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  1. #31
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    • starting strength seminar february 2022
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    Quote Originally Posted by Ray Gillenwater View Post
    Step 1: Get off of Finasteride to see if you get back to normal, it's well known to kill boners
    and shave your head, with a razor.

  2. #32
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    Quote Originally Posted by Ray Gillenwater View Post
    Here's a summary of what others have said along with my own input, in an order that I recommend following. The idea is to remove a drug that might be causing the problem before adding new ones or increasing the dose of others.

    Step 1: Get off of Finasteride to see if you get back to normal, it's well known to kill boners

    Step 2: Get on more T, as Rip suggested, especially if you have high estrogen symptoms (sensitive nipples, water retention, moodiness)

    Step 3: Try daily Cialis - if you get heart burn, lower the dose

    Step 4: If you have an enlarged prostate (peeing multiple times per night, trouble emptying your bladder, weak stream) try flomax - it helps with that and wood strength - lots of guys stack this purely for bedroom performance

    If your free test is at 40ng/dl+, you're on daily Cialis and flomax, and you're not on Finasteride, you should be performing like a college kid.

    This level of performance should help you get over any anxiety. If you still have trouble, hire a sex therapist, ideally a tantric one.

    Lastly, don't settle for women that lack enthusiasm or don't spend as much time taking care of themselves as you do. If the dating pool is that weak near you, you may need to start traveling and/or picking up new hobbies. If you can't attract the caliber of woman that excites you, you may need to invest in making yourself more desirable - and I'm not referring to aesthetics.
    And lose the excess belly fat. You dont have to be sub 10% but nobody needs to be over 20%. Also, all that fat around the base of your junk makes it way shorter. More good dick tips here at SS.

  3. #33
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    Quote Originally Posted by AndrewLewis View Post
    We're happy to help. Strength is all well and good, but if your penis is in peril, we're all going to jump in and provide a helping hand.
    lend a hand ?
    #notme

  4. #34
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    Quote Originally Posted by Jovan Dragisic View Post
    and shave your head, with a razor.
    I did that with a safety razor during Covid. Could be worse. I'm no Yul Brynner though, so saving some hair for a few more years would be nice with a safe method. Minoxidil has helped somewhat.

    @Buddy, happy to hear you bought the book. She's a good writer; I think you'll get a lot out of it.

  5. #35
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    Quote Originally Posted by Ray Gillenwater View Post

    Step 2: Get on more T, as Rip suggested, especially if you have high estrogen symptoms (sensitive nipples, water retention, moodiness)
    .
    My 2 cents. If you have high estrogen symptoms, more T may make the problem worse because T converts to estrogen, therefore more estrogen and more penis problems. A low sex binding hormone globulin (SBGH) value may be present in your labs.

    Taking some AI for a couple weeks is an easy way and cheap way to determine if this is the issue. Anastrozole will start working in a few hours. If it turns out estrogen is the issue, you can inject daily as opposed to weekly to help slow the conversion and lower the amount of AI you need.

  6. #36
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    Quote Originally Posted by Sebastian Ohanian View Post
    If you have high estrogen symptoms, more T may make the problem worse because T converts to estrogen, therefore more estrogen and more penis problems.
    This sounds plausible and is the current way most clinics are treating men. However, Dr. Nichols of Tier 1 (the fella on the podcast episode with Rip) argues that estrogen reaches a saturation point. He argues that estrogenic symptoms are due to the ratio of T to E, instead of the E being above a certain range limit. I was skeptical, but I took his advice, got off AIs, and got my free T way up to 40+ (Ng/dl). I have no estrogenic symptoms now. He claims that this is the case for his thousands of treated patients. Since I've experienced it personally, I believe it. Does this apply to all people in all situations? Almost nothing ever does. But it's worth considering and potentially trying before getting on another drug, especially a potentially harmful one like Anastrozole.

    It seems to me that dosing frequency plays a part here too in managing consistent hormone levels and their associated symptoms - peaks and valleys can cause problems. Daily shallow IM (27g 1/2" needle) is by far the best regimen I've tried, based on how I feel.

  7. #37
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    Quote Originally Posted by Jovan Dragisic View Post
    Look, sociological studies are mostly absolute bullshit. However, one of the most widely documented phenomena, confirmed by dozens of those studies, is that women find men with shaved heads more attractive. I guess it can be a problem if you have one of those skull and neck combinations that make the back of your head look like you were hit with a shovel, but if thatís the case, your hairline is the least of your worries.
    This. Iím amazed that this is even an issue. If it was the 70s or 80s, ok. But the solution to thinning hair has long been a set of clippers. Embrace your inner Jocko!

  8. #38
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    Quote Originally Posted by Ray Gillenwater View Post
    This sounds plausible and is the current way most clinics are treating men. However, Dr. Nichols of Tier 1 (the fella on the podcast episode with Rip) argues that estrogen reaches a saturation point. He argues that estrogenic symptoms are due to the ratio of T to E, instead of the E being above a certain range limit.
    This may very well be true, but just like T, E is a hormone and everyone reacts differently to different amounts. Plus, you would have to take multiple samples to get an accurate number anyway, which is not really an option outside of a study.

    Quote Originally Posted by Ray Gillenwater View Post
    It seems to me that dosing frequency plays a part here too in managing consistent hormone levels and their associated symptoms - peaks and valleys can cause problems. Daily shallow IM (27g 1/2" needle) is by far the best regimen I've tried, based on how I feel.
    Couldn't agree more. Cut my AI use in half.

  9. #39
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    Quote Originally Posted by Ray Gillenwater View Post
    It seems to me that dosing frequency plays a part here too in managing consistent hormone levels and their associated symptoms - peaks and valleys can cause problems. Daily shallow IM (27g 1/2" needle) is by far the best regimen I've tried, based on how I feel.
    Ray, thanks for your advice in this thread. Youíve gone above and beyond. I also listened to the podcast with Rip and Dr. Nichols. Iím going to contact Tier1 for my testosterone. That seems like the place to go (much better than Defy) because Iíll never find an Endo locally whoís going to prescribe me more than 100mg/week. Have you tried the daily scrotal cream? I just canít see myself injecting every day, even if it is with a 27g 1/2Ē needle, but will if it comes to that. The cream just seems so much easier and from what Iíve read and heard can significantly influence the levels of DHT in the body.

    One other question. I wonít have a problem getting a daily Cialis script, but how would I go about getting a script for Flomax (if it comes to that) if I donít have an enlarged prostate? Thanks again for all of your help.

    Iíd also like to mention that Iíve been off the Propecia for years now. Last took it in approx 2005 and that was for about a year.

  10. #40
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    starting strength coach development program
    What are your total and free levels of testosterone as well as estrogen levels on the dose you currently use? It may not be any of that but it's s good place to start? From what little I know, I'm inclined to agree with those who suggested it may be a mental thing. Its tough to get too excited if your partner(s) are uninterested in sex themselves. Not saying that's your issue but as an example. Plus, have a problem one time and you start thinking about it, which makes it even worse.

    You shouldn't need an AI for 100mg unless your pretty sensitive to estrogen conversion but like everything else, we all respond differently. While I personally think 100mg is pretty low, I don't know that that's where the problem is.

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