Visiting an urologist, need advice
After nearly 5 years of erection problems, I finally decided to go to a urologist. My appointment is next week. My past experience when visiting doctors taught me one thing: you have to be annoying and ask every question you may have or else the doctor is just going to get rid of your case as fast as possible, move on to the next patient and you’ll exit his office with just as many questions as before your visit.
Any suggestions on what to ask, what tests or treatments should I ask about, etc? I’d like to get something more than just a prescription for Viagra or Cialis…
I personally suspect that I have venous leakage…
Here is some relevant info about my case:
-26 years old, better than average physical condition, I don’t take any medication at the moment, I took a lot of Accutane over the years (5 cycles since the age of 18)
-Started experiencing erection problems 5 years ago. At that time I had been taking Propecia for +-2 years. I was in great shape. I was a TOTAL caffeine addict (6-10 coffees/day). I lost all my sex drive (in about 1 year, I went from wanting sex 5 times/night to never really wanting any)
Had some pretty serious ED at the time (2 times I wasn’t able to get any kind of erection with my girlfriend of the time, had trouble getting an erection when masturbating, I needed a lot of stimulation, I wasn’t 100% erect when ejaculating and sometimes I just wasn’t able to get an erection at all.
-Since then things got better but still far from perfect: stopped taking Propecia as soon as I began experiencing these problems. Stopped taking any kind of caffeine for a year. Things got better. I never experienced another total ED episode with any girl I’ve been with and sex drive is way higher then before (When with a girl, I usually feel like having sex 2-3 times/night).
The problems that remain regard erection quality. I never get 100% erect. I get 95% at the very best (not often). Most of the time, a good erection is 90% and a bad one 75-80%. When I’m with my gf, I get a pretty good erection without any stimulation during foreplay.
During penetration, thrusting movements in positions where penetration angle is straight help me maximise my erection level but, once there’s been stimulation to my penis, I’ll often loose my erection in about 45 sec. if the stimulation stops. I have no problem gaining my erection back in these situations.
Grinding movements cause me to lose erection quality pretty fast.
-I feel like the base of my penis (first inch) is the part I have a tough time getting hard.
-I feel like I’m “addicted” to PE. If I go a few days without doing a PE work out that gives me a good pelvic muscles and lower abs a good work out (edging session can work as well), I get erections of lesser quality, my balls hang higher and come much faster.
-I suspect that caffeine intake has an impact on the quality of my erection. I try to limit my intake but sometimes I just don’t have the choice as I need it to get work done. It should be noted that I don’t directly link caffeine with erection problems since drinking moderate amounts of coffee at times where I can still get all the sleep I need seems to have no consequence.