Sidegra, Kamagra, Viagra and Cialis

[Mister Fixit]

@WaveHunter @onebir @rcuthbert

Sorry, got caught up in something else but you guys seem to know most of what's going on in this thread.

I have had a former Thai student who works for Pfizer tell me that either Bangkok Christian Hospital  or St Louis are worth trying for a decent urologist and checkup.

I need to be in Silom tomorrow anyway so thought I would see what's what at both.

Does anyone know anything about them in this regard?  Do they have ED and testosterone deficiency specialists at either and are they any good?  And which is the cheapest - I'm on a budget?  Bangkok Christian?

Or are there any other places which are better?  I go to the Army hospital, Phramongkutklao, for my knee arthritis and they are good for that - worth trying them?

Also, I am due a testosterone shot on Friday and before the shot I was going to get the clinic to take a blood test to check my testosterone levels but I can't remember if it should test for free or total testosterone or both.  Anyone know?  I think the first ever test I had about 2004 was for free testosterone.

 

Could do with a quick answer!  ???? 

 

Edited March 15, 2021 by Mister Fixit

[rcuthbert]

32 minutes ago, Mister Fixit said:

@WaveHunter @onebir @rcuthbert

Sorry, got caught up in something else but you guys seem to know most of what's going on in this thread.

I have had a former Thai student who works for Pfizer tell me that either Bangkok Christian Hospital  or St Louis are worth trying for a decent urologist and checkup.

I need to be in Silom tomorrow anyway so thought I would see what's what at both.

Does anyone know anything about them in this regard?  Do they have ED and testosterone deficiency specialists at either and are they any good?  And which is the cheapest - I'm on a budget?  Bangkok Christian?

Or are there any other places which are better?  I go to the Army hospital, Phramongkutklao, for my knee arthritis and they are good for that - worth trying them?

Also, I am due a testosterone shot on Friday and before the shot I was going to get the clinic to take a blood test to check my testosterone levels but I can't remember if it should test for free or total testosterone or both.  Anyone know?  I think the first ever test I had about 2004 was for free testosterone.

 

Could do with a quick answer!  ???? 

 

Get your estrogen checked.

I would get free and total testosterone checked.

Sometimes, the independent labs have good prices; however, I'm in Patts, so I can not offer any practical suggestions.

[Mister Fixit]

1 minute ago, rcuthbert said:

Get your estrogen checked.

I would get free and total testosterone checked.

Sometimes, the independent labs have good prices; however, I'm in Patts, so I can not offer any practical suggestions.

Yes, I think I will just ask the nice lady doctor at my local clinic on Friday before she does the shot to take blood for all three tests.  Thanks for the advice on the oestrogen (and test for oestradiol too?).

It's 700 baht for a testosterone blood test but I don't know which type, free or total or if it's double the price for both.

Then, if there are any anomalies, I will look for a decent endocrinologist and maybe urologist.  This is an endocrine problem which causes a limp dick, not a physical one AFAICS.

I will write up the history when I get a minute and you will see what's been happening.  Waaay too many wrong conclusions and assumptions have been made by most commenters so far.

 

[Mister Fixit]

4 hours ago, onebir said:

1) How often do you use these drugs; have you tried using them less often &/taking a break from them?

'Chronic' use of many drugs causes downregulation of the relevant receptors, weakening their effectiveness. Often the only fix is to stop using them/use them less for a while; this can allow the receptors to recover. (Occasionally there's another drug that prevents receptor downregulation, but that's a bit of a needle in a haystack.)

2) Have you (or your doc) reviewed their metabolic pathway of silfafenil?

IIRC it involves increasing NO2 synthesis, and that needs some inputs (amino acids?). Perhaps your intake/reserves of these inputs are low.

 

1)  I suppose I use between 4 and 6 tablets a month, more likely nearer the 4.  It's a bit awkward at the moment because we have my wife's dim 23 year old niece staying which is off-putting anyway but that's not the issue.
That's not excessive use so no need to reduce intake and if I took a break I would not be able to have sex.  Hence, there is no 'chronic use'  to be concerned about in my view.

2) No.

And I thought it was nitrous oxide which was involved in vaso-dilation in an erection, not nitrous dioxide.  I am no biochemist though so I could well be wrong but I think not.

Edited March 15, 2021 by Mister Fixit

[Mister Fixit]

3 hours ago, rcuthbert said:

That is beyond my knowledge - hence the recommendation to see doctor. At the same time, estrogen will definitely be a factor of limp weenie.

But it isn't limp when I take Viagra. 

However over the last maybe 6 months things will fade away after some time and need to be revived by oral or manual means before continuing.   It usually only happens once, but sometimes twice but eventually things come to fruition.  

On a few occasions I have just said forget it and gone to sleep.

So, the Kamagra isn't acting as effectively as it was, but it always works, even if only for a while.

It's working out why that is happening which is the key.

 

 

[scubascuba3]

13 minutes ago, Mister Fixit said:

But it isn't limp when I take Viagra. 

However over the last maybe 6 months things will fade away after some time and need to be revived by oral or manual means before continuing.   It usually only happens once, but sometimes twice but eventually things come to fruition.  

On a few occasions I have just said forget it and gone to sleep.

So, the Kamagra isn't acting as effectively as it was, but it always works, even if only for a while.

It's working out why that is happening which is the key.

 

 

Sounds like you aren't turned on enough

[onebir]

37 minutes ago, Mister Fixit said:

1)  I suppose I use between 4 and 6 tablets a month, more likely nearer the 4.  It's a bit awkward at the moment because we have my wife's dim 23 year old niece staying which is off-putting anyway but that's not the issue.
That's not excessive use so no need to reduce intake and if I took a break I would not be able to have sex.  Hence, there is no 'chronic use'  to be concerned about in my view.

2) No.

And I thought it was nitrous oxide which was involved in vaso-dilation in an erection, not nitrous dioxide.  I am no biochemist though so I could well be wrong but I think not.

1) I'd also be surprised if once every 5-7 days wasn't enough to give receptors or whatever time to recover.

2) Apparently I'm no biochemist either ???? But there are supplements and herbs that increase NO levels and might be worth a try. (Like arginine, which I found on Lazada for about $15/100g)

[Mister Fixit]

25 minutes ago, onebir said:

1) I'd also be surprised if once every 5-7 days wasn't enough to give receptors or whatever time to recover.

2) Apparently I'm no biochemist either ???? But there are supplements and herbs that increase NO levels and might be worth a try. (Like arginine, which I found on Lazada for about $15/100g)

I have no idea who or what you are - no criticism intended.

[Mister Fixit]

57 minutes ago, scubascuba3 said:

Sounds like you aren't turned on enough

That's a medical diagnosis is it?

But enough to get an erection though.  I find at times I feel hot and it seems to be at those times when things slacken off.  Crank up the air for 5 minutes to cool off while the missus does her stuff and off we go again.

Edited March 15, 2021 by Mister Fixit

[farang51]

1 hour ago, Mister Fixit said:

1)  I suppose I use between 4 and 6 tablets a month, more likely nearer the 4.  It's a bit awkward at the moment because we have my wife's dim 23 year old niece staying which is off-putting anyway but that's not the issue.
That's not excessive use so no need to reduce intake and if I took a break I would not be able to have sex.  Hence, there is no 'chronic use'  to be concerned about in my view.

That is certainly not overdoing it; I have been taking a pill every day for some 16 years.

Speak to your doctor, and ask her about trying Cialis. You will not get a 16 hour hard on; you will need to be in the mood just as with Viagra. The biggest different is that if you are in the mood, Viagra may work in the evening while Cialis may work for a round againg in the morning - again, only if you are in the mood.

[rcuthbert]

2 hours ago, Mister Fixit said:

Yes, I think I will just ask the nice lady doctor at my local clinic on Friday before she does the shot to take blood for all three tests.  Thanks for the advice on the oestrogen (and test for oestradiol too?).

It's 700 baht for a testosterone blood test but I don't know which type, free or total or if it's double the price for both.

Then, if there are any anomalies, I will look for a decent endocrinologist and maybe urologist.  This is an endocrine problem which causes a limp dick, not a physical one AFAICS.

I will write up the history when I get a minute and you will see what's been happening.  Waaay too many wrong conclusions and assumptions have been made by most commenters so far.

 

Estradiol (E2) is the usual test.

 

[Mister Fixit]

16 minutes ago, rcuthbert said:

Estradiol (E2) is the usual test.

 

Thank you.  I will mention it when I go in a few days.

 

[Boomer6969]

15 hours ago, OswaldBastable said:

don't think I've had sex since I was 40 years old (65 now). I'm gob smacked to read that someone aged 72 still expects to have sex.

Amazing, and you've never sought medical advice for this lack of libido? 

[scubascuba3]

6 hours ago, Mister Fixit said:

That's a medical diagnosis is it?

But enough to get an erection though.  I find at times I feel hot and it seems to be at those times when things slacken off.  Crank up the air for 5 minutes to cool off while the missus does her stuff and off we go again.

The fact is that condoms and sometimes the gf or wife just doesn't turn you on as much as they used to, both are softeners, if you have health conditions on top of that ok

[chicowoodduck]

Stop the madness....and the drugs.....just tape two sticks on each side of your unworkable member and rest easy....????????????????????

[TheFishman1]

I think the best advice would be explain your problem to your doctor or physician and maybe they can come up with a solution I hope you figure it all out TIT

[dutchdude]

but where can one buy cialis , I have never seen it over here, it's  not for the sex ( hehehe) but for the bloodpressure

 

[fitfalang]

You said that you are taking testosterone enanthate injections 3-weekly: I assume meaning one 250mg amp every 3 weeks? I suspect this can be the reason. Testosterone enanthate has a half life of 4.5 days so dosing it so infrequently creates a rollercoaster, where at the end of the 3-week cycle you will barely have any testosterone left in your system. 

TE is normally dosed every 14 days max. and if you can make it more frequent (like once a week), even better. Note: I don't necessarily mean increasing the total dosage of your TE injections as I'm not sure how higher levels affect someone at your age. Personally I use Testosterone Cypionate at 100mg every 9 days for TRT purposes. Note that Cypionate has a half life of 8 days and works better for maintaining stable T-levels. You can get the Thai brand Cypionax here very cheap as well, I recommend changing to that. 

In case you don't like frequent injections, I recommend researching Nebido (1000mg) that has a release rate of approx. 90 days. It is usually dosed one 4ml injection every 8-12 weeks. 

Edited March 16, 2021 by fitfalang

[Sticky Rice Balls]

So if viagra is the clear winner.....what would be the thai runner up in LOS?  Kamagra....I tried the jelly packets before...same in any form?...asking for a friend ????

[Sticky Rice Balls]

On 3/14/2021 at 10:07 PM, polpott said:

I see it as my civic duty to release the pent up passions of the local community.

Its a tough job but somebody's got to do it.

Judging by the Avatar sounds like a Mission Impossible---should you choose to accept it... ????

[Mister Fixit]

5 hours ago, scubascuba3 said:

The fact is that condoms and sometimes the gf or wife just doesn't turn you on as much as they used to, both are softeners, if you have health conditions on top of that ok

Well, that's not the case with me. 

1) I never use condoms, not even when married in the UK.  If I went on a Pattaya bonking weekend 15 years ago, yes.

2) Anyone who has been married or in an LTR  any length of time knows that sex isn't always swinging off the chandeliers 100% of the time, so well done for stating the bleedin' obvious.  

And I happen to think that being turned on is more to do with what's in your own head.  You can turn yourself on if you want to and know what you are doing with the other person even if they aren't initially in the mood.

[Mister Fixit]

19 hours ago, rcuthbert said:

For me - I would to do TRT unless I was under a doctor's - with knowledge of hormone management - supervision.

 

*  https://en.wikipedia.org/wiki/Hypothalamic–pituitary–gonadal_axis

 

#  https://en.wikipedia.org/wiki/Aromatase

Many thanks for this information.  Very interesting but I may need to read it more than once!

I shall get back you, I am sure.

[Mister Fixit]

13 hours ago, farang51 said:

That is certainly not overdoing it; I have been taking a pill every day for some 16 years.

Speak to your doctor, and ask her about trying Cialis. You will not get a 16 hour hard on; you will need to be in the mood just as with Viagra. The biggest different is that if you are in the mood, Viagra may work in the evening while Cialis may work for a round againg in the morning - again, only if you are in the mood.

I have used Cialis in the distant past when I was about 15-16 years younger and would go on bonking weekends at Pattaya.

I don't need anything long term now - once or twice a week is enough at my age.  I am going to get some Cialis and some genuine Viagra later today to try out so will keep you posted.

[phitsanulokjohn]

On 3/15/2021 at 9:07 AM, Mister Fixit said:

Jeez, I have read some idiocies on here but that one takes the biscuit!  

Does she?Then best feed her a biscuit instead.

[NCC1701A]

On 3/15/2021 at 7:22 AM, Mister Fixit said:

At first I used half a 100 mg tablet of real Viagra,

in addition to Viagra try Maca root daily:

https://th.iherb.com/search?sug=maca powder&kw=maca powder&rank=3

add to a glass of water.

https://www.healthline.com/nutrition/benefits-of-maca-root#TOC_TITLE_HDR_3

who are you having sex with? not joking as that obviously has a lot to do with it.  make sure you take 100mg Viagra (or whatever) on a empty stomach at least one full hour before boom boom. drink 8 ounces of water with it. no alcohol at all on boom boom day. cut out alcohol completely if you can. walk at least one hour a day. 

 

[Mister Fixit]

1 hour ago, fitfalang said:

You said that you are taking testosterone enanthate injections 3-weekly: I assume meaning one 250mg amp every 3 weeks? I suspect this can be the reason. Testosterone enanthate has a half life of 4.5 days so dosing it so infrequently creates a rollercoaster, where at the end of the 3-week cycle you will barely have any testosterone left in your system. 

TE is normally dosed every 14 days max. and if you can make it more frequent (like once a week), even better. Note: I don't necessarily mean increasing the total dosage of your TE injections as I'm not sure how higher levels affect someone at your age. Personally I use Testosterone Cypionate at 100mg every 9 days for TRT purposes. Note that Cypionate has a half life of 8 days and works better for maintaining stable T-levels. You can get the Thai brand Cypionax here very cheap as well, I recommend changing to that. 

In case you don't like frequent injections, I recommend researching Nebido (1000mg) that has a release rate of approx. 90 days. It is usually dosed one 4ml injection every 8-12 weeks. 

Excellent post - many thanks.  Yes, one ampoule every three weeks.  The next shot is this Friday.  This was the frequency set for me when I was at Bumrungrad in 2005 and I haven't changed it. 

I probably should have had it all checked years ago but I haven't although I will now.

I have read about cypionate but don't like tinkering with hormonal stuff on my own.

I shall look into all the above in more detail in the next few days, so in the meantime, many thanks for your input.

[Mister Fixit]

35 minutes ago, phitsanulokjohn said:

Does she?Then best feed her a biscuit instead.

The idiot poster who posted his inane remarks has taken them all.

[Mister Fixit]

29 minutes ago, NCC1701A said:

in addition to Viagra try Maca root daily:

https://th.iherb.com/search?sug=maca powder&kw=maca powder&rank=3

add to a glass of water.

https://www.healthline.com/nutrition/benefits-of-maca-root#TOC_TITLE_HDR_3

who are you having sex with? not joking as that obviously has a lot to do with it.  make sure you take 100mg Viagra (or whatever) on a empty stomach at least one full hour before boom boom. drink 8 ounces of water with it. no alcohol at all on boom boom day. cut out alcohol completely if you can. walk at least one hour a day. 

 

Never heard of maca.  Not really into so-called 'natural' remedies, but I will look into that.  Thanks. 

Do you happen to know the name of that stuff in Thai?  My wife is heavily into Thai traditional herbal medicine and studied it for about 6 years.  If I can tell her the Thai name, so could get it from one of her many fellow students who always seem to be sending things between each other

As it says in my OP, I only have sex with my wife.  I don't want the complications of a gik (not after the last one 11 years ago). 

I know how to take Viagra and what dose, thanks very much, and I know never to drink on a bonking day.  Why should I have to drink so much water when I take it?

Walking's a problem with two stage 3 arthritic knees and my knee doc told me not to anyway.  I prefer horizontal jogging!  ????

Edited March 16, 2021 by Mister Fixit

[Mister Fixit]

52 minutes ago, NCC1701A said:

in addition to Viagra try Maca root daily:

I had a quick look into that maca stuff.  

I have no problem whatsoever with quantity or volume of semen , even at my age.  When I was in my late 20s and my ex-wife and I were trying to have children, the specialist specifically remarked how full his little test tube was of my product!  ????

I may possibly try it, but it seems to need 6 or more weeks to become effective.

The major downside to it for me is that there are 20 grams of carb in an ounce, which is about 28 grams.  That's about 70% carbohydrate and my daily carb allowance is 20 grams a day because I have been on a strict keto diet for almost 4 years and lost 50 kgs overall, or about 110 pounds.  No way am I prepared to compromise that in any way.

 

 

Edited March 16, 2021 by Mister Fixit

[jackdd]

2 hours ago, fitfalang said:

You can get the Thai brand Cypionax here very cheap as well, I recommend changing to that. 

Cypionax is probably produced in an underground lab, thus I recommend to not take it.