I need help. I don't know what I don't know.

Anything goes when it comes to ED.
hotandnerdy
Posts: 7
Joined: Mon Aug 17, 2026 4:05 pm

Re: I need help. I don't know what I don't know.

Postby hotandnerdy » Wed Aug 19, 2026 5:12 pm

jwjwjw wrote:I don't know what your problem is but pretty sure I know a path for you to take that has a 75% chance of being successful.75% chance of success is good... correct ?

Go to a Urologist that works with sexual issues and tell him you would like to get a prescription for Cialis.. Don't take baby does...go ahead and take 20mg tablet 3 hours before sex.If drinking is involved have no more than 1 drink.
If that doesn't work Immediately go to step two..... get a prescription for Trimix.There are no guarantees but there is a very high chance Trimix will work.

Don't waste time....go to a Urologist...



Thanks. Chances are I need to go to the PCP first anyway before the Urologist. Have to get the referral.

hotandnerdy
Posts: 7
Joined: Mon Aug 17, 2026 4:05 pm

Re: I need help. I don't know what I don't know.

Postby hotandnerdy » Wed Aug 19, 2026 5:14 pm

GoodWood wrote:During the last 5 years you developed some ED. This isn’t something you did to yourself. You don’t ruin your penis masturbating or anything like that. It just happened.

As we get older it can become more difficult to reach orgasm. Also normal. And frankly sex doesn’t feel as good (to me) when I’m not fully hard.

The solution is the same regardless of cause. Get a good urologist who knows men’s sexual health, not just kidney stones and enlarged prostates. Have them guide you through trialing the oral ED meds (Viagra, Levitra, Cialis). If that doesn’t work move on to bimix or TriMix injections. If that doesn’t work consider an implant.
A decent cockring can help slowdown venous leak, keeping the erection firmer. Give that a try as well. Any decent sex shop that sells toys will have a variety. I found a thick silicone one was best. Strong enough to apply some pressure but not uncomfortable.

Keep at it. Try whatever is next in line until you have achieved a good result.


Thanks for the input. What would be a good ring? I have some silicone stretchy ones. I'm guessing those are just standard though.

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GoodWood
Posts: 1708
Joined: Sun Jun 16, 2019 1:07 pm

Re: I need help. I don't know what I don't know.

Postby GoodWood » Wed Aug 19, 2026 6:57 pm

hotandnerdy wrote:
GoodWood wrote:During the last 5 years you developed some ED. This isn’t something you did to yourself. You don’t ruin your penis masturbating or anything like that. It just happened.

As we get older it can become more difficult to reach orgasm. Also normal. And frankly sex doesn’t feel as good (to me) when I’m not fully hard.

The solution is the same regardless of cause. Get a good urologist who knows men’s sexual health, not just kidney stones and enlarged prostates. Have them guide you through trialing the oral ED meds (Viagra, Levitra, Cialis). If that doesn’t work move on to bimix or TriMix injections. If that doesn’t work consider an implant.
A decent cockring can help slowdown venous leak, keeping the erection firmer. Give that a try as well. Any decent sex shop that sells toys will have a variety. I found a thick silicone one was best. Strong enough to apply some pressure but not uncomfortable.

Keep at it. Try whatever is next in line until you have achieved a good result.


Thanks for the input. What would be a good ring? I have some silicone stretchy ones. I'm guessing those are just standard though.


Best thing is to just buy a couple different ones and try them out. That’s what I did.

I really liked the “pig ring” by the company Oxballs. (Hilarious names). Worn over the base of the cock and behind/under the balls it worked well for me.
57yo, NYC. ED started at 40. Pills, then shots for 10 years. 24cm Coloplast Titan XL w/classic pump by Dr Eid 3/25/2025. Will meet for show & tell.
Implant journal: [url] viewtopic.php?f=6&t=26225[/url]

RJ_in_Pa
Posts: 164
Joined: Tue Oct 17, 2023 4:34 pm
Location: Pa

Re: I need help. I don't know what I don't know.

Postby RJ_in_Pa » Fri Aug 21, 2026 10:32 am

Hi nerdy, welcome!

I agree with all of prior suggestions and responses, but I’ll throw my two cents in on what you can do on your own before you get professional help.

1. If I were you, I’d do a lot of “Edging”, which you may or may not know is masterbating right up to the point of orgasm, but stop before it happens. Wait a little bit, then do it again and again. Make your body want it so bad that you feel like you’re going to explode. If you know going to or hope to hook up with a woman, don’t orgasm for at least a week before.

2. Before my ED from having a prostatectomy (RP), I too had an issue with going soft during intercourse. What I did that fixed the issue, is I basically simulated the feeling you have when you are about to orgasm while penetrating. For years, we tried to train ourselves not to cum too quickly. So now, we have to do the opposite. When we/you cum, our body fights urge of having fluid leave your body until it takes over and it happens.

If/when you start to go soft, search your feelings and try to find the feeling of when you urinate. Almost like pushing. Your body, if like mine, will tense up to prevent this from happening and you will start to get the feeling of an orgasm. It took some practice, but it worked for me.

Good luck - keep us informed of your progress!
RJ
65, Radical Prostatectomy in 2023, pills did nothing. Used Trimix with great success, but now trying regain ability to get natural erections as I did prior to RP surgery. So far, able to have PIV sex with a C ring.

hotandnerdy
Posts: 7
Joined: Mon Aug 17, 2026 4:05 pm

Re: I need help. I don't know what I don't know.

Postby hotandnerdy » Fri Aug 21, 2026 4:26 pm

RJ_in_Pa wrote:Hi nerdy, welcome!

I agree with all of prior suggestions and responses, but I’ll throw my two cents in on what you can do on your own before you get professional help.

1. If I were you, I’d do a lot of “Edging”, which you may or may not know is masterbating right up to the point of orgasm, but stop before it happens. Wait a little bit, then do it again and again. Make your body want it so bad that you feel like you’re going to explode. If you know going to or hope to hook up with a woman, don’t orgasm for at least a week before.

2. Before my ED from having a prostatectomy (RP), I too had an issue with going soft during intercourse. What I did that fixed the issue, is I basically simulated the feeling you have when you are about to orgasm while penetrating. For years, we tried to train ourselves not to cum too quickly. So now, we have to do the opposite. When we/you cum, our body fights urge of having fluid leave your body until it takes over and it happens.

If/when you start to go soft, search your feelings and try to find the feeling of when you urinate. Almost like pushing. Your body, if like mine, will tense up to prevent this from happening and you will start to get the feeling of an orgasm. It took some practice, but it worked for me.

Good luck - keep us informed of your progress!
RJ


Yikes, this sounds complicated lol

hotandnerdy
Posts: 7
Joined: Mon Aug 17, 2026 4:05 pm

Re: I need help. I don't know what I don't know.

Postby hotandnerdy » Fri Aug 21, 2026 4:27 pm

I'm frustrated now because i woke up to find out my PCP is out sick and no appt available for a month and a half or two.

I requested a telehealth appointment for later today and the only person is an available so... yeah that's going to be interesting. Hoping I can get at least a referral out of it and get to a urologist asap.


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