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Author Topic: Can Cialis use impact a T test? How about sex the night before?  (Read 930 times)

jackinthebox

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Can Cialis use impact a T test? How about sex the night before?
« on: February 14, 2013, 01:53:46 pm »
First time poster, I realize this is a long post, please bear with me ...

Some background about me -
  • 39 year old male
  • 5'6", 150 lbs, muscular, low body fat
  • "Vasclip" vasectomy at age 31
  • Runner, rock climber, former triathlete - yes, I used to do lots of biking but not much for last 2 years.

My story -

About 4 years ago, was dating a woman with insatiable sexual appetite.  Started using 5mg Cialis as performance enhancer, whenever we got together, about 1x per week.  I was 35 yo, no ED symptoms, and used Cialis simply to keep up with her (shortened refractory period, etc.)  Unfortunately, I fear that the Cialis has masked some developing ED issues over the yrs.

Fast forward, to recent times.  Not dating much.  When sex happened, used Cialis 5mg with varying success.  Realized I rarely get morning wood, and generally feel like I've lost my mojo.  Started supplimenting with L-Arginine and fish oil 2 months ago, as it was inexpensive to try.  Seemed to help a little with morning wood, but was too sporadic to make a causal link. 

Started dating a new woman a few weeks ago, we had sex for first time last night.  Decided to NOT take the Cialis, see how things went with her.  First time trying sex without Cialis in like 4 years.  Got a sufficiently hard erection for intercourse, but barely, and didn't stay up very long.  I'm certain this was part mental, but I strongly believe there is something physical going on as well.

Question: My Cialis dosing over the years was low, literally 5mg x1 per week.  Could that be a cause of my issues, rather than simply masking a growing issue?

Question: Could my vasectomy from 8 years ago play a role?  The vasectomy was a procedure called "Vasclip".  Instead of cutting the Vas, they use a plastic clip (about size of a grain of rice) to clamp the Vas closed.  Scar tissue then builds up around the clip.

I have a Dr's appointment in 2 weeks to test T levels per these recommendations:  http://www.peaktestosterone.com/Testosterone_Tests.aspx

Since the sex didn't go so great last night, I'm tempted to go back to the 5mg Cialis until I get test results and learn more.

Question: Could using 5mg Cialis skew my my upcoming T test?  Other tests?
Question: If so, is there a minimum amount of time that should elapse between Cialis dose and the blood draw? 
Question: How about just having sex, no Cialis, the night before - can that impact the test?  My appt is at 8:30am.


Thanks in advance, I feel that the Peak T site, and this forum, are a really valuable resource   :)

PeakT

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Re: Can Cialis use impact a T test? How about sex the night before?
« Reply #1 on: February 14, 2013, 02:32:49 pm »
Gotta run but here's a few comments.  (If I leave something out, hit me up again.)

--I really doubt using Cialis 5 mg/week could cause Viagra or Cialis Resistance if that is what you mean:

http://www.peaktestosterone.com/Viagra_Resistance.aspx

That's what you really have to worry about.  If you were getting morning wood during this period, then you were probably still okay

--Question:  how long has it been since you quite biking and, by any chance, did the E.D. set in during the time you started up with the bike?  I'm sure you know why I'm asking.

--How is your blood pressure?  And what are your lipid readings?

--Let us know your testosterone read.  Obviously this could play a role in everything.  There is a good chance this is an issue due to the loss of morning wood and erectile dysfunction.  Read study #1 in this link:

http://www.peaktestosterone.com/Hypogonadism_Testosterone.aspx

--Having sex the night before could boost your testosterone a little I believe.  First of all Cialis boost baseline T according to one study and the thinking is that it is due to increased frequency of sexual intercourse.  So the question is how rapidly does it raise testosterone.  I think that it will do this with virtually immediate effects, although I can't prove it, because of the Good Looking Woman study.  Researchers found that men who just are in the presence of an attractive woman will have elevated testosterone.  In addition, men will have rapid increases upon winning a game or competition of some sort.

However, don't worry about this too much:  it's good for you and isn't going to skew the results much.  I'd guess by morning your testosterone might be 10-15% higher in the event of a successful rendevous, Lucky Pierre.  There are many things that can raise and lower T and it varies by day somewhat, so you can't stress about the small stuff.



If you are on medications or have a medical condition, always check with your doctor first before making any lifestyle changes or taking new supplements. Yes, low T and E.D. are usually medical conditions.
My Health History: http://www.peaktestosterone.com/My_Health_Story.aspx.
And check out my new Peak Testosterone Program on the right side of my home page: http://www.peaktestosterone.com.

jackinthebox

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Re: Can Cialis use impact a T test? How about sex the night before?
« Reply #2 on: April 25, 2013, 11:00:45 am »
First, to answer Peak's questions

   I've been biking for a long time, but much less than usual these last 2 years.  I started noticing problems like 1.5 years ago.  So I don't see a strong biking correlation.

   Blood pressure is 116/74.
   Total cholesterol  184
   HDL  45
   TC/HDL ratio 4.1

And, and lengthy update (trying to provide a full picture):

Went to the doc for my (first ever?) annual checkup.  In addition to the tests run for the checkup, I asked to run T-related tests.

Doc talked me into NOT running a full battery of T-related tests because they're expensive and I'm on high-deductible insurance.  Instead he recommended a few key tests, thinking we can pursue more detailed tests later if I like.

Here are my numbers, along with the normal ranges indicated on my results:
Any red flags?  I realize there are big gaps (no free T, no Estradiol, etc.)
  • Testosterone total  514 ng/dl  (normal range 241-827)
  • TSH                2.75 mIU/L  (normal range 0.50-6.00)
  • Vitamin D total      60 ng/mL  (normal range 30-100)
  • Red Blood count     5.6 M/5L   (normal range 3.9-5.9)
  • Vitamin B12       672.6 pg/mL  (normal range 200-1100)
In addition, I started getting a little more sleep, and improving my diet - fewer processed foods, more yogurt, fruits, veggies, salmon.  I now get erections in the morning, 50% of the time or so, usually around 4am.  Pretty solid too, and they'll usually stick around for 5 minutes or more if I'm just lying there.  So that's encouraging.

However, when opportunities for sex present themselves, it's always late at night (after a date, almost always after a beer or two) and things don't go so smoothly.  I can usually get it up, but it's rarely as hard as I would like, and things usually go downhill from there.  And any pause in the action (to put on a condom for instance) almost always spells trouble.

Consuming Red Ginseng and Goat Weed on nights where sex may happen helps a little, but I'd like to NOT have to take special actions in anticipation of sex, you know?

I've been taking the following suppliments, in the following doses, for about 6 weeks now. 
Once in the morning, and again at night:
  • L-Arginine  900  mg
  • Citrulline  850  mg
  • Cq10        150  mg
  • Fish Oil    2    caps
  • Vitamin D   4000 IU
  • Pyncogenol  50   mg
So I'm feeling stuck.  Between the extra sleep, diet changes and suppliments, something has improved my morning wood, which is great.  BUT it hasn't translated into improvements in the bedroom where it counts.  Together these feel like a lot of pills to take 2x per day, for unquantifiable benefit.

Questions I'm struggling with ...
  • Underlying cause?  T related?  Venous leak?  All in my mind? Something else?
  • Don't know if I should stick with all these suppliments, and for how long?
  • Adjust dosages, or take them all at night instead of dividing into morning and night?
  • Explore other suppliments? Maca?  Cacoa? ??
  • Order additional blood tests?
  • Explore other lifestyle changes?
Any help to recommend the next best step(s) would be appreciated.  Thanks in advance.

PeakT

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Re: Can Cialis use impact a T test? How about sex the night before?
« Reply #3 on: April 25, 2013, 11:46:09 am »
I've just got a sec here and will try to write more later.  A couple of things that may help you:

First of all, huge congrats on getting the morning erections back.   You sound a little "ho hum" about that.  Don't be:  this means the plumbing is working and you're getting much closer.

Here are some addtional ideas that should help you:

1.  You may need to be careful with saturated fat.  It really slows down blood flow, so experiment with that.  You do not need, contrary to all the hype out there, lots of saturated for good testosterone levels and I discuss that here:

http://peaktestosterone.com/forum/index.php?topic=1338.0

So play with that.

2.  Nitrates. Consume lots of nitrates (as in food) when you get home.  The effects last for about 4 hours and are usually partially curative.  Beets, spinach, celery, carrots, lettuce - these are your friends.  Read these pages and ask any questions you need to:

http://www.peaktestosterone.com/Beet_the_Odds_Review.aspx

http://peaktestosterone.com/forum/index.php?topic=1252.0

http://www.peaktestosterone.com/BeetRoot_Juice.aspx

Now there is some controversay about nitrosamines.  Don't let me forget to discuss that with you, but I can't do it right now. 

3.  Venous Leakage.  You may have a minor case here.  Why do I say that?  Well, your T is not high for sure and it sounds like you were not getting morning erections for an extended period of time.  You have to have daily (or nightly) erections to oxygenate the penis or it "withers".  So you are now getting it back in shape.

Also, discuss anything and everything with your doc if you have any medication or medical conditions.
If you are on medications or have a medical condition, always check with your doctor first before making any lifestyle changes or taking new supplements. Yes, low T and E.D. are usually medical conditions.
My Health History: http://www.peaktestosterone.com/My_Health_Story.aspx.
And check out my new Peak Testosterone Program on the right side of my home page: http://www.peaktestosterone.com.

jackinthebox

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Re: Can Cialis use impact a T test? How about sex the night before?
« Reply #4 on: April 26, 2013, 02:43:40 pm »
Thanks.  I'm blessed to have no other medical conditions, and not be on any medications.

Yes, the morning erections are encouraging  :)  The plumbing is working, it just doesn't work as well, when I need it ... which can be incredibly frustrating when dating new women, and never knowing how the plumbing will work when called upon.

So basically the advice I'm hearing is:
  • Strive for a Mediterranean diet.
  • Incorporate more high-nitrate foods - definitely in the evening for the immediate benefit, and in general for curative benefit.
  • Do this for a while, probably a couple months, and gauge the improvement as it takes time to undo whatever damage may be present.

Any comments on my supplement regime?  There is such a wealth of information on your site, can be tough to sift through it all, and prioritize what's most likely to help.

Between everything I listed I'm popping like 8 pills, 2x a day ... plus daily multivitamin which I forgot to list.  That many pills seems slightly crazy to me every time I swallow a mouthful.  Or maybe it just comes with the territory.  If you think I should change anything (dosage, add another supplement, remove a supplement) I'd love to hear it.  I'm considering adding in Vitamin C too.

Regarding red ginseng, I take it before sexual encounters and it seems to do some good.  Does it have curative powers that would recommend taking it every day regardless?

Thanks in advance.

PeakT

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Re: Can Cialis use impact a T test? How about sex the night before?
« Reply #5 on: April 26, 2013, 02:51:10 pm »
I've just got a sec, so on the supplements:

--The Vitamin D, Fish Oil and CoQ10 - I don't think anyone will argue with them.  The first two, in particular, make up for deficits that do not have a real replacement.  (There is no algae-based omega-3's though...)

--I think that you will find that you can get rid of the other erectile supplements (Ginseng, Arg/Citrulline, Pycnogenol) with increased nitrate consumption.  You'll have to try though.

--Make sure you are getting a lead-free Ginseng.  Most of the sources I've read from people that supposedly know what they are talking about recommend cycling Ginseng.  I read, though, that Mao took it every day for what that's worth!
If you are on medications or have a medical condition, always check with your doctor first before making any lifestyle changes or taking new supplements. Yes, low T and E.D. are usually medical conditions.
My Health History: http://www.peaktestosterone.com/My_Health_Story.aspx.
And check out my new Peak Testosterone Program on the right side of my home page: http://www.peaktestosterone.com.