Cialis and testosterone

cialis

After talking about my sexual problems with the urologist and after blood tests he put me on monthly injections of Delatestryl 1ml. I than saw him again and informed him that the testosterone shots did not help my ED at all. Another urologist in 1999 had tried me on Viagra and after that Cialis. Non of them worked. While in the office this new urologist suggested trying Caverject. I was told to take my pants and underwear off and to lie down on the examining table.

Usually older guys that take Cialis and Viagra and it works in the beggining and then stops later on down the road is when E2 levels go out of range. You should get tested for this ideal range should be between 20-32 pg/dl I think. You should talk to your doctor about taking either DIM or Armidex. You can buy DIM at your local health food store but you should talk to your doctor first and see what he thinks. Good Luck!

I am 51 & have been using cialis 20 mg for about a year it worked great for about 10 months. It has stopped working the last 2 months. I had my testosterone checked it was 392 any help would be great THANKS This discussion is related to <a href='/posts/show/226149'>If viragra doesn't work then what's wrong?</a>.

I have found that an extremely high proportion of of men with grade 2 diabetes have a low testosterone level which can cause ED. Also, it appears, cialis and viagara have little or no effect in these cases. You may have cracked my problem. I am consulting my doctor today regarding this. I'll let you know the results of the tests I will undoubtedly have to take. Thanks for all your help and kindly reassurances.

I am still tired feeling all the time. The doctor tested my Total Testosterone. CBC, Thyroid, and something else which I think was hormone reaction or something. They called and said everything was normal. Medications I am on: Lexapro 10mg/day Lamictal 100mg/day Prilosec 20mg/day Multivitamin 1/day Concerta 72mg/day Allavert 10mg/day I don't feel like the medication had any effect on my sex drive.

I do get a full erection sometimes but it will die out before i get a chance to have sex. I went to see my doctor and he did blood work. my testosterone level is 362. im not sure if that is good or bad? I was obese and started working on it a few months ago. im not sure if that had something to do with it. now im 197 lbs at 5'11" tall. my urologist prescribed me anti-depressants which i have been taking for a few weeks now but still no help and i really want to get off of them.

A. Low libido and no erection. and B. Hot flashes. My urologist knows this and tells me I always had low testosterone. Prescribed Muse last year. I've never used it. In a recent general physical I talked to my internist about this. He called the urologist and convincved him to try using androgel and also Cialis 3x per week. My PSA has been zero consistently since 2000.

My problems seem to be testosterone related as well, like related to the sex drive and response and not the physical structures themselves. And I was kind of late on some secondary characteristics like facial hair and never got any morning erections after my teens. My other health problems (all of them) are also listed as possible effects of low t, like high blood pressure, depression, etc. The doctor prescribed me Cialis, but I am not satisfied with that solution!

Urinary symptoms come and go, I was off all drugs except Cialis for 12 months then began having problems this summer. I am on Cialis. Uroxotral and urgency drugs as I write. The urinary problems are manageable, it is the lack of testosterone that is giving me the biggest problems. Ny PSA has leveled out to about .4 which is great but my testosterone has never exceeded 200 which is causing the problems above. Thanks.

So please give a good read then give it a try for 12 weeks, once you get going on it you will fill better as a lot of the things I take are very good for the blood, and its blood and a good flow the will help with erections. Good Luck What is below is a reply I put in to a discussion on side effects to ED drugs.

I believe that the cause might be related to my free testosterone level. I recently did some blood work and my total testosterone came back at 500.2 ng/dl but my free testosterone came back at 10.8 pg/ml which I believe is too low for my age. What should be the normal range for free testosterone level for a person my age?

Before I caught up with him the first time he mentioned to me he had problems with ED and was taking Cialis. This had been happening for the last 15 years in his life. When I saw him for the first time, he was able to achieve erections with no problem but had difficulty ejaculating. He did a couple of times with a lot of help from me. Forward 5 months and we catch up again and this time he could not achieve any erection whatsoever even though he was still taking the Cialis.

I am a 60 year old male and had RAI about 35 years ago. I take weekly .75ml Testosterone Cypionate injections. My current testosterone level is around 590 which is good for my age.

I understand that the testosterone gel and drugs like Cialis. etc. are all very expensive, and some insurance plans either won't cover them, or limit the quantity for which they will pay. Best wishes.

My testosterone level can be reason of shrink testes and penis size in width and length. 3. Is low testosterone can be the reason of following symptoms. muscles mass loss. muscles pain/joint pain and fatigue and last of concentration and low sexual libido and mood swing. 4. I have one daughter and my wife wants more kids. does testosterone therapy is advisible. if not what could be the treatment. 5.

252 ng/dL (Reference Range: 131 to 682) Free Testosterone. 80 pg/mL (Reference Range: 47 to 244) I don't really understand why I would be on the low side. I literally exercise (both lift weights and cardio) one to two times per day and have an impeccable diet. Just wondering if these levels would be the reason for me having a lowered sex drive and an difficult time achieving erections.

) Been taking testosterone shots and Arimedix for about a year, however libido still *****. The testosterone and training leave me with a well fit lean body, but with low/no libido. I wish I had some answers for you but you are not alone.

jeez) but he noticed that my thyroid/pituitary readings were out of whack and he couldn't figure out why, so he sent me to an endocrinologist, who I saw yesterday and who re-tested my TSH and T4 and found my thyroid/pituitary readings back to normal. But he also tested my testosterone and my total testosterone was 169 (normal is 175-781, and as one of the guys in this thread pointed out, guys our age should have testosterone readings around 600). We're waiting for my "free" vs.

I drink vanila latte's every day, and consume a lot of chocolate. I read about the effect on Testosterone. and decided to walk away from the sugar for the past 9 days. So far, it has not had an effect on my libido or erection issues. It still may be "stored" in my body so maybe enough time hasn't passed. I don't exercise much, and do not lift weights. The extent of exercise is some swimming and walking. I have always suffered some from performance anxiety with new partners.

Said nothing was wrong maybe it was stress..he tried Viagra and Cialis. and haven't really worked. I love him with all my heart and got married thinking sex isn't everything..he makes me happy in any other aspect of our relationship but now I started feeling completely unattractive. don't even want to initiate sex because I know I will be dissapointed..I go to the restroom to cry mostly every time after we try having sex because I feel so frustrated.

I'm feeling like self medicating hrt because I know doctors aren't going to give you a script unless you're extremely low. I hate estrogen pills like arimidex and aromasin. Is cialis safe to take with Entecavir? I thought about adding Cialis but the headaches and flu like symptoms can be bad at times but it works every time.

But the doctor said his testosterone was low and wants to put him to use testosterone pellets. I was confused after I left and called the office back, the nurse said that even though his testosterone levels were normal that a study was done and that they really like the levels to be at 400 for a man his age. My husband is 71 years old and he would be fine if we could just kiss and hold hands and take trips together and never have sex again, but I find the rejection to be too painful.

I had asled my doctor before the results if cialis will help in getting an erection again and she said let's get blood work. What are my options now? I don't want my marriage to suffer.

He made me want to scream because he said everything looked ok and my testosterone levels (to him) were normal. I am wondering if testosterone supplements will be the answer for me. Have you figured out anything else about your problem?

He went to an urologist that specializes in sexual issues and the nurse said on the phone that his testosterone levels came back in the normal range at 336. But the doctor said his testosterone was low and wants to put him to use testosterone pellets. I was confused after I left and called the office back, the nurse said that even though his testosterone levels were normal that a study was done and that they really like the levels to be at 400 for a man his age.

what is the normal level of testosterone for a male 59 years old,im an epileptic. had a triple by pass,anxiety and panic, now list of medications im on epival,mysoline,clonazepam, lipidil,pristiq,atenolol,prevacid,abilify,aspirin,serc,amlobipine besylate, went from cialis,penile pill insert pill,viagara, to a urologist telling me to try caverject an injection into main vein of penis at $70.00 a injection have a penis surgery cost $3000.00. and it was left there.

I assured her I wasn't and immediately scheduled an appointment with my physician who told me that he was almost certain I had performance anxiety and handed me some 10mg Cialis samples, and said it would fix my problem. Seeing that I was in great shape, he opted against bloodwork. Next couple episodes with Cialis: Same deal. I either lost my erection or didn't get one at all. I'm in shambles at this point and expect my girl to leave me.

it's a vicious cycle. The only way to know for sure is to try an ED drug - see if you can get a single Viagra or Cialis and cut it into small pieces. Try a very low dose and see if it has an effect. Remember, it only works if you *can* get aroused - it's not an aphrodisiac. A strong erection has a good mental effect, which then leads to increased desire - at least it did for me. Everyone thinks it's the other way around, and no doubt it is when you're 18.

Suboxone not only effects sex drive it effects Testosterone levels. There is a lot of misunderstanding of this out there. Viagra and Cialis without sex drive equals an erection that allows for sex but no satisfaction to the male if there is no drive. Low testosterone causes low sex drive and erectile dysfunction.

Testosterone and Men’s Health - New Insights

Today’s man, especially the mature man, is under assault. Each night as he tunes into the evening news or his favorite TV sports event he cannot escape the relentless attack on his masculinity. One after another prime time advertisers remind him that he is no longer as young as he once was- he spends too much time in the bathroom trying to urinate and too little time in the bedroom having sex. He is encouraged to “Speak with your doctor.” But which doctor should he speak to about these problems? Both urination and the ability to have sexual intercourse require normal male genital function. In the past, his Urologist, someone familiar with male genital anatomy, may have been consulted to help him cope with these problems. Today, however, he might want to chat with his Endocrinologist who has a better understanding of the male sexual chemistry needed to allow a man to urinate effortlessly and acquire and maintain penile erections firm enough to allow him to have and enjoy sexual intercourse.

One hormone (testosterone) plays a critical role in man’s problems with urination and sexual function as he ages. With advancing years, the testosterone made in a man’s testicles enters his blood stream and then penetrates his prostate gland. There, under the influence of an enzyme (5-alpha reductase), testosterone is transformed into another hormone dihydrotestosterone (DHT) and it is the increasing level of intraprostatic DHT that is the culprit responsible for the age-related increase in the size of a man’s prostate. His prostate gland is anatomically positioned right next to his urethra (the tube in the penis through which man urinates). Pressure from the bulging prostate on the urethra causes a blockade impeding the flow of urine, making it difficult for a man to release all the urine stored in his bladder. He is left with a sensation of fullness, as well as a need to urinate more often. Years ago, prostate surgery to whittle down the size of the prostate was the only way to alleviate pressure on the bladder so that urine could flow more freely.

Now that we know that the hormone DHT is directly responsible for prostate growth, there are other options. Some men have low DHT levels because they are born without the enzyme needed to transform testosterone to DHT. These men have tiny prostate glands that never enlarge. To mimic this experiment of nature, medications (finasteride (Proscar) and dutasteride (Avodart)) have been developed. These medications block the conversion of testosterone to DHT and short-circuit the stimulus to prostate growth. Treatment with either medication brings about a decline in the amount of DHT stored in the prostate. As DHT levels within the prostate decline, the prostate becomes smaller and no longer impinges on the urethra allowing men to urinate more freely.

Testosterone and Sexual Function in Young and Not-So-Young Men

There is a moment in every man’s life, coinciding with the teenage surge in testosterone release into his blood stream, when he wakes every morning with an erection and quite suddenly starts to experience sexual feelings. The morning erections are due to a diversion of blood flow into specialized spongy tissue in his penis called corpora cavernosae. As the pressure within these areas increases, his penis swells and then becomes rigid enabling him to have sexual intercourse. As a young man, the flow of blood into his penis is free and uninterrupted so that he can experience an erection without difficulty. His interest in sex (libido) is, however, testosterone dependent. As long as blood flows freely in his body, he can experience erections; and, as long as his testicles churn out a full quotient of testosterone, interest in sex is sustained. Unfortunately, over time as a man gets older he may acquire new habits and problems that disrupt both his natural sexual energy and sexual potency. For instance, he may not always eat properly, exercises less, starts to put on weight, becomes addicted to smoking cigarettes, and could be prone to the development of diabetes and high cholesterol levels. These are behaviors that individually and collectively start damaging blood vessels in his body limiting the flow of blood to his vital organs. If blood flow through his coronary arteries is diminished, he has chest pain (angina), whereas leg cramps (claudication) are the natural consequence of diminished blood flow to his lower extremities. An inability to acquire or maintain an erection is inevitable if blood flow to the penis is compromised.

Fortunately, there are now three different medications sildenafil (Viagra), vardenafil (Levitra) and tadalafil (Cialis) to help with this problem. All increase blood flow to the erectile chamber of the penis and improve a man’s chance of acquiring and maintaining an erection in response to sexual stimulation. They were thought to be the only medication men with erectile dysfunction would need to become sexually potent again. Unfortunately, none of these medications are always effective for all men. Some men fail to benefit from these medications because in addition to low blood flow they also have low serum testosterone levels. In the original studies of sildenafil (Viagra), vardenafil (Levitra) and tadalafil (Cialis) men with low testosterone levels were not allowed to participate. We now know why. It turns out that an enzyme within the penis nitric oxide synthetase (NOS) must be present in ample amounts for all of these erection enhancers to work. Men with low testosterone levels have low NOS levels and that is why they do not have erections after using sildenafil (Viagra), vardenafil (Levitra) or tadalafil (Cialis). Testosterone treatment normalizes testosterone levels; and, once this occurs, men can once again experience erections when they use either sildenafil (Viagra), vardenafil (Levitra) or tadalafil (Cialis). Not only is the maintenance of a normal testosterone level vital for a man’s sexual health, it now appears to be critical for his emotional health and possibly his longevity as well. Recent studies indicate that when men experience depression all do not respond equally to antidepressant medication. Some men, especially those with low testosterone levels, remain depressed until testosterone treatment is added to their antidepressant medication.

Testosterone and Longevity

Surprisingly, there are other risks for men with testosterone deficiency. Men with low testosterone levels do not live as long as men with normal testosterone levels. In one study, 794 men had serum testosterone levels measured and then followed for 11.8 years. Those with the lowest serum testosterone level (241 ng/dl)* were more likely to have died during those 11.8 years than age-matched men with normal testosterone levels.

Testosterone and the Annual Physical

Today, men show up for their annual physical and can expect to have measurements of height, weight, blood pressure, A1c to check for diabetes (one out of every three men with age-related diabetes have low testosterone levels), as well as a cholesterol screen. Considering the importance of testosterone in man’s sexual, and emotional health, as well as his longevity, perhaps it is now time for serum testosterone measurements to be included as part of the routine annual physical for all men.

*(280-800 ng/dl is the normal male testosterone range.)

This article is concurrently being published in Review of Endocrinology

Richard Spark, MD, FACE, received his undergraduate training at Yale and his medical degree from Case Western Reserve University School of Medicine where he was elected to Alpha Omega Alpha. His research papers have been published in several major medical journals. Dr. Spark is co-author of the recently published AACE Clinical Practice Guidelines on Hypogonadism and Erectile Dysfunction. Dr. Spark has written three books on men’s health and has also written for articles that have appeared in the New York Times Sunday Magazine and the New Republic. He and his wife have been married for 48 years and they have four wonderful children, one grandson and twin granddaughters.

Erectile Dysfunction Health Center

Testosterone is a hormone produced by the testicles and is responsible for the proper development of male sexual characteristics. Testosterone is also important for maintaining muscle bulk, adequate levels of red blood cells. bone growth, a sense of well-being, and sexual function.

Inadequate production of testosterone is not a common cause of erectile dysfunction ; however, when ED does occur due to decreased testosterone production, testosterone replacement therapy may improve the problem.

Health Check: How Much Do You Know About Testosterone Therapy?

What Causes Low Testosterone?

As a man ages, the amount of testosterone in his body naturally gradually declines. This decline starts after age 30 and continues throughout life. Some causes of low testosterone levels are due to:

• Injury, infection, or loss of the testicles
• Chemotherapy or radiation treatment for cancer
• Genetic abnormalities such as Klinefelter's Syndrome (extra X chromosome)
• Hemochromatosis (too much iron in the body)
• Dysfunction of the pituitary gland (a gland in the brain that produces many important hormones) or hypothalamus
• Inflammatory diseases such as sarcoidosis (a condition that causes inflammation of the lungs )
• Medications. especially hormones used to treat prostate cancer and corticosteroid drugs
• Chronic illness
• Chronic kidney failure
• Cirrhosis of the liver
• Stress
• Alcoholism
• Obesity (especially abdominal)

What Are the Symptoms of Low Testosterone?

Without adequate testosterone, a man may lose his sex drive. experience erectile dysfunction. feel depressed, have a decreased sense of well-being, and have difficulty concentrating.

What Changes Occur in the Body Due to Low Testosterone?

Low testosterone can cause the following physical changes:

How Do I Find Out If I Have Low Testosterone?

The only accurate way to detect the condition is to have your doctor measure the amount of testosterone in your blood. Because testosterone levels fluctuate throughout the day, several measurements will need to be taken to detect a deficiency. Doctors prefer, if possible, to test levels early in the morning, when testosterone levels are highest.

Note: Testosterone should only be used by men who have clinical signs and symptoms AND medically documented low testosterone levels.