Question:

I get premature ejaculations and weak erections. Here are the results of some of my tests:

Cortisol Morning (saliva) 8.6 Ok ng/ml 3.7-9.5
Cortisol Noon (saliva) 1.0 L ng/ml 1.2-3.0
Cortisol Evening (saliva) 1.9 Ok ng/ml 0.6-1.9
Cortisol Night (salvia) .6 ng/ml .4 - 1.0

Thyroglobulin antibodies 204 iU/mL <20
Thyroid Peroxidase antis >1000 iU/mL <35

DHEA-S 306 mcg/dl 110-510
FSH 6.9 miu/mL (1.6 - 8.0)
LH 4.4 miu/mL (1.5 - 9.3)
E2 33 pg/ml ( 13 - 54)
Cortisol AM 16.4 mcg/dl ( 4 - 22)

SHBG 32 nmol/L (7 - 44)
T3, FREE 338 pg/dl (230-420)
T4, FREE 1.3 ng/dl (.8 - 827)
TSH, 3rd Generation .03 miu/L (.4 - 4.5)

Prolactin 8.1 ng/mL (2.0 - 18.0)
Total Test. 767 ng/dl ( 240 - 827)
Estradiol, Ultrasensitive (LC/MS/MS) 18 pg/ml < OR - 29
DHT 85 ng/dl (25-75)

Answer:

Your Cortisol Morning (saliva) and Cortisol Evening (saliva) show you have a high level of anxiety due to the excessive adrenal medulla function. Your TSH is too low, your T4 is too high. Therefore, you have hyperthyroidism. This problem can cause a sympathetic fight-or-flight response during sex, placing your body in a state of stress. All of this can cause premature ejaculation.

I think your high cortisol and DHT levels are driven by hyperthyroidism. This leads to overproduction of the inflammatory hormone prostaglandin E2, resulting in sexual urgency and persistence sexual arousal. Thus, your high DHT level is likely to over-stimulate and inflame your prostate, resulting in premature ejaculation.

In addition, a hypothyroid condition (high TSH and low T4) can cause a deficiency of testosterone and DHT. This, combined with excessive prostaglandin E2, will result in a weak erection and premature ejaculation. At the same time, a low level of testosterone and DHT will increase prostaglandin E2 production in the prostate, seminal vesicles and testicles in an attempt to stimulate the testicular function and seminal production. The resulting semen is very watery and thin.

A weak erection is caused by insufficient blood flow to the penile sponge-like tissue or when the tissue is incapable of holding blood. When there is insufficient blood flow, the penis cannot fully expand. There are a variety of factors that can cause arteries and veins to constrict and reduce blood flow. Common causes are smoking, poor diet, penile injury, some medications, drug or alcohol abuse, or psychological factors. A weak erection can also lead to premature ejaculation. When a man experiences a weak erection, he may contract the muscles around his genitals in order to aid the erection. By doing so, he subjects the prostate gland to added pressure and stress. This added load on the prostate can mimic orgasmic contractions and precum will lubricate the urethra, leading to premature ejaculation.

Premature ejaculation can be treated effectively with herbs. Damiana is good for improving blood flow to the genital area and increasing desire. Wild yam contains natural steroids that rejuvenate and give vigor to lovemaking. Yohimbe bark expands the blood vessels in the penis, increases blood flow and nitrous oxide, which is important for maintaining an erection. Fo-Ti possesses properties similar to ginseng, increasing energy, preserving youth and restoring impaired sexual function. Nacre/Ostrea tranquilizes the mind and helps reduce anxiety associated with premature ejaculation. Gardenia helps calm the body, soothing muscles, curing insomnia, alleviating mental irritability and stress and helping sufferers of premature ejaculation and performance anxiety to relax and regain control. Passion flower has a calming effect on the body, reducing stress and anxiety, the main precipitating factors of premature ejaculation. Lotus seed is useful for preventing the leakage of essence, and thus is commonly used to prevent or treat premature ejaculation. Palm-leaf raspberry modulates hormone balances. Euryale ferox has been highly regarded for restoring sexual vigor and youthful energy in older men since ancient times. Dogwood strengthens and nourishes the uro-genital system and its astringent property helps control involuntary ejaculation. Rehmannia root powder is used to enhance sexual performance as well as to replenish vitality. Horny goat weed boosts libido, increases testosterone, and protects the body against the effects of stress. Ginkgo improves peripheral circulation, oxygenation, and increases blood flow to the genitals to improve sexual function and the power of an erection. American ginseng improves quality of life, improves sex life, helps with premature ejaculation, and has a calming effect. Cistanche is used to reinforce the vital function of sexual organs and is used for the treatment of impotence and premature ejaculation. Flattened milkvetch seed is also quite effective at treating premature ejaculation.

Very Helpful->