2 and 3/4 years ago I did one shot lupron, then external beam, then brachy. I was 60 yrs old with localized cancer with 6,6 ,3-4, 3-4, 4-3 Gleasons and a PSA 8.58, and a large large prostate (37), BMI:37.8 . PSA dropped below 1 and has stayed there. Testosterone returned to a range of 429 to 512. lasting side effects were loss of penile girth, lower libido, ED, and ejaculatory and orgasm issues.
7 months ago I went through a six treatment regimen of LISWT, with very good results, significantly resolving the ED issues. However the ejaculation issues remain. If I am more passive, as in a sensual massage, I suffer extreme premature ejac., , before erect and in minutes, with ejac but no real orgasm behind that. When more active engaged, I become erect, and engage until I get to the point of ejac/orgasm, but then get a sensation of blockage, no ejaculation, and the feelings pass and I lose my erection. I've seen 4 urologists and none have experience w this condition or any thoughts. Any suggestions as to what to do ext? Also, if i want to explore a testosterone increase regimen, with care taken to .minimize estrogen, what type of doc do I consult? All thoughts welcome and appreciated
#testosterone #liswt #ejaculation