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I ask because in a previous thread I mentioned my bad experience with Caverject.

when not stressed and not in pain from cpps I can achieve a good erection naturally and a full erection with cialis/sildenafil, I just struggle to maintain it due to sensation and muscle problems from pelvic floor dysfunction and stress.

Does it follow that I should be able to get a good erection from injections if done correctly and dosed correctly?

As in is there any reason why an injection may not work that isnt a reason that pills wouldn't work? IE if you had venous leak or nerve damage than you wouldnt be able to get one normally or with pills.

Hope the question makes sense.

Thanks

In my humble very non-medical non-expert opinion yes. But I suppose there are exceptions to everything.

Provided the dose and technique are correct injections should work in someone who can still get erections with pills/stimulation.

It’s possible for injections not work in men who have such profound venous leak or terrible inflow blood supply. But those men would be unable to get an erection with pills/stimulation.

So in your case injections should work provided the dose and technique are correct.

GoodWood wrote:Provided the dose and technique are correct injections should work in someone who can still get erections with pills/stimulation.

It’s possible for injections not work in men who have such profound venous leak or terrible inflow blood supply. But those men would be unable to get an erection with pills/stimulation.

So in your case injections should work provided the dose and technique are correct.

The biggest dysfunctional issue I have at present is the cpps causing sensation issues which means I need a fairly specific stimulation on the glans to keep a full rigid erection even with around 10 mg cialis. Once the stress and anxeity kicks in it starts going down.. although tends to never get lower than about 80%

I am wondering and hoping that the right injection could keep me at a full 100% at least for a longer time frame.

If you can get erections naturally, injection with trimix (only one I have experience with) will likely keep you hard a long time, in fact you need to be very careful and start at the absolute smallest dose, otherwise you may end up with an erection bordering on priapism, which is the last thing you want.

With 100 mg viagra, i can have sex with my partner for 20-30 minutes %50 of time (erection is between %70-100)

I recently got a penile doppler test done. 10 mcg alprostadil (PGE) was injected, no erection, only slight engorgement happened. I was diagnosed venous leak.

So, 100 mg viagra worked better than 10 mcg alprostadil for me.

Viagra is becoming less effective and reliable for me, therefore i was hoping injections could be my next step, but it seems they can both become unsufficient at the same time.

Or maybe i need more PGE?

Simple answer is Yes.
As my urologist explained to me in layman’s terms;

PDE5 inhibitors require sexual arousal plus nerve signaling to work. In the case of a poor or non-response to PDE5 inhibitors, the cause(s) could be;
- Lack of sexual arousal
- Nerve damage blocking the brain’s arousal from stimulating the penis to fill with blood.
- Variance in digestive absorption related to food or alcohol intake
- Arterial blood inflow or venous leak outflow problems,
Any combination of above.

Injections are not depended on digestive absorption, arousal, or nerve signals to work. If you’re getting reasonably good erections naturally or with pills, the assumption is you don’t have a significant blood supply or venous leak problem(yet). In that case you should get boner, about 15 minutes after injecting, regardless of your arousal level.

25yearsold wrote:Or maybe i need more PGE?

Or maybe they didn't hit the correct spot.

Flounder wrote:Simple answer is Yes.
As my urologist explained to me in layman’s terms;

PDE5 inhibitors require sexual arousal plus nerve signaling to work. In the case of a poor or non-response to PDE5 inhibitors, the cause(s) could be;
- Lack of sexual arousal
- Nerve damage blocking the brain’s arousal from stimulating the penis to fill with blood.
- Variance in digestive absorption related to food or alcohol intake
- Arterial blood inflow or venous leak outflow problems,
Any combination of above.

Injections are not depended on digestive absorption, arousal, or nerve signals to work. If you’re getting reasonably good erections naturally or with pills, the assumption is you don’t have a significant blood supply or venous leak problem(yet). In that case you should get boner, about 15 minutes after injecting, regardless of your arousal level.

Because of cpps I have overactive. And aggrivated nerves and muscles. So pde5s can be hit and miss. They certainly work, but I sometimes. Still hit a wall when pain is high due to stress. That and nerve irritation makes the muscle tight so I over compensate and try to control. Erection with muscle rather than blood.

My hope. Is that injections negate this by simply forcing the penis to stay hard wit b blood.

My concern is that because I can physically get a good erection that if done correctly I could end up with tok much of an erection.

Can't have it both ways I guess.

I had used pills for over 8 years with diminishing results. I was up to 20mg cialis and 100mg viagra and still could loose it mid sex if I wasn’t stimulated constantly. So I went to injections. Answer 1 is yes it will make you hard if you hit the right spot and the dose is adequate for you. That last part is key. At first I could use 5 units of trimix and get hard for 30-45 minutes… within a few weeks though it took twice that much. Short story over 10 months I was up to 65-70 units and still get soft before finishing most times. You may be totally different and might work correctly and consistently. It’s definitely worth a try either way. Start small and gradually increase.there’s guys on here that have used injections for 10 years and they work great. Keep some of the good Sudafed ( the kind they keep behind the counter ) handy and if it don’t go down after an hour or so start taking them…. Up to 5 and I chewed them up to get them to work quicker. YUCK!!. Hope it works for you. By the 10th month I was done with shots so started the process to get implanted took a couple months but have never looked back since! Love my bionic dick!!