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Erectile Dysfunction Community
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Avatar universal

I don't know what to do

I'm 31.

I've never had long lasting erections as far back as I can remember...they literally last like two minutes at maximum... Very weak.

I've tried Indian based pharma pills that are chemically identical to viagra with poor results.

I can't keep any girlfriends due to this.

Not sure what to do. I'm very depressed about it.

American health insurance doesn't cover erectile dysfunction, so I wouldn't even know where would I find the cheapest doctor etc or what tests I need to run.

Side note, I can do a ton of resistance training and see very little results and those results vanish faster than I think is normal for most guys.

I have hormone levels from 2017 if anyone wants those numbers.
2 Responses
Avatar universal
It sounds like you may have venous leak - to enable an erection, blood has to flow IN to the 2 chambers - the corpora cavernosa, one on each side of the penis. But in addition, there’s a ‘veno-occlusive’ mechanism that has to shut off blood flow OUT of the penis. If that doesn’t work properly (venous leak), the blood doesn’t stay trapped in the penis & it either doesn’t become fully erect or it may become erect but it can’t be maintained for long. It’s like trying to fill up a bucket with a hole in the bottom. There’s a test called penile Doppler ultrasound, they inject medication in the penis to cause an erection (don’t freak out - it’s nearly painless), then use the ultrasound to measure both inflow & outflow of blood. This might be helpful in determining the cause of your prblm.

Also you mentioned hormone levels - did your test show a low level of Testosterone? It does sound like it, since you have trouble building & maintaining muscle. And this could be related to the erection problems - low-T can sometimes cause venous leakage. Unfortunately, the Doppler Ultrasound test I mentioned is usually not covered under most insurance plans...
3 Comments
I have test results from 2017:
Testosterone, total: 584 ng/dL
Testosterone, % free: 66.0 pg/mL
Testosterone, Bioavailable: 132.9 ng/dL
Sex Hormone Binding Globulin: 42 nmol/L
Albumin: 4.4 g/dL
Also, in terms of medication I take :
Vyvanse: 70 mg (for severe ADHD)
Gabapentin: 1,200 mg (for neurogenic cough)
Thanks for that information.  Helpful.  I'd see about doing some more recent blood work.  I'd be curious at your testosterone level now.  
20620809 tn?1504362969
Bonzodog, the man, has given you some great ideas of what to look into.  Your testosterone level looks right in the middle, so not a problem.  https://www.medicalnewstoday.com/articles/323085  

This is the test bonzo suggests and I do to.  https://radiopaedia.org/articles/erectile-dysfunction?lang=us  As he mentioned, it is painless, not hard to do.  Your insurance is US based?  It doesn't cover urologists?  It should.  that's a medical condition.  Impotence is a problem.   Talk to your doctor about how to code it to be covered under your medical. But that diagnostic test should be done to tell you what may be the underlying cause so you can treat it.  
1 Comments
Most USA insurance providers do not cover anything directly related to or indirectly related to erectile dysfunction or sexual dysfunction. I know my current insurer doesn't cover any of my claims.

I went to a urologist in 2018 for a consultation and got stuck with a bill in excess of $300.
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