Mens Rea's Battle against PFS.

Yeah “tiny” was the wrong word, but “small” would be appropriate. It’s a quarter of the normal dosage. Anyway i know how it all works and ill be watching my symptoms carefully, although tbh i found that very difficult last time given the fact that i felt identical at all levels on arimidex. Weird.

Aromasin should be easier to control, in theory, than arimidex was, though.

I’m going to try progesterone micronised tablets soon.

I would love to know how my penis completely changes it’s character after exercise. Even playing 9 holes at golf makes it much thinner. How is this possible? It’s either testosterone metabolism and/or adrenals…?

Quarter of the normal dosage… for women with breast cancer! As you know, aromasin and arimidex work very differently and I’ve read that some ppl respond more to one while other respond better to the other (akward english here).
I’ve had bleeding gums, aching joints after 2x 0.25mg arimidex in one week, no probs with 6.5mg of Aromasin EOD during my “PCT”.

I’ve read the studies on aromasin on MEN and decided on the dosage from that.

Also because i can barely go any lower. The liquid is 25mg per ML, but one drop is like a 1/4ml. So what i woudl do is lower it dosage frequency to E2D and then maybe E3D if i feel ive hit a peak.

OK you got me, I aint got anything to teach you it seems. (Dont worry I already knew you were a smart dude that likes to do serious research and you’re one of the guys which posts I follow because of that.)
Where did you get your liquid aromasin from btw?

Lol, yeah right.

But regarding aromasin i did extensive reading on it with my endo we both were happy with that dose. That said, AI’s are so difficult to use on men NOT on TRT imo, and it’s really a case by case basis of trial and error.

I’ve pm’d you the details.

Update 18/7/11

So, the battle continues. I’ve been busy the past month…

Condition: stable. Still low sex drive, penile shrinkage, ED etc. Sometimes my penis looks so thin when it’s flaccid that it’s scarey. My semen varies: it’s definately better than it was 6-8 months ago. Despite this im currently about to enter a relationship (if i decide to give it a go: i do like the single life!!).

I know you guys are interested in how guys like us “cope” in such situations so here’s my story. I’ve been with her the past few months, i put sex off 2 weeks ago because i knew i wasn’t “prepared” (excessive drink the night before and i had masturbated a few times already that day (at about 60% stiffness). Also, no cialis. This Friday i was well prepared. I’ve been cycling cialis (E2D to E3D’s) and levita on demand. I took a cialis on Friday afternoon. We had sex Friday evening (decent, i’d say about 70 maybe 75% of my former self…enough for her not to realise a problem, although i did take a break because i felt i was losing my stimulation…she just counted it as a “round”). That night we went again, this time i popped a levita an hour prior (20mg) and i was better than before. Still not perfect but able to have good sex. We went again in the morning, i poped another levita first thing as a precaution but i don’t think this was necessary but obviously so early on i didn’t want to take any risks.

Conclusion: i can “just about” get by with the use of cialis and levita. It gets me to about 80% stiffness but that still doesn’t solve the size problem (i lose girth at the top since im not 100% erect, basically…and also ive lost girth all over generally!). It’s still harder (no pun) to maintain and achieve erection but even then it’s good to know i can atleast pass myself and indeed satisfy a partner whilst i work on trying to treat this mess. I see no reason not to avail of the PDE5 inhibitors for the time being.

Anyway update regarding my protocols…

I took aromasin for a two-three week spell , about 0.65mg ED… I didn’t have the chance to get bloods during this time and i stopped because i was worried about pushing my levels too low. Similar to arimidex, i definately had a tangible boost in libido, erections etc for the first few weeks. This tailed off a little. In any event, i concluded that i was nowhere close to back to normal and that this “boost” wasn’t a direct effect of treating the root cause.

Given i’ve been pretty much “stable” (not in a good sense) for the past while (massive penile shrinkage persists) i thought it was worth a go experimenting with clomid. I’ve been taking it for the past 8 days. Only about 10-17.5mg ED. Little to no effects so far. I’ll continue taking this for another 2 weeks.

I think i can conclude however that these key sex hormones aren’t the root issue.

I’ve just began taking 100mg of micronized progesterone ED. I think this will help as per Hertoghe’s teachings. I’ll take this for a four week period and make conclusions thereafter.

I’ve got my Ultrasound of abdomen etc (will include genitals) scheduled for next week (25th July) and im meeting a urologist that my endo set up next Wednesday (27th July) to discuss a TRUS. I’m sitting back on the Greece idea for a while because firstly i have other things to experiment with but most importantly because i want to wait until i see how the other guys get on. I’m a little disappointed in Solonjk, whom i consider a good friend, when he decided to delete most of his post history. That most did not instil confidence in someone who was ready to ask for £5,000 from their father and a take a month off a good job.

I’m pushing my endo so sort out the Reverse T3 testing. I’ve rejuvinated my interest in this and im angry i haven’t had this sorted yet. If he doesn’t help me with this in the coming weeks i’ll definately seek it privately.

Lastly, i’ve taken particular interest into recoveries from Prednisone and Dexamethasone. I think this tells us a vital, vital clue about PFS. Currently, my best guess is that PFS is a prostate centric autoimmune/inflammatory condition that can and will wreck havoc with the adrenals, thyroids and other key sex hormones as well as critical neurosteroids and neurotranmitters.

In support of this, i believe this theory can reconcile almost everything. It would explain why the likes of “Ihatepropecia702” has found great success from the anti-candida diet and from eating alot of anti-inflammatories, it explains the whole prostatitus thing that Solonjk is a huge advocate of, and it also explains how guys have recovered from fixing their thyroids, adrenal and immunity issues via Prednisone and Dexamethasone (and even perhaps, cortisol). Unlike awor’s theory of AR or the strict “chronic prostatitus” theory, i think this theory also explains how people recovery naturally over time - as their body self repairs in some cases; often through plenty of sleep, good living and good diet.

The potential to recover by fixing your out of whack adrenals, thyroid and then your immunity via Prednisone and Dexamethasone may depend on how advanced things are and/or how hard one crashed. I believe the guys that recovered via Prednisone and Dexamethasone are proof that even if you have developed some sort of chronic prostatitus that you don’t necessarily require the treatment Dr G advocates. It’ll be a case by case basis and if you can “kick start” your body again it might and in some cases, clearly has, cleaned itself out naturally. Getting the body back to it’s full ability is therefore paramount to one’s chances of a less evasive and more natural recovery.

On that basis therefore i intend to try “give my body a chance” to recover on it’s “own”. I’ll need to diagnose any Reverse T3 condition asap to see if i need a “clear out” here. I’m taking the progesterone to hopefully help normalise my chronically elevated DHT/E2 levels (which causes prostrate hypertrophy) which should take further pressure of my body. I’ve got a few very exciting supplements to try (ill write about them soon) which should also help. Most importantly, I am intent on trying Dexamethasone: probably just 0.5mg for 2 weeks as an intial trial. I have huge hopes for this and think it could prove a lynchpin in my long overdue recovery. As i note however, it’s criticial to get your body in a good position before beginning such a protocol - it’s no concidence that a few guys recovered by fixing their thyroid issues first or concurrently to this treatment.

In conclusion: It’s the above, along with good living that i am pinning my hopes into. Beyond that, it’s Greece, pending the results my learned friends currently over there.

Is the micronized progesterone in pill form? isn’t cream the best for absorption? good update anyway mate, and it’s good to see you battling this with an optimistic view again. Dexamethasone and Progesterone cream are two things i am looking at myself.

Do you get any nocturnal or morning erections without taking PDE5 inhibitors?

I have used dexamethasone (trying to mimic cytochrome’s “recovery”) and it only made me feel like shit (like it really dropped my T down)
viewtopic.php?f=30&t=1630&p=17132#p17132

Yes it’s pill form. TD prog is better for absorption but ultimately it depends what you are using it for. What im currently using it for, i think, the pill form is adequate.

Yes even without PDE5 inhibitors i can get noctural erections the odd time but they’re much weaker, basically. Morning erections, i.e. waking up with a huge boner, just doesn’t happen anymore, really.

That’s disappointing to hear, although i do believe it’s not a case of “one size fits all”. You need to be sufficiently “prepped” to use dexa or any such potent treatment, with success. Also, it might not be the treatment you need. There is no golden bullet, that’s for sure. There may be a few silver bullets out there though if used under very specific conditions. These recoveries are massively important to our understanding of this condition.

Hey Mens Rea, I mentioned this already in solonjk’s thread but this guy Dr Richard Alexander who works in Maryland studies and treats prostatitis from an autoimmune standpoint, if you are interested.

umm.edu/doctors/richard_b_alexander.html

He’s also developed a patent for diagnosing and treating prostatitis.

patft.uspto.gov/netacgi/nph-Parser?Sect1=PTO1&Sect2=HITOFF&d=PALL&p=1&u=/netahtml/PTO/srchnum.htm&r=1&f=G&l=50&s1=6,180,355.PN.&OS=PN/6,180,355&RS=PN/6,180,355

FML.

From the testes ultrasound it revealed microcalcifications (i.e. tiny deposits of calcium in both testes) - this is called Testicular microlithiasis and can increase your rise of testicular cancer. Great new, eh?

Nothing to worry about apparently but surely that merits semi-regular screening.

I can’t help to think all of this shit is connected in one way or another. I duno wtf is going on or if i should be worried.

I didnt get a penile screening unfortunately, only testes, pelvic and abdomen. She wouldn’t do penis for me without it being requested.

I read that Testicular microlithiasis CAN be connected to subfertility and also to infection. The latter interests me and definately doesn’t surprise me, either.

EDIT:

en.allexperts.com/q/Urology-Male-issues-989/calcifications-testis-4.htm

Well, my dexa has came today so I’ve got to decide when/if to begin it.

I think i’ll hold off until i get Reverse T3 tested to ensure i have a perfect thyroid profile prior to dexa. I’m strangely confident about this.

Condition is still much the same. I had more sexual encounters this weekend, cialis/levita gave me a pretty average performance. I haven’t explained all this shit to her yet, but when i recover i’ll blow her mind considering i think she’s happy enough as is :smiley: That said, im not “happy enough” at all, the difference between now and 2-3 years ago is insane in every aspect from penile size, erection strength, libido, sensation, semen - everything. In terms of the size and then erection i have, i think im ending up with a penis about 70% the size of base, maybe even less. Insane, but im hopefully going to reverse this shit slowly and surely.

Will keep ya’ll updated. I think i’m ordering the Reverse T3 test privately this week as im sick waiting on my endo.

Update 27/7/11

A new Urologist visit:

I visted a new Urologist this morning. My endo referred me to him with a letter explaining my problems. I quickly went through my symptoms etc and he confirmed that it probably was the finasteride. He said that usually older guys (As we know) take Proscar and are that happy to find prostrate relief that they don’t really care much about sexual side effects. He said that the drug isn’t a “young man’s drug” and he wouldn’t prescribe it.

He did say that a drug like this can take a long time to work on your body and a long time for the body to “fix” itself after cessation. He didn’t doubt my symptoms which was reassuring but did note that my improved semen quality (in comparison to back around Christmas) is indicative of my prostrate slowly repairing itself. He said he would be confident that i’ll slowly improve over time.

Anyway, the purpose of the visit, was to request a TRUS. I explained to him that many guys with finasteride issues are having TRUS’s and that many were finding infection and inflammation. I said i wanted reassurance that i wasn’t neglecting a deteroiating case of prostatitus.

He examined me physically and felt my prostate. It didn’t feel sore when he touched it (just weird, obviously) which is reassuring. He said it felt 100% as he expected it to and said he’s quite confident i am very healthy. I did ask whether we could get a TRUS just in case and he said he’s going to request the results of my pelvic and testes ultrasound and go from there. He said any prostrate issues would be visible to him via the pelvic/abdomen ultrasound and he didn’t think a TRUS would be needed??

He also said to keep off the booze as even thought it might help your libido in the short term it will slowly and surely do damage: i think this has happened tbh.

He’s going to communicate with me through email when he gets the ultrasound scans etc. So far im going to put the TRUS idea in the backburner especially given the fact - even if Dr G in Greece would say i have prostatitus, noone around here is able to treat it anyway it would seem.

Reverse T3 is now on the top of my list when i get it back i’ll be looking at starting dexa (T3 first if i have high Reverse T3).

I wonder how he’d explain guys taking it for weeks, days even, then having sides for years. He’s certainly right about the body taking a long time to fix itself.

Yeah i know: I think most of us “veterans” know full well that finasteride beings its evil work in a matter of hours.

Just to keep my updates going:

Still on 100mg of micronised progesterone daily. Not sure if it’s did much or not but i intend to keep taking this as it supposedly should reduce DHT and E2 both of which in my case, are very high. In very alive to the fact that fin hit me slowly so perhaps a reversal could take a while to happen too. It should help avoid prostrate hypertrophy and who knows - might slow down my continued hairloss (yes having a pathetic head of hair at 25 does bother me, PFS or not).

Other than that im on Bactrim D.S, a weak antibiotic which is often used as an anti-inflammatory (i believe). I’ve been taking that stuff for a week now and will take it atleast another week and see how i feel. I’m not sure if it has helped yet much or not.

The urologist the last time mentioned i should try 20mg of cialis as opposed to my current 10mg (cant remember if i mentioned this already) so going to ask my doc to oblige.

In other news ive received a test kit for my reverse T3 to be tested by genova diagnostics. I’m going to get my regular bloods taken at my GP’s next week and ill ask if they will draw extra blood for that purpose. Hopefully they will help me out: if not i’ll have to get it drawn elsewhere. It takes 30-35 days to get a result apparently and ill have to await it before starting dexa as i want to ensure i dont need a reverse T3 clearout first. I’m confident im moving in the right direction.

That said, the best ive felt, at hindsight, was a few months ago when i was on aromasin. I’ve taken a note of that for future reference.

What part of the country are you from?

Do you have proof that your cortisol is low via saliva or urine? If so, you might as well start dexa now, because you will need it to clear RT3 if its high anyways.

I got mine tested at privatemdlabs.com

It was only like $40. You print out your lab req. as soon as you pay, go to a PA Labs anywhere near you, then they email you the results within 2-3 days.

is it micronized lipid matrix (MLM, more effective) or just micronized (not really effective)? I’m using 60-90 mg of TD progesterone per day (TD is a better choice) and its effects on energy are pretty strong. Initially, it helped with libido too, but this of course weened off. It also completely halted my hair loss. Not that I care about it per se (and I think you shouldn’t care either), but monitoring hair loss helps you understand your progesterone levels. When your hair loss stops, then it means that your levels are as high as when you were younger (and not still balding).

Remember that if you have hair loss and low libido, then you are guaranteed to have low progesterone and high E2. The reason is that E2 does not prevent DHT conversion in hair follicles, while progesterone does. Reference: chilln’s primers confirmed by my experience with low or high progesterone and stable Free T and E2.

Im from the UK so private labs are that big more inaccessible

I don’t know for sure where my cortisol is at: my fasting serum levels are okay but i would expect salivary levels to be low. I’m taking dexa for other reasons, too. If PFS, in my case anyway, is autoimmune and/or inflammationary based then dexa should help and i suspect this is why it’s helped people in the past.