I know you want normal healthy erections on demand, but trust me, your marriage will only suffer if you let it. You've got fingers and a tongue haven;t you?? Use them!! And when your doc figures out what's up, you can get the problem sorted. In the mean time, a bit of the little blue helper pill can't hurt. Best of luck
A diagnosis of hypogonadism is easily treated, though most doctors are unfamiliar with treatments that will actually bring about your old self. after a throrough physical to disount any physical problems causing your hypogandism, the first thing to try is cardiovascular exercise. Get your heart rate up and keep it there for at least 30 minutes a day. Better to go for an hour long walk every day. Try this for a month and see what happens. Also, you might try a glass or two of red wine each day (but no more than that). If overweight, try losing 10-15% of your body weight and see if things improve.
If none of this works, in my opinion, the only thing you can do is find a doctor that is familiar with men's hormones (typically NOT what you'd think, an endocrinologist. from my experience, they are more in tune with diabetic needs, and not age related hormone modulation). What seems to work best to raise your hormone levels to where they need to be are WEEKLY injections of between .5 and 1 cc of testosterone. Be sure your doctor monitors your levels monthly including your estradiol (estrogen) levels. When your proper testosterone levels are achieved, continue to monitor your estradiol levels monthly for up to 6 months. If they rise too high, a drug that is normally used for females with breast cancer called Arimidex will take care of the problem. It neutralizes the enzyme that causes testosterone to aromatize into estrogen. Usually one or two Arimidex per week are enough to bring your estradiol (estrogen) level into a normal range without any bad side effects.
The thing is not to give up on living a normal life as nature intended. With proper care and dedication, you can be even better than before. Good luck!
If you are experiencing erection problems and your Total Testosterone levell is only 216, it's unlikely that your problem is vascular and therefore, Cialis will probably not correct the problem. Normal range of T-levels for men are 300 to 1100, but the average is around 550. If you are also experiencing other symptoms such as: fatigue, low libido, depressed mood and if your fat/muscle percentage is suboptimal, you are most likely hypogonadal.
While the previous poster did mention hormone replacement, he left out the option of a topical, transdermal gel that can be applied to your skin daily. This ia a much less painful method than injections and will deliver more consistent levels provided you stay on therapy. The most used version of this is AndroGel. While it is more expensive that injections, it is covered on the majority of health plans on a preferred status (which means you can get it for a co-pay of about $15-$25 per month).
Doctors that are generally more in tune with hormone replacement are D.O.'s.
I've been using Androgel for 3 years and have done well with it. My guess is that the doctor who ordered your hormone tests would also write the prescription. I got my test and prescription from my regular family doctor. Androgel is expensive ($120 a month here in Canada), but my private health plan covers it, which is great. The province where I live will only pay for the injections, not the gel. The gel will be generic within a few years, so the price will go down.
You don't say what all your symptoms were. If you were having ED, you still might need medication for that. The androgel helped me enormously in the frequency of erections but not as much in the quality. So I'm on 5 g or Androgel and 5 mg of Cialis per day. And yea, it does help my marriage.