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Examples of Tests (Ruling Out Your Source of ED)

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  • Examples of Tests (Ruling Out Your Source of ED)

    Hello everyone,

    I'm just posting some tests and examples of what they look like, as well as descriptions of procedures surrounding them. I know a lot of you are beginning a journey where you've discovered some issues with your equipment, and are doing everything you can to figure out what specialists, tests, and even terminology you need to zero in on what is causing this / these issues.

    I too am suffering, and still haven't resolved my issues, so here is some helpful info that may save you a few months. I hope we all recover.

    #1 Anal Manometry
    InkedManometry_LI.jpg
    Many of you have most likely read the pelvic floor dysfunction / hard flaccid posts that are a component of this site, Some of you have spasms in your anal region, perineum, or scrotum, and are concerned it may be veins, nerves, scar tissue, muscle, etc.

    This test involves a lubricated cylinder (thinner than your index finger, most likely) being inserted into your rectum a shallow depth, and you will be instructed to hold a few long kegels and quick kegels at different intervals / amounts of seconds.

    The strength and endurance of your pelvic floor muscles are being evaluated, and the rest lines above the spikes indicate how long the "normal" pelvic floor in a test subject should be able to hold a flex evenly. As you can see, mine fall off very quickly, and become exhausted and weaker over the course of the test. I have extremely strong muscles according to the doctor, but as the posts have verified on this site, a constantly tensed / toned pelvic floor is still weak.

    # BCM muscle nerve latency
    BCM.jpg
    This test will take a small tool while electrodes are gently placed via sticky material onto your anal muscles externally. The tool I was tested with was very similar to a I Pad stylus, with a soft rubber tip. It is pressed against the head of your penis, and two points on your shaft. The S3 nerve is being tested, and a normal latency is faster than or even to 38 milliseconds.

    Many men suffering from some of the erectile issues on this site claim their BCM is causing an indent in their corpus spongiosum. This test can at least verify that the nerve integrity of the BCM is in tact.

    #3 Electro Myography Pre / Post
    Pre Test.jpg
    Post Treatment.jpg
    The average resting tone of the male pelvic floor is a 2-4. Mine is a 12.4, and after treating I was at a 7. The dramatic spikes show I am in spasm in my pelvic floor, especially when attempting kegels. This may be due to trigger points, this may be due to pudendal nerve damage, this may due to bad habits in the restroom. There are various causes, and not all are listed or agreed upon even at high levels of the medical community. Different methods exist to fix this. My therapists are going to shock my pelvic floor at a frequency of 200hz for 8 minutes a week until the floor is so exhausted that the tone normalizes, if that doesn't work, trigger point therapy will also be attempted by a pelvic floor physiotherapist. Biofeedback is also an option, and this has been known to fix ED, but it is a long process that can take over 6 months.

    #4 Testosterone
    Testost.jpg

    Many of you are concerned that you don't have morning erections due to lack of testosterone, issues with your testicles, or other reasons. I can't verify much for you here, but I can assure you of this: You can lack morning / night erections even with high testosterone. A good testosterone evaluation will begin before 10am, as this will give the most accurate read. Whatever provoked my personal ED issues, I myself had 798 testosterone with no night time / morning erections for over 5 months before I started getting semi's during these time periods. I too did not get benefit from arginine, bilboa, etc. I can't say what changed, I wish I could. I want to help all of you. All I CAN say is, rule this out, and understand that you CAN randomly start seeing improvement.

    Conclusion:
    Pelvic floor dysfunction is a very real thing. I can't yet say mine is 100% the source of my issues, but I can say that with a verified case of peyronies, a slight suspensory ligament tear, massive impact trauma to my pelvic floor (with a jet enema to top it off), I am still recovering. I don't masturbate as often, but I have sex regularly. I do take Viagra, and I take pentox. My recovery has been much more rapid after gaining a pentox prescription, and the adhesion in my perineal area IS getting smaller. I have not began a single trigger point therapy yet, and have only been initially evaluated. My first phase of care is forcing my PF into rapid contraction that voluntary kegels cannot replicate, to break up the adhesion, and force the pelvic floor to sit at a lower tone. This may be a bad decision, but the same therapy others have recovered from awaits me beyond this phase, as we are ruling out both types of approaches before going further. A CMG also verified that my bladder neck is not opening during urination, so there are other unique issues as well. My inuries began with a leap into the water from 50 feet, and a VIOLENT impact of my glans against my GF's pubic bone from behind a few weeks later.

    My gf is very sexually experienced. She's been with men and women, had long penises, ultra thick penises, played with bondage, etc. My weak erections have not had an impact on our relationship, but my insecurity and over reaction to it almost has. I began having ED from the very first time we had sex, and we have still only grown closer. Believe me when I tell you this can be healed from, and there is no timeline, if you can still be yourself while you recover.

    I hope I was thorough, it's an odd thing to post about. Feel free to message me if you have any questions. I also have MRI images, ultrasound reports of the testicle, and knowledge of various procedures we can discuss if you just want to talk to a normal guy trying to recover like you. I'm here. I hope this post helped.

    With Hope and Positivity,
    Johnny
    Treant
    Junior Member
    Last edited by Treant; 05-15-2018, 10:47 AM. Reason: Incorrect Photo of Manometry
    To give up is to accept defeat. We must adapt. We MUST master every facet within until the process of elimination reveals the damaged one.

  • #2
    I think it's AWESOME that you're willing to share your knowledge & personal information here in the Gym for the benefit of others who may be suffering ED! REPS to YOU Treant, for doing so! Here's to a full, painless, & natural recovery for you and all guys who likewise are afflicted with pelvic floor issues! Knowledge & SHARING is the most sincere thing we as males can do for others, and it is the truest part of what makes PE Gym such a uniquely valuable resource for ALL MALES! THANK YOU!

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    • #3
      Interesting and informative data- thanks for sharing!
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      • #4
        How very interesting . Thank you.

        Comment


        • #5
          Very interesting, thanks for sharing!

          Just to re-iterate:

          1. testosterone is one hormonal factor among many; on it's own it's a relatively meaningless number.

          2. absolute levels of any hormone are not nearly as important as the ratios among hormones.













          .

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          • #6
            Nice thread.

            My personal experience with ED was to low testosterone & extremely high prolactin due to Pituitary Gland Abnormality.

            Now that the testosterone is above 800 & prolactin at 5 , that pretty much kicked my ED out the window. I think that whole ED scenario is why I am so dedicated to PE to this day.

            Comment


            • #7
              Originally posted by BigBadButters View Post
              Very interesting, thanks for sharing!

              Just to re-iterate:

              1. testosterone is one hormonal factor among many; on it's own it's a relatively meaningless number.

              2. absolute levels of any hormone are not nearly as important as the ratios among hormones.













              .
              Yes the interacations are terribly complex you need a world class specialist to work them out with any confidence yada yada .

              That may be true . But you know what ?

              Ninety odd percent of the time it is real basic . The guy is short of total testosterone .

              The problem there is many guys have been to the gp to the uro and to the hormone specialist for god's sake and between the lot of them they have not worked out the guys total test is just plain low .

              Comment


              • #8
                Originally posted by Pegasus View Post
                Yes the interacations are terribly complex you need a world class specialist to work them out with any confidence yada yada .

                That may be true . But you know what ?

                Ninety odd percent of the time it is real basic . The guy is short of total testosterone .

                The problem there is many guys have been to the gp to the uro and to the hormone specialist for god's sake and between the lot of them they have not worked out the guys total test is just plain low .
                Total testosterone by itself is an utterly meaningless number.

                That's a fact.






                .

                Comment


                • #9
                  What tosh.

                  Guys come here all the time with eq and ed problems ,low libido and so on. They have been to multi doc and specialists who can not see what the prolem is in such a young guy .

                  Now i am no genius but i ask them what is total testosterone 350 they answer or 300 or sometimes even less .

                  In very simple terms if your total test is under 500 then hormone issues are your problem or at least part of your problem before you even think to look at anything else . Now the frightening thing here is that i can see this but so many medical pro's can not.

                  Comment


                  • #10
                    Originally posted by BigBadButters View Post
                    Total testosterone by itself is an utterly meaningless number.

                    That's a fact.






                    .
                    Sorry BBB , but I've got to agree with Pegasus on this one. I was 35 years old with a total testosterone of 285-300 & not knowing anything about prolactin let alone the Pituitary Gland inside my head. Endocrinologist took my #'s and my prolactin was above 3000.

                    As soon as my testosterone went high and my prolactin went very low , ED was a thing of the past for me. That's just my personal experience with good OL testosterone .

                    Although I've heard members say they had total testosterone #'s at 900 & still couldn't achieve an Erection. Now I don't know what to say about that .

                    Comment


                    • #11
                      Originally posted by Pegasus View Post
                      What tosh.

                      Guys come here all the time with eq and ed problems ,low libido and so on. They have been to multi doc and specialists who can not see what the prolem is in such a young guy .

                      Now i am no genius but i ask them what is total testosterone 350 they answer or 300 or sometimes even less .

                      In very simple terms if your total test is under 500 then hormone issues are your problem or at least part of your problem before you even think to look at anything else . Now the frightening thing here is that i can see this but so many medical pro's can not.
                      No, the frightening thing is that you actually think you know what you're talking about.

                      Broscience is broscience.

                      Comment


                      • #12
                        Originally posted by TANGO 5/10 View Post
                        Although I've heard members say they had total testosterone #'s at 900 & still couldn't achieve an Erection. Now I don't know what to say about that .
                        I do.

                        The fact is, it's far more complicated than total testosterone.

                        Let me give you two scenarios:

                        Dude 1: total testosterone of 500.

                        Dude 2: total testosterone of 900.

                        Question: who is healthier hormonally? Who is likely to have better erections? Who is likely to have higher libido?

                        I await your reply.







                        .

                        Comment


                        • #13
                          Originally posted by BigBadButters View Post
                          No, the frightening thing is that you actually think you know what you're talking about.

                          Broscience is broscience.
                          You can overthink it to your hearts content. For that mater in the odd case it is complex .

                          But that is all it is the odd case ,this view that it is always terribly complex does great disservice to many guys that just simply have low test.

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                          • #14
                            Originally posted by BigBadButters View Post
                            I do.

                            The fact is, it's far more complicated than total testosterone.

                            Let me give you two scenarios:

                            Dude 1: total testosterone of 500.

                            Dude 2: total testosterone of 900.

                            Question: who is healthier hormonally? Who is likely to have better erections? Who is likely to have higher libido?

                            I await your reply.







                            .
                            Read my thread you will find it educational.

                            Comment


                            • #15
                              Originally posted by Pegasus View Post
                              Read my thread you will find it educational.
                              Good, so presumably you can answer the question.

                              And presumably your much-vaunted knowledge will come shining through your answer.

                              I'm waiting.






                              .

                              Comment

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