Need Some Help

[TexasMax]

Thank you for reading this. I am new here and looking for some help and guidance.

I am beginning to wonder if I should consider injections. I would love some feedback and advice. Things I can check on? Is this something I should consider?

I have had my penis doppler'd and I have zero venus leaks and no other issues that can be verified medically; Or at least through the people I have tried to get help from so far.

Over the last few years I was noticing my erection quality was starting to suffer. I begin to implement the use Oral ed meds on the regular. ( and I hated keeping this a secret ). I wondered if I caused this my self from using these meds recreationally for a while. It's all I could come up with.
I have been on trt for MANY years. And it helped me tremendously for a long time - initially with libido ( which i have no issues with currently ) and also had great erections for years after the trt - never even knew they could get better. lol.
So, within the last 6-8mo I began to check all of my hormone levels more frequently as well as many extra hormones to try and see wtf is wrong with me. I am now tracking my hormones every 6 weeks to really dial some things in and try to rule out any hormone related potentials. It seems that I had some issues with my estrogen spiking ( or changing more than it should ) for a while; So I thought this was the problem for sure! We began the process of bringing it down to gauge the results. I thought it was going well. With all that said, I wanted more support, so spoke to 3 different hormone clinics all of whom said that my levels seemed high but were in good range of each other and I shouldnt have these problems. But yes, some people have Ed issues with their e2 being to high or to low.

At the time of posting this, I have mostly dialed in my hormones to almost perfect ranges. I still need to drop my estrogen a bit more.
I have full desire and want - there is no issue with that !!! There are times that I can get good erections with the help of the orals, sometimes they seem better than good but not often - and thats just a guess really, perhaps because I am happy to have a good one. I cant really say that I have had a great one in a while. Oral meds def help but do not seem to do the full trick anymore.

I am starting to think that I am either psychologically fucked up now and / or have a legit ED issue. OR both. I just dont know anymore.

I just want to fuck my wife with a real god damn hard on - ugh.

If I have left any info out, please feel free to ask me

[ape1100]

you sound like many of us here on the forum. for whatever reason when the oral meds fail, injections are the next logical step. they dont work for everyone but its worth a try. i was very hesitant to start injections and like you i wanted to fuck my wife. the injection is not bad at all. the initial prick is the only pain and the results are tremendous. oral meds started to lose efficacy for penetration, it was like having ED all over again. once that first shot went in at the doctors office, i knew this was going to be good, at least for me. my uro wanted to start out high and thank god i convinced him to half that amount. on the second shot i still halfed it and that is where i found my dose. the minimal amount i need lasts anywhere from 2-4 hours. we have been having the best sex of our lives. i never knew it could be this good. ED in general makes you feel like your fucked in the head and its understandable. i also thought its just a mental thing but there was many times where i got hard, it just didnt last long enough to complete the act. trimix made that possible. its not perfect mind you but it makes it more than hard enough to work if done right. im just a newbie at 75 plus injections and i have messed up the injections on a few occasions. as long as you have a supportive spouse its not the end of the world. i know they may not work for the next 10-20 years but for now, I will take it. again, its not perfect and for me, i have come to experience anorgasmia with trimix. i will be lucky if i can have one orgasm and if i do it takes a lot of work (jacking it) to get one. that may just be my age but i'm living with it. the ability to please my wife many, many times trumps my orgasm most times. just my 2 cents. i'm here if you need anything as many others as well. take care.

[Old Guy]

Welcome TexasMax, Your story is similar to many others here. Mine as well. ED just sneaks up on some guys, fortunately these days there are cures/fixes for it. Pills work for some guys for years. Others seem to notice less than optimal results after a while. Injections seem to be the same way, work for some and not others. I do think the use of oral viagra when not really needed will lead to problems down the road.
When pills or injections fail it's like hitting ED all over again, and it sucks. My advice is schedule a consultation with a Urologist whose primary practice is men's sexual health. They can offer you options.
Best of luck moving forward.

[TexasMax]

Thank you so much for the reply. That is actually what I did. That is how I got tested for Venus leakage and whatever else they look for when they doppler a penis. They said i was absolutely fine and had all the signs of a 20 year old.

The I meet with a hormone specialist at the same place who suggested the alterations to my current hormone levels. Since then I have been optimizing those. I do think that I saw some beneficial results from it. And I believe the hypothesis is strong that I will see some better results once my estrogen is at a better place. BUT if I am being honest, I do not think that I will have the results that I want. I know that is negative thinking, and I wish i didnt have it. But i guess it is what it is.

I am at the point currently where, with the help of orals, once we get going: If I dont hurry up and get it in while its decent enough it WILL go away. Sometimes, during, I can feel it getting harder and other times it just stays around 75 - 80 % ( my guesstimation ). it makes no sense with the results from the urologist.
Im wondering if my brain is fucked up somehow. lol. I dont smoke, i do not do any kinds of drugs at all, rarely take any meds, I just dont get it.

[Old Guy]

Unfortunately, there is no answer, it happens for many reasons.
Your hormone levels may be a part of the answer, maybe not. If oral meds don't produce a satisfying result, then tell the doc about it. You have to keep at them to solve your problem. If that doc doesn't help look for another doc. I know that's a pain in the ass, but you need to seek out a solution.
Intimate times with your wife shouldn't have to be rushed. She needs to be satisfied as well as you.

[TexasMax]

you sound like many of us here on the forum. for whatever reason when the oral meds fail, injections are the next logical step. they dont work for everyone but its worth a try. i was very hesitant to start injections and like you i wanted to fuck my wife. the injection is not bad at all. the initial prick is the only pain and the results are tremendous. oral meds started to lose efficacy for penetration, it was like having ED all over again. once that first shot went in at the doctors office, i knew this was going to be good, at least for me. my uro wanted to start out high and thank god i convinced him to half that amount. on the second shot i still halfed it and that is where i found my dose. the minimal amount i need lasts anywhere from 2-4 hours. we have been having the best sex of our lives. i never knew it could be this good. ED in general makes you feel like your fucked in the head and its understandable. i also thought its just a mental thing but there was many times where i got hard, it just didnt last long enough to complete the act. trimix made that possible. its not perfect mind you but it makes it more than hard enough to work if done right. im just a newbie at 75 plus injections and i have messed up the injections on a few occasions. as long as you have a supportive spouse its not the end of the world. i know they may not work for the next 10-20 years but for now, I will take it. again, its not perfect and for me, i have come to experience anorgasmia with trimix. i will be lucky if i can have one orgasm and if i do it takes a lot of work (jacking it) to get one. that may just be my age but i'm living with it. the ability to please my wife many, many times trumps my orgasm most times. just my 2 cents. i'm here if you need anything as many others as well. take care.

APE: thanks a ton for the reply brother. I am very thankful to have found this group.
This is all comforting to hear, in the sense that I guess im not fucking crazy lol. I have been trying to tell myself that this all in my head and I need to somehow control it and fix. Which is more or less what the Nurse Prac at one of the clinics I went to said to me based on my doppler results ( being so good ).
--- thats the part that really fucks with me. How the tests appear to be "so great " but shit isnt working. I feel like I need to verify that something is wrong, Measulabley, in order to believe all this.

Did you anorgasmia start right away with trimix or did it build up. I never considered the potential side effects, but then again abstinence in exactly on my to do list either. HaHa.

I was thinking of trying to get a hold of the gel first, before resorting to shots. As if they may somehow be weaker, and buy me more time if I have to jump on shots later. I dont know.
And then there is the other side of brain on all this that says to avoid this type of med for a while longer and see if there are more tests to do to find a real measurable problem: As if I am hoping for some sort of miracle to happen in the meantime and things to go back to normal.

Sorry for more ranting here guys. Im just new to all this and scared and nervous . its been a mental beat down for the past 6 months.

[ape1100]

APE: thanks a ton for the reply brother. I am very thankful to have found this group.
This is all comforting to hear, in the sense that I guess im not fucking crazy lol. I have been trying to tell myself that this all in my head and I need to somehow control it and fix. Which is more or less what the Nurse Prac at one of the clinics I went to said to me based on my doppler results ( being so good ).
--- thats the part that really fucks with me. How the tests appear to be "so great " but shit isnt working. I feel like I need to verify that something is wrong, Measulabley, in order to believe all this.

Did you anorgasmia start right away with trimix or did it build up. I never considered the potential side effects, but then again abstinence in exactly on my to do list either. HaHa.

I was thinking of trying to get a hold of the gel first, before resorting to shots. As if they may somehow be weaker, and buy me more time if I have to jump on shots later. I dont know.
And then there is the other side of brain on all this that says to avoid this type of med for a while longer and see if there are more tests to do to find a real measurable problem: As if I am hoping for some sort of miracle to happen in the meantime and things to go back to normal.

Sorry for more ranting here guys. Im just new to all this and scared and nervous . its been a mental beat down for the past 6 months.[/quote]

i spent a lot of time pondering what i was doing so i could find a cause but came up empty even after many doctors and specialists. shit just wasnt working as you say and the oral meds helped that. at least there was a help. the meds were still working when i decided to try injections they just were not working half of the time and i just didnt want to deal with the letdowns. i would not hesitate to try injections. the whole trying to buy time will mess with your head. i had the thought to just go nuclear and go implant but my wife was the one who wants me to wait until there is no choice since the injections work well for me. i am not on a high mix but its not a starter one either, kinda in the middle. IDK why my uro started me there but it works and i dont need a high dose at all. i use any where between 5-10 units dependent on how long i have been using a certain vial. towards the end they tend to fall off a tad and i have to up the dose by a few units. my anorgasmia did not start right away but was noticeable after like maybe 10 injections. i have pretty much tried everything to no avail. i am currently on cabergoline that seems to help slightly. i can only thank god that the trimix works so good and long because thats how long it takes. the wife is pretty wore out after two hours, so that is my queue to head for the end zone and that lately is always w my hand. have not had a penetration orgasm in months. sometimes it bothers me but the intimacy we share is what is more important. i can have an orgasm alone w a semi when not on trimix so if i want i can do that. i just prefer to try with sex instead. pleasing my wife beyond anything before is what matters now. i take great pride in that since i started trimix. i never thought i would or could have porn sex but trimix does make that possible. lol

[TexasMax]

@APE
Brother, I love to hear that you are ever the optimist. That's great.
I too share those feelings for my wife and her pleasure and that has always been something I had pride in. I feel i have let her down as of late. ( i know i havent - but it's that feeling ). So far she has been very very understanding with all this and has helped make excuses for me as well ( its just our stress et etc ). God I love her for that. Hell, over these the past year she has even learned to get off quicker, lmfao.


Thank you again for talking with me.

[s7utty]

@APE
Brother, I love to hear that you are ever the optimist. That's great.
I too share those feelings for my wife and her pleasure and that has always been something I had pride in. I feel i have let her down as of late. ( i know i havent - but it's that feeling ). So far she has been very very understanding with all this and has helped make excuses for me as well ( its just our stress et etc ). God I love her for that. Hell, over these the past year she has even learned to get off quicker, lmfao.


Thank you again for talking with me.

1)How old are you ?
2)Can you have erections in night when they wake you up or in the morning when you wake up with erection ? Does it happen anytime? after abstaining from ehaculation for example for a day, two or more ? If they happen how rigid they are ?
3)Is it possible for you on occasion to get anything more than 70% erection when you are kissing or cuddling with your wife(no stimulation)?

[ape1100]

@APE
Brother, I love to hear that you are ever the optimist. That's great.
I too share those feelings for my wife and her pleasure and that has always been something I had pride in. I feel i have let her down as of late. ( i know i havent - but it's that feeling ). So far she has been very very understanding with all this and has helped make excuses for me as well ( its just our stress et etc ). God I love her for that. Hell, over these the past year she has even learned to get off quicker, lmfao.


Thank you again for talking with me.

letting her down is the first thing that always comes to mind when it (ED) happens. i would not the man i am if it wasnt for her. ED is almost insidious as we have had many many great times but it just takes one to tear you down even lower than before. but with her understanding it gets less and less and the more tolerable it is. always here if you need anything.