Making peace with Trimix for psychogenic ED...

[RG3p013]

Hey all, I’m fairly new here and thought that I’d chime in to commiserate.

I’ve struggled with psychogenic ED for the past 8-9 years. Prior to that I was a raging horn dog. I’m in my late forties and fortunate to have a beautiful and loving partner. Historically, our sex has always been great. This issue hit me at a time when I was going through a lot of anxiety and depression. There was a moment where we were having sex and I lost my erection and I felt as though something between my brain and my cock severed. It was actually very shocking and traumatic. (I later discovered this book and got a lot of good insights from it: https://www.amazon.com/Existential-Impo ... 0367651114)

Anyhow, I used the generic Viagra and Cialis as an aide over the years. As is common over time, I found their effectiveness to become much less reliable. I also tried sex therapy, the Mojo app, and read a lot of books that emphasized the “mind over matter” sort of approach. After a great deal of continued discouragement I obtained a script for Trimix in late May 2024.

I found that the learning curve for Trimix was fairly steep, but after 4-6 weeks with numerous misfires, a couple of bruises, and procuring an auto-injector (that seemed to be key for me personally), I think that I might have found my stride!

Part of me is glad that I have found a potential solution to have reliable erections with Trimix, but another part of feels as though perhaps it's a bit extreme for psychological ED. I exercise, go to therapy, do yoga, eat well, have a really beautiful and supportive partner whom I'm greatly attracted to, and I find it somewhat discouraging that I "should" have been able to overcome this better and made peace with it by now. So much of the "mind over matter" approach seems to emphasize focusing on pleasure, not being goal oriented, and not caring about what your cock is doing as long as you're experiencing pleasure. My anxiety issues too often really impeded all of those things in the moment. I'm working on trying to shift my focus and have all those things in mind while using the Trimix.

Life is short and I would prefer to have reliable erections. I'm just noticing that something in my ego doesn't love the injections (even though they are very effective and amazing). Any insights on what has helped people with similar struggles would be welcome. Otherwise, I suppose it's just cathartic to get some of these thoughts out. Thank you all for the Frank Talk!

[azmike]

You have pursued most of the recommended avenues. Some also suggest hypnosis. There are a few medical studies that indicate using Trimix for a period of time may reduce psychogenic Ed by increased confidence and stress reduction.

[ejefowe]

Getting erections "on demand" using injections is a good first step in getting your mojo back. Maybe if you discovered that you are having erections at night while asleep, might be what you need to know that all is working well. There is a cockring by FirmTech that you wear while sleeping and it links to your phone to tell you how many and what quality erections you get at night. Maybe you should look into that?

[sogwap]

Part of me is glad that I have found a potential solution to have reliable erections with Trimix, but another part of me feels as though perhaps it's a bit extreme for psychological ED.
...
Life is short and I would prefer to have reliable erections.

Pretty sure this last statement is true for 95% of the men on this forum.

I also have (mostly) psychological ED. In my case, I tried everything but Trimix for 10 years with more (or often) less success. I regret having my wife go unsatisfied for those 10 years,

[wolfpacker]

Trimix causes scarring inside the penis, which will eventually cause physical ED if you don't have it already. I would not recommend trimix if you think your ED is psychogenic only.

[RG3p013]

You have pursued most of the recommended avenues. Some also suggest hypnosis. There are a few medical studies that indicate using Trimix for a period of time may reduce psychogenic Ed by increased confidence and stress reduction.

That is one of my hopes! BTW, I tried hypnosis and was underwhelmed with the results.

[RG3p013]

Trimix causes scarring inside the penis, which will eventually cause physical ED if you don't have it already. I would not recommend trimix if you think your ED is psychogenic only.

Thanks for your feedback. I was of the understanding that there's a risk of scarring and physical ED, but that it was not necessarily always the case if used cautiously and as directed.

[Martin6469]

RG3p013: At age 54 I was also a horndog, but lost my erection while banging my wife one day exactly as you describe. It turned out to be low testosterone (see my signature). It can fail fast or slowly. So get yours measured ASAP by a urologist or endocrinologist or general practitioner.

You've made up your mind that it's psychological, but maybe it's not.

[bldoink]

...I was of the understanding that there's a risk of scarring and physical ED, but that it was not necessarily always the case if used cautiously and as directed.

You would be correct!

[RG3p013]

RG3p013: It turned out to be low testosterone...You've made up your mind that it's psychological, but maybe it's not.

Thank you for your response/feedback. I got a thorough work-up and get my labs checked yearly. T levels are all optimal.