I am a 36-year-old male. I have been having issues with ED, fatigue, irritability, and urinary urgency. I just felt like my nether regions are lacking in nutrition. Penis feels abnormally limp and dead a lot, and have trouble maintaining erections during sex. Also, I am leaking urine after I urinate, and have to do it without warning. I went to a urologist and got my levels tested, testosterone was 360, and free test 13.5. He said might be good to try Clomifene in order to raise T levels, and I was wondering, would one have to be on it for life? It seems like the side effect profile is not nonexistent, I do not want to go on TRT, and seems dicey to mess with hormones for too long. Can the Clomid permanently switch my T levels to normal? What is the goal? Have a hard time getting an answer from my doctor.
Also, is it possible to get T levels to normal functional level through more exercise, etc,.? I could definitely stand to exercise more, though I am not fat. Also, my blood pressure has been high at 146. I eat pretty healthily. Trying to find the best way forward? Cialis has helped ED and erases urinary symptoms, but it gives me a lot of testicle pain, and I figure it is not good to be on that forever either, but instead treat the root causes. I also had minor gynecomastia in right breast since puberty.
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The doctor basically gave you Clomifene because most likely he suspected that since you have gynaecomastia, therefore, there might be low prolactin levels as well and Clomifene is an anti-estrogen drug, therefore it will help to decrease the gynaecomastia and possibly help you with your erectile dysfunction. There is no harm in taking it for a few months. Although, it is an indirect treatment but might help and not that it has a bad adverse effect. So no harm in trying. Also, since your testosterone was not that low so I do not think that you would have to take it for long.
You can try de-stress techniques instead of exercising to relax your mind mainly to achieve your cure. Since most of the times, it is just psychological.
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