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having success on 5mg tadalafil daily, thinking of supplementing with sildenafil 25-50mg as needed, or in time trying levitra. My problem is mainly related to prior SSRI (PSSD). I heard levitra is a good option for both ED and PE, so that might be an option if sildenafil/tadalafil fail.

I am very comfortable with the idea of ICI/injections, but have never used before. Was at urologist, hormone panel normal, and responding to PDE5i. I am interested in down the line using injections so I can stay hard after I cum, and not have to worry about losing erection or PE.

Do guys usually start with monomix and then move on to bimix, trimix etc? How long do the erections last, and how do they compare to the erections on PDE5i? is it cost-effective? side-effects?

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I have pssd as well. I’m 38. I have had issues ever since stopping ssri two years ago. I started with orals and they worked for a while but quit working since I have libido issues from the antidepressant. I’m now doing injections and still adjusting but it is the next step. They seem to work well when you get them dialed in.