Very scared, 20 having impotence symtoms

[fak_et]

I am really worried that I am gonna be like this for life, please give me some input.

About a week ago, I noticed when jacking off it didn't feel as intense as usual and i had a hard time keeping it up. I had a rough week and wasn't feeling my usual self. I had sex a few times with a girl completely comfortable with and she noticed as well and asked why my penis was softer than usual. Twice i went limp with her and couldnt get back up, i told her just wasnt in the mood and we would try again later. She feels it is her fault and is bummed out too, and it is entirely not true (i talked to her).

I am 100% positive this isn't performance anxiety as I am very comfortable sexually and even when im by myself. I used to be able to pop a boner whenever I wanted just by thinking of something sexual and could maintain it forever.

I had another post, but didn't get the ansnwers I was looking for.

I had epididymitis about 3 months ago and had it treated with antibiotics and anti-inflammatories.

I felt an occasional tinge of pain of epididymitis so I saw the doctor again and also brought this up. My blood work is perfect all around. Testosterone is 289 which i think might be low but dr. says is fine. My blood pressure was really high and i got put on blood pressure medicine. I eat healthy and exercise a lot, i believe the blood pressure is hereditary. I smoked pot almost once daily for the past 6 months and ive quit for a week now and am planning on staying clean for a long time as it just got old. STD free.

I think my bike seat may have caused the epididymits this time as it has been irritating my perenium and i am forced to ride it (and ive tried 3 seats)

So as of now i have bp medicine, anti-inflammatories, antibiotics, and i got an ultrasound of testicles ordered.

Is there anything i can do in the meantime? I wish my doctor would give me something like viagra or something. I may not have made it clear how much of a problem this is and it is really hurting my feelings. Ive went from having rock hard erections randomly and on command all of a sudden to a 4 on a ten scale erection.

Please reassure me i wont be like this for life, i hate it!

 

[killerb]

I thought this looked familiar...
exactly what kind of an answer are you looking for & not getting?


also, the more you stress about this problem, the more difficulty you will have getting hard...

 

[D_Harry_Crax]

Let's see: you're on medication for "really high" blood pressure AND you have epididymitis AND you smoked pot every day for six months until a week ago AND you had a "rough week," and you're wondering why your cock is not as hard as it used to be? Anything else you left out, such not getting enough sleep, drinking a lot of alcohol, not getting any exercise, or being generally stressed out in addition to the "rough week"? You need to do what you can to get your blood pressure down so you can be on a minimum dosage (like I am), stop the pot, get some sleep, stop worrying so much, exercise more, and drink less, and you'll be rock hard again. Shit, you're 20!

 

[fak_et]

OK the answer i was looking for is will this go back to normal or is this permanent? And yes, that is my planned course of action swede.

Anything I can do in the meantime? Anything over the counter that would help?

 

[FuzzyKen]

Dear Fak et,

At age 20 you have some major issues going on.

The serum testosterone level in most men ranges from above 200 to about 600. The testosterone level of 289 is absolutely abysmal for a 20 year old. Most MD's start males on testosterone replacement when it hits 200. Personally, I would really question a T level this low in a 20-year-old if I were the MD. You my young friend are barely out of puberty.

One of the known side effects of "pot" is a major drop in serum testosterone. If you ever want your erections to work again, "pot" is permanently and forever off your intake list.

You did not give us the systolic and diastolic numbers on the BP. The normal threshold for BP medication is 150/90. The main number to fear here is the diastolic which is the lower number.

The number one side effect of anti-hypertensives is erectile dysfunction. This is especially true during the first six months of use until your MD gets things regulated and finds the best drug combination to treat you. You need to let your MD know that your ability to obtain and sustain an erection is bloody awful. This is one of the criteria he will use to select your medication regimen.

With regards to your lady friend:

You need to tell this young lady that you were just diagnosed with hypertension and that you have just been started on medication to treat it. You may want to express that hypertension runs in your family and that she had nothing to do with your erectile dysfunction episode, and that it is very likely the anti-hypertensive drug you were prescribled.

You need to give her a hug and a kiss and tell her that until your medications are properly regulated and or maybe several different one's have been tried that this may be a hit and miss problem for a while.

At the same time you need to keep close contact with the MD and let he or she know that the loss in erectile function is very serious and it is not a little bit that it is almost total. If you cannot sustain an erection long enough to complete a sex act that is total.........

Very often, you will find that true ED is position sensative. Some men, for example can obtain and maintain an erection while sitting in a chair or standing, but cannot maintain it while lying down or in other positions normally associated with sex. You may want to do some experimenting on this one.

Right now you are scared to death. This is VERY normal first for a male and for a person who is 20 years old the word stark terror comes to mind.

As much as there are others who will talk about a ton of herbal stuff with real ED you will find it to be a total waste of your time and money. The next waste of your time and money sadly are drugs that are the normal orals. They are effective if the ED is very mild. If the ED is moderate to severe they may help a little, but they are not dependable and they are expensive.

You are far better going with injection therapy if your free trial on the orals is not 100% effective.

Pal, I am a few years your senior at 55 years old. I also suffer from ED. It is nothing to be ashamed of and it is not a measure of your manhood or virility in any manner. It is simply a result of vascular leakage caused probably by your new anti-hypertensive medication.

Calm down and when you calm down and begin to realize that this is all treatable, your life will improve a great deal. The fear and the anxiety that you suffered when it happened to you always leads to some performance anxiety. That again is normal.

If you are honest with your GF on this one, I am certain that she will be supportive. She has to come to understand that she has no fault in this and that it is not her in any manner.

Best of Luck

 

[TurkeyWithaSunburn]

Most likely it's stress and blood pressure medication, like others have said.

 

[D_Jared Padalicki]

Go to your doctor man, they really can help you. We only can give advice, but with our opinions you can't be sure. A GP knows his stuff and can help you. Good luck man.

 

[D_Renyson_Ripbottom]

Yea, the testosterone is very low. I heard it should be at least 600 to function well sexually. The "normal range" from doctors is very broad.

However, it's measured in different units so we might compare apples with pears.

You wrote that you smoke pot and pot really keeps your testosterone low and kill your sex drive. I speak from experience and also from the experience of pot-head friends.

Lay down the blunt and do some testosterone boosting exercises (like squats).

I would say it's testosterone related and unlike there is a physical reason for it being so low absolutely reversible. You speak of impotence when your arteries are so clogged that no blood reaches your cock.

 

[B_stanmarsh14]

Something you must NOT do whilst on some blood pressure meds, and that is to take ED meds, like Viagra. The reasons are as follows (From http://www.edguider.com/buy_viagra.html)

"Do not buy Viagra online if you are also using a nitrate drug for chest pain or heart problems. This includes nitroglycerin (Nitrostat, Nitrolingual, Nitro-Dur, Nitro-Bid, and others), isosorbide dinitrate (Dilatrate-SR, Isordil, Sorbitrate), and isosorbide mononitrate (Imdur, ISMO, Monoket). Nitrates are also found in some recreational drugs such as amyl nitrate or nitrite ("poppers"). Taking Viagra with a nitrate medicine can cause a serious decrease in blood pressure, leading to fainting, stroke, or heart attack."

"It is important that the doctor has your complete medical history prior to taking Viagra. Consult with your doctor if you have a cardiovascular condition such as high blood pressure, kidney impairment, liver impairment, sickle cell anemia, multiple myeloma, leukemia, anatomical deformations of the penis, bleeding disorders, or retinitis pigmentosa."

 

[ZOS23xy]

If you have an amount of weight gain, you may have borderline diabetes, which also causes impotence. One symptom is being endlessly thirsty.

 

[Dave NoCal]

It seems to me that your testosterone level is low for someone your age. Of course, T levels vary throughut the day and the lab may have caught a low point. Taking additional testosterone causes other issues because your body stops making it's own and and that results in no longer making sperm. The testes make T in response to chemical signals coming from the pituitary gland so if that message isn't being sent stronly enough, the testes will make less T. That situation, which would be diagnosed by an endocrinologist or urologist specializing in fertillity issues, can be addressed by taking HCG but that's a shot three times a week.
The advice you have been given is good. You need to focus on getting your testosterone levels up and your use of blood pressure medicine down. You may need a change of blood pressure medicine. TALK WITH THE PRESCRIBING DOCTOR ABOUT THIS. Heavy exercises like squats can increase your levels. Maybe you are riding too many miles. Stop the pot. Get your weight as close to ideal as possible. If you do all of these things you should still get results. If not, you need to consult with an endocrinologist or urologist specailizing in male fertility. It will be alright, friend. Do what you need to do.
Dave

 

[fak_et]

I already squat and deadlift heavy so I will continue to do that to get my test back up.

I talked to doctor today again about my problem and scored some samples of viagra, cialis, and levitra. I threw a viagra in the morning and was back to about 8 out of 10 back to normal the entire day. Was able to have sex 2 times and pop another couple boners after.

I am gonna try to get my blood pressure down and go from there. Dr. said I can see a urologist if i keep havin problems.

 

[2322]

"Do not buy Viagra online if you are also using a nitrate drug for chest pain or heart problems. This includes nitroglycerin (Nitrostat, Nitrolingual, Nitro-Dur, Nitro-Bid, and others), isosorbide dinitrate (Dilatrate-SR, Isordil, Sorbitrate), and isosorbide mononitrate (Imdur, ISMO, Monoket). Nitrates are also found in some recreational drugs such as amyl nitrate or nitrite ("poppers"). Taking Viagra with a nitrate medicine can cause a serious decrease in blood pressure, leading to fainting, stroke, or heart attack."

Your doctor must be crazy to give you those if you're on BP medication. You need a better doctor and a referral to an endocrinologist. Stay off the weed for now.

 

[fak_et]

I am not on a nitrate bp medicine, it is a calcium channel blocker. I did ask him of they are fine to use together. I felt fine today on the combo.

 

[2322]

I am not on a nitrate bp medicine, it is a calcium channel blocker. I did ask him of they are fine to use together. I felt fine today on the combo.

Thank God. I was terrified the doc fucked it up. It's quite a relief.

Please do go see an endocrinologist though. I've had secondary hypogonadism (low testosterone) and it took an andrologist to get me right again. It's amazing how much better you feel when your testosterone levels are right. Your BP should go down as well. 289 is way too low at your age. Were you tested early in the morning without eating for 6 hours? That's the best time to do a draw.

Let us know how it goes. :smile:

 

[LoveBlueEyes]

I had this shit started with me at 32. I was with to the same woman since I was 16. Our sex was always awesome until we started having problems. Long story short, its all in your head dude. I tried every kind of pill both herbal and medicinal. I also tried masterbating becuase I was "scared" when it came time to perform. My wife was a cunt about it too, so that didnt help. We divorced and all I thought was Id have problems dating because my dick wouldnt get and stay hard. Well, I didnt have sex until I met this youger hot, Italian girl. Lets just say I can shame my 18 year old self now. No drugs, no pills, no nothing. So I think it is a matter of how you feel in your head about what you are doing. I do also take BP meds, I am a little overweight, (to me), and encounter shitloads of stress at my job. I guess my input is if you "want" to have sex, you must relax and allow yourself to be turned on. If you "worry" about losing your boner, you will lose it ten times out of ten. Take care of yourself, at twenty tou should be able tu fuck at the drop of a hat.

 

[Oncamale28]

you also mentioned your bike seat, ive heard stories of traditional bike seats causing damange, try the split kind, that is open in the middle so no pressure on penis from below

 

[fak_et]

I felt a little bit better today, I am able to get it up on command but Im still not having the quality erections I am used to having. Id say im getting 8 on a 10 scale, 10 being normal. They are a little softer and still a bit harder to maintain.

Btw, Viagra is one hell of a drug, i used it yesterday just because i anticipated a lot of sex and I didn't want to take chances. About 45 minutes after taking it i got one and couldn't get it down, my girl loved it! We went to the store and she kept reachin in my pants to play with it.

Funny story: We were in the back aisles of a store her playin around hand down my pants, and talking about prostate massages and all of a sudden walk right into an older lady. She was terrified! My girl ran away, i cooly smiled and slowly walked away. Then I came back to ask the lady where I could find a "curved rod" to use for a curtain to go around my bed. The lady flipped out because she didn't even work there. We had a giggle.

Did a heavy squat/deadlift workout too, hopefully i can bring my test levels back to normal soon.

 

[nicecircjob]

The Calcium Channel Blockers are the bad culprits when it comes to acheiving and maintaining an erection. I know by experience. My doc changed my bp meds after I told him I was having problems getting erections. That solved the problem. I don't think restoring your foreskin will do any good. I am 65 yo and cut and I get great erections. Stay circed, it looks better that way.
nicecircjob

 

[FuzzyKen]

This is definitely not in your head. The anti-hypertensives are the problem. As I said before, your Doc is going to have to have some time to get everything regulated.

Viagra, Levitra and Cialis are going to help, but they are not magic and will not create a perfect erection every time. My experiences with them were that they made a "so-so" erection about 60% of the time.

Once your BP anti-hypertensives are properly regulated and you get that "T" level up to a more functional level you quite possibly may not need the "boner-fixers" at least for a while.

In all honesty there probably will come a time somewhere in your future where this will be a requirement, but you should have quite a few years of few problems if everything is regulated perfect.

What is extremely important is that you and your GF have really good communication on this issue.

I would endorse and recommend that you do pursue the hormone issue based 1.) on your age, and 2.) based on your requiring the anti-hypertensives at age 20. Perfect regulation of everything else is likely to improve erectile quality a great deal and even if it does not solve the problem (again based on the anti-hypertensive drugs), it is going to minimize it or reduce the problem.

Be careful to find an endocrinologist or urologist well versed in make sex issues. I have a friend in Palm Springs who has had a great deal of problems simply because the Urologists his medical plan uses, have so far been nearly worthless.

Best of Luck on this and if I can be of help don't hesitate to ask.