We need your questions

[goodwoodnow]

Number one missing information is how we injectors should always have a supply of Sudafed or similar decongestant handy in case of erection that lasts over 3, or 4 hours. I was told about that only the first time I self-injected a way too large amount of Alprostadil (Edex) and called my Uro at midnight after being erect for 4 1/2 hours. That info should be a standard part of instructions for new users. Now I am always sure to have some on hand, though I only need to use it once in a great while.
I was concerned the first time or 2 that I injected. I'd received some inistruction at doctors office, him guiding me through as he injected, but never did a supervised self-injection, which would be a better way to do first time injections, with an expert present.

I am a very big fan of injections now that I have been doing it for 4 years 2 months with minimal problems and just about 100% success erection-wise. My erections are also quick to develop, get large and very hard. My wife is a fan too.

Final points especially for new users: yes the erection feels natural as it develops, which happens quickly. It feels fantastic ! There is almost zero pain when syringe is aimed properly. It is helpful to be a little bit "pumped" to make the target easier to find and hit.

I had a spell of orgasm issues but have resolved it completely, mainly by following my Uro's advice to just relax, let it happen and don't worry or think too much about orgasm as the goal. I try to relax and enjoy the process and sensations.

A specific question I had for years is WHEN is the best time to inject? My wife and I tried a few, but now have settled on my injecting before we start foreplay. That way the erection develops naturally and our lovemaking is not put on hold while I leave for a few minutes to inject. This approach has led to many VERY intense sessions for both of us.

[goodwoodnow]

A detailed instructional video would have been nice. I would have paid the $15 to $20 cost to have one when I started injecting over 4 years ago if my urologist had offered/suggested.

But by far better would be if my urologist had explained before starting what the process would be, from the beginning, the preparation of the syringe. Then with him there to guide me and make suggestions and answer my questions ideally I would have actually completed the first injection MYSELF with his expert guidance. I was excited to start that first time but also a bit intimidated to be on my own when all I'd had for the in-office injection was him doing everything. It would have been an less anxious way to begin and the success rate would have approached 100%, based on my experience over 4 years and 100's of injections.

Doing the first injection with doctor, physician's assistant, or a nurse there to guide me as I did the shot myself would have been great. ALSO: explaining the need to have it and how to use Sudafed in case first full injection results in erection that won't quit after 2 or 3 hours should be part of the instructions for all new injection users. it wan't for me, and from what I gather on this site wasn't for others when they were new.

[newbie443]

In my area there seems to be less than needed support for ed injections. I don't know if it has to do with insurance or what. I was handed a one page sheet that had instruction for injecting. It was minimal and the only thing my uro added was that it was easy. I was given a mild mix and a low dose to start with. I think that the uro's in my area are mostly the same on this so it was up to me to figure it out. This site is the reason I am able to work with the process in my area and hope to achieve success. I found this site when I was ready to give up on injections. What really helped me was understanding the process in my area and that others receive the same minimal support. I started a thread and a member posted videos that made it click for what was going on. One of the videos was of a man in a ER receiving treatment after a prolonged erection. That painful video explain to me the need to follow the instruction and work slowly to find the right dose and mix. The other video was of the member giving himself an injection that showed rubbing the injection in to distribute the solution. Some advice given was to find another uro but in my case and in others I do not think this is an option. So staying positive and working with what is available in my area seems to be the best plan.

For others dealing with this process of minimal support I would say have those 2 videos or videos very much like them to explain why it is important to start slow and work up to the proper dose and mix. And show that there can be desired results but it will take weeks to get there. Life is not fair. Some of us are on the slow boat. The important thing is we are on the boat and moving toward that desired results. This is something that is difficult for me to talk with others about and I think difficult for health care workers in my area to talk to me about. I can understand that my uro's office is dealing with others that have cancer and other problems considered more important than my ed. So the importance of staying positive and establishing a dialog with my health care providers on this is the key.

My biggest fear was that I was not injecting properly and at some point would do so after continued increases of the dose. And inject a dose that was to large. Once I understood that if I received some small results that I had injected properly, this put that fear to rest.

This is just my point of view and a result of what I have gone through. I hope it helps in some way.

[oldroller]

My uro prescribed 29.4/1/10.and injected 1units.I asked what if it doesn't work & he kinda shrugged.He didn't mention stronger script or upping the dose.Ist was not firm enough for penetration,2nd I upped it to.35 and it was just a little firmer,should i keep going up .5 each time?I want to be safe about it.When this batch is gone I'll find out more about the doctor when ask him about a stronger dose.If he's not on board maybe another doc?your thoughts appreciated ,thanks

[newbie443]

My uro prescribed 29.4/1/10.and injected 1units.I asked what if it doesn't work & he kinda shrugged.He didn't mention stronger script or upping the dose.Ist was not firm enough for penetration,2nd I upped it to.35 and it was just a little firmer,should i keep going up .5 each time?I want to be safe about it.When this batch is gone I'll find out more about the doctor when ask him about a stronger dose.If he's not on board maybe another doc?your thoughts appreciated ,thanks

This is going to take bit. In some areas they inject your first dose in the doctors office and do a duplex vensus doppler ultrasound. They also train you in the office on how to inject trimix. I cannot find a place in my area that has that. So the process in my area is to give minimal instructions. Start off with a week mix and low dose and send you home to figure it out. I had instructions on my scrip from the pharmacy to start with .1ml and increase by .05ml only if desired results were not meet. Up to a max of 1ml. So with help here I figured out that this was done to avoid an erection that went past 4 hours while I learned to inject on my own. I started a thread on the "Injections Forum" down the page a bit so take a look at it. In that thread a member posted some links. One is a of a man in an er receiving treatment for an erection that went past 4 hours. Watch that vid! It will explain why you should follow instructions. If you are having trouble with injecting there is another link on that same post that shows a real injection and what is slow for injecting the solution and shows rubbing the solution in so to distribute it properly. I recommend watching it. The vids with the fake penis is just not cutting it if you ask me. I am now up to .7 and I have not succeeded. I am working on establishing a dialog with my uro's office and I just had my first refill. I asked for an increased strength mix and was turned down I was told I had to go all the way 1ml before the script would be increased. Talk to your uro and pharmacy. They are being paid money from you so ask questions. Be friendly, polite, and thank them often for the help they provide. This is difficult for me to talk about face to face but relax, it is what they are getting paid to do.

To answer your questions, my uro did not mention upping the dose only said It could be adjusted. On the label on the pill bottle that contained my vile of trimix had the starting dose and said to increase by .05 ml only if desired results are not meet. If you do not have these instructions, call the pharmacy or your uro and get instructions. Unless you want to roll the dice on ending up in the er like the guy in the video. Thoughts on another doc are I have spent time and money on this one. I am going to work with him best I can. Chances are the next one will be the same and I will just loose time waiting to get into another doc and have to start over. But your choice. Some places have much better services available to them. I am at the largest and highest ranked urology center in my area. Do a lot of checking first. Right after watching those vids would be a good time. Get as much information as you can and make the best choice based on it.

Good luck friend. Take care. Watch those vids!

[oldroller]

You i guess...

[newbie443]

You i guess...

No trouble at all. Hang in there. You'll get there. Your on the boat headed that way.


Edit: The injection video was posted by bldoink post number 2 on my thread. The Priapism Video was posted by Cigar56 post number 3 under my thread.

[Stew52]

When I was inquiring about gauge size a year or so back, I was advised that 32 was only available for pens and that 31 was the thinnest needle available for syringes

In my experience, I had severAl missed shots and bent 31 X 5/16 gauge needles so I changed to 30 by 1/2". Rarely experienced an issue since switching over.

Caverject uses a 30 ga x 1/2" needle and that is what the pharmacist recommended based on their experience. I have a box of 30 ga x 5/16" from former B12 injections and wonder if they would be adequate to properly penetrate?

[bldoink]

For me those would work just fine. I use the 31G X 5/16. I'd use the ones you have if I had them. Some guys need the 1/2" needles. For them those won't work. Note, I have the plastic tip of the syringe pressing into my flesh with the 5/16 needles. I don't think the 5/16 needles will work for the auto injectors though.

[Stew52]

From another recent post:

Guy: After 14 months I got a new batch of Trimix 40/30/2.

Me: Is there a standard understood here that I missed for which component comes in which order? e.g, "Trimix 40/30/2". Most folks put the small number in the middle. Thanks for clarifying.

Guy: You are right Sir: 40/2/30.

Me: Better, but I see some guys put the papavarine first and others put the prostoglandin first and those numbers can be close in the 20/30/40 range.

Admin heeds to suggest a consistent approach or we need to label our mix notations, like:
PGE 40, Phent 2, Papav 30, or better yet,
PGE 40 mcg, Phent 2 mg, Papav 30 mg per ml.

Not bagging on you but as a noob here and technical person, I see a lot of careless talk here.