.

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Re: Dealing with erectile dysfunction as a young male

Post by Johnson » 1 year ago

I take Viagra every so often as it improves performance.

If i get bored during sex or if i'm not that into the girl then i may lose my erection, but if i take ed meds then this never happens despite how i feel towards the woman.

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Re: Dealing with erectile dysfunction as a young male

Post by JasonStatham » 1 year ago

Johnson wrote:
1 year ago
I take Viagra every so often as it improves performance.

If i get bored during sex or if i'm not that into the girl then i may lose my erection, but if i take ed meds then this never happens despite how i feel towards the woman.
haha, same. I have a friend he goes to Thailand once a year and he brings me Viagra-like stuff. I take Kamagra maybe 5-6 times a year. I never told the girls I took it. Now even with my girlfriend, I take it every other month once. I don't smoke and I don't drink alcohol (outside of dating) but fucking for hours and hours is my addiction and without help, I cant do that (finasteride dick bruh). In my observation and that of friends is, dont take it more than once a month and you are more than fine. In my hardcore Tinder dating time I always had a Kamagra on me. It made me feel more comfortable because I tend to drink a lot with the Tinder sluts and alcohol + the fact Im a bit a softie and I need to feel comfortable with a girl (beta simp bruh) its too much of a risk. I remember having this Greece godess in my holiday. I went to her bathroom and took my Viagra like stuff. After I made love (beta bruh) with her she told me: "Your dick is still hard jesus" and I told her with a smile: "Because you are so hot" (I giggled on the inside) and we went on like this the whole night. Nothing wrong with "cheating" from time to time. We both had a nice time.

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Re: Dealing with erectile dysfunction as a young male

Post by Afro_Vacancy » 1 year ago

I went to a cardiology appointment today. This happened because my urologist wanted to know if my erectile issues were due to cardiovascular issues -- a legitimate hypothesis. I had an echocardiogram and a cardio stress test.

They did not complete the analysis on site, but they did complete parts of it. In one of the tests I got the highest score in the 9-year history of the clinic. It looks like I'm in exceptionally good cardiovascular health. And I wasn't even in peak form.

So this is probably not my issue.

I did learn something cool about blood pressure -- it changes during exercise. I started off with 105/65 while at rest, it went to roughly 200/50 while exercising.

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Re: Dealing with erectile dysfunction as a young male

Post by rclark » 1 year ago

I take five percent Testosterone cream.

It's ironic, when I was in my late teens, I took a drug which gave me temporary
ED.

It also kept me from losing my hair younger than I did (in my twenties).

However, now that I use Testosterone Cream, I can perform like I
did in my early twenties, and get it up quite often.

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Re: Dealing with erectile dysfunction as a young male

Post by JasonStatham » 1 year ago

rclark wrote:
1 year ago
I take five percent Testosterone cream.

It's ironic, when I was in my late teens, I took a drug which gave me temporary
ED.

It also kept me from losing my hair younger than I did (in my twenties).

However, now that I use Testosterone Cream, I can perform like I
did in my early twenties, and get it up quite often.
sides?

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Re: Dealing with erectile dysfunction as a young male

Post by rclark » 1 year ago

JasonStatham wrote:
1 year ago
sides?
It wasn't a drug for hair, or anything else. It was something I was misdiagnosed
for, and I haven't taken the medication since my teenage years.

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Re: Dealing with erectile dysfunction as a young male

Post by Afro_Vacancy » 9 months ago

I have had a few developments recently.

To recap, I did have some results from cabergoline+cialis earlier in the year, but they're difficult to maintain. I don't want to be dependent on drugs, and cabergoline drove me nuts by affecting my sleep. I may have also built up a tolerance to cialis.

1) I am cutting out coffee as an experiment. I have averaged ~2.0 cups of coffee/day since 2007, very consistently. I'm now off coffee for five days, which is a lot for me. To my disappointment ... I'm peeing a lot less. I also have a lot less post-urinary drip. For a while now, I've been leaking after peeing which fucking sucks. This seems to have stopped and is getting better every day. I really hope that I don't need to quit caffeine permanently.

My mother has had problems with the bathroom for her whole life, so it makes sense that I would as children inherit their mother's gut bacteria. What I may try is a general kidney cleanse (there are other foods aside from caffeine that irritate the kidneys) coupled with a lot of probiotics to see what happens. Then I'll slowly reintroduce coffee.

I did not notice any of these changes when I tried ultra-disgusting decaf coffee for a few weeks a couple years ago.

I did have a few erections recently. It makes sense that I would not be able to get hard if I always needed to pee. It may also be because I'm sleeping better since getting rid of the caffeine. Like, these are my five best consecutive nights of sleep in years. As we know, better sleep means more testosterone, at least in men.

2) Previously, I saw a cardiologist (which my urologist recommended), and she concluded that my cardiovascular health is fantastic, and that her best guess is that my spine is the issue. So, as part of that, I'm seeing a chriopractor.

She did a bunch of tests on me. She said that my spine is not in great health and that she might be able to help me. However, the lower spine, which is the part where issues can be associated with ED, was only in moderately health. She said that it was bad but not awful, and thus she doesn't know if helping with that will fix my issues, though it may.

To my surprise, she found that it was my upper spine which had the most problems. Problems there are associated with poor sleep, ADHD, depression, colic, headache, vertigo, anxiety, speech challenges, low energy, etc.

So I'm going to follow this up for a few months and see what happens.

3) I took a long break from exercise due to surgery. I can start exercising again in a couple weeks, I look forward to it.

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Re: Dealing with erectile dysfunction as a young male

Post by CaptainForehead » 9 months ago

Afro_Vacancy wrote:
9 months ago
I have had a few developments recently.

To recap, I did have some results from cabergoline+cialis earlier in the year, but they're difficult to maintain. I don't want to be dependent on drugs, and cabergoline drove me nuts by affecting my sleep. I may have also built up a tolerance to cialis.

1) I am cutting out coffee as an experiment. I have averaged ~2.0 cups of coffee/day since 2007, very consistently. I'm now off coffee for five days, which is a lot for me. To my disappointment ... I'm peeing a lot less. I also have a lot less post-urinary drip. For a while now, I've been leaking after peeing which fucking sucks. This seems to have stopped and is getting better every day. I really hope that I don't need to quit caffeine permanently.

My mother has had problems with the bathroom for her whole life, so it makes sense that I would as children inherit their mother's gut bacteria. What I may try is a general kidney cleanse (there are other foods aside from caffeine that irritate the kidneys) coupled with a lot of probiotics to see what happens. Then I'll slowly reintroduce coffee.

I did not notice any of these changes when I tried ultra-disgusting decaf coffee for a few weeks a couple years ago.

I did have a few erections recently. It makes sense that I would not be able to get hard if I always needed to pee. It may also be because I'm sleeping better since getting rid of the caffeine. Like, these are my five best consecutive nights of sleep in years. As we know, better sleep means more testosterone, at least in men.

2) Previously, I saw a cardiologist (which my urologist recommended), and she concluded that my cardiovascular health is fantastic, and that her best guess is that my spine is the issue. So, as part of that, I'm seeing a chriopractor.

She did a bunch of tests on me. She said that my spine is not in great health and that she might be able to help me. However, the lower spine, which is the part where issues can be associated with ED, was only in moderately health. She said that it was bad but not awful, and thus she doesn't know if helping with that will fix my issues, though it may.

To my surprise, she found that it was my upper spine which had the most problems. Problems there are associated with poor sleep, ADHD, depression, colic, headache, vertigo, anxiety, speech challenges, low energy, etc.

So I'm going to follow this up for a few months and see what happens.

3) I took a long break from exercise due to surgery. I can start exercising again in a couple weeks, I look forward to it.
What surgery did you have AV?

Are you off cabergoline and cialis now?

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Re: Dealing with erectile dysfunction as a young male

Post by rclark » 9 months ago

JasonStatham wrote:
1 year ago
sides?
There are a lot of sides with the five percent cream. The testicles will shrink with
long term usage (although, age does this).

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Re: Dealing with erectile dysfunction as a young male

Post by Afro_Vacancy » 9 months ago

CaptainForehead wrote:
9 months ago
What surgery did you have AV?

Are you off cabergoline and cialis now?
The surgery was an umbilical hernia.

I'm off the cabergoline.

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Re: Dealing with erectile dysfunction as a young male

Post by Johnt1997 » 9 months ago

My problem with ED is one that I've had since the time i lost my virginity; i was able to get an erection each time, and i get occasional erections throughout the day, but i struggled to actually penetrate. Having sex naturally, i managed to penetrate properly with a couple of girls(pre finasteride) after some effort but a couple of times i couldn't(despite getting an erection)

I just take a V now to make sure and i can go all night, particularly if I'm sober.

If i was a virgin i wouldn't know i had a problem though as i get hard erections; its very strange

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