Trimix

[buddypayne]

Are Trimix dosage amounts and strength of predicated on ED conditions, such as cancer vs. no cancer, nerve sparing vs. non-nerve sparing prostatectomy?

I had nerve sparing prostatectomy with most of the nerves spared last years and finding the right dosage/strength of dosage has been a real challenge. I started with the standard strength trimix 30-1-10 without the desired effects. My doctor increased the strength to 30-2-60, my last injection of 20 units is still without the desired effects, my erection still lacks stiffness.

[bldoink]

Are Trimix dosage amounts and strength of predicated on ED conditions, such as cancer vs. no cancer, nerve sparing and nerve sparing prostatectomy?

I had nerve sparing prostatectomy with most of the nerves spared last years and finding the right dosage/strength of dosage has been a real challenge. I started with the standard strength trimix 30-1-10 without the desired effects. My doctor increased the strength to 30-2-60, my last injection of 20 units is still without the desired effects, my erection still lacks stiffness.

I've never heard of any chart doctors can go by but yes the strengths used and results achieved by injections will vary dramatically due to the cause of the ED. I think determining the correct injection mix and dose can be more akin to alchemy than medical science.

It can take a pretty good while to settle in to your new normal after a RP. My RP was supposedly nerve sparing. But I've never had any sort of natural erection since. My doctor started me on Viagra but a Viagra produced no erection. He then started me on a VED which I wasn't overly thrilled with for sex purposes. However, I believe it was very helpful for penis health. If you're not using one I'd get one and start using it for therapy immediately.

My doctor then put me on Edex injections. Initially they would just give me a little useless chubby. I worked up to the Edex 40s before I got a fairly useful but painful erection. During this time I was slowly perfecting my injection technique. I was combining the Edex with Viagra to get results. About this time my insurance quit covering Edex or Viagra. Without insurance coverage for me Edex is cost prohibitive. And to top it off my urologist doctor retired.

This left me lost. I did research and called compounding pharmacies. I discovered one about 40 miles away that would make an Edex substitute far cheaper than Edex. I talked my GP or Primary into writing me a script for an Edex substitute but twice as strong as an Edex 40 so I wouldn't have to use as much. I also got a script for generic Viagra and started ordering it through Canada as it wasn't available elsewhere at the time. It's worked out well.

Where my first real injection success was using a full Edex 40 with Viagra I've now perfected my injection technique and it seems my dick decided to become more responsive to the injections as more time passed since the RP. I did continue therapy with the VED so that probably helped also. Don't get me wrong. I still get no natural erections and I also get no erections with pills. I have learned that the pills do make using the VED a lot easier. I'm now using about 15 units of my 80mcg/ml mono-mix Edex substitute for a useful boner. That would equate to about a third of an Edex 40 or less than half of an Edex 20. That's a big change from where I started. I will use a little more juice sometimes if I want a steel rod.

I no longer need to boost the injection with Viagra although I still do sometimes. I do use novelty/sex shop cock rings. The rings allow me to use a little less injection juice. Plus the wife likes them.

The point that I've taken so long to get to: While your initial response to injections my not be ideal it can substantially improve. I firmly believe a lot of it was due to some continued penis recovery from the RP. The first year didn't really contain much as far as satisfactory experiences. Year 2 was much better. I also think a lot was due to improved injection technique. But I most certainly do not require the same dose of injection juice I did initially.

Another note. For most of the first year or so (I don't really remember how long) I had some real issues with climacturia (orgasm-associated incontinence). Until I got a handle on that I didn't really invite my wife to that part of the party. There were other substitute methods used to try to satisfy her (oral, toys, strap-on), but she's never been into water works. This resulted in a good deal of solo work by me during which I learned to control the climacturia, which with practice can be done. But I also was able to get the injection stuff sorted out without the pressure of performing with an unreliable erection. I think there is some real benefit to some solo practice with the injections while you get it worked out. That way, when you do get it all sorted out, you can proudly bring that hard dick to the party with confidence. You just have to tell her you're going to have to do some solo chicken choking until you get it sorted out. There may be some women that are game enough to be with you and encourage you through all of the trials, errors and disappointments during the learning curve without getting frustrated. They are rare. And yes I realize some guys have much easier times with this stuff and everything just falls right in line. I'm very happy for them. That's not the case for everyone.

I can PM a link to a very amateur injection demonstration video I did awhile back to possibly help with your injection technique if you wish. It is not even remotely porn. It will also contain a bunch of other somewhat related stuff that may or may not be useful. Let me know if you want it.

This post got too long. I'm not reading it for typos at the moment.
Edit: Got rid of some typos and spelling errors.

[JimStars]

Buddy,

Although some guys start out with results like you and then finally find the right dose, from what I have seen, most who get less than stellar results initially never have much success.

But if you are 'almost there' then a constriction device of some sort can help you get from almost there to 100+ aching percent.

I just use a (8") velcro cable tie to get to over 100% ... or you could use any other kind of cock ring as mentioned in many other threads on this subject. The velcro tie is adjustable (and so are some rings) -- which is sometimes better than a one-size ring. The tie is of course easy to get off and on without any heavy lifting.

J

[buddypayne]

Thanks for the information.

Yes, I have been using a VED pump for a year now and still do at least twice a week, I started two months after my RP surgery with my doctor approval. I have also used a constriction ring with the trimix injection until I find the right dosage.

And I agree sex after using the VED pump was less than desirable, but it worked.

[buddypayne]

JimStars »

I'm so close my penis looks very erect, it just lacks stiffness for penetration.