I am a 47-year-old male who has been on testosterone therapy for about 5 years. I have to take the highest daily gel dose possible in order to get my T levels into the mid 500s. I’ve noticed lately that it’s taking an uncomfortably long time to reach orgasm. This isn’t something that happened suddenly, but gradually. With complete focused attention it should take under 5 minutes, but it now takes me at least 30 minutes, and ejaculation produces a smaller amount than usual, only about 1/2 teaspoon. And the orgasmic feeling is less satisfying and shorter duration. My testes have shrunk somewhat over time with the HRT. I have no libido problems or erectile difficulties. The best way I can describe how I feel is “the well is running dry”. I’m afraid of eventually becoming sexually non-functional, I would be devastated if that happened. Would even higher doses of Testosterone (injections or implants vs. gel) fix the problem, or would that make it worse? I don’t have any known health or psych problems that could be causing this. Can this deficiency be fixed with pill supplements of some sort? What do you recommend?