Hormone Replacement Therapy for men- Pro or Con?

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Re: Hormone Replacement Therapy for men- Pro or Con?

Postby PK Man » Mon Oct 26, 2009 9:37 pm

I have mentioned this before. All I can say is don't put it off. The difference is life changing. I don't know what I would do now if my Dr. decided against this. HRT works for me. I can't speak for anyone else, but everyone I know who has tried it raves about the benefit. The grin on your face is impossible to misunderstand. DW is grinning too.
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Re: Hormone Replacement Therapy for men- Pro or Con?

Postby dls » Tue Feb 23, 2010 8:30 am

I have been on HRT for about one year. I was in a Low T study for 3 years for Type II diabetics. My Dr. advised me of a "New" type of T drug. It is called Testopel. Small pellets that he injects twice a years. My first go round was 15 pellets 75mg. each. All injected at one time. They about 1/8 in. long maybe 1/4 in long. Very little pain if any. The results were amazing. raised my T count from below 300 to over 650. My last dose was 20 pellets and my count is now 750. The cost is very reasonable and covered by insurance except for my co-pay. New energy, not tired any more. Life is fun again. Completely lowered my stress level. Total raised my sexual desire. So far it hasn't done much for my ED but that is another problem we are dealing with. DW is very understanding. I now have her working on her lack of desire which we think is low T. Loving each other is the key. I can not recommend this drug highly enough. Quick, easy and effective. :D
Men if you haven't checked your T level get it done "NOW". The quality of your life and that of your DW is worth it all.

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Re: Hormone Replacement Therapy for men- Pro or Con?

Postby OldMarriedLady » Thu Feb 25, 2010 9:07 pm

What do you do if your doctor says your T-level is normal, but you still have all the symptoms of low testosterone? My DH is 52 years old and has been having problems with erectile dysfunction and low libido for about 6 months now. I suggested he get his testosterone level checked, so he went in for a blood test (only to appease me, he doesn't see any of this as a "problem" - he figures it's a normal aging process). His level came back as 520 which the doctor said is perfectly normal. In fact, the doctor said my DH is physically fine in every way, and had no suggestions to help with the ED other than Viagra (which I will not let DH take because of his high blood pressure) and getting a little more exercise. I have noticed that DH is excessively tired - he falls asleep anytime he sits in a comfortable chair, basically - and he has just gotten into the mindset that "men get less interested in sex when they hit their 50's, it's normal, I'm just getting old". Well, I'm 49, and I don't feel old and ready to be sent out to pasture any time soon!! I did talk to him about possibly taking L-Arginine (I told him it was a "vitamin" that kind of works like an all-over "tonic" that would perk him up a bit, because if I say it's for the ED/libido, he will feel like all I care about is him having "working equipment" that I can use). Any suggestions out there?
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Re: Hormone Replacement Therapy for men- Pro or Con?

Postby dls » Tue Mar 02, 2010 8:51 am

Old Married Lady:
May I suggest you and your DH get a second oppinion. Have your DH see a urologist. He deals with these types of problems everyday. My DW sat and cried one day about my lag of desire and I felt the honest need to get help. I have gotten that help. My desire and energy levels are great again and I am 63. All of this medical help hasn't done much for my ED. But, DW is very understanding about that. I do not let it get me depressed. DW does great with finding ways for me to get the O as I do her also. High blood pressure and the meds you take for it add to the ED problem. I would not be affraid of DH taking viagra or cialis or any other drugs the Dr. recommends. It took me two years to get this all worked out. It is kind of funny that the shoe is on the other foot now. My DW needs to see her OBGYN about her lack of desire now. We think she is having the very same problem. Low T effects women also. She started taking BP meds a while back and they may be at the root of her problems. Loving each other can help you both get through this. It is not unusual to have theese thing happen over the cousre of out lives. You will be in my prayers. :wink:

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Re: Hormone Replacement Therapy for men- Pro or Con?

Postby Poopa » Tue Mar 02, 2010 10:34 am

I would second that opinion. Since beginning Testosterone therapy I have not experienced much ED improvement. My interest levels and sense of well-being, however, have much improved and for that reason alone I would recommend therapy. My DW is now somewhat out of sync with my desire levels but has been wonderfully co-operative. We'll now work on improving her levels so we can make progress together. She has an appointment in about a week to discuss HRT replacement options. I have used some samples of Viagra, Levitra, and Cialis and they do indeed work but the side effects are a problem afterward. Not to mention the expense. Drug plan does not cover and it is a large out of pocket expense. I wonder about alternatives?

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Re: Hormone Replacement Therapy for men- Pro or Con?

Postby hubbyforher » Tue Mar 02, 2010 11:00 am

While it's not too common, sometimes people's test levels are in the normal range (520 is pretty good), but their "free test", that which is actually bio-available is low. Typically total test and free test correlate, so that when one is high so is the other, but in some cases, that is not true. If your free test is low, then the symptoms your DH is facing makes some sense. He may also want to have his thyroid checked.
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Re: Hormone Replacement Therapy for men- Pro or Con?

Postby OldMarriedLady » Wed Mar 03, 2010 4:23 am

Thank you for your replies, everyone - hubbyforher, as far as I know the doctor only ran one test for testosterone level with that one result. We didn't hear anything about "free" testosterone. This was just our GP who did the tests; should we ask for another test that's more in depth, or should DH see a specialist? (Poor dear, he must think that all I care about is getting "it" fixed, with my insistence on all these tests.) I do have to say though, I went and picked up some L-Arginine and Pumpkin Seed Oil capsules for him yesterday, and he took them this morning willingly and with a smile, so that's encouraging ;) - he's usually really whiny about having to take any pills for anything. As Poopa said, interest levels and sense of well-being are also very important here, and that's where my DH is having troubles besides the ED.
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Re: Hormone Replacement Therapy for men- Pro or Con?

Postby hubbyforher » Wed Mar 03, 2010 7:58 am

I don't think you need to go to a specialist to get a full blood panel drawn. When you got for it, ask them whether it includes free test and thyroid, I would think that it does. The specialist is more helpful in interpreting the results of the blood test, rather than getting the blood drawn.
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Re: Hormone Replacement Therapy for men- Pro or Con?

Postby PK Man » Wed Mar 03, 2010 2:42 pm

Does anyone here have any experience with the reverse effect that comes from use of Testosterone Therapy. I have heard of something called "aromatization" (Not sure of spelling or in actual word). Anyway, if I am not mistaken it involves a raising of the female hormone...estrogen. Somewhere I had read about taking 50 mg of Zinc and 2 of copper which I am doing, but I am not sure this is having any effect.

I have found in the last month a kind of roller coaster effect. A little depression thrown in and although libido is OK, I am not the 20 year old I was a month ago, if you know what I mean. I also have found that get the occasional night sweats that I experienced before starting on T last summer.

Most of the reading I have seen is so technical I just don "get it". I need simple answers. :roll:

If anyone has something to contribute that would be great.
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Re: Hormone Replacement Therapy for men- Pro or Con?

Postby ledgemoor » Wed Mar 03, 2010 2:45 pm

DW had uterine cancer and a hysterectomy, and was fortunate to find a gyn who also specializes in HRT. He worked wonders for her, not only replacing the sex hormones that ovaries normally produce, but found an unrelated thyroid problem other doctors had missed, as well as Vitimin D deficiency. In general she is feeling better now than before the cancer. She had about 25 blood tests and a saliva test as well.

This doctor sees men too. I have been having problems in bed and concentrating at work, because of stress and age probably. I went to see him yesterday. I didn't have to have a saliva test and only needed about 15 blood tests. I don't have a list of the tests he ordered on hand, but I remember free and total testosterone, cortizol, TSH (thyroid), T3 (tyhroid), A1C, and something having to do with DHEA. He would have ordered a PSA and cholesterol test as well, but I had them done recently at a free health fair the local hospital was doing.

But yeah, a lot of things besides testosterone can affect sexual performance.

I appreciate everyone's posts here. I know more about female hormones than I do my own (and not very much about that), and need to learn more!

My appt is in 2 weeks, so I'll know more then. Either I am deficient in something and he can fix me, or it's all in my head, in which case I guess it will resolve itself sooner or later :-)
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Update Re: Hormone Replacement Therapy for men- Pro or Con?

Postby ledgemoor » Thu Mar 18, 2010 7:10 am

Had my appt and my testosterone was low--just inside the normal range, and I have thyroid problems -- very high reverse t3.

The doc prescribed 1/2cc testosterone injection per week, 50mg of zinc, plus a T3 thyroid suppliment. DW gave me the shot 2 days ago -- too early to tell if it is going to make any difference. And we have other issues going on that are affecting me the libido department. I did sleep really well the last two nights, however. I think I read that low T3 or T4 can cause problems with sleeping.

PKMan, Zinc and DHEA retard the conversion of testosterone into estrogen. DW is on Zinc and DHEA for that reason, but my DHEA level was normal. I experimented on my own, taking extra zinc and DHEA for about 3 weeks, and couldn't tell any difference either. But, if there is very little testosterone to get converted to estrogen in the first place, the results of my experiment make sense. Plus the DHEA probably wasn't helping because I had enough already.

An aside, I find it interesting that standard HRT for men is bioidentical -- FDA approved and the whole ball of wax. I got the perscription filled at Wal-Mart. But the standard HRT treatment for women is non-bioidentical Premarin.
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Re: Hormone Replacement Therapy for men- Pro or Con?

Postby OldMarriedLady » Thu Mar 25, 2010 2:33 pm

OK, we just got the results back from having DH's FSH, LH, and TSH tested. TSH came back as 1.37 (normal range being .4 to 5.0), FSH is 10.8 (normal range being .7 to 11.1), and LH is 6.9 (normal range being .8 to 7.6). I did a little research on the web, and apparently men having high levels of FSH and LH could be having some kind of testicular failure. Usually when we get the test results back (our clinic has an online service where we can see our charts and test results), there will be a "flag" next to them if something is too high or too low. There is no flag next to either his FSH or LH results, but they seem awfully high considering the normal range. The doctor also ordered a free testosterone level test, but those results aren't back yet. Does anyone here have any experience with these types of test results? Did anyone here ever have their thyroid affect their libido? (On it's own, not in conjunction with low T?)

Edit: The results are in for the free testosterone test - total 540, bioavailable 247, free 102 pg/ml, % free 1.9. I have to find a reference chart somewhere that I can compare these with.

Poor DH - he still feels generally tired and poopy, and now he feels a bit like a lab rat with me obsessing over "getting him fixed". I told him about his FSH and LH this morning, and the first thing he said is "I'm probably dying, aren't I?" (He's a lifelong pessimist.) The second thing he said was "well, this should make you feel better knowing that it's not you". ::cool ::tnx ::luv2 I guess it helps to know that a lot of these conditions can affect his general health too, so even if he just ends up feeling really well overall but still LD, I don't have to feel bad about pushing him to do all this. This is just such a weird place for us to be in after all these years together - before my semi-awakening, I couldn't have cared less about either one of our drives, and never would have thought it was something that could be fixed medically. I probably would have just chalked this up to old age or mental illness (LOL) and let it go.

Ledgemoor, how have you been feeling since your last post? Poopa, has your DW started HRT yet? I've been on Premarin for 13 years now (menopause was WAY too early, I was 36). Unfortunately I was taking that stupid Zoloft anti-depressant for 13 years too, so I had no way to tell which one was causing my LD and sexual "numbness", but now that I'm off the Zoloft and rarin' to go / HD, I guess the Premarin wasn't the problem :mrgreen: . I hope it works out well for your DW too.
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Re: Hormone Replacement Therapy for men- Pro or Con?

Postby hubbyforher » Fri Mar 26, 2010 5:45 am

PK Man wrote:Does anyone here have any experience with the reverse effect that comes from use of Testosterone Therapy. I have heard of something called "aromatization" (Not sure of spelling or in actual word). Anyway, if I am not mistaken it involves a raising of the female hormone...estrogen. Somewhere I had read about taking 50 mg of Zinc and 2 of copper which I am doing, but I am not sure this is having any effect.

I have found in the last month a kind of roller coaster effect. A little depression thrown in and although libido is OK, I am not the 20 year old I was a month ago, if you know what I mean. I also have found that get the occasional night sweats that I experienced before starting on T last summer.

Most of the reading I have seen is so technical I just don "get it". I need simple answers. :roll:

If anyone has something to contribute that would be great.


PK Man, aromatization is the process of test in your body converting to estrogen. Most people don't know this, but the difference between the two hormones is very small, and the aromatase enzyme attaches to the testosterone molecule and converts it to estrogen. So some men who are taking TRT will find that their test levels AND their estrogen levels have increased substantially. So they will take an aromatase inhibitor (such as arimidex or letrozole). These drugs prevent the aromatase enzyme from doing their dirty work. But be careful, too much, and your estrogen levels will decrease too much, and with no estrogen in your system, your libido goes bye-bye.

The key for men is having the proper ratios of test to estrogen.

When estrogen levels go to high, men tend to hold a lot of water, and can get gyno (moobs).
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Re: Hormone Replacement Therapy for men- Pro or Con?

Postby ledgemoor » Mon Mar 29, 2010 10:46 am

Hi OldMarriedLady--

Well, it hasn't been 2 weeks yet (could take a month for full effect), but the testosterone is definately working in the sex department. I always wake up with an erection now as opposed to half of the time before. Erections are firmer and I no longer lose them while making love of masturbating. Orgasms are stronger, longer, and much more enjoyable. I am having 4 or 5 ejaculations per week, as opposed to 2 or 3 before, although 1 per day was normal for me a year ago. I'm not back to normal yet, but if I don't improve, I can live with how I am now. Better too little testosterone than too much.

Although I had no sleeping problems, I am now sleeping better. I am sleeping more at night, and dreams are more vivid. I am not napping as much. Not sure if it is the testosterone, sex, or the T3. I haven't lost any weight yet, but I am less hungry and eating less -- so it's simple physics -- if I eat less and maintain the same level of activity, I will lose weight.

I haven't had any undesirable side effects.

And DW looks way hotter now! Ladies, forget the makeup, facials, lingerie, new wardrobe, etc. Just get your DH some testosterone injections! :-)

As for overall energy and mental alertness, I haven't noticed much difference. It is a tad better, but that could be attributed to the better weather, getting out more, and our sex life working again. The Cytomel (T3) dosage for my thyriod is half what DW is getting. My numbers are worse, and I am twice her size. I asked the doctor if the dosage is in error. It isn't -- he wants to be conservative and give it time to work. He'll up it in a month if I still want him to.

I hope you can encourage your DH to get treated. Fortunately for me, my problems have been a relatively recent development. I remember how things used to be and want to get back what I had. But I fully understand the not-giving-a-damn-about-anything feeling. If it's been a lifelong problem, I can see how getting him to do something about it could be difficult. But I think it is within your right to insist. At least give it a try. The risk is minimal -- I don't see how getting his body chemistry in the ballpark can be anything but good.

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Re: Hormone Replacement Therapy for men- Pro or Con?

Postby OldMarriedLady » Mon Mar 29, 2010 7:38 pm

Ledgemoor, God bless you for responding and I am SO happy for you and DW that the therapy is working well. I laughed out loud at your comment about DW looking hotter - I'm sure that she has always looked plenty hot to you before. :mrgreen:

I had talked to DH last week about his test results and that they need to be discussed with the doctor, but it's like he doesn't hear me. He never did call the doctor to make an appointment. Just this morning, I had written him a note telling him that I'm not going to pursue the matter with him any more because it's just making him feel bad, like he's "defective" in some way and disappointing me. I did, however, tell him that he might want to talk to the doctor about those results anyway because they could very well indicate a problem with his overall health, not just his sexuality. So I had pretty much written off any chance of getting him treated. Then I came to TMB and read your response, and I had to go get DH and have him read it (well, I read it TO him because he reads slow LOL). From your fingers to his eyes - it was the boot in the butt he needed. We sent an e-mail to the doctor tonight requesting an appointment. ::cool :P

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Re: Hormone Replacement Therapy for men- Pro or Con?

Postby ledgemoor » Mon Apr 05, 2010 6:43 am

That's fantastic Old Married Lady! Tell him to feel free to post here or PM me or whatever. But stay on him. I wasn't opposed to getting myself checked out, but was hoping I would just get better on my own. DW encouraged me, and I'm glad she did.

Things are continuing to improve. More on that later.

I'm sure that she has always looked plenty hot to you before.

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Re: Hormone Replacement Therapy for men- Pro or Con?

Postby OldMarriedLady » Fri Apr 09, 2010 4:38 pm

Well, there will be no HRT for DH. :| The doctor does not see a need for it. He did offer a prescription for Viagra, but DH wants to try a few other things before he "admits defeat". I asked the doctor about the correlation between alcohol intake and ED. DH drinks just about every day, usually a drink or glass of wine with dinner, maybe one later in the evening. In the summer he drinks a lot of beer, but never to the point of drunkenness. (He must have a high tolerance for it by now.) His dad was a liquor/beer salesman so alcohol has been central in his life since he was old enough to drink it. The doctor said that an alcoholic beverage can hinder erection as soon as an hour after drinking it. So, putting two and two together, we all decided that maybe DH should give up drinking for a week or two and see if it makes a difference. (DH was the least enthusiastic of the three of us. :lol:)

Another consideration is his blood pressure medication. (This is something that others may want to look into as a libido or erection killer.) DH takes Lisinopril with HCTZ (hydrochlorothiazide - a diuretic), I take just plain Lisinopril. My libido has been great, but my BP errs more on the high side even with the med. The doctor switched me last month to the Lisinopril with the HCTZ in it, and doubled the dosage. The first horrible side effect of this was a hacking, gagging, constantly tickling dry cough, so bad that it woke me up all night. The second was that MY libido dropped for the first time in months, and my "erections" (of the clitoris) weren't what they used to be either. Hmmmm. I decided on my own that I was going to switch back to my smaller dose of plain Lisinopril, and after a week back on it, the cough was gone and the libido / arousal was back. So, I asked the doctor if he could switch DH to the plain Lisinopril, and he said that would be fine. I had done some reading on the internet and apparently HCTZ (and sometimes Lisinopril) can wreak havoc on sexual function.

DH has been a sweetheart through all of this though; in the parking lot at the doctor's office he gave me a huge hug and told me he would be a good boy and not drink and will start taking his "vitamins" (the L-Arginine) again. ::two ::luv2 Our visit to the doctor also opened up another really great conversation between the two of us, which cleared up a lot of misunderstandings from the past regarding our sex life. And, well, you know what great conversation can lead to . . . . ::luv ::spin
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Re: Hormone Replacement Therapy for men- Pro or Con?

Postby mom210 » Fri Apr 09, 2010 6:52 pm

HCTZ (hydrochlorothiazide - a diuretic) can and does cause ED..dh was taking it and had that problem.. he now takes cozaar..which actually helps improve sexual function and lasix which is working really well.

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Re: Hormone Replacement Therapy for men- Pro or Con?

Postby OldMarriedLady » Fri Apr 09, 2010 7:03 pm

mom210 wrote:HCTZ (hydrochlorothiazide - a diuretic) can and does cause ED..dh was taking it and had that problem.. he now takes cozaar..which actually helps improve sexual function and lasix which is working really well.


Thanks for the info, mom210 - if this new Lisinopril dose doesn't help, I will have DH ask the doc about the Cozaar. ::cool ::tnx
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Re: Hormone Replacement Therapy for men- Pro or Con?

Postby ledgemoor » Sat May 01, 2010 7:28 am

An update on my testosterone and thyroid--

The testosterone contiunues to work fine, and no bad side effects.

The doctor doubled my T3 dosage, and within days I started feeling much more energetic. I have lost about 5 pounds -- another 10 to go and I'll be buff. DW looks great and I really need to improve my appearance. Anyway, the stuff works! I have an appt in 6 months, so I might ask the doctor to increase it a bit more, or I may just try it and see what happens.

I did some research on my thyroid deal. My TSH, T4 and T3 numbers are all good. The lab used a "research" kit to measure the reverse T3. It isn't a common test. A regular endo would have missed this. We are so blessed to have found this doctor. The doc said that in his experience, reverse T3 levels improve with treatment (additional T3). Sure enough, DWs numbers came back better.

An interesting thing. Before DWs hysterectomy she would smell really good when she was horney -- it really turned me on. Pheromones, most likely. That stopped after her surgery. We were hoping her HRT would fix it, but it didn't. But now we are experiencing this again. Must have been me.
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