Dear Dr Richards

I am in my mid 30’s and have been suffering from some symptoms that have caused me much stress for over 12 years, possibly longer.

Flaccid penis has almost no feeling/shrunken/large vein running down the top of shaft. Very rarely wake up with an erection. Can have sex but only once and then no desire to again. This is with my long term partner or other partners I have had

Also have other symptoms that might be related

Eye floaters, light sensitivity, red eye lids, face skin problems intermittent redness.
Wake up after 8 hrs sleep sometimes feeling exhausted. Feelings of no enjoyment from time to time

I have seen many doctors including neurological/nephrology/urology/endocrine all have reported no clinical reasons for these disturbing symptoms.

I have slightly raised creatinine and prolactin but both specialist say this isn’t the reason.

I exercise regularly, weight training, I est a balanced diet so just don’t understand what has happened to me.

I welcome any advice you have for me, as I’m quite desperate at this stage. I’ve noticed on your forum people suggesting things ranging from fish oil to 5htp to l-arginine??

Many thanks

ANSWER
Hello,

Similar complaints are usually indicative of a sexual exhaustion-related penile damage. The symptoms you describe are usually indicative of a mild to moderate stage of sexual exhaustion.

Exhausted individuals usually have a notably heightened chance of injuring their penis through the weakened nervous modulation on inflammatory response and impaired proper hypothalamic-pituitary-adrenal-testicular axis functioning for lowered androgens. Androgen levels are considered crucial to penile tissues health and integrity. Prostaglandin E1 E3 and Nitric Oxide local tissue levels are usually low as well, given that you experience loss of erectile capability and sensitivity.

What probably happened here was you sexually exhausted yourself at one point and never really recovered. You then sustained penile injury which, by your presentation of the case, seems to have been uneventful (not uncommon with exhaustion influenced injuries) and went unnoticed for a period of time before you noticed the mentioned subsequent abnormalities, such as: varicose veins and lack of sensitivity. You do not seem to report any severe shape abnormalities, tilting, or inflammation, which is usually indicative of a milder case (but still sufficiently impacting enough to influence corpus spongiosum’s sealing mechanism for varicose veins).

I have seen many doctors including neurological/nephrology/urology/endocrine all have reported no clinical reasons for these disturbing symptoms.

This is not uncommon with the milder uneventful injuries that were gradual enough so that no hematoma or severe scarring was left and only partially affected a given penile tissue layer. Similar tissue inconsistencies are usually difficult to detect since there are no traces of a specific injury spot.

I welcome any advice you have for me, as I’m quite desperate at this stage. I’ve noticed on your forum people suggesting things ranging from fish oil to 5htp to l’arginine??

That is correct. I usually recommend a wide range of practices based on the specific case. For instance, I used to recommend 5HTP and even GRB6-GABA for cases where I suspected a continuous and excessive inflammatory response and weakened serotonin-GABA nervous modulation. However, the latest SR-Cream modification is particularly effective with local inflammatory responses so the need of 5HTP and GRB6-GABA has diminished after its launch.

The best way to address the issue purely on a local tissue level would be utilizing a combination of SR-Cream, vitamin E cream, light tissue massages, and hot-cold temperature alteration. This combination is usually very effective in dissolving any mild collagen tissue scarrings and increasing elasticity prostaglandins E1 E3 and Nitric Oxide for healing.

Naturally, to address the issue in a more complete manner, speed up the recovery and avoid the same happening again, you may consider a combination of Multi-Alpha, Alpha-Amino, Alpha-HGH, and Ultra-Purified-FishOil. It will stabilize neuroendocrine functioning, increase prostaglandins E1 E3, Nitric Oxide, and androgen levels. It’s usually very effective with most of the symptoms of sexual exhaustion that are related to lowered androgens, safe from the serotonin-GABA nervous modulation.