Incompetence in Treating E.D. I am beginning to believe that there are many medical doctors who should be taken out, lined up and shot. This is particularly true when the subject is erectile dysfunction. I have witnessed more baloney being given to E.D. patients than most of you would believe. What is very sad and disheartening is that a great deal of the incorrect and misinformation is originating with people who have a license to practice medicine. I tried for over three years personally to get a referral from ny HMO to a specialist dealing with this issue. In three years the referral never came. The offers from the MD's at the HMO were prescriptions for inneffective orals and discussion of an implant. These individuals could not get it through their empty heads that a surgical implant is the very last resort and that there are numerous things that can be done between orals and surgery. I also had to literally scream and beg to get hormone panels run. At age 56 and having lived in a high stress situation for some years I expected my testosterone levels to be low. When the hormone panel came in the serum testosterone level was low and barely inside the levels considered normal. I asked the MD what the free-floating level was and what were the prolactin and testosterone to estrogen ratios. The answers I got back were literally "Why would you need to know that stuff?" To put it mildly I screamed bloody murder and I was again made into a pincushion. As expected by how I felt and what was going on with my body, when that was returned to the MD the levels were totally off. I found my estrogen and prolactin levels to both be elevated. Also as expected my free-floating testosterone level was outside normal levels as well and this one was well below established norm. My question to the MD...."What are we going to do to correct this." Their answer: "Nothing, supplemental testosterone might increase production of red blood cells and we don't want to do that." Every question I asked was answered with a question which had no medical basis in fact and others were answered not with answers but excuses. So the concept is that if a 50+ year old male with no prostatic enlargement and no history of prostatic cancer loses the ability to achieve or maintain an erection, starts to grow breasts, and has an elevated prolactin level we do nothing. I was basically told that I was over 50 and if this was my fate I should accept it and their lack of treatment without question. I took the matter into my own hands and to deal with the erectile dysfunction went to Boston Medical in Orange County, California. It cost me $2,500 out of pocket to at least get the erectile dysfunction dealt with. That opened up the next can of worms. Though I am HIV sero-negative, I have several friends who are HIV sero-positive. Many of the men who have been on protease and reverse transcriptease inhibititors based on drug side effects end up with E.D.. My E.D. was primarily caused by scar tissue from an injury taking place when I was 17-years-old. This was documented in the testing that was done by Boston Medical. Because any MD can treat ED, I sent those suffering to their own MD's because in this manner the only thing they would have to pay for were the cost of the injectable and the syringes. This began the next dosage of evidence on medical incompetence. Here are the initial lines that some of these men received. 1. You start with caverject, then go to bi-mix, then to tri-mix, then to quadmix which is by far the most potent and far too dangerous. This is totally incorrect information in that the Caverject is now obsolete, and is an ingredient used in the others. Used alone it tends to make erections painful. Quadmix potency is determined by the concentrations of the igredients in it and not by content of the 4 ingredients. WRONG on the part of the incompetent MD's. 2. Virtually none of the MD's asked knew of and had knowledge on how to treat ED in their patients and none had working knowledge of how Sildenafil, Vardenafil or Tadalifil (Viagra, Levitra, Cialis) actially worked. To them these were the end solution and if these did not work there was nothing else but an implant. - - - - - - - - Many of our most well endowed brothers on this board will face E.D. issues before those of far less with regards to size simply because of blood volume and vascular leakage issues that show up earlier in larger penises. That is a simple fact. - - - - - - - Until you encounter the incompetence that goes with treatment of E.D. it will seem very trivial to many. It is also pervasive in the minds of many that first it will never happen to them and second that it can be prevented by means of diet, exercise and nutrition. Though those factors will play a role, none of them are a guarantee. Others will talk about supplements. Sadly there are no supplements which will work in any individual with moderate to severe E.D.. This requires medical intervention and no amount of amino acids or herbals is going to fix it. I know, I tried them all! - - - - - - - Here are things you CAN do to help yourself if this monster rears it's ugly head at some point in your life. 1.) When you are in your 20's make dead certain that you have in your medical records complete and accurate hormone panels. An MD is allowed to prescrible supplemental testosterone therapy IF they have proof that your testosterone level has fallen from a previous level. They cannot be accused of steroid Rx's if your records indicate that what they are doing is in fact replacement. 2.) If you start having E.D. do not let anyone convince you that you need to accept this simply because of age. 3.) Be aware than many common medications both OTC and Rx can cause ED and most MD's are not aware of this and some are prone to minimize these effects. Propecia for hair growth is one that will do this, and drugs used to treat depresssion, high blood pressure, and even some cough and cold medications can absolutely kill the ability to get an erection. If you have had a negative experience trying to get treatment for E.D. this is the place to let your brothers know that this kind of mistreatment is common and let them know how you fought back. The best cure for E.D. is not a medication, but in fact open talk and understanding of what it is and that it is nothing to be ashamed of. We need to drag this one out into the light and by doing so we will force MD's to get updated training in E.D.diagnosis and management.