Trying aprostadil again after a bad experience

Sticking a needle Where? Courage, guidance and help.
Martin6469
Posts: 667
Joined: Tue Feb 18, 2020 12:22 pm
Location: St. Louis, USA

Re: Trying aprostadil again after a bad experience

Postby Martin6469 » Tue Feb 06, 2024 1:54 pm

Never Enough: You might be a "Hard/Flaccid" sufferer. This curious condition has its own topic here, and there's an interesting post from another UK resident Fed1981 in that topic: "Hard Flaccid - Success Story..." 9-3-20. His original complaint was in General Discussion "27-year-old pump injury..." 8-1-20.
Age 79 in 2024. On testosterone replacement due to hypothalamus malfunction. (Attention depressed guys: low testosterone is a cause.) Healthy health nut but ED due to getting old. Like to keep enough cardiovascular ability to thrust for 30 min.

Musson
Posts: 420
Joined: Wed Nov 17, 2021 12:59 pm

Re: Trying aprostadil again after a bad experience

Postby Musson » Tue Feb 06, 2024 4:16 pm

I’ve got my dosage adjusted now where I don’t have to worry at all about going soft (eliminating angst) but not so much where I stay rock hard after ejaculating. I posit that there could be a “ married” dose and a “ dating” dose. Even a higher dating dose should be well short of causing any risk of priapism. I haven’t tried injections yet outside of wedlock but I plan to do so in due course if binge sex is on the table ( I gave up on mistresses several years ago due to my ED, not to mention the stress). I’m pretty sure I could do three rounds we the right dose.
63yr old. PDwith 40% dor. Curve. Pre-PD 7”x6”.lost 2 in. due to PD. ED prior to PD. Switched from Sildalifil to Trimix Nov 2023 . Currently titrating Trimix for optimization.

John Dday
Posts: 38
Joined: Thu Sep 05, 2024 8:30 pm

Re: Trying aprostadil again after a bad experience

Postby John Dday » Sun Feb 02, 2025 3:27 pm

Sorry for the post. I cant add to much to the thread....Yet :D . There is some excellent advice regarding the mental effects of ED and injecting. Our mental state has a great deal to do with our physical state.
1955. I have had ED for years. We were going for a Rigicon Infla10 in October 2024. Life got in the way (heart attack & stent), so we are now going for injections as a fill-in.

Donkeykong
Posts: 190
Joined: Thu Aug 08, 2024 4:26 pm

Re: Trying aprostadil again after a bad experience

Postby Donkeykong » Sun Feb 02, 2025 8:42 pm

A pretty normal tadalafil/cialis on-demand dose is 20 mg, so you might want to try upping your previous 15 mg dose. Tadalafil is also different from Viagra in that it stays in your system longer but for a lot of guys it takes much longer to kick in, so for best results they take it the morning or even the the night before.

Alprostadil ache is common. In my case I won't get the ache as long as I have sex while I'm hard. If you just let it sit, though, it will ache.

Donkeykong
Posts: 190
Joined: Thu Aug 08, 2024 4:26 pm

Re: Trying aprostadil again after a bad experience

Postby Donkeykong » Sun Feb 02, 2025 8:49 pm

Also, yes, high anxiety can overcome alprostadil. The mixes with papaverine are more likely to punch through anxiety and don't ache as much, but are said by some doctors to be more likely to cause worsening ED than alprostadil alone.

Never_Enough
Posts: 192
Joined: Fri Nov 24, 2023 7:54 am

Re: Trying aprostadil again after a bad experience

Postby Never_Enough » Fri Feb 21, 2025 6:29 pm

Donkeykong wrote:Also, yes, high anxiety can overcome alprostadil. The mixes with papaverine are more likely to punch through anxiety and don't ache as much, but are said by some doctors to be more likely to cause worsening ED than alprostadil alone.


Really? I dont get injections. Some say all penile injections bypass anxiety and then sometimes they don't. If they didnt hoqw would they be used for doppler tests? There's no way anyone's getting a natural erection in that kind of setting. The ones I would be using contain Aviptadil and PheNTalomine.
39 m UK

Psych ED since forever less problems being erect alone.
3 kids. Long term partner.
CPPS pudendal neuralgia and muscle tightness in late 2023 making ED worse.
Cialis no longer works. Sildenafil 100mg with diazepam works some of the time.

John Dday
Posts: 38
Joined: Thu Sep 05, 2024 8:30 pm

Re: Trying aprostadil again after a bad experience

Postby John Dday » Fri Feb 21, 2025 7:32 pm

I have just started using Aprostadil (25mcg strength )and learning how many units to use. No pain. just the prick :lol: It's great to have an active member again. I am wondering if the pain is an indication of your prescription being too strong.
1955. I have had ED for years. We were going for a Rigicon Infla10 in October 2024. Life got in the way (heart attack & stent), so we are now going for injections as a fill-in.

Donkeykong
Posts: 190
Joined: Thu Aug 08, 2024 4:26 pm

Re: Trying aprostadil again after a bad experience

Postby Donkeykong » Sat Feb 22, 2025 6:32 pm

Never_Enough wrote:
Donkeykong wrote:Also, yes, high anxiety can overcome alprostadil. The mixes with papaverine are more likely to punch through anxiety and don't ache as much, but are said by some doctors to be more likely to cause worsening ED than alprostadil alone.


Really? I dont get injections. Some say all penile injections bypass anxiety and then sometimes they don't. If they didnt hoqw would they be used for doppler tests? There's no way anyone's getting a natural erection in that kind of setting. The ones I would be using contain Aviptadil and PheNTalomine.


I've had a couple Doppler tests, one with two injections of trimix and another with a high dose of alprostadil, and they couldn't get me hard. So effectiveness of the injections is indeed dependent on anxiety level in my experience.

Never_Enough
Posts: 192
Joined: Fri Nov 24, 2023 7:54 am

Re: Trying aprostadil again after a bad experience

Postby Never_Enough » Sat Feb 22, 2025 6:54 pm

John Dday wrote:I have just started using Aprostadil (25mcg strength )and learning how many units to use. No pain. just the prick :lol: It's great to have an active member again. I am wondering if the pain is an indication of your prescription being too strong.


Doubt it. I had literally a tiny dose.. 2.5 units I could get a better erection without anything.

In my limited injection experience I think the anxeity and issues with needles is going to make them a non starter for me. Its frustrating because pills dont always work... but alone I can get a great erection most of the time.

So theres nothing else between pills and implant..ED options really are poor given the importance to so many men.
39 m UK

Psych ED since forever less problems being erect alone.
3 kids. Long term partner.
CPPS pudendal neuralgia and muscle tightness in late 2023 making ED worse.
Cialis no longer works. Sildenafil 100mg with diazepam works some of the time.

John Dday
Posts: 38
Joined: Thu Sep 05, 2024 8:30 pm

Re: Trying aprostadil again after a bad experience

Postby John Dday » Sun Feb 23, 2025 6:03 pm

Never-enough. What was the strength of your alprostadil? Mine is 20mcg (you can get much stronger). I am using 20 Units of my strength. I might try 25. It is working for me. Having a sympathetic partner helps. A lot of ED is also in the mind, but we can 'learn' or re-learn new mental images of ourselves.
1955. I have had ED for years. We were going for a Rigicon Infla10 in October 2024. Life got in the way (heart attack & stent), so we are now going for injections as a fill-in.


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