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Author Topic: Doppler results today  (Read 581 times)

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Asdf1234

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Doppler results today
« on: June 09, 2020, 04:02:41 PM »

I went for a repeat Doppler today after the first one suggested I had venous leak on the left side. Today they done another Doppler with a stronger injection on the left side and the doc said that it was normal and no venous leak with good arterial inflow. I asked about Peyronies and he told me that there are no plaques or scar tissue and they would be able to see that from the scan so said that I don’t need to worry about Peyronies.

The trouble is I still find it hard to maintain an erection especially when standing? I get morning wood sometimes but as soon as I stand up it disappears. I also think my sex drive isn’t what it used to be. If the doc says no venous leak and no Peyronies then what else can be causing this?
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TonySa

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Re: Doppler results today
« Reply #1 on: June 09, 2020, 07:11:33 PM »

I’d consider 2.5 - 5 mg generic cialis nightly for at least 6. months.  It should give you strong erections and over 6 months may even reverse your Erectile Dysfunction.
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PxD 2 yrs 9/16.  Failed all treatment. 9/11/18: excision, grafting & implant Dr Karpman MtnView Ca, AMS CX 18cm + 3-1cm RTEs.
Pump failed.  2/11/20 Dr Karpman installed Titan 22cm +1cm RTE.

Asdf1234

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Re: Doppler results today
« Reply #2 on: June 10, 2020, 05:36:42 AM »

Thanks for your reply. I’ve been on Cialis 5mg for the last couple of months. They help a bit but still problems when standing. It leads me to think the problem I have must be psychological. They told me yesterday that my pulse was all over the place and I have ectopic beats. I do suffer from severe anxiety and depression
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TonySa

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Re: Doppler results today
« Reply #3 on: June 10, 2020, 10:13:03 AM »

Depression and anxiety can certainly aggravate Erectile Dysfunction.  Are you getting counseling or taking any medication for that?
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PxD 2 yrs 9/16.  Failed all treatment. 9/11/18: excision, grafting & implant Dr Karpman MtnView Ca, AMS CX 18cm + 3-1cm RTEs.
Pump failed.  2/11/20 Dr Karpman installed Titan 22cm +1cm RTE.

Asdf1234

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Re: Doppler results today
« Reply #4 on: June 10, 2020, 12:47:49 PM »

No, I’m not on any medication but am seeing a psychotherapist and started exercise it helps a lot. But have always got this nagging feeling that something is physically wrong downstairs. I have seen different urologists one says it’s all psychological the other says there’s always a physical cause so I just don’t know what to believe any more? I don’t get how they can tell me I have venous leak then a couple months later say I’m ok? No Peyronies either and just a congenital curve apparently. Feels like I’m back to square one. I just want to get to bottom of it all.
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TonySa

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Re: Doppler results today
« Reply #5 on: June 10, 2020, 11:49:07 PM »

Keep up the psychotherapy and exercise!  Try to remind yourself it’s a cogenital curve and u don’t have to worry about Peyronie’s.  Meanwhile if you also need it consider upping your nightly cialis dose or adding 100-200mg viagra before sex fiorbsolid erections.  Good luck guy and try to enjoy your disease free penis.
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PxD 2 yrs 9/16.  Failed all treatment. 9/11/18: excision, grafting & implant Dr Karpman MtnView Ca, AMS CX 18cm + 3-1cm RTEs.
Pump failed.  2/11/20 Dr Karpman installed Titan 22cm +1cm RTE.

Asdf1234

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Re: Doppler results today
« Reply #6 on: June 18, 2020, 09:51:50 AM »

Thanks, can I just ask though if Peyronies would always show on a Doppler,? It’s just that the appearance seems differnt as if it’s got shorter and narrower
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TonySa

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Re: Doppler results today
« Reply #7 on: June 19, 2020, 08:30:57 PM »

It usually will, especially if you have someone experienced in Peyronie’s.
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PxD 2 yrs 9/16.  Failed all treatment. 9/11/18: excision, grafting & implant Dr Karpman MtnView Ca, AMS CX 18cm + 3-1cm RTEs.
Pump failed.  2/11/20 Dr Karpman installed Titan 22cm +1cm RTE.

Asdf1234

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Re: Doppler results today
« Reply #8 on: June 23, 2020, 11:20:46 AM »

Ok, well I just hope he’s got it right. He assured me he would be able to see it..The other thing I’m finding very hard to understand is that it’s impossible for me to get an erection whilst standing up. Like literally nothing no matter how hard I try.. also when I’m having sex and stand up to change position it just dies. It doesn’t make sense to me and can’t find anything about it on internet... a lot suggest venous leak but radiologist confirmed I don’t have this.. but then again he done Doppler whilst I was lying down so maybe it’s not accurate? Another thing I’ve found is I no longer get random erections ever while walking around.. I used to get these all the time... it makes me convinced something physical is going on as I’m only 36 and I think that it’s still normal for me to get those at my age?
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Asdf1234

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Re: Doppler results today
« Reply #9 on: June 27, 2020, 01:12:44 PM »

Anyone?
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melting

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Re: Doppler results today
« Reply #10 on: June 27, 2020, 03:03:11 PM »

Venous leakage, I made a big post about it somewhere.. In an otherwise healthy individual with no injury to the venous system it might just be a weak pelvic floor..
The venous systems function IS to "leak". Arteries bring blood in - veins bring it out.

In the penis the hard tunica is supposed to occlude the outflowing veins to keep the blood inside to maintain erection.
Arteries create the pressure into the smooth muscles that then fill and press the tunica which then occludes veins.
Arousal and then chemicals are needed too. The pelvic floor muscles are needed ALSO! They help start the erection and help maintain it.

The Ischiocavernosous muscles for example "pinch" the outflowing(veins) top side. If your pelvic floor is out of balance then the IC's can't do that. That often gets obvious when you move position!
Many guys who grew up in era of pornhub have problems cause they wank in the same position for years. Sitting. I remember as a teen having magazine pictures and posters to wank - STANDING! ;)

In germany socialist medicine its hard to get viagra etc. for these issues. In US you just eat some pills and it forces the erection but obviously it might just mask a problem that then gets worse that could be solved by training the pelvic floor.
I think you might profit from that-balanced, stretched, relaxed and trained pelvic floor.
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Asdf1234

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Re: Doppler results today
« Reply #11 on: June 27, 2020, 08:54:49 PM »

First Doppler they were unsure second Doppler concluded no venous leak
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melting

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Re: Doppler results today
« Reply #12 on: June 28, 2020, 05:42:07 PM »

I dont know about your specific case but it's totally possible to have a venous leak one day and the other not. A happy relaxed day, probably not.. but a stressed tense day it's again there.

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Sten1

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Re: Doppler results today
« Reply #13 on: June 29, 2020, 04:51:17 AM »

I dont know about your specific case but it's totally possible to have a venous leak one day and the other not. A happy relaxed day, probably not.. but a stressed tense day it's again there.

How so ? If one day there is a venous outflow and another day does not - this means that this is not a condition that is irreversible. As far as I know from the many articles I have read, this condition is constant and is not affected by anything. If one day there is and another day there is no venous outflow, in my opinion this is not the classic venous outflow. The problem is different. Blood flows from the veins after interruption of visual or physical stimulation and this is not a venous leak. This is perfectly normal - in my opinion.
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41 years old. Penis fracture in February. After fracture - normal erections. Until July. Two fails with a girl from then severe depression.
2020 - already without depression, I'm just trying to get on the right way

Sten1

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Re: Doppler results today
« Reply #14 on: June 29, 2020, 04:54:00 AM »

How come one day a person may have a venous leak and another day not?
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41 years old. Penis fracture in February. After fracture - normal erections. Until July. Two fails with a girl from then severe depression.
2020 - already without depression, I'm just trying to get on the right way

melting

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Re: Doppler results today
« Reply #15 on: June 29, 2020, 09:21:42 AM »

stan, I already explained..

Quote
In the penis the hard tunica is supposed to occlude the outflowing veins to keep the blood inside to maintain erection.
Arteries create the pressure into the smooth muscles that then fill and press the tunica which then occludes veins.
Arousal and then chemicals are needed too. The pelvic floor muscles are needed ALSO! They help start the erection and help maintain it.

Of course if you have already bad inflow, "weak arteries", "low arousal chemicals" and are unfit and unhealthy, you probably have it everyday and it's constant. The worst cases that show up and that then high % go into literature are most probably that.
Also if your veins are damaged or you have some condition it's unrelated to the erection quality or inflow. Of course..

Consider that blood circulation to the penis is on a similar path as leg blood circulation. If you have muscular fit legs then chances are high you got great blood flow to the penis too.(if nothing else obstructs)

Now.. with peyronies, when a plaque sits right at the tunica where it is supposed to "occlude" the veins.. and then you have an erection it's also possible that the tunica is not able to perfectly occlude the outflowing veins. That could show up as a "venous leakage" too.

There can be so much wrong with this whole leakage thing. I think it mostly gets tested with chemically induced erections at the doctor. If that erection isn't 100% then you again will have "venous leakage".

The only time a fully healthy penis is not "leaking" is when it has a 100% hard erection.

So the real question to ask is, "why is there a venous leakage"? It's not enough to just diagnose one.
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Hawk

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Re: Doppler results today
« Reply #16 on: June 29, 2020, 07:04:37 PM »

Since your desire is also reduced have you had your testosterone checked?  If it is low it can clearly cause lack of desire and weak erections.

I would take something to encourage erections since erections keep the tissue healthy.  A few things to try
L-Arginine - 1000mg 2 or 3 times a day (over the counter)
Daily Cialis (prescription)
Trazadone - 1/2 of 50 mg tablet at bedtime with a light snack (Prescription) - VERY cheap, helps with sleep, causes night-time erections but not much help with daytime erections.  Most doctors will prescribe it for sleep if you ask.
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Asdf1234

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Re: Doppler results today
« Reply #17 on: June 30, 2020, 11:41:33 AM »

The doc and urologist said my testosterone levels were fine. This is really messing with my head as I’m only 36 and don’t understand how I can get a decent erection lying down but when I stand it goes quick. I can get a semi standing up but nothing more. I sometimes get morning wood which is decent but goes when I stand up to go to toilet. I never feel I can get aroused standing up it’s just weird. My penis looks a bit different too like it seems stiffer and more engorged when flaccid. The colour of my penis appears to be much darker tan too? My question is can all of this be 100% psychological and be cured? I have bad anxiety and depression and thought that this might be the cause? Something to do with sympathetic tone? I did notice about 5 years ago my ejaculate volume  And force reduced significantly and has been the same ever since. Now when I ejaculate it’s seem very thick and no seminal fluid or precum? There’s not Much volume maybe about a teaspoon or just under.dopplers showed no plaques or and scarring and they said that they would be able to see any trauma from the past. But there is nothing. It just feels as if my penis is out of sync with my mind. Like the connection is blocked in some way?

Thanks for the suggestion of the meds Hawk I’ll give it a try.
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Hawk

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Re: Doppler results today
« Reply #18 on: July 01, 2020, 10:41:44 AM »

Our minds are powerful and can affect more than we usually think so I would say that it certainly could be psychological.  It is difficult to know.  You should be aware however that Night Time Erections (NTE's) use different pathways than waking erections caused by physical or mental stimulation.  When I had total Erectile Dysfunction from surgery I could tale Trazadone at night and get good erections for long periods but just as soon as I would rouse enough to consider using it it was gone.  If your morning wood tends to disappear when you are fully awake but still lying down it might not be the position but rater an NTE vs a stimulated waking erection.

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Asdf1234

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Re: Doppler results today
« Reply #19 on: July 01, 2020, 01:15:51 PM »

I think I’m still getting NTE. I do wake up in middle of night with them, then other times I’m dreaming of sex then I awake expecting to have one and I don’t. It’s so weird and it’s as if everything is completely out of sync. I can maintain them through masturbation upright kneeling and lying down it’s just when I stand up it’s as if there is no arousal and they are lost immediately. It doesn’t respond in any way whatsoever whilst standing. It’s as if my penis feels numb and unresponsive whilst stood up. I did take Cialis 5mg one night a few weeks ago. And the next morning I was walking to the front door and I got a random wrection and had to wait a couple mins till it went down before I went out. That’s the only time anything like that’s happened in I don’t know how long. So bloody weird

The thing I’m worried most about is the penile tissue health. I did say to the andrologist and she told me “nah don’t worry about that kinda thing your too young“. I felt as if she couldn’t be arsed with me. Doppler showed 51.4cm/s inflow and 2.9 cm/s outflow. The consultant said I defiantly don’t have a leak. I said to him why didn’t you do the Doppler while I was standing up because that’s when I have the problem and he told me it’s not necessary because it would have shown up either way. He told me you have no plaques or any scarring whatsoever and he would be able to see from Doppler. I asked about fibrosis or calcification and he said no nothing. He said your scan was normal. One more thing that I find very weird is after I take a Viagara it works within about 2 minutes and I have very strong erections with it. That leads me to think it’s more of a  placebo effect As I didn’t think viagra worked that quick? And I can get erections standing with it. Another thing that could suggest my problem is psychological?my morning wood stays mostly as long as I don’t think about it but will lose it once i start thinking. And always as soon as I stand up it’s gone within 10secs... I’m just totally confused because all the reading I have done says it points to a classic case of venous leak but then the docs say no. Can depression and anxiety reduce libido and sex drive significantly without lowering testosterone?
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melting

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Re: Doppler results today
« Reply #20 on: July 01, 2020, 04:04:56 PM »

This is really messing with my head as I’m only 36 and don’t understand how I can get a decent erection lying down but when I stand it goes quick. I can get a semi standing up but nothing more. I sometimes get morning wood which is decent but goes when I stand up to go to toilet. I never feel I can get aroused standing up it’s just weird. My penis looks a bit different too like it seems stiffer and more engorged when flaccid.

Most of this is totally normal but can be a problem when pronounced.
Clearly, it sounds, like you have a weak and/or tense and/or unbalanced pelvic floor.
Stiff engorged flaccid could be the condition called "HARD FLACCID" which is also a pelvic floor issue.

If you are stressed anyway then this plays totally into it too. Often the PF clenches in stressful situations without you noticing.
Relax, balance and strengthen your PF. (if you only do strength it could make things worse)
Lot's of ways to do that and info to find about. I wrote extensively about it just days ago I think
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Asdf1234

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Re: Doppler results today
« Reply #21 on: July 01, 2020, 04:28:50 PM »

Most of this is totally normal but can be a problem when pronounced.
Clearly, it sounds, like you have a weak and/or tense and/or unbalanced pelvic floor.
Stiff engorged flaccid could be the condition called "HARD FLACCID" which is also a pelvic floor issue.

If you are stressed anyway then this plays totally into it too. Often the PF clenches in stressful situations without you noticing.
Relax, balance and strengthen your PF. (if you only do strength it could make things worse)
Lot's of ways to do that and info to find about. I wrote extensively about it just days ago I think

This sounds like a load of rubbish to me. What solid scientific evidence do you have to back this up? If tht is was the case then why arent all doctors and andrologists using this to help people? Sounds a lot like the nofap crap you hear about.
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melting

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Re: Doppler results today
« Reply #22 on: July 01, 2020, 04:50:18 PM »

Well, research it yourself...

Understand how the pelvic floor works, the science is all out there, and do the 1+1 if that's the reason why erections are different in different positions and how a not perfectly working pelvic floor will amplify it.
Maybe start with an anatomical diagram of the pelvic floor.
To me it's obvious..?

Hard flaccid is weird but well documented by a lot of people on the web with some offering how they solved it. Not sure if you have it but sounds like it.

I'm no proponent of nofap.(also no proponent of too much fap, especially not fap in the same position all the time CAUSE.. yeah the...)
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