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I am wondering if anyone has had situations like mine. I'm 74 and have had ED problems the last 10 years or so. At first herbal stuff worked some and then through increasing doses of Viagra and Cialis worked and then failed. So urologist prescribed low dose Trimix. Then a stronger script (papa 30mg, phen .2mg, alp 10mcg/ml. Then increase to 30,1 10). Each worked and then declined, with the last at 70 units.
In all this time there has been no test to determine cause of ED. Is this because of my age or has older men out there has the same response form doctors?
I did schedule an appointment with another urologist who lists ED among her specialties. A couple days before it the office called and said she was unavailable since she had to be in surgery that morning, and set me up with a PA of another doctor. I asked him about tests such as vienous leakage and he just shook his head and said that wasn't the problem. That was about it and he prescribed pge 80mcg, phen 3mg, and papa 25mg/ml. That is the stronges script the pharmacy provides.
So, what are some of your other experiences?
Thank you all.

There seems to be a lot of difference in the way uro's approach treatment. Not sure if it has to do with insurance as that is a state by state deal, or the facility and test equipment and certified health workers. Or something else. I had no testing and no training. The approach in my area seems to be to hand you a sheet of paper with instructions and send you home and wait for the trimix to be prepared and figure it out on your own. Then increase dosage and mix strength Others in different areas get in office training, first injection, and testing. There is a place out of state that says it is more result oriented and deals with just ED. But that would be all out of pocket for me as insurance has a uro in my area.

I suppose I could move to a place that had better ED facilities and doctors. Seems if I remain in my current location I will just have to work with what I have.

Implants are not done in my state either.

Thank you Newbie for your reply. Things are working right now but I expect increasing amounts needed and then what. AMS website says there is a doctor using AMS about 100 miles from me.
Thanks again.

newbie443 wrote:There seems to be a lot of difference in the way uro's approach treatment. Not sure if it has to do with insurance as that is a state by state deal, or the facility and test equipment and certified health workers. Or something else. I had no testing and no training. The approach in my area seems to be to hand you a sheet of paper with instructions and send you home and wait for the trimix to be prepared and figure it out on your own. Then increase dosage and mix strength Others in different areas get in office training, first injection, and testing. There is a place out of state that says it is more result oriented and deals with just ED. But that would be all out of pocket for me as insurance has a uro in my area.

I suppose I could move to a place that had better ED facilities and doctors. Seems if I remain in my current location I will just have to work with what I have.

Implants are not done in my state either.

I find it hard to believe that implants are not done in your state. Check with AMS.

Larry