I have had to use meds to help with my erection since 2005, when I was diagnosed with a pituitary adenoma (a small benign cyst in my pituitary gland) which has now disappeared.  I have been having 3-weekly injections of testosterone enanthate ever since.

At first I used half a 100 mg tablet of real Viagra, then changed to Kamagra as it was cheaper.  Over time, I had to increase to a full 100mg tablet.  Then I tried the Thai GPO version, Sidegra, but that really was not as good at all so I reverted to Kamagra.

Now I am finding that even the full Kamagra works but it's on and off.  Things progress fine at first but then after 5 or so minutes, things drop off and he goes to sleep.  He can be revived with some work and I can usually orgasm eventually but it can be a chore. 

I had some left over Sidegra and started cutting a tablet in half and taking it with a full 100 mg Kamagra and that improved things somewhat, but not 100% of the time.   The Sidegra is finished now so I am looking for another answer.

I am not 100% certain of the maximum dosage of sildenafil and I am reluctant to take 2 Kamagra, but I am willing to try 1 and a half.

The other thought was that genuine Viagra may do the trick.  Either that or try Cialis but Cialis is longer acting and as I am now 72, I don't need it for a 'Pattaya weekend' bonking session.  

If anyone knows of other ED meds that might be more effective, please let me know.  I am sure there must be others by now.  I seem to recall something called Levitra but know nothing about it.

The other option is to see a urologist and see what else might be going on down below.  Perhaps I need to increase the testosterone dosage or frequency.

In which case, can anyone recommend a good one, preferably in a Government hospital or reasonably priced private one?

 

 

Stop the Testosterone & any ED drugs.

Have a full hormone blood panel & also a CBC.

Which Testosterone are you taking, dose & frequency?

Why bother with all that just to have sex? not having it is a relief, just give it up. 

Circulatory issues and/or diabetes can be a signioficant factor in erectile dysfunction...you need a proper workup

Why bother trying to have sex? Be like me celibate, ha,ha.

Condoms are a major softener so if you are using them, stop, find a way round it

25 minutes ago, faraday said:

Stop the Testosterone & any ED drugs.

Have a full hormone blood panel & also a CBC.

Which Testosterone are you taking, dose & frequency?

I have told people already in my OP  - test. enanthate 3-weekly and whatever the dose on the ampoule is - 250 mgs.  

Why would I stop the testosterone?  My body doesn't make it because my pituitary gland has atrophied since my TRT.  Do you mean stop in the short term until I have a full hormone test?

I had a CBC 10 days ago.  All fine, but slightly elevated uric acid. 

I am having my  testosterone check on Thursday.  I am unsure what to ask for though - total free testosterone or something else?

 

 

13 minutes ago, scubascuba3 said:

Condoms are a major softener so if you are using them, stop, find a way round it

Never used them since I met the missus 14 years ago.  Never could get on with them anyway, even in my younger days.

25 minutes ago, tonray said:

Circulatory issues and/or diabetes can be a signioficant factor in erectile dysfunction...you need a proper workup

I don't have diabetes.  I had a full blood test 10 days ago on 5 March and my glucose is minimal.  77 on  a range of 74 - 106 mg/Dl.

I also had an ECG and chest X-ray the same day.  My heart is perfect for my age, no sign of enlargement since I started going there 10-12 years ago.  My aorta is also the perfect size, 1.7 cms I think.   No signs of an aneurysm at all.

I have no circulatory issues at all.  All these tests were done at the National Chest Institute in Nonthaburi, the leading cardiac training hospital in Thailand.

As an aside, I am sure I have my mother's genes.  My cholesterol has always been high since I started going there, but the ratios are perfect.  My mother had high cholesterol for the last 35 years of her life and she died 18 months ago aged 101!  In her nursing home, the doc said he'd never met anyone so old with such a strong heart.

 

41 minutes ago, Orton Rd said:

Why bother with all that just to have sex? not having it is a relief, just give it up. 

What an idiotic remark.   There's always someone.  ????

1 minute ago, Mister Fixit said:

What an idiotic remark.  

why is it, sex is not an essential activity, it's over rated and something people are made to feel inadequate about if they are not actively participating in it as often as possible. At my age i'd rather have a good dump, and it's not as messy either.

OP, You are comparing 3 products that are the same active ingredients and the same strength of the active ingredient.

If you think you are reacting differently to different "brand names" of the same thing, that is probably more in your own imagination.

You dismiss Cialis, which is actually a different active ingredient.

Testosterone is not a cure for ED

5 minutes ago, Mister Fixit said:

I don't have diabetes.  I had a full blood test 10 days ago on 5 March and my glucose is minimal.  77 on  a range of 74 - 106 mg/Dl.

I also had an ECG and chest X-ray the same day.  My heart is perfect for my age, no sign of enlargement since I started going there 10-12 years ago.  My aorta is also the perfect size, 1.7 cms I think.   No signs of an aneurysm at all.

I have no circulatory issues at all.  All these tests were done at the National Chest Institute in Nonthaburi, the leading cardiac training hospital in Thailand.

As an aside, I am sure I have my mother's genes.  My cholesterol has always been high since I started going there, but the ratios are perfect.  My mother had high cholesterol for the last 35 years of her life and she died 18 months ago aged 101!  In her nursing home, the doc said he'd never met anyone so old with such a strong heart.

 

Good to hear....so many people who use Viagra etc. do so without ever looking at the root causes of their dysfunction which usually lie in obesity, insulin resistance and poor circulation. I was simply pointing that out.

living in pattaya, as I do, my problem is keeping it down, not keeping it up. Agree with scuba though, condoms are a passion killer, I gave them up years ago.

22 minutes ago, Mister Fixit said:

I have told people already in my OP  - test. enanthate 3-weekly and whatever the dose on the ampoule is - 250 mgs.  

Why would I stop the testosterone?  My body doesn't make it because my pituitary gland has atrophied since my TRT.  Do you mean stop in the short term until I have a full hormone test?

I had a CBC 10 days ago.  All fine, but slightly elevated uric acid. 

I am having my  testosterone check on Thursday.  I am unsure what to ask for though - total free testosterone or something else?

 

 

Read this:

 

https://www.lifeextension.com/lab-testing/itemlc100010/male-comprehensive-hormone-panel-blood-test

 

I've tagged @WaveHunter, he can most probably give you a more comprehensive answer 

3 minutes ago, faraday said:

Read this:

 

https://www.lifeextension.com/lab-testing/itemlc100010/male-comprehensive-hormone-panel-blood-test

 

I've tagged @WaveHunter, he can most probably give you a more comprehensive answer 

High Tostesterone levels = high chance of developing prostate cancer. Zero tostesterone = zero chance of developing prostate cancer. When I had prostate cancer I was given a hormone that eliminated my tostesterone production. PSA went to zero and 10 years later I'm still in remission.

21 minutes ago, Mister Fixit said:

What an idiotic remark.   There's always someone. 

Not really. You are 72 yo and should be enjoying your sunset years in other more natural ways with loved ones.

2 minutes ago, MJKT2014 said:

Not really. You are 72 yo and should be enjoying your sunset years in other more natural ways with loved ones.

What's more natural than sex? its the font of life.

26 minutes ago, Orton Rd said:

why is it, sex is not an essential activity, it's over rated and something people are made to feel inadequate about if they are not actively participating in it as often as possible. At my age i'd rather have a good dump, and it's not as messy either.

I have to agree with you, before last week I was living in England with my English wife all my life, don't think I've had sex since I was 40 years old (65 now). I'm gob smacked to read that someone aged 72 still expects to have sex.

But also agree with the first poster, if it's something you want to do, and can find someone willing to do it with you, why shouldn't you be enabled? Best wishes for finding an answer to your problem.

Why don't you listen to your body that tells you enough, I'm tired of sex and you move on to grow flowers and get drunk with their scent

32 minutes ago, Peterw42 said:

OP, You are comparing 3 products that are the same active ingredients and the same strength of the active ingredient.

If you think you are reacting differently to different "brand names" of the same thing, that is probably more in your own imagination.

You dismiss Cialis, which is actually a different active ingredient.

Testosterone is not a cure for ED

Well, I can tell you for a fact that Sidegra, the THai GPO version of sildenafil was much less effective than Kamagra.

The reason I mentioned all three versions of sildenafil is that manufacturing quality varies considerably depending on where the product is made.   I spoke to my local pharmacist whose English is excellent and he said that most drugs made by the Thai GPO are not as effective as branded ones.

Kamagra has always worked fine but seems to have lost its efficacy for me in the last few months.

I am happy to pay extra for genuine Viagra if t works more effectively than an Indian made brand like Kamagra.

I did not 'dismiss' Cialis as you mistakenly thought, and would happily use it if I thought it would be more effective than anything else.  My concern is that it seems overkill for a 72 year old bloke with a 51 year old wife who don't have sex every few hours.

And I am well aware that testosterone is not a 'cure' for ED.  However, the two are linked and it is you who conflated the two and came to the conclusion that I thought that.

17 minutes ago, MJKT2014 said:

Not really. You are 72 yo and should be enjoying your sunset years in other more natural ways with loved ones.

Clot.  What is more natural than enjoying having sex with your loved one?  ????????

So just because I am 72, I should suddenly stop having sex?  That sounds remarkably like a little bit of jealousy there ...

Jeez, I have read some idiocies on here but that one takes the biscuit!  

7 minutes ago, ICELANDMAN said:

Why don't you listen to your body that tells you enough, I'm tired of sex and you move on to grow flowers and get drunk with their scent

I see it as my civic duty to release the pent up passions of the local community.

Its a tough job but somebody's got to do it.

22 minutes ago, polpott said:

High Tostesterone levels = high chance of developing prostate cancer. Zero tostesterone = zero chance of developing prostate cancer. When I had prostate cancer I was given a hormone that eliminated my tostesterone production. PSA went to zero and 10 years later I'm still in remission.

I'm glad you got over it.

Luckily my PSA levels are perfect

35 minutes ago, Orton Rd said:

why is it, sex is not an essential activity, it's over rated and something people are made to feel inadequate about if they are not actively participating in it as often as possible. At my age i'd rather have a good dump, and it's not as messy either.

I can remember one of my friends making the same remark about preferring a good dump. However, given his wife was a lush and ugly to boot, it was no surprise.

I still have sex, not as often as I used to, with and without chemical help. If I was not enjoying it, I'd stop. I've found an attractive naked GF works for me.

Just now, Mister Fixit said:

I'm glad you got over it.

Luckily my PSA levels are perfect

If you are taking testosterones you need to keep an eye on your PSA levels. 6 monthly as a minimum.

49 minutes ago, tonray said:

Good to hear....so many people who use Viagra etc. do so without ever looking at the root causes of their dysfunction which usually lie in obesity, insulin resistance and poor circulation. I was simply pointing that out.

I was obese until 4 years ago, but went on a strict keto diet and lost 50 kilos (110 lbs or 8 stones) overall and have kept it off.
As I said, my blood glucose levels are also perfect and my blood pressure hovers between 110-120 over 65 - 75 since I lost all that weight.   

1 minute ago, polpott said:

If you are taking testosterones you need to keep an eye on your PSA levels. 6 monthly as a minimum.

I do.  Always perfect.

4 minutes ago, Sticky Rice Balls said:

And the meds making other things strong..no wonder the ladies love him 2 much!! ????

You've misread and misunderstood or deliberately misquoted.

I was referring to my 101 year old mother's heart.  ????

36 minutes ago, faraday said:

Read this:

 

https://www.lifeextension.com/lab-testing/itemlc100010/male-comprehensive-hormone-panel-blood-test

 

I've tagged @WaveHunter, he can most probably give you a more comprehensive answer 

Thanks for that information.  I will look into it, but I don't think I will be paying 9,000 baht for one.

My lovely lady doctor at the heart hospital told me 10 days ago she had never seen a 72 year old look as healthy and vibrant as me - she said a was 'bursting with health'.  Nice of her but I didn't mention the 'down below' problems.

If I didn't have them I may well have tried it on with her!!  ????