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Case Title:  Sexual disorder - no libido and sexual orgasm, due to testicular failure or excessive testosterone-DHT or -estrogen conversion
Reader : 12/17/2003> 

dear doc:

my libido is gone. it has been sinking from age 18-38, but it is now retired. i can still get an erection, in response to physical stimulus, but i have no desire to. furthermore, i cannot achieve orgasm, through intercourse oral, or manual stimulation. With effort, I can masturabte to orgasm in 15-30 minutes 1-2x/week, alone, but i have to use lubricant, or there is too much friction. the orgasm is not satisfying. in either case, i have no urge. There is no pleasant/tingling sensation in the penis shaft or frenulum anymore, that feeling ike a mosquito bite you have to scratch; there is no anticipatory thought of sex which promotes an erection.

The many doctors I've seen have either told me to go away ("Get out of my office!"), see a shrink (I did), or prescribed testosterone shots/gel (my T is 280 on a 280-1100 lab scale). One prescribed Sudafed for ejaculatory incompetence, which yielded a slight change in ejaculatory function - more involuntary, and essentially, ejaculation without orgasm, perhaps 2-3 minutes sooner. Not pleasant. Yohimbine (rx) gives a slightly more pleasant orgasm, but no increased sensation.

Is there anything I can do? Or should I join a monastary? I'm pretty good at chanting..

Dr. Lin: 12/18/2003> By definition, your T level indicates that your testicular failure, or that you have an excessive liver enzyme 5-alpha reductase to convert all the testosterone level to DHT if your DHT level is too high (for hair loss and prostate enlargement with a low T level), or that you have an excessive liver enzyme aromatase to convert all testosterone into estrogen if your estrogen and prolactin levels are too high.
With that extreme low T level, your semen is very watery and thin, your erection and orgasm is weak due to a lack of prostaglandin E-1.
You need ViaPal-hGH-P and 5-HTP to work with the prescribed testosterone shots/gel.

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