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
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
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