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I was responding to a post on "Rx use in penile rehab" and realized that my response had grown and was much broader than the referenced study. It encompasses the: Rx/supplement/drug journey (not a folder yet), injections, VED/rings, DE/Anorgasmia, Penile PT, and Sensuality.

I will start here with my former PSSS: "I have a feeling in the early days when we were busy with life and kids and jobs and all, that we over-relied SOLELY on pills, and now injections, and NOT on the whole package. I did. This like statins may be a pitfall in treatment: we take a statin (not me) and then eat whatever we want and ignore the basics. Some guys here posting have gone to far greater lengths yet in holistic rehab with diet and exercise and alternative treatments to restore functionality.

Adder: This post only hits the surface of what I've been doing in these areas. Penile development has been good, the blood infusion and size has increased, and veins are bulging like those on a dildo. No more turtle dick. I think it's restorative, I hope it lasts, and that I can reduce or eliminate injections and tame DE. It's a journey.

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I am really starting to agree with this article. Long Story Short. Used pills for 15 years, mostly Viagra up to 100mg and it was failing. Brooded a year. Went to injections (Caverject then TriMix now MonoMix @ 10-20mcg PGE) for 3 3/4 yrs now and it's rocked the wife, but it burns and hurts me (that can't be good), and have had DE/anorgasmia develop in the last 2 years. Ironically wifey likes that going 40-60 mins hard. Started mild pumping for PT the past year and have noticed, together with injections, nice growth, primarily girth. Wifey likes that a lot. No diabetes, no heart plaques, low steady PSA. So all looks good indeed, but no vaginal ejaculations and coaxing one offline getting harder. . . . .

So about a year ago I imagined, after reading in the DE folder, reducing the PGE burn by providing a foundation of a PT level of Cialis. My Uro OK'd it a year ago. Taking 10mg off and on like in the old Viagra "sex" days, and I notice occasional morning wood and nocturnal tumescence. Hmmm, interesting.

A more recent talk with Uro and he recommends what this article talks about for "maintenance"/PT @ 5mg/dy. Hmmmm. I've been doing that for a few weeks now and, viola, nocturnal tumescence and morning wood raging every day, which I ride and use for PT by pulling the nutsack back and pinching the unit between pinched legs and kegel. It throbs. I do this for 15 min or so a couple times early AM. More growth. Wifey likes this. Boners, near suitable for sex, on demand thinking about sex or walking on beach with scantily clad babes or being stroked or mouthed by wife. Wifey likes. Hmmm. What's happening. I've been jumped twice by the wife in the early AM in he past 2 weeks and had a mildly serviceable unit. After fooling around outside (cowgirl on the wiley, etc) and inside for 20-30 min and she's ready to pop, it's still not entirely satisfactory for her, so I finish off with a smaller 0.10ml dose of PGE for the strong hard 20-40 minute finish . Wifey really likes it. This Cialis-aid "research" is a work in fun progress for us.

So two things, 1) penile PT seems to work aided by a maintenance dose of Cialis together with other means, and, 2) wifey really likes it. I'm not saying it is a "cure" per the article but it is a really nice and significant improvement, if it lasts. Like I said, a WIP but a fun one. While this is progressing, I'm now working on trying to subdue my DE/anorgasmia.

Adder PS: side effects, from 5mg daily Cialis slight sinus stuffiness* and slight red scratchy eyes, very tolerable, a bit worse at 10mg. Nothing like 100mg Viagra was. Sex 2-3 times a week, wife's refractory-period-driven. Mild pumping on off days. Occasional use of soft silicone ring for PT and novelty pre-injection. Using Horney Goat weed herb blend supplement, seems to add to amorous libido. And L-Arginine for 2 years now for NO and circulatory system benefits. Been using testosterone swipe Rx for 5 years, low-T, up into 500's now; this is key. ===> The takeaway here: getting your groove back even 90% (90% of 18 y/o) takes thought, research, planning and some work. And wifey likes it. * My ENT says that sinuses are a similar tissue to the penis and are affected by boner drugs likewise, swelling. It may exacerbate sinus problems if you have them. Some Afrin helps.

PSS: Important. Using injections,we've found that sex can get more "mechanistic" (shot, lickem and stickem). Keep it spiced with LOTS of varied play, on and off the bed. Petting, silly groping like an 18 y/o, dress-up, buy some "cute" house outfts, take "boudoir" photos, play strip pool, role play, do chores and acts of kindness, whatever. Since a lot is in the head, fuck her head (crude) and yours. That sensuality part. There may be some pushback so proceed slowly; they do get in to it. No kink for us. I delay the injection now to tease a bit as well as to push the limits without injections. She's begging. Then the closing shot. I find they are a lot more willing to play as long as they know they will get a good strong "close".

I agree totally, fooling around with different medications is key.

At the same time I am devastated that guys like you in your sixties have morning wood with only 5mg of cialis while I take 20mg cialis daily and have to inject 10mcg of pge1 to have sex.

Today is a particularly bad day, realizing that my condition is getting worse despite all the stuff I am trying (VED, EMS stimulation, supplements).

I wish you all the best and enjoy your sex life

I had fairly early onset ED at 48 y/o and later spent a year in despair until I started injections. There are two opinions on this but I think we do develop some immunity to whatever ED drug we are taking. My sense is that they irritate the penises cardiovascular system. I know injections do on me. I'd try mixing it up and a lay off drugs, using injections. My go to for years was Viagra from 25-50-100mg but I mixed it up with Levitra (no go), Cialis, and Stendra (worked). I had not recently used drugs for 5 years including nearly 4 now on injections so the 5mg now works OK for PT and play. I do not think my unit would be effective at all but for all the other restorative and supportive work that I am doing. There are several moving parts, I do not know which one works in what proportion, and results take time and patience. Focus on the cardiovascular system health. My wife would not be satisfied now without the closing shot, but at a reduced dose from before.

PS: Revising the above, first time today, 9/29, without an injections, 1:20 and she said it rocked. It was not the hard close I'd like but I am not the customer so . . . we shall see.

One other thing I forgot above, during longer "layoffs", like family visits, travel' and illnesses (me or wife), I do a small "maintenance" dose injection 3-6 mcg PGE every 3-4 days to help infusion and blood flow. Squeezing and pumping are OK but there is clearly more blood infusion for a longer period with a small maintenance injection. A bit awkward yea but all taken together, it works.

I've only been on a daily Cialis 5mg "mainitenance" dose on ow for about 5 weeks, not long-term, at Uro suggestion, but have noticed good improvements. I am waking with solid PM/AM tumescence 2-3 times a night, can summon a 90% boner with far less effort and am getting better at sex without injections with some tricks. No, not 18 y/o throbbing boner by far but just fine for wife and I reserve a small injection for a good hard finish if she needs it. First time today with no chaser shot and she was whipped after 1:20 with no injection. Glad to have injections as a backup but making some progress on penile rehab I think/hope.

I had my wife review my posts here to make sure it was on target and not exaggerated; we've been partners in this journey. She most definitely affirmed it that things are a lot better. It was good but a lot better now even with ED and DE. This at 68 y/o.

She wanted me to add things of a purely functional nature and from a women's needs perspective. It's not all just about the penis.

She has not been that overly sensual in the past even though she's loved frequent sex (nickname "ever-ready bunny" of the lick it and stick it variety, yes how lucky) but she has been enamored more with my overtures toward broader sensuality like more foreplay, teasing/delaying, dress-up with boudoir photo shoots, and other stuff, etc.. 'Nuff said.

As a practical matter she does not like sex within 4 hours after a meal or when tired or stressed. She gets GI issues. SO we both agree to making the time and place for sex. Occasionally it's spontaneous but she pays with GI issues if she's full. She wants her and my full "appetite/hunger" and attention. When younger with kids we were relegated to bedtime when you were exhausted after a days work, obligations and stress. Sex, but not lovemaking. We've all been there. There si life after kids leave for sure. That, after the vasectomy, was the 2nd liberation.

She thought her refractory period to regain mental acuity and sexual hunger is ideally 4 days but we've pushed to to 3 +/- and doing great. My refractory period is every other day. If we go 5 days she starts getting crabby and I remind her what she needs. She's starting to recognize that. She is multi-orgasmic and can only take 40-80 minutes of rocking before the eyes roll back into the eye sockets and she says she feels like she's going to black out. Depending on circumstances, that is a limit. Frankly, I'm beat.

She hates a raspy day-old beard rasp so I need to be clean shaven and smooth. She has a cainine's nose and it not fond of BO, etc. so, clean, yes. Her thermostat went out in menopause so the room needs to be cool and fresh otherwise panic sets in. She is not into candles and aromatherapy like some women, wouldn't mind but that is not a turn on. I actually have a ton of pre-cum from the seminal vesicles (70% of a load anyway) so things stay well lubed naturally but we occasionally supplement but no hot burning spicy lubes. That's a big turnoff.

These may sound trivial but they are decidedly not if one wants things to work out well and such things are WELL WORTH paying attention to. Your partner's needs and expectations WILL vary from mine. The point is to understand and accommodate them for the most joint success. She accommodates in my direction on things important to me like working differing positions and some of the pre-play items and frequency.

Strangely enough my DE has played a positive role. My old injection notes, pre-DE, showed 15-20 minutes. It's now 40-80 minutes before the white flag of exhaustion and surrender goes up. Wifey likes it. She was initially concerned about my lack but knows I take care of that every few weeks to keep the prostate clean. She knows she's getting greedy like after my vasectomy long ago, pre-ED.

She thought her perspective and needs, and by induction your partner's needs, should be included in the deal.