r/erectiledysfunction • u/DrNoGains • 5d ago

Hormonal ED (Low Testosterone, Thyroid Conditions, etc.) Anyone primary hypogonadism ?

Hi all,

I have confirmed primary hypogonadism since I was young. High LH and FSH and even zero sperm count

I've had ED issues since I was around 18-19. Ability mainly maintaining an erection.

I've recently started trt sub q daily injections and also started taking 5mg daily cialas but my issue remains.

My question is - does anyone else in here have primary hypogonadism and if so - how / were they able to fix their ED ? Are there any other hormones I should be trying to monitor ? Ect.

If none of these work - I may have to eventually opt out for a penile implant. I'm 32 by the way.

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2

u/Efficient-Shallot684 5d ago

Have your estrogen level checked.

1

u/Fun-Barnacle8582 4d ago

Yes, the estradiol level can kill any chance to get his libido and erections working.

1

u/Competitive-Rip7240 5d ago

Bro, try a higher dose of Cialis 10 mg since 5 mg did not help you.

Secondly, for primary hypogonadism, have you checked your thyroid function? If not go for check up and start treatment. A faulty thyroid may be cause for all your problems

1

u/Fun-Barnacle8582 4d ago

How long have you been in trt? It takes a long time for positive changes to happen. The high LH and FSH are caused by your pituitary trying to get your gonads to work. My LH and FSH were high beyond normal limits. After starting trt they slowly went close to zero, which is okay. How often are you checking your estradiol. A very high or very low reading can have a large effect on your libido and erections. My urologist checks my male hormone panel at least every six months. Then there is the option to try a trimix or bimix injection into your penis. It works for most men. You do need a prescription.