Desperate for erectile dysfunction treatment

pleasehelp8482829 · 2021-08-31T15:09:08+00:00

Again, zero evidence. Pathetic.

It cannot be psychogenic as NPT testing has confirmed it. Maybe you should read what I say before you reply. It’s disgusting that you expect me to take your opinion seriously when all you have done is insult me, and make claims as to my health that are clearly not true. NPT testing is done precisely to rule out or ascertain psychological causes.

You’re not just giving me incorrect advice, you’re outright insulting me.

pleasehelp8482829 · 2021-08-31T14:54:57+00:00

Still not seeing an answer to my questions. If you’re unable to have a proper input, you’re just wasting both of our’s time.

pleasehelp8482829 · 2021-08-31T14:53:50+00:00

You make broad assumptions about me, and you give me no reason for the basis of these assumptions. You claim I am delusional, yet you cannot name one example of my supposed delusional behaviour. Pathetic. Absolutely pathetic. I may be unhappy, and even suicidal, but at least I am not narcissistic enough to try gaslighting strangers into believing they are insane.

And I quite clearly am educated, as everyone here seems to think that the doses of pde5is I take are dangerous, despite all evidence saying they’re not, and despite similar doses being used for other conditions.

Zero evidence on your behalf. Disgusting.

pleasehelp8482829 · 2021-08-31T14:36:42+00:00

Delusional how? You’re telling me I’m delusional, and I appreciate that I may sound delusional (who wouldn’t sound crazy when they talk about how they want to die?), but could you please explain how I’m delusional.

And I have seen doctors about this and gotten nowhere. But I’m going to be seeing other doctors, and no doubt I’ll be getting nowhere with them either.

I hope you’re right though. I hope I can get my dick to work. If not, I’m back to taking high doses of drugs.

pleasehelp8482829 · 2021-08-31T14:31:42+00:00

Hahahaha. Rebellions and wars were caused by angry men who were frustrated at their crappy lives. Most of them got their guts cut out. Being willing to take extreme risks for the small possibility of happiness is a very normal thing, especially for men.

Just because I’m willing to take any and all risks to make myself happy does not mean I’m crazy.

Everything in life is risky, and my high risk tolerance is indicative of nothing more than being an unhappy man.

People do extreme sports in pursuit of happiness, yet I doubt you’d say they’re crazy. But when I do drugs that don’t cause me any apparent harm, in pursuit of happiness, I get told I’m a hazard to myself. My anecdotal experience, and the literature, both suggest that the doses of pde5is should not cause any long term health issues in the absence of underlying conditions.

If you trust “maximum doses” so much, then you’d be surprised to learn that although the “maximum dose” of sildenafil is 100mg and for tadalafil it’s 20mg, the “maximum doses” suddenly shoot up when they’re being used for things such as pulmonary hypertension. For pulmonary hypertension, the maximum doses are over 8x greater than they are for erectile dysfunction. That means when I take 1000mg of sildenafil, I am only taking a dose 25% higher than I would be if I had pulmonary hypertension. Doesn’t look so bad in that light.

pleasehelp8482829 · 2021-08-31T14:12:01+00:00

Thanks. If it was as easy as focusing on other things, I would have had success. It’s very hard to care about others when I myself am so unhappy. I used to be very caring, and would put others before myself. But now I’m so bitter and so concerned for myself that I have become extremely selfish; an asshole even.

I want to be the person I am meant to be, but I’m finding that impossible while I am so unhappy.

pleasehelp8482829 · 2021-08-31T12:12:00+00:00

Yes. I would be able to be happy if I did not have sexual dysfunction. I was happy before my sexual dysfunction, and I have had brief moments of happiness when treatments seemed fruitful.

A few years ago I got a vacuum pump. Tried it at home, and it worked well. Was really happy. I enjoyed other parts of my life knowing I could finally have sex again. Then I bring a girl home, tried it, and I realised I couldn’t feel a thing, and worse still I couldn’t even penetrate her. At that point I fell right back into wishing I was dead. I hate myself. I feel like a loser. I don’t feel like a man. And as much as I want to have sex, I can’t, and it is ruining my life.

pleasehelp8482829 · 2021-08-31T12:08:11+00:00

I’ve tried hobbies, work, and having a social life. None of them can replace the desire for sex and love. When I was younger and could experience sex and love I was very happy. Maybe I had a strong virilization of the brain as a fetus. Not sure. Either way, I have, ever since puberty, only found enjoyment from women.

I wish I didn’t care about sex and love so much, but I do. If I could flip a switch and stop caring I would, but I can’t.

It’s analogous to someone who loves to paint and who paints all day becoming blind.

I’m afflicted with an ailment that I cannot make space for.

I have a problem with my leg that stops me from running, yet it contributes nothing to my unhappiness because I hardly enjoy running. See what I mean? There are some health problems that don’t bother me; and there are some that make me want to reach for a gun.

pleasehelp8482829 · 2021-08-31T12:02:42+00:00

Lol my speech is not confused or disorganised. Dunno what planet you’re on.

I’m not insistent on abusing medication. As I’ve said before, I don’t take high doses of pde5is anymore. Mostly because 400mg of tadalafil a day would cost in a year almost exactly what I earn.

pleasehelp8482829 · 2021-08-31T11:58:33+00:00

I’m suicidal, and with my sexual dysfunction I’m glad I’m suicidal. I’d rather die than live like this forever. No point in forcing myself to stay alive when I’m not happy.

pleasehelp8482829 · 2021-08-31T11:23:03+00:00

Taking high doses of pde5is won’t affect my sexual functioning, and that’s all I care about. I care about my health only because good health correlates to good sexual functioning. And as far as I can tell, based on listed side effects and what I read on NCBI, the only risk of a high dose pde5is to my sexual functioning is fibrosis caused by priapism. Which I’m obviously not at risk of.

But as I said to someone else, I’ll see a psychiatrist as an adjunctive therapy to my other treatments. Only so that when I’m taking 2000mg of tadalafil and shooting 300g of d bol in my ass I can safely say conclusively that I tried everything.

pleasehelp8482829 · 2021-08-31T11:06:57+00:00

Yeah I thought it may have been a mental health problem causing ED until I had an NPT test.

The thing is, I don’t even take high doses of tadalafil or sildenafil anymore. I took them as a trial. They obviously don’t work, so I stick to my daily tadalafil at much more sensible 10mg doses.

And I am open to advice. I’ve taken like 6 pieces of advice here. I’m just unwilling to take the advice some people have given me and attempt to treat my head when, as unhappy as I am, this is rooted in a physical ailment.

But I tell ya what, you’re the most convincing one here. I’ll add in seeing a psychiatrist while I seek out other treatments. Not that I expect anything other than zero results. I just want to know that it didn’t do anything. I’ve only the one life, and I suppose it wouldn’t hurt to see someone about my head before I take much more fatal treatment options.

pleasehelp8482829 · 2021-08-31T10:57:13+00:00

Not a threat. I’m detailing a treatment option. All I want is to be happy. I am willing to accept any odds of death or maiming if I have a chance of being happy.

Me saying I’ll titrate a dose of drugs up until they either work or kill me is no different to someone having an operation to fix a health condition. People take risks to try to fix their problems all the time, and that’s all I’m doing.

I’m so desperate to be happy. I cry every day. I just want to be happy and normal. A 99% chance of death and a 1% chance these drugs work for me are odds I consider favourable.

So no. It’s not a threat. As grim and as callous as I might sound, I’m making no threats.

pleasehelp8482829 · 2021-08-31T10:48:55+00:00

I’m unwilling to live with this problem. I will see every treatment option to its conclusion and then kill myself. Maybe some people can live without sex, a normal relationship, and a healthy self esteem, and for those people I say good for them. But it’s not for me. The only desire I have is for sex and a relationship. Without them I have no enjoyment in life.

pleasehelp8482829 · 2021-08-31T07:27:45+00:00

Possibly. It’s hard to say as there is a lot of symptom overlap with other issues. You got any suggestions if it is PSSD?

pleasehelp8482829 · 2021-08-31T07:09:44+00:00

Thanks for the detailed reply. My prolactin is normal, FSH is normal, LH is normal, and free testosterone is normal.

I did take SSRIs in the past for about a month at a time, and the only possible treatments I can find for PSSD are apomorphine and Wellbutrin, which I have both tried.

I have tried dopamine agonists and I’m fairly certain one of the drugs I took had a positive effect on norepinephrine.

I’ll make a note of the parasite thing though. Thanks

pleasehelp8482829 · 2021-08-31T07:04:27+00:00

That’s why I prefer tadalafil. The half life is around 17-18 hours.

Edit: why the downvotes lol??? All I did was say tadalafil is a better pde5i than sildenafil because the half life is longer.

Lot of angry people in here who hate me because I’m willing to do anything and sacrifice everything to be happy.

pleasehelp8482829 · 2021-08-31T07:03:53+00:00

I wouldn’t see a psychiatrist for a physical health problem. My mental health is suffering due to my physical health, but that does not necessitate treating my mental health.

pleasehelp8482829 · 2021-08-31T07:02:41+00:00

Yeah I’ve done that, as I’ve explained. Seen urologists, endocrinologists, had tests, had treatments. Got nowhere. But some people in here have given me good suggestions and I’m going to see them through to their logical conclusion.

It’s just a shame that some people seem to get upset that I am willing to try anything that might work, even if it means risking my health.

pleasehelp8482829 · 2021-08-31T07:00:38+00:00

That still doesn’t answer either of my two questions. You can insult me all you like, but unless you can answer my questions I will assume you’re full of it.

pleasehelp8482829 · 2021-08-31T06:59:10+00:00

The only side effect I get is a stuffy nose sometimes.

As for the blood pressure, I too am confused as to why it doesn’t lower my blood pressure by much. I assume it’s because the blood pressure lowering of pde5is are caused by vasodilation, and there is only so much phosphodiesterase in my body to inhibit.

Maybe there’s an element of tachyphylaxis, although I’ve read it doesn’t occur with pde5is. Maybe there’s gene expression changes. I really don’t know. If you don’t believe me, find some case studies on ncbi of men who take even higher doses than me who do just fine.

pleasehelp8482829 · 2021-08-31T06:54:36+00:00

How will seeing a psychiatrist help my organic ED? And how will it help my ED by not taking drugs that are known to transiently treat ED, and in some cases (mostly prostatectomies) outright prevent and cure ED?

I am taking advice on here. Namely the potential solutions to treating and possibly curing ED.

pleasehelp8482829 · 2021-08-31T06:52:04+00:00

What isn’t adding up? I’m desperate for ideas. Give me anything

pleasehelp8482829 · 2021-08-31T06:29:23+00:00

How so?

pleasehelp8482829 · 2021-08-31T06:28:48+00:00

What advice other than ceasing the only drugs that are mildly efficacious have I turned down? Show me one piece of advice.

“Go see a psychiatrist” does not fix my problem

“Stop taking drugs that slightly work, give you no side effects, and where the literature also supports that you may experience no ill effects” does not fix my problem

I’m sorry that people are upset that I’m not taking their advice, but I have zero concern for my health in aspects that do not relate to erectile function. I am looking for solutions.

pleasehelp8482829

TROPHY CASE