Does anyone know within a range, how far DP will lower T at 150mg/ month? IThis is all probably better for my prostate anyways. Seems that I'm having more problem emptying bladder without effort and semen just dribbles out instead of shooting 2-3 feet like it used to. Is that normal for a 37 year old guy?

What T levels you'd get at any drug doseage depend very much on the individual.

I took Androcur for 9 months and my T level was, though way below normal, still far from zero. And at times, I'd still feel horny -- like once every week or 2.

For me, even at my low T levels, Viagra worked but only somewhat. I tried 25mg, 50mg, 75 mg, and 100 mg. I never got hard enough for penetration, but hard enough to play with. With the low T, the cum was dry, but the climatic excitement remained in tact.

If my memory didn't fail me, my shooting distance declined throughout my 30's. Even before getting on Androcur was nothing more than just a slow drip. So, I think late 30's was about when things started to slow for me sexually.

Here's the answer to my own question.....

Men With Sexual Dysfunction Should Be Screened For Low Testosterone

Aug. 4, 2004 – Viagra not working well enough for you? Now another drug-maker wants to sell you a testosterone gel (AndroGel) that enhances erectile function and sexual satisfaction even more for those with low testosterone.

It is estimated that four to five million American men have low testosterone, including one in ten men between the ages of 40 and 60. Low testosterone – also known as hpypognadism or “low T” - may lead to decreased libido, erectile dysfunction, osteoporosis, reduced lean body mass, depressed mood and fatigue. Men with low testosterone may find Viagra ineffective.

The large number of men who suffer from this dysfunction has caused tremendous demand for drugs like Viagra (sildenafil) to help improve sexual interest and performance. This new study promises even better results with the addition of the gel.

Dr. Ridwan Shabsigh, associate professor of urology at Columbia University College of Physicians & Surgeons and director of the New York Center for Human Sexuality at NewYork-Presbyterian Hospital/Columbia was the lead investigator in the study, which is published in the August issue of the Journal of Urology.

"Our data support the potential benefits of a combination therapy with testosterone gel for men with erectile dysfunction and low testosterone who find sildenafil by itself ineffective," said Dr. Shabsigh. "When assessing erectile dysfunction, doctors and patients should consider using a simple blood test to determine if low testosterone is a contributing factor. If the root cause is low testosterone, sildenafil alone won't fix the problem."

Sildenafil enhances the effects of nitric oxide, a chemical in the body that allows increased blood flow to the penis during sexual stimulation. "Research suggests nitric oxide may be dependent on testosterone to function properly," said Dr. Shabsigh. "While further studies are needed, this concept may explain why testosterone replacement therapy could help hypogonadal men who do not respond to sildenafil."

In the trial, 75 hypogonadal men (18 to 80 years old) were randomized to testosterone gel plus sildenafil versus placebo plus sildenafil. Participants were in a stable heterosexual relationship. Ninety-one percent had experienced erectile dysfunction for at least one year prior to the study. All participants had testosterone levels in the low to low/normal range (< 400ng/dL) and had failed to respond to 100mg doses of sildenafil, based on questions from the International Index of Erectile Function (IIEF) scale.

Analysis of 70 men at four weeks found the population randomized to receive a daily dosage of 5mg testosterone gel in addition to a 100mg sildenafil (n = 37) taken as needed, had a significantly improved response to treatment, when compared to those on 100mg sildenafil plus a placebo (n = 33). Results of the Erectile Function Domain, Orgasmic Function Domain, Overall Satisfaction and Total Score on the IIEF were used to compare the groups. For Erectile Function Domain, the men receiving testosterone gel reported an average increase double those receiving a placebo, with a 34 percent and 17 percent improvement from baseline, respectively.

On average, participants in the testosterone gel group reported a 28 percent increase from baseline in Orgasmic Function Domain compared to a 4 percent improvement in the placebo group, after four weeks of treatment. Overall Satisfaction improved 32 percent in the testosterone gel group, compared to 10 percent in the placebo group. The results at eight and twelve weeks showed a trend in favor of testosterone gel compared to placebo, but no statistical significance.

Viagra is manufactured by Pfizer Inc. and AndroGel is made by Unimed Pharmaceuticals, Inc., a Solvay Pharmaceuticals, Inc. company

Dr. Shabsigh is the author of "Back to Great Sex: Overcome E.D. and Reclaim Lost Intimacy," a book developed to help men with erectile dysfunction communicate effectively with their physicians.

http://seniorjournal.com/NEWS/Health/4-08-04Gel.htm

My experience- no T , no erection- regardless dose of viagra. Literature also suggests that after 6 months of no erections due to fibrosis of the corpora, it will be impossible to achieve erection again, regardless T supplementation. Can any1 confirm this?

Well, my understanding of the mechanisms of Viagra, Cialis,and Levitra is that they do not enhance libido and if low libido is your problem they will have little effect. On the other hand if the problem is aging of the arteries and veins supplying the area they do work, I think by enhancing the constriction of the veins which, if I have it right, is the mechanism which causes normal erections in the first place.

I have tried them all with varied results. They do improve the response but don't help much if there is not the sexual stimulation (libido) in the first place. In my case Viagra has the best effect but the shortest duration(1-2 hrs), Levitra lasts a bit longer (3-4 hrs) but is a bit less effective and Cialis has the longest effect (24 hrs plus)but again a bit less effective than the other two. In general they do improve the performance but only if the motivation is there in the first place.

I think my problem is lowered T but maybe a teen age brain transplant would help get me reactivated properly in this area. On the other hand if it is lowered T , does any one know a doctor who would do a testicle transplant? Any willing donors here??