Great T levels, ED Continues

Erectile disfunction, premature ejaculation, delayed orgasm, etc.
Cookiej36
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Great T levels, ED Continues

Postby Cookiej36 » Sun Feb 25, 2018 10:22 am

Hello
My husband began having erectile issues last year. He is 57. When this first started I assumed it was probably due to low T. I encouraged him to attend a seminar on testosterone replacement specifically Biote. He had his blood drawn that day and the results were less than 500. I’m can’t remember his free T level. At any rate, he was pelleted with great results. His activity level increased dramatically, he was sleeping better, eating better, etc. The ED was all but gone and our sex life was fantastic up to 5-7 times per week from 1-2 times.
He was repelleted in late December and hasn’t had quite the same results. He has since exhibited prostate issues (up 2-4 per night), urgency to urinate during the day, etc. ED is back with a vengeance. Earlier this month he saw his PC for his regular check up. He currently is on cholesterol meds, 2 BP meds, and Flomax (started last yr sometime). Flomax is the only new drug, he’s been on the others for several years.
At any rate, his PSA was at 3.6 (up from 3.1 in August), prior to that it was 1 or less. Testosterone was 1360, free T wasn’t checked. All other results were within normal limits. DRE was not performed to my knowledge. His PC has referred him to a Urologist.

All this leads to my questions/concerns:
The PSA results worry me, although I’m not sure why. We had sex the morning of his latest Bloodwork. Now I read that we probably shouldn’t have done that, but we were unaware of the issues it would/could create. And very possibly had sex within 24-48 hrs of the August BW.
Could the pellet or the Flomax be causing this upward trend?
His libido is good and he’s able to get an erection about 90% of the time, but cannot sustain it to climax 90% of the time. And he’s only truly ejaculated no more than 3 times in the last month, I’m attributing that to the Flomax. He hates it and so do I!
Should I attend the urology appointment with him? We don’t normally attend each other’s appointments, but I’m worried he will not discuss the ED issues and if he does he’ll will down play it. He’s not a particularly good sharer! LOL
I’m hoping you guys have some insight, answers, advice, heck I’ll take anything you’ve got!
We are in our mid 50s, empty nesters, and sex has really become a big part of our lives now especially since we’ve discovered Biote so this last couple of months have really sucked!

Hoosier52
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Re: Great T levels, ED Continues

Postby Hoosier52 » Sun Feb 25, 2018 12:59 pm

Flomax can cause that. Take 5mg of Cialis daily instead. No ejaculation 48 hrs prior to PSA test. I wouldn't let the urologist do a biopsy. Retest the PSA after abstaing. TRT always raises PSA. I wouldn't fret at this point. If DH is ok with it, it wouldn't hurt to go in with him. Two are better than one.

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SquarePants
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Re: Great T levels, ED Continues

Postby SquarePants » Sun Feb 25, 2018 1:15 pm

Is his doctoring monitoring or doing anything to control his estrogen levels? You mentioned that his testosterone level was now at 1360, which is pretty high. This will certainly increase his estrogen levels. High levels of estrogen will block the beneficial effects of testosterone. It's really easy to manage. Estrodiol (the primary active form of estrogen) should checked with each labwork. If it's high,the doctor can prescribe a dose of Arimidex (the generic is called Anastrozole).

Cookiej36
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Re: Great T levels, ED Continues

Postby Cookiej36 » Sun Feb 25, 2018 3:06 pm

So after a short discussion my husband only took the Flomax for a week last spring prior to the HRT. Now the lack of ejaculation really puzzles me.
After we got his latest test results, I checked with the bHRT doc who was pleased with his levels and said that it should last him several months. She said that’s where they like the numbers to be. Men feel good at that those levels. He did take DIM after his first pellet for 3-4 weeks but hasn’t taken any this time around.
I will also add that his regular doc does not like the bHRT and is really resistant in learning anything about it. I hope that the Urologist is pellet friendly and has some knowledge of it.

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beekeeper
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Re: Great T levels, ED Continues

Postby beekeeper » Sun Feb 25, 2018 4:58 pm

Cookiej36 wrote:... Should I attend the urology appointment with him?


Yes.

I had a high PSA, it turned out to be cancer. My wife has gone to most of my urology appointments. It is not uncommon that doctors questions are directed at my wife to answer.


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