Did you ever consider or get offered as an option the so-called "shock therapy" which is apparently directed towards increasing blood supply to the penis by breaking down vascular obstructions at the base of the penis?

Intelligent analysis
Thnx

Well, I've been to 3 urologists by now, and still no progress. The first 2 were highly regarded with great credentials, and they didn't even examine me. After 5 minutes in the office, I was done with each appointment and told to go get an implant. The 3rd urologist is a woman who specializes in implants. I've been taking topical Androgel 1.62 (one gel pulse per shoulder per day) for 2 months now, and although it has raised my total testosterone to a high level near the top of the range, I feel no increase in libido, no matter how small of a touch of it. I am now seeing an endocrinologist because I still think the is still something hormonal that is off with me, like lack of free testosterone or high estrogen levels in my body (I do have a high out of range level of estradiol). My free testosterone levels are well below the lower end of the range, have been that way for a very long time. I've read where that may or not be a factor with libido. So, maybe there will be trials with antiestrogen meds, although I'd like supplements testosterone, either tablets or injections to see if they could increase my zero libido. I met with a physician assistant (PA-C) endocrinologist who spent a lot of useful time with me. He siad I shold consider getting the book written by Dr. Aaron Spitz, titled "The Penis Book". So, I have at least one blood test for hormones to come, then I will see the doctor above the PA-C and see what else could be tried.