erectile dysfunction and lack of penis sensitivity

[+ Funguy]

Will insurance cover the Testosterone cream? And can you guys recommend a Dr in NYC for Testosterone therapy? I see funguy is on west coast, unfortunately. By PM is fine. Thanks.

 

Testosterone cream 20% is made by a compounding pharmacy and nothing made at compounding pharmacies is covered by insurance (or Medicare). It is not very expensive and amounts to about what regular insurance co-pays are if purchased as a 3 month supply.

 

A 10 ml vial of injectable Testosterone cypionate 200 mg/ml, using 1 ml per week gives you 10 weeks of therapy. Some men need 1.5 ml but that still gives you 6 weeks. Most insurance covers it. My suggestion is you go to goodrx.com, plug in your zip code and come up with the cheapest pharmacy (and the price is without insurance). Print out the coupon, have the pharmacy run it thru your insurance and use whichever is cheapest (in LA a 10 ml bottle will be about $44 without insurance (Walgreen's).

 

As far as labs, once you are on the best dosage, 1-2x per year is all you need. If your insurance does not cover it (it will using the correct ICD-10 diagnosis code (E349 - hormone imbalance or E291 - testicular hypofunction will work) or you don't have insurance, always speak to the billing department BEFORE labs are done and tell them you are a cash customer. They almost always will discount the cost considerably.

 

One caution with the injectable - since it makes a few passes through the liver to be metabolized, people with any kind of liver issues should be careful. That includes those with really high cholesterol and triglycerides which may result in fatty liver. If that's a possibility, just have your liver enzymes measured before deciding on treatment.

 

Hope this helps.

[Rudynate]

Testosterone cream 20% is made by a compounding pharmacy and nothing made at compounding pharmacies is covered by insurance (or Medicare). It is not very expensive and amounts to about what regular insurance co-pays are if purchased as a 3 month supply.

 

A 10 ml vial of injectable Testosterone cypionate 200 mg/ml, using 1 ml per week gives you 10 weeks of therapy. Some men need 1.5 ml but that still gives you 6 weeks. Most insurance covers it. My suggestion is you go to goodrx.com, plug in your zip code and come up with the cheapest pharmacy (and the price is without insurance). Print out the coupon, have the pharmacy run it thru your insurance and use whichever is cheapest (in LA a 10 ml bottle will be about $44 without insurance (Walgreen's).

 

As far as labs, once you are on the best dosage, 1-2x per year is all you need. If your insurance does not cover it (it will using the correct ICD-10 diagnosis code (E349 - hormone imbalance or E291 - testicular hypofunction will work) or you don't have insurance, always speak to the billing department BEFORE labs are done and tell them you are a cash customer. They almost always will discount the cost considerably.

 

One caution with the injectable - since it makes a few passes through the liver to be metabolized, people with any kind of liver issues should be careful. That includes those with really high cholesterol and triglycerides which may result in fatty liver. If that's a possibility, just have your liver enzymes measured before deciding on treatment.

 

Hope this helps.

 

 

And there are lots of websites now where one can self-order the labs at a deeply-discounted price.

[Rudynate]

And some concierge practices order labs through programs that also provide deeply-discounted pricing.

[+ glennnn]

Part of this thread was meant to be about low penis sensitivity and I have been doing some research on it. There are many testimonials and claims that a cut penis loses sensitivity over the years from the contact and abrasion of constant rubbing against clothing since the glans is not being shielded by the missing foreskin. It develops extra layers of skin that are tougher, dry and dont transmit erotic sensations well. Okay, that makes sense.

 

Furthermore, research and experimentation say that at least some of the lost sensitivity can be returned to the glans by either foreskin replacement or the use of an artificial foreskin. The former involves stretching, special devices and years. I donbt want to wait years, so this one probably isnt for me.

 

The second can be purchased, worn 24/7 for a period of time and provide improved sensitivity in as little as a month. There are several products in this category- ManHood, Senslip and others. Does anybody have any experience, personal or anecdotal on this issue? Comments? I'm thinking of going for it. Wouldn't it be great if it worked?

Edited August 14, 2016 by glennnn

[samhexum]

Can’t get it up? That may be the least of your worries, according to new research.

 

Men with erectile dysfunction are twice as likely to experience cardiac arrests, cardiac death, cardiac arrests or non-fatal strokes than men without ED, according to a new study published in American Heart Association’s journal Circulation.

 

“Our results reveal that erectile dysfunction is, in and of itself, a potent predictor of cardiovascular risk,” Michael Blaha, professor of medicine at John Hopkins School of Medicine and co-author of the study, writes in a press release.

 

“Our findings suggest that clinicians should perform further targeted screening in men with erectile dysfunction, regardless of other cardiac risk factors and should consider managing any other risk factors — such as high blood pressure or cholesterol — that much more aggressively.”

 

Researchers followed 1,900 men between 60 to 78 years old for over four years. In total, the group racked up 115 heart attacks, strokes and cardiac arrests.

 

6.3 percent of the men who suffered from those events had erectile dysfunction, researchers found.

 

Erectile dysfunction — a condition where men are unable to maintain an erection during sex — affects 20 percent of men over 20 years old.

 

The study also notes that erectile dysfunction and cardiovascular disease share risk factors like obesity, smoking and diabetes.

 

“The onset of ED should prompt men to seek comprehensive cardiovascular risk evaluation from a preventive cardiologist,” Blaha says. “It is incredible how many men avoid the doctor and ignore early signs of cardiovascular disease, but present for the first time with a chief complaint of ED.

 

“This is a wonderful opportunity to identify otherwise undetected high-risk cases,” he adds.

Edited June 12, 2018 by samhexum