Does anyone have any idea what this is

[Sten1]

Hello, everyone.
I am grateful that this forum exists.
I hadn't written in a long time, but I decided to make a new topic.
Some of you know my story, but in short - a fracture of the penis, surgery, then months a good erection but begins to fail. Doppler - without a full erection, but the doctor told me that there is no venous flow and there is a very good flow. I will do a second Doppler soon. Low testosterone (250-280), but I don't know if the baseline levels before surgery were not. Varicocele.
Problems: Extremely strong visual stimulation is needed to get a full erection. It is usually about 70% and not hard. When sexual intercourse begins, the erection becomes softer. It does not disappear completely. It is strange that I have had cases in which the erection is full and does not fade so quickly, but this has happened 3-4 times in recent months.

Quite often my penis is rubber without being straight.
The strangest thing is that orgasms feel much weaker. I used to feel chills on my body, as if current was flowing through my body during ejaculation, and now I can read a book and I won't miss a word of it haha.

What's even weirder is that I've had a very, very strong ejaculation all my life, and now it's just leaking out of the urethra.
Even when I squeeze the urethra lightly to put pressure on it, it just leaks out again.

Does anyone know this? Does anyone have any idea what might be happening to my penis. I am extremely grateful for each answer.
Be healthy

[porterrobinson]

those testosterone levels are indeed very low and could be part of the problem. what do the doctors say about that?

[Hawk]

Same as what PorterRobinson said.

It seems your sex drive is reduced which would of course reduce erection strength and your focus on sex rather than being able to think of other things.

[Mikel7]

I would say you need a full hormone panel. I could wager that those low levels for you are causing a lot of your problems.  I'm a 17 year TRT veteran and have been through it all.  Minimally you need a Free Testosterone level done and an Estradiol E2 test for a man done also .  It is called an LC/MS/MS test that is only for a man. There are other things to check out also.  High cortisol and high SHGB also affect your T levels. If you want further info on this you can PM me and I can fill you in.    Mikel7

[Hawk]

It is all interesting and informative.  I would encourage you to continue the exchange on the open forum so thousands of others can benefit from the exchange.  I see no advantage to moving the conversation into a private setting.

[Mikel7]

Sounds good to me.  I'll wait for you Sten1 too see if you want to pursue this.   

[Sten1]

I would say you need a full hormone panel. I could wager that those low levels for you are causing a lot of your problems.  I'm a 17 year TRT veteran and have been through it all.  Minimally you need a Free Testosterone level done and an Estradiol E2 test for a man done also .  It is called an LC/MS/MS test that is only for a man. There are other things to check out also.  High cortisol and high SHGB also affect your T levels. If you want further info on this you can PM me and I can fill you in.    Mikel7

Hello again. Thanks for the answers! I am grateful! I really ask you to give me more information about your experience on the subject of testosterone. Is it really possible that an erection is not 100% low in testosterone? I thought that in the absence of testosterone it was just difficult to start. But when an erection occurs, it persists, no matter what. Several doctors have told me I'm wrong, but I don't trust urologists. I had two or three cases of "deep immersion" in visual stimulation and then my erection was 100% complete. But it happens very rarely. Before - just thinking that I would see a girl and the erection started .... just a kiss and I got hard on. Now - even with the sight of a naked female body in front of me ...... I get 50-70%. If the situation is extremely exciting and unexpected ..... very very surprising and exciting ...... I get a 95% erection ........ I am already very confused ......

[Mikel7]

Before - just thinking that I would see a girl and the erection started .... just a kiss and I got hard on. Now - even with the sight of a naked female body in front of me ...... I get 50-70%. If the situation is extremely exciting and unexpected ..... very very surprising and exciting ...... I get a 95% erection ........ I am already very confused ......

I would surmise from your symptoms that you have classic low T or hypogonadism.  This could be called primary hypo or secondary hypo . Primary is just from aging which the testicles just slow down their production. Then there is secondary which means that the signals to produce testosterone have been affected.   I will compose an "easy read" for you and the forum to have for determining what qualifies a man for HRT and its treatments.  I just don't know if Hawk would want it to be here or to start a new posting.    Mikel7