Psychological ED

[Trident24]

Hello, I’m two years out of a 20 year failed relationship and almost 2 years into a new one with the love of my life. Prior relationship the sex tapered off sometimes going weeks to months in between. The new relationship sex is at least 2 to 3 times a week. The kicker is that at 47and healthy, testosterone hormones good, I had a few occasions of Ed that mentally horrified me into performance anxiety, cialis doesn’t work, going to sex therapist who is teaching anti anxiety techniques or alternatives to conventional penis to vagina sex. Now started injections 20 units working great love it but can last 3 hours.
So I’m at the mental point now that I just want a sure thing when it comes to getting an erection the mental toll of not getting an erection is all consuming.
My question is has anyone bounced back from performance anxiety or is it a lost cause. I like the injections for now but I am leaning towards getting an implant if it is the sure fix. My loving goddess of a girlfriend is pumping the brakes on the implant to see how the sex therapy will work out but I don’t have high hopes for that.

[Donkeykong]

Trimix will tend to make erections without trimix more difficult, which might not help your situation. Alprostadil only (just one of the three ingredients) is better in this regard.

Did you try the pills first? I you haven't, you should. They work well for many guys with psychogenic ED.

If trimix lasts too long, use alprostadil only. At the right dose, it won't last as long, and it is better for your penis than trimix, causing less scarring and fibrosis.

[Trident24]

I’ve tried the pills, taladifil 20mg for a year or so. Worked hit or miss at the beginning now does nothing for me. Injections were my last ditch effort before surgery. Discouraging news that the trimix will make erections without trimix more difficult. We were going to try intercourse naturally and use the trimix as a fail safe but your saying that you become reliant on the trimix once you start using it?

[azmike]

It is not my experience that trimix makes it more difficult to get natural erections without trimix. I use Trimix some times but I still get erections without trimix.

If trimix works for you I would do that until it no longer works or if you get fibrosis. Implant surgery is your last resort, there is no going back.

[Trident24]

Thanks for the injection advice guys. Really excited to have an informative resource about this horrific experience feels your the only guy on earth this problem and that your totally screwed with no answers when this starts happening.
Again if anyone has recovered or even has been able to manage the performance anxiety on this it would be encouraging to hear about it. Not 100% but I believe I’m being tripped up by the self fulfilling prophecy of Ed taking my mind away from the enjoyment of sex. With each occurrence seem to dig a deeper mental hole preventing a natural erection. Huge waves of depression and despair set in after a incident.So far the sex therapy seems like a very long road to get this out of my head, would be nice to know if anyone has had any light at the end of that tunnel. Thank you

[Trident24]

Thanks for the injection advice guys. Really excited to have an informative resource about this horrific experience feels your the only guy on earth this problem and that your totally screwed with no answers when this starts happening.
Again if anyone has recovered or even has been able to manage the performance anxiety on this it would be encouraging to hear about it. Not 100% but I believe I’m being tripped up by the self fulfilling prophecy of Ed taking my mind away from the enjoyment of sex. With each occurrence seem to dig a deeper mental hole preventing a natural erection. Huge waves of depression and despair set in after a incident.So far the sex therapy seems like a very long road to get this out of my head, would be nice to know if anyone has had any light at the end of that tunnel. Thank you

[Donkeykong]

I’ve tried the pills, taladifil 20mg for a year or so. Worked hit or miss at the beginning now does nothing for me.

Tadalafil is the worst one in my experience. Try levitra or viagra. They give more of a kick. Viagra has to be taken on an empty stomach or it won't work well. Levitra can be taken with food. They don't kick in as soon as they claim for everyone, so be aware of that. Both claim to work for 4 hours but in my experience levitra works better and for longer than viagra. As for tadalafil, I have seen a lot of people say it only really kicks in by the next day...

In other words, people have individual repsonses to these medications. I wouldn't decide on surgery until you have tried all of them.

[Donkeykong]

I’ve tried the pills, taladifil 20mg for a year or so. Worked hit or miss at the beginning now does nothing for me. Injections were my last ditch effort before surgery. Discouraging news that the trimix will make erections without trimix more difficult. We were going to try intercourse naturally and use the trimix as a fail safe but your saying that you become reliant on the trimix once you start using it?

I don't know why they started you on trimix. It really should be alprostadil first. Alprostadil is much safer and better for your dick. Trimix causes more scarring, fibrosis, and unwanted long erections than alprostadil. In my experience with alprostadil, once you orgasm it starts going down, which is what you want.

[Trident24]

Thanks for the info Donkeykong. I will start looking into the levitra and Alprostadil.
Starting to really like the trimex. 100% success rate first 4 or 5 runs with my girl. Stuff is working within 5 minutes. Process of injecting is now Quick and painless. Sex is great with an unwavering Bonner feel like I can do things I’ve never done before sexually go as long as she can handle. My girlfriend has been understanding, loving and supportive through the beginning of the Ed thing but she is really starting to like the injections I think for the sexual performance but mostly I think for the mental boost for me. She still likes the potential of a natural erection but we both like the idea of a sure thing if that doesn’t happen. Mentally it is relieving 90% of my mental toll over the failure to have sex this is most of the value to me the idea that I’m not dead in the water if things don’t happen naturally constantly worrying if it’s going to happen or not otherwise, I love the sure thing from the injection.
So the negatives are as you mentioned the side effects and the potential of permanently killing my dick with this wonderful drug through fibrosis and or scarring. The erections are still lasting 3 hours not painful erection mostly a semi but it goes to full mast at if I even look at her any kind of arousal and it’s instantly hard again at hour 3 this is using 20 units I’m taking a double dose of Sudafed at this point and it will start to go away. My plan going forward was to take the dose down to 15 units to shorten the time length.

So definitely looking into the Alprostadil hoping it’ll be as affective as the trimix don’t want to loose the effectiveness. Tried viagra just makes me flush with no Bonner.

So the positive mental impact has been huge for me with the success of the trimix. I know the stakes are high with this stuff the concern of potentially killing your own dick permanently. not sure how long I’d want to around if that happens. But to me at this point having an erection that may or may not happen is a close second to having nothing and I can’t mentally sustain that for the long run , big decisions implant sounding better and better as I go through this journey. Thanks again guys