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The anything BUT Viagra thread (esp. Testosterone)


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I'm in farangland and will be for the foreseeable future so won't be able to savor the Anejo's with you. Thanks for the invite though, much appreciated.

 

So much for the herbal enhancer encounter too, I'm affraid. ::

 

Now, just what do you know about testoserone? Any personal experience? Know anyone who's tried it? If you come across anything related please post it here.

 

Thanks!

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Time for more news on the male libido

 

Here's a real shocker of an editiorial. The writer refers to an impending crisis caused by anti-depressant usage. Turns out there seems to be a correlation with loss of libido after anti-depressant usage. Not good!

 

I can relate to the editorial too, as I was on zoloft for six months and stopped using it just before I came over to Thailand for the summer. Having read the editorial I'm now wondering if THAT had anything to do with my missing/depressed libido. ::

 

Very interesting consequences of dosing around with our bodies' chemistry, isn't there? ::

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I have been cursed (but some say blessed) with a very low tolerance for alcohol. I get past the neck of a beer bottle and I've got a little buzz going already. :drunk: I'm a 'cheap date' as the saying here goes.

Anyway, its hard not to drink in LOS as it gets old ordering Lippo or soft drinks too often or else they start thinking you're a cheap bastard. Also, drinking inhibits my 'performance' and I get a nasty hangover sometimes.

A friend suggested I try a herbal supplement called 'Cobra', and is readily available at any GNC. Its supposed to be a verbal viagra to a certain extent but I find that it soaks up the alcohol and not only can I drink more without getting drunk, I also feel no ill effects the next morning. I try not to abuse it since a low tolerance is my body's way of telling me that I can't handle too much alcohol in my system. The good part is my 'performance' doesn't suffer. Although I have found its hard to cum sometimes, which depending on the situation is not a bad thing :hubba:

 

As far as testosterone I've heard of a product called Andro-gel I think and a coworker had good results from it, but I have to read up on it.

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josh_ingu said:

 

>Very interesting consequences of dosing around with our bodies' chemistry, isn't there?

 

Exactly. So why are you now so interested in messing about with testosterone?

-j-

 

Good question! Perhaps it's an attempt to regain the [former] chemical equilibrium which was lost to age, tequila :clown:, antidepressants and such. But this thread is about the musings of, and research towards the possibility of using testosterone as therapy. Are you implying there is no interest in the topic of a healthy libido here? ::

 

I've never tried viagra, either recreationally or medicinally, but 'fit' the profile of those that do. Them folks always perplexed me in the past (the recreational ones I mean). Yet, I've always suspected that them that have abused it and many that used it did so not because of ED problems but as a means to enhance the libido. Seems to me it was the wrong approach on their part. This thread is just an attempt to explore options other than the ED therapies.

 

As alas, here am I, a healthy (aging) male feeling as if a bit of my libido is missing, and therefore, since subjects such as this are often taboo amongst us in the flesh, I thought this might be a safe, informative and beneficial place to post on the topic. The one thing I am sure of is this- Viagra and similar meds are not solutions to my quest.

 

Do you disagree? And if so, then by all means, tell me why and point me to a place where the demographics would include a bunch men more inclined to value the topic of a healthy libido. ::

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Found this today. Pretty interesting stuff I thought. Anyone going on or on antidepressants might want to know if there were consequences associated with their precription.

 

TI: Incidence of sexual dysfunction associated with antidepressant agents: A prospective multicenter study of 1022 outpatients.

SO: Journal-of-Clinical-Psychiatry. [print] 2001; 62 (Supplement 3): 10-21.

PY: 2001

AB: Background: Antidepressants, especially selective serotonin reuptake inhibitors (SSRIs), venlafaxine, and clomipramine, are frequently associated with sexual dysfunction. Other antidepressants (nefazodone,mirtazapine, bupropion, amineptine, and moclobemide) with different mechanisms of action seem to have fewer sexual side effects. The incidence of sexual dysfunction is underestimated, and the use of a specific questionnaire is needed.

 

Method: The authors analyzed the incidence of antidepressant-related sexual dysfunction in a multicenter, prospective, open-label study carried out by the Spanish Working Group for the Study of Psychotropic-Related Sexual Dysfunction. The group collected data from April 1995 to February 2000 on patients with previously normal sexual function who were being treated with antidepressants alone or antidepressants plus benzodiazepines. One thousand twenty-two outpatients (610 women, 412 men; mean age = 39.8 +- 11.3 years) were interviewed using the Psychotropic-Related Sexual Dysfunction Questionnaire, which includes questions about libido, orgasm, ejaculation, erectile function, and general sexual satisfaction.

 

Results: The overall incidence of sexual dysfunction was 59.1% (604/1022) when all antidepressants were considered as a whole. There were relevant differences when the incidence of any type of sexual dysfunction was compared among different drugs: fluoxetine, 57.7% (161/279); sertraline, 62.9% (100/159); fluvoxamine, 62.3% (48/77); paroxetine, 70.7% (147/208); citalopram, 72.7% (48/66); venlafaxine, 67.3% (37/55); mirtazapine, 24.4% (12/49); nefazodone, 8% (4/50); amineptine, 6.9% (2/29); and moclobemide, 3.9% (1/26). Men had a higher frequency of sexual dysfunction (62.4%) than women (56.9%), although women had higher severity. About 40% of patients showed low tolerance of their sexual dysfunction. Conclusion: The incidence of sexual dysfunction with SSRIs and venlafaxine is high, ranging from 58% to 73%, as compared with serotonin-2 (5-HT2) blockers (nefazodone and mirtazapine), moclobemide, and amineptine.

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More interesting stuff:

 

Hormonal decline in elderly men and male menopause

Geriatric Nursing;2001 Jan-Feb; 22(1); Kessenich CR; Cichon MJ; p. 24-8, 23

 

Abstract (Article Summary)

Much has been written about female menopause, but hormonal decline in men indicative of a similar menopause is a relatively new concept. Hormonal decline in men is a gradual and often occult process. Many men do not experience noticeable symptoms, but those who do usually experience a decline in sexual desire and ability that may be attributed to aging. Some men may hide these symptoms. Hormonal replacements and herbal therapies may be helpful. Nurses must conduct careful histories and physical examinations to elicit disclosure of symptoms of hormonal decline in this population.

 

Interesting too that many hide it. What have they got to hide? Why hide quality of life?

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TI: Testosterone replacement therapy in male hypogonadism.

SO: Journal-of-Endocrinological-Investigation. [print] May 2003 2003; 26(5): 481-489.

PY: 2003

AB: In human males 6-7 mg of testosterone are secreted by the testes in a circadian rhythm with a nocturnal rise in testosterone followed by a decline during the day. Testosterone is necessary to induce and maintain secondary sexual characteristics, lean muscle mass, bone density and for normal sexual behaviour and cognitive function in men.

 

Replacement therapy has been shown to be beneficial in men with overt hypogonadism. Natural testosterone should be used and not modified molecules. Testosterone is currently available in oral, intramuscular, subcutaneous and transdermal preparations.

 

Recent advances in testosterone replacement therapy include testosterone gels which provide flexibility in dosing and minimal skin irritation resulting in good compliance, and the development of longer acting intramuscular preparations which result in more stable testosterone levels with longer injection intervals.

 

All patients receiving testosterone should be carefully monitored for changes in hematocrit, liver function, lipid parameters and prostate specific antigen (PSA). This article reviews the current experience with the use of various forms of testosterone for the treatment of male hypogonadism.

 

TI: Andropause and quality of life: Findings from patient focus groups and clinical experts.

SO: Maturitas-.December 10 2002 2002; 43 (4): 231-237.

PY: 2002

AB: Objectives: To develop a condition-specific quality of life (QoL) questionnaire to assess the symptoms of the decline in testosterone that occurs as men age, otherwise known as the andropause.

 

Methods: Two focus groups of patients with low testosterone levels and an expert panel of physicians in the treatment of male testosterone deficiency.

 

Results: The patient focus groups confirmed that men are unlikely to realise they have low testosterone levels until this is diagnosed and that they are unlikely to share their experiences with peers. Both patients and physicians considered decreased energy levels and impaired sexual performance had the greatest adverse impact on well-being. Patients generally felt that testosterone replacement therapy led to improved energy levels and, to a lesser extent, improved libido and erectile function. Evaluation of the responses resulted in the identification of seven key domains (energy, emotional, social, social emotional, mental functioning, physical functioning and sexual functioning) that should be considered when assessing the impact of andropause on QoL.

 

Conclusions: Understanding the impact of low testosterone levels on QoL is critical to diagnosis and effective treatment. The use of an andropause-specific QoL questionnaire will facilitate quantification of patient experiences and may thus improve subsequent therapy.

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