Prostate Health

What science can tell us about sex.
Romantic Husband
King bed
Posts: 305
Joined: Sun Jan 04, 2015 10:31 am
Date of your marriage (past or future): January 1st, 1978
Gender: Male
Location: Texas

Re: Prostate Health

Postby Romantic Husband » Sat Feb 13, 2016 4:32 pm

I'm not a doctor, but I can report my own personal experience with finasteride (also known as Proscar). It was prescribed for me by my urologist about ten years ago to treat my enlarged prostate (BPH) and an elevated PSA test result. Over time, it apparently decreased my libido to the point that I was initiating infrequently. I say apparently because the change was slow, and I didn't make the connection. My urine flow also slowed so that it would take forever to finish without dribbling.

My new urologist took me off of it a little over a year ago, implying that this treatment was antiquated. After about a month, I was aggressively pursuing my wife, to the point that she stated that she felt like she was married to a 19 year-old again (we're in our early 60's). By this I mean that we were averaging PIV about 30 times per month. It wasn't everyday; but do the math: some days we were going at it 2 or 3 or more times a day.

Roughly 6 months ago, the same new urologist put me on Flowmax. My urine flow now tests (yes, there are tests for this - it involves peeing into a funnel that has a sensor wired into it) as normal for a 20 something year old male. The first time I went after starting the drug, I could definitely feel the difference - I felt like I had been turned into a human fire hose.

Sexually, the Flowmax seems to have made no difference in my case. We've slowed down from the 30 times per month rate, but that's due to other physical issues my DW is having. One of the possible side effects of Flowmax is retrograde ejaculation (the ejaculate goes back into the bladder instead of out of the penis), but that doesn't seem to be the case with me.

If I can answer any questions, I'll be glad to help in any way.
Matthew 19:26 - With God all things are possible.
Philippians 4:13 - I can do all things through Christ which strengtheneth me.

gymaddict
King bed
Posts: 451
Joined: Wed Aug 12, 2009 11:41 am
Date of your marriage (past or future): November 24th, 1972
Gender: Male

Re: Prostate Health

Postby gymaddict » Mon Feb 15, 2016 12:07 pm

Romantic Husband

Have you had your Testosterone levels checked? your free T? your estrogen level?

I would suggest you do that as you have an admirable libido for a man your age. If your T levels and the other levels ever get lower, you will have a baseline of how you want to feel if you choose TRT.

At your age, my libido was much higher, though not as high as what you personally describe. You are blessed with good hormones.

However as my late sixties rolled around, my hormonal levels diminished rapidly. So my advice to you is as above. If ever your hormonal levels leave you relatively libidoless (as I am), you will know how you want to feel and have the numbers/tests to get where you want to go with T supplementation if that is your choice.

Congratulations on your excellent libido and your great marital/sexual relationship in your sixties.

Romantic Husband
King bed
Posts: 305
Joined: Sun Jan 04, 2015 10:31 am
Date of your marriage (past or future): January 1st, 1978
Gender: Male
Location: Texas

Re: Prostate Health

Postby Romantic Husband » Mon Feb 15, 2016 12:37 pm

Gymadict, thank you for that. Yes, I used a home test kit last fall, then had my Dr. draw blood and run a comprehensive panel that confirmed those results. Testosterone and free testosterone were good, not great, for my age. He didn't test estrogen, however. Could you discuss why you think this is important?
Matthew 19:26 - With God all things are possible.
Philippians 4:13 - I can do all things through Christ which strengtheneth me.

gymaddict
King bed
Posts: 451
Joined: Wed Aug 12, 2009 11:41 am
Date of your marriage (past or future): November 24th, 1972
Gender: Male

Re: Prostate Health

Postby gymaddict » Mon Feb 15, 2016 7:56 pm

Romantic

I was on TRT a couple of years ago. I could never get the shots of T cypionate, HCG, arimidex tablets balanced so I stopped it all.

In my early sixties like you, I was doing fine, libido wise, and erectile wise.

If I had done the blood testing in my early sixties, I would have had a base line of how I wanted to feel and something to shoot for in trying to balance my T, my free T, my estrogen levels.

Hope this helps and enjoy your good hormonal status. You are blessed.

User avatar
Crown of Iron
On the floor
Posts: 1673
Joined: Fri Aug 31, 2007 10:58 am
Date of your marriage (past or future): November 2nd, 1985
Gender: Male
Location: Water Winter Wonderland

Re: Prostate Health

Postby Crown of Iron » Tue Feb 16, 2016 12:16 am

Snuggle Muffin wrote:COI, what's the dosage of saw palmetto you're taking?


I take four (4) of the tablets daily: two in the morning, and two in the evening. But that's with the GNC Saw Palmetto Formula tablets; other's are different.

User avatar
Nvr2Late
On the floor
Posts: 1500
Joined: Mon Nov 09, 2009 8:23 pm
Date of your marriage (past or future): February 9th, 2013
Gender: Female
Location: Midwest

Re: Prostate Health

Postby Nvr2Late » Tue Feb 16, 2016 8:13 am

My DH was treated for some months, perhaps close to a year, with Finasteride. His results were dreadful. Penile shrinkage and complete loss of libido and erectile function. This was about 6 months before we met. He was so alarmed that he stopped taking it, but residual effects continued for a while.

He has a mild to moderate case of BPH. He keeps it controlled to his satisfaction with Palmettoplex, a Standard Process supplement. When he adds daily use Cialis, he has virtually no urinary issues.

We've tried a few saw palmetto brands and most were effective to some extent. I understand it's actually prescribed in Europe, and our doctor highly recommends it.
___________________________________________________________________________
How we handle our spouse's shortcomings reveals more about our own character than theirs. * I’ve already told you more than I know.

Unfulfilled
Hammock
Posts: 1099
Joined: Wed Sep 24, 2014 3:08 pm
Date of your marriage (past or future): September 5th, 1989
Gender: Male

Re: Prostate Health

Postby Unfulfilled » Tue Feb 16, 2016 4:19 pm

Is there any harm in taking saw palmetto preventively?

I have no pronounced issues, but would taking it before problems show up help prevent any problems from occurring?

User avatar
Snuggle Muffin
King bed
Posts: 289
Joined: Tue Mar 23, 2004 6:29 pm
Date of your marriage (past or future): January 1st, 2002
Gender: Male

Re: Prostate Health

Postby Snuggle Muffin » Wed Feb 17, 2016 7:23 am

COI, how much is in each saw palmetto tablet?
"Rejoice in the wife of your youth... may you be forever captivated by her love!"
Prov 5.15-20
"I wanna be rich in memories not money / Our love is our inheritance, honey"
Jon Foreman, "Inheritance"

User avatar
be64
King bed
Posts: 585
Joined: Thu Dec 10, 2015 7:33 am
Date of your marriage (past or future): March 25th, 1988
Gender: Male

Re: Prostate Health

Postby be64 » Wed Feb 17, 2016 5:30 pm

I have been having prostate issues since I was a teenager. First I had prostate fluid reflux into my testicles due to lack of sex since I wasn't married and avoided mastrubation. Then I began having acute bacterial prostatitis and chronic prostatitis. Now I have urinary symptoms of BPH.

The three things I think are most important for prostate health are frequent ejaculation to keep the prostate flushed out, prostate massage to promote good blood flow, and proper hormone balance. While traditional medicine says testosterone is the cause of prostate disease, I tend to agree with more recent studies which claim that it is low testosterone and high estradiol which leads to BPH and prostate cancer. I keep my testosterone high and my estradiol low. I also use 5mg Cialis Daily for urinary symptoms, and I take a saw palmetto supplement, but at a low dose. I believe that high dose saw palmetto may have the same low DHT and low libido effects that finasteride can cause.
The secret to having everything is believing you already do!

User avatar
Nvr2Late
On the floor
Posts: 1500
Joined: Mon Nov 09, 2009 8:23 pm
Date of your marriage (past or future): February 9th, 2013
Gender: Female
Location: Midwest

Re: Prostate Health

Postby Nvr2Late » Thu Feb 18, 2016 9:38 am

Unfulfilled wrote:Is there any harm in taking saw palmetto preventively?

I honestly don't know, but I'd ask my doctor. It does affect your hormones, so I'd be cautious.
___________________________________________________________________________
How we handle our spouse's shortcomings reveals more about our own character than theirs. * I’ve already told you more than I know.

User avatar
Clean Sheets
King bed
Posts: 655
Joined: Sun Jun 06, 2004 12:32 am
Location: spin cycle

Re: Prostate Health

Postby Clean Sheets » Sun Feb 21, 2016 11:02 pm

Job29Man wrote:
Clean Sheets wrote: I lost at least an inch of size... and in a flacid state it looked like my penis did when I was 9.
Dude! That's like every man's worst nightmare! :shock: :shock: :shock:


YES. I lived it for a couple of days. :shock: :lol:

User avatar
Crown of Iron
On the floor
Posts: 1673
Joined: Fri Aug 31, 2007 10:58 am
Date of your marriage (past or future): November 2nd, 1985
Gender: Male
Location: Water Winter Wonderland

Re: Prostate Health

Postby Crown of Iron » Tue Feb 23, 2016 12:42 am

Wow. I didn't realize that there were so many side effects to finasteride and saw palmetto. Since I'm a grower, and I put on weight, I didn't really notice any difference that couldn't be attributed to weight gain; I liked being able to keep the hair on my head, and didn't mind losing body hair (I had furry patches on my back and such). The only side effects that I ever heard of for saw palmetto was enormously intense orgasms; it's been known for a very long time for its efficacy, low side effects and what one's there were, were very pleasant.

Guybrush
Twin size
Posts: 34
Joined: Fri Jan 01, 2016 2:06 pm
Date of your marriage (past or future): June 23rd, 1990
Gender: Male

Re: Prostate Health

Postby Guybrush » Wed Feb 24, 2016 7:11 am

Re BPH - I'm not a doctor, but my advice for over 40's would be to monitor how well can you can urinate, and if the flow appears to be significantly reducing, to get checked out. Constipation can also cause urinary retention, so plenty of fluids and a healthy diet with enough fibre. Some drugs can also cause urinary retention to happen.

If there are other symptoms such as pain or burning when passing urine, or blood flecks or cloudy urine then medical advice is needed - Infection may be present.

As for testosterone supplements, I haven't noticed any proven benefits of these. And there's some contradictory evidence as to the effects of testosterone levels anyhow. As for prostatic massage, other than the erotic benefits of this, are there any proven health benefits?

There does seem to be a shortage of hard evidence of managing your prostate as we all get older, but I'll research what Crown of Iron is saying about Saw Palmetto!

User avatar
be64
King bed
Posts: 585
Joined: Thu Dec 10, 2015 7:33 am
Date of your marriage (past or future): March 25th, 1988
Gender: Male

Re: Prostate Health

Postby be64 » Wed Feb 24, 2016 7:33 am

Guybrush wrote:As for testosterone supplements, I haven't noticed any proven benefits of these. And there's some contradictory evidence as to the effects of testosterone levels anyhow. As for prostatic massage, other than the erotic benefits of this, are there any proven health benefits?


If by testosterone supplement you mean over the counter testosterone boosters, then I'd say there is little benefit. However, real testosterone replacement therapy has many proven health benefits. In my view low testosterone is the main cause of age related decline.

The prostate has poor blood circulation which is one of the reasons prostatitis can be hard to cure. Antibiotics don't penetrate the prostate well, and the prostate can harbor bacteria. Prostate massage can improve blood flow and also helps to eliminate and prevent clogged ducts within the prostate. Many men report improved prostate health/reduced prostate pain with regular prostate massage.
The secret to having everything is believing you already do!

User avatar
Job29Man
Pay no attention to the folks behind the curtain.
Pay no attention to the folks behind the curtain.
Posts: 8028
Joined: Wed Jul 26, 2006 3:52 pm
Date of your marriage (past or future): August 2nd, 1980
Gender: Male
Location: Hobby Farm, USA

Re: Prostate Health

Postby Job29Man » Wed Feb 24, 2016 9:40 am

be64,

In your understanding is it aging that causes the decline in T? Or is it a decline in T that causes (abnormal?) aging?

If T declines (abnormally) first, what makes it decline? What are the organic causes?
Wanting to become like Job, as described in the Bible, the book of Job chapter 29. Hence the screen name.

Guybrush
Twin size
Posts: 34
Joined: Fri Jan 01, 2016 2:06 pm
Date of your marriage (past or future): June 23rd, 1990
Gender: Male

Re: Prostate Health

Postby Guybrush » Wed Feb 24, 2016 2:59 pm

be64 wrote:If by testosterone supplement you mean over the counter testosterone boosters, then I'd say there is little benefit. However, real testosterone replacement therapy has many proven health benefits. In my view low testosterone is the main cause of age related decline.

The benefits are the things the companies that make them spout on about, but they don't always highlight the risks that may go along with taking medicines, such as raising the risks of blood clots, strokes, cardiac problems or prostate cancer, which some research has suggested is the case for older men who take testosterone. http://www.livescience.com/46703-popula ... dence.html.

On the other hand, you would clearly do more harm to your ticker and cancer risks by taking known lifestyle choices. And the risks of testosterone therapy aren't properly proven.

User avatar
be64
King bed
Posts: 585
Joined: Thu Dec 10, 2015 7:33 am
Date of your marriage (past or future): March 25th, 1988
Gender: Male

Re: Prostate Health

Postby be64 » Wed Feb 24, 2016 7:37 pm

Job29Man wrote:be64,

In your understanding is it aging that causes the decline in T? Or is it a decline in T that causes (abnormal?) aging?

If T declines (abnormally) first, what makes it decline? What are the organic causes?

It's my understanding that testosterone production is regulated by the estradiol feedback loop. When the brain detects low estradiol then the signal for testosterone production is given. The testosterone level goes up and some of it is converted to estradiol. When the brain detects adequate estradiol the signal for testosterone is stopped. As men age estradiol levels naturally go up due to aging and due to increased fat since aromatase, the enzyme which converts testosterone to estradiol, is produced in the fat. Therefore increasing estradiol levels decrease testosterone levels. As men age testicle and pituitary function also decline causing lower testosterone production. The increase in estradiol combined with the decrease in testosterone is the worst possible hormonal situation.

I believe that it has been shown that low testosterone is a causal factor of many of the disease states of old age such as diabetes, heart disease, loss of muscle mass, lose of bone density, loss of libido and erectile dysfunction.

While testosterone is not the fountain of youth, youthful lestosterone levels certainly improve overal health.

Something else to consider is that even if ones testosterone level is "normal" that does not necessarily mean optimal and as one ages the free testosterone level also declines even if the total level does not.
The secret to having everything is believing you already do!

User avatar
be64
King bed
Posts: 585
Joined: Thu Dec 10, 2015 7:33 am
Date of your marriage (past or future): March 25th, 1988
Gender: Male

Re: Prostate Health

Postby be64 » Wed Feb 24, 2016 8:33 pm

Guybrush's post feeds on the old saying "steroids kill". Testosterone has been given a bad rap. Testosterone is not a medicine or drug, it's a naturally occurring hormone that all humans have circulating within them. It seems a foolish notion to think that a youthful testosterone level is a health risk. The heart attack, stroke, and blood clot risk is due to not monitoring for elevated hematocrit and hemoglobin levels which thicken the blood, the treatment for which is to give blood regularly.

As far as prostate cancer, it's old men with low testosterone and high estradiol who have prostate cancer, not young men with high testosterone and low estradiol.

Speaking for myself, I've been on testosterone replacement for many years and have seen the benefits. I'm 51 years old and I'm lean and fit, low libido and ED are a thing of the past. I've begun learning taekwondo along with my 14 year old son. After working out with weights my entire adult life the taekwondo workouts I'm doing are by far the most intense workouts I've ever done and I'm keeping up with those less than half my age. I would never want to have low testosterone again.

If you think that testosterone is dangerous look at the list of potential side effects of any pharmaceutical drug and decide for yourself what you think is most dangerous.
The secret to having everything is believing you already do!

User avatar
Nvr2Late
On the floor
Posts: 1500
Joined: Mon Nov 09, 2009 8:23 pm
Date of your marriage (past or future): February 9th, 2013
Gender: Female
Location: Midwest

Re: Prostate Health

Postby Nvr2Late » Thu Feb 25, 2016 10:51 am

If high testosterone killed men, no guy would live beyond puberty :lol:

There IS a thing called polycythemia which my husband has and is a direct result of T therapy. It's something to take seriously, but if you are forewarned, and you are seeing a doctor who is on the cutting edge of hormone replacement therapy, (AND you educate yourself), there are ways to deal with the side effects.
___________________________________________________________________________
How we handle our spouse's shortcomings reveals more about our own character than theirs. * I’ve already told you more than I know.

User avatar
be64
King bed
Posts: 585
Joined: Thu Dec 10, 2015 7:33 am
Date of your marriage (past or future): March 25th, 1988
Gender: Male

Re: Prostate Health

Postby be64 » Thu Feb 25, 2016 9:23 pm

Yes, this is exactly what I was talking about. Polycythemia is the overproduction of red blood cells that is measured by an increase in hematocrit and hemoglobin.
The secret to having everything is believing you already do!


Return to “The Science of Sex”

Who is online

Users browsing this forum: No registered users