Difficulty reaching orgasm - solution worked for me

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Floridaspeedo
Posts: 317
Joined: Fri Jun 17, 2022 11:15 am

Difficulty reaching orgasm - solution worked for me

Postby Floridaspeedo » Wed Jul 30, 2025 1:52 pm

Some guys complain an implant causes guys to have difficulty reaching an orgasm. If I look back at my history, I was having issues before the implant.

My Dr tried about 3 diff meds and Oxytocin. Nothing helped. Was more depressing than not getting hard before the implant.

I was reading about Peptides. I tried PT141.

I have magically for the past 10 days, had an orgasm every day. Oral, anal or by my masturbation.

It's not cheap but is has unlocked my "issue."
ED survivor 5 years. Tried pills, Gainswave, PRP, Bi-Mix/Tri Mix (worked 50% but very painful for 24 hours after injection.) 55 Gay - Single Titan Coloplast implanted June 1st, 2022, scrotal in Miami by Dr Billy Cordone..,very happy. Zero regrets

edjohn
Posts: 27
Joined: Mon Aug 14, 2023 11:10 am

Re: Difficulty reaching orgasm - solution worked for me

Postby edjohn » Wed Jul 30, 2025 2:04 pm

It will eventually fry you unless you're an extremely casual user. Fair warning.
soft glans since ever / some ED from youth now fairly serious ED after much use of constriction/clamping to achieve 100% fullness / sorting out TRT and delaying implant plans until all mental, chemical, and physiological possibilities are exhausted

User avatar
Kodixx
Posts: 439
Joined: Wed Jan 08, 2025 5:32 pm

Re: Difficulty reaching orgasm - solution worked for me

Postby Kodixx » Wed Jul 30, 2025 3:33 pm

Floridaspeedo, I've had very good experiences with PT-141 and have posted about it in a few threads. Before the surgery I used it on average once a week and had used it for a couple years. I've gotten it from Mint Rx. I also found that THC/CBC(1:1) drinks work well, as do Sativa gummies. I'm about to try PT-141 again.

How many times a week do you use it ? How long have you been using it ? And what's your source of choice ?

- Chuck
Floridaspeedo wrote:I was reading about Peptides. I tried PT141. I have magically for the past 10 days, had an orgasm every day. Oral, anal or by my masturbation. It's not cheap but is has unlocked my "issue."
Feb 2025 - 58 yo, 38 with greatest wife ever
AMS CX, Tenacio, Dr Broghammer (excellent) - pre-op L:7", post-op @ 5 mo L: 6.75" G: 5.5"
2 wks pain, cycling-sex-lifting @ 7 wks, only minor discomfort @ 10 wks, felt like 'new normal' @ 16 wks

LastHope
Posts: 1384
Joined: Sun Feb 18, 2024 1:26 am

Re: Difficulty reaching orgasm - solution worked for me

Postby LastHope » Wed Jul 30, 2025 5:38 pm

Floridaspeedo wrote:Some guys complain an implant causes guys to have difficulty reaching an orgasm. If I look back at my history, I was having issues before the implant.

My Dr tried about 3 diff meds and Oxytocin. Nothing helped. Was more depressing than not getting hard before the implant.

I was reading about Peptides. I tried PT141.

I have magically for the past 10 days, had an orgasm every day. Oral, anal or by my masturbation.

It's not cheap but is has unlocked my "issue."


Floridaspeedo, how about PIV?
40, 1/25 Genesis 22-13

fucked0ne
Posts: 552
Joined: Wed Nov 22, 2023 7:47 pm

Re: Difficulty reaching orgasm - solution worked for me

Postby fucked0ne » Wed Jul 30, 2025 6:20 pm

“PT-141 acts as a melanocortin receptor agonist, primarily targeting the MC4 receptor in the central nervous system (brain). This action is thought to increase dopamine levels in the hypothalamus, a brain region involved in regulating sexual desire and arousal. Unlike medications like Viagra, which target the circulatory system, PT-141 works on the nervous system to enhance libido and sexual response.”

Couldn’t you just take something that upregulates dopamine? Or what about increasing free and bioavailable T?
40. Implanted July 5, 2024, by Dr. Andrew Kramer, Urology Associates of Cape Cod. AMS LGX, 21cm cylinders + 2cm RTEs. Idiopathic "hard flaccid" ED following bacterial infection. Tried pulse waves, Cialis, TRT, even spinal injections. Nada.

LastHope
Posts: 1384
Joined: Sun Feb 18, 2024 1:26 am

Re: Difficulty reaching orgasm - solution worked for me

Postby LastHope » Wed Jul 30, 2025 6:59 pm

fucked0ne wrote:“PT-141 acts as a melanocortin receptor agonist, primarily targeting the MC4 receptor in the central nervous system (brain). This action is thought to increase dopamine levels in the hypothalamus, a brain region involved in regulating sexual desire and arousal. Unlike medications like Viagra, which target the circulatory system, PT-141 works on the nervous system to enhance libido and sexual response.”

Couldn’t you just take something that upregulates dopamine? Or what about increasing free and bioavailable T?


Good point F1. I'm currently experimenting with Caborgoline and Clomid to up my dopamine (+effectively keep prolactin to a low normal) and up my endogenous T to a high normal. Caborgoline has a non-zero risk of heart valve fibrosis when taken in high (Parkinson's) doses for sustained periods of time. I want to maintain my fertility at the moment, so not using exogenous T.
40, 1/25 Genesis 22-13

fucked0ne
Posts: 552
Joined: Wed Nov 22, 2023 7:47 pm

Re: Difficulty reaching orgasm - solution worked for me

Postby fucked0ne » Wed Jul 30, 2025 7:20 pm

LastHope wrote:
fucked0ne wrote:“PT-141 acts as a melanocortin receptor agonist, primarily targeting the MC4 receptor in the central nervous system (brain). This action is thought to increase dopamine levels in the hypothalamus, a brain region involved in regulating sexual desire and arousal. Unlike medications like Viagra, which target the circulatory system, PT-141 works on the nervous system to enhance libido and sexual response.”

Couldn’t you just take something that upregulates dopamine? Or what about increasing free and bioavailable T?


Good point F1. I'm currently experimenting with Caborgoline and Clomid to up my dopamine (+effectively keep prolactin to a low normal) and up my endogenous T to a high normal. Caborgoline has a non-zero risk of heart valve fibrosis when taken in high (Parkinson's) doses for sustained periods of time. I want to maintain my fertility at the moment, so not using exogenous T.


I’m probably going to hop on hCG; I’ve tried exogenous test and it felt like castration. I would love to try Clomid but have a susceptibility to ototoxicity. I have never heard of Caborgoline and have no clue what it does.
40. Implanted July 5, 2024, by Dr. Andrew Kramer, Urology Associates of Cape Cod. AMS LGX, 21cm cylinders + 2cm RTEs. Idiopathic "hard flaccid" ED following bacterial infection. Tried pulse waves, Cialis, TRT, even spinal injections. Nada.

CanGetItUpButNotOff
Posts: 322
Joined: Mon Sep 20, 2021 1:34 pm

Re: Difficulty reaching orgasm - solution worked for me

Postby CanGetItUpButNotOff » Wed Jul 30, 2025 7:35 pm

I had mixed results with PT-141 (a/k/a Bremelanotide a/k/a Vyleesi) and suspended use once I started TriMix which guaranteed an erection and also seems to help with orgasm.
Born 1954. Diabetes, hypertension and atherosclerosis. Sildenafil is iffy. Tri-Mix (30/3/20 Pap/Phen/PGE1) a godsend pending long-term efficacy. Daily Cialis. Tried LiESWT, Botox, PT-141, Eroxon, QST, DUS, Vertica, cabergoline, psychotherapy+hypnotherapy.

LastHope
Posts: 1384
Joined: Sun Feb 18, 2024 1:26 am

Re: Difficulty reaching orgasm - solution worked for me

Postby LastHope » Wed Jul 30, 2025 10:16 pm

fucked0ne wrote:
LastHope wrote:
fucked0ne wrote:“PT-141 acts as a melanocortin receptor agonist, primarily targeting the MC4 receptor in the central nervous system (brain). This action is thought to increase dopamine levels in the hypothalamus, a brain region involved in regulating sexual desire and arousal. Unlike medications like Viagra, which target the circulatory system, PT-141 works on the nervous system to enhance libido and sexual response.”

Couldn’t you just take something that upregulates dopamine? Or what about increasing free and bioavailable T?


Good point F1. I'm currently experimenting with Caborgoline and Clomid to up my dopamine (+effectively keep prolactin to a low normal) and up my endogenous T to a high normal. Caborgoline has a non-zero risk of heart valve fibrosis when taken in high (Parkinson's) doses for sustained periods of time. I want to maintain my fertility at the moment, so not using exogenous T.


I’m probably going to hop on hCG; I’ve tried exogenous test and it felt like castration. I would love to try Clomid but have a susceptibility to ototoxicity. I have never heard of Caborgoline and have no clue what it does.


Caborgoline reduces prolactin (targeting low normal levels), is used off-label for DE, though the evidence base is not robust. They say it's a long-acting dopamine receptor agonist. It's not without some crappy GI side effects. No free lunch I guess!

From wiki:
Off-label
Cabergoline has at times been used as an adjunct to SSRI antidepressants as there is some evidence that it counteracts certain side effects of those drugs, such as reduced libido and anorgasmia. It also has been suggested that it has a possible recreational use in reducing or eliminating the male refractory period, thereby allowing men to experience multiple ejaculatory orgasms in rapid succession, and at least two scientific studies support those speculations.
40, 1/25 Genesis 22-13

fucked0ne
Posts: 552
Joined: Wed Nov 22, 2023 7:47 pm

Re: Difficulty reaching orgasm - solution worked for me

Postby fucked0ne » Thu Jul 31, 2025 1:19 am

LastHope wrote:
fucked0ne wrote:
LastHope wrote:
Good point F1. I'm currently experimenting with Caborgoline and Clomid to up my dopamine (+effectively keep prolactin to a low normal) and up my endogenous T to a high normal. Caborgoline has a non-zero risk of heart valve fibrosis when taken in high (Parkinson's) doses for sustained periods of time. I want to maintain my fertility at the moment, so not using exogenous T.


I’m probably going to hop on hCG; I’ve tried exogenous test and it felt like castration. I would love to try Clomid but have a susceptibility to ototoxicity. I have never heard of Caborgoline and have no clue what it does.


Caborgoline reduces prolactin (targeting low normal levels), is used off-label for DE, though the evidence base is not robust. They say it's a long-acting dopamine receptor agonist. It's not without some crappy GI side effects. No free lunch I guess!

From wiki:
Off-label
Cabergoline has at times been used as an adjunct to SSRI antidepressants as there is some evidence that it counteracts certain side effects of those drugs, such as reduced libido and anorgasmia. It also has been suggested that it has a possible recreational use in reducing or eliminating the male refractory period, thereby allowing men to experience multiple ejaculatory orgasms in rapid succession, and at least two scientific studies support those speculations.


You’re experimenting with this right now?
40. Implanted July 5, 2024, by Dr. Andrew Kramer, Urology Associates of Cape Cod. AMS LGX, 21cm cylinders + 2cm RTEs. Idiopathic "hard flaccid" ED following bacterial infection. Tried pulse waves, Cialis, TRT, even spinal injections. Nada.


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