HRT HAS NO EFFECT ON RAPIDLY DIMINISHING LABIDO AND PENILE SENSITIVITY

Age 38 when began to loose sexual function. (not simply e.d., desire, thoughts, craving, and penile sensitivity) HRT for two years benifitted many things but not sexual function. So far I have only been able to test for total testosterone (220) complete estrogen (estriol was high but was told E2 is more important) cortisol, thyroid. I am 40 now and have almost competely diminished labido and my genitals often feel like a finger or any other non sexual organ. I have a few good days now and then its all great but the next few days I have zero interest and no feeling and this in the past two years have went from never having a problem to almost zero overall with fewer days I can enjoy sex at all. This is NOT phycoiogical and I never took anti depresants. The only thiing I ever took was meth but the problems never showed up until months after I got sober and healthy. HRT no matter what levels for how ever long do not effect the main problem. Please tell me which test I can take that might find the answer. I am adding psa, proactlan, ensulin resistence, and all the basic things but would like to know of anything I should add that might solve this thanks.

[Stephen Liroff, MD]

I wish that there was one test that would answer the question about what is wrong. Are you seeing someone for this problem, or are you directing your own evaluation and treatment? Have you been to a urologist or an internist/family practitioner with a particular interest in sexual dysfunction? How about a sex therapist. You mention a total testosterone of 220, which is usually considered a low number. I am not sure why you are so sure that the issue is not psychological, but I, as a physician evaluating you, especially with the meth history, I would want a formal evaluation from a sex therapist in the course of working you up if everything else came up negative.
Unfortunately, I do not have your answer other than to make sure that you are being evaluated by individuals with particular knowledge in this area of medicine.
Good luck!
S.A.Liroff, M.D.

[ifknroc]

  I simply would like advice on general known things  most comonly known to effect labido I might consider as a 38 year old healthy male who has been on HRT (100-200 test cyp per week) with no success in labido and e.d. Example, the things on my list so far are dopamine levels, proprolactin, psa. I have tested E2, cortisol, thyroid, adrenal wich all are middle normal range. I don't need advice regarding how important it is to hire a doctor who I can't afford nor any kind of mental therapy. Ive lost a wife 18 years ago to cancer and have had the most outstanding sex life before as well as 18 years later with not a single case of e.d. or sex hang up, stress, depresion or anything else.