First visit to ED and PE clinic..whats the way ahead?

[Captain1117]

I am 44 year single male in good health, non smoker. Workout regularly, hardly drink, eat clean.

I think my long term challenge has been PE, about 5-7 minutes of thrusting is all I could last. Started using Promescent spray couple of years ago and with a fun partner I remember lasting 45 minutes in one go. That was in early part of our dating..eventually we started living together and life and its stresses took its toll. I stopped using Promescent after some time. With her I could make her climax in few minutes with fingers and tongue..she used to get her second and sometimes third orgasm from penetration.

Couple of months back my divorce negotiations stared and I noticed before a simple task like taking a flight from USA..my heart will start racing. I always had mild general anxiety(it runs in my mothers family)..though never had to take medication for it.
Now I am single and realized that before sex, more so with a new female..my heart rate starts rising.Its the same anxiety I felt at the airport in July for the first time. Last week I was with this young attractive female after first date, and I was anxious about how the sex will go. Had trouble achieving full erection and came fast.
Now that the main stress or(divorce) is done deal...I started researching on my options to tackle these.
I have started CBD oil orally twice a day and it helps with anxiety. With same female I had a much more satisfying sex session when anxiety was managed. I used Promescent spray(the one I had expired on Aug, 2019..so not sure if it worked as it should) and penetration lasted for 10-15 minutes.I gave her an orgasm prior to penetration so she was happy.

Visited a mens health clinic in Toronto...today.

The doctor was very experienced and the practice is pretty established. He explained all the modalities available. Showckwave, penile injections, oral medications and hypnotherapy.
They also did a doppler blood flow today and I was found to be 3.1 where average should be 4.
I wanted to try the injection, since I am taking Cialis 10mg, they wanted me to come after 36 hours off Cialis.
A list of blood test to do was given.

Long term improvement for ED

I had undergone 18 shock wave sessions last year with another clinic(mainly run by nurses) and the same clinic is offering another 18 sessions at a discounted rate(with financing). I am inclined to do that for long term benefits. I also found a P shot clinic that is reasonably priced. I am thinking of combining shock wave(once a week) and PRP(one session) with a vacuum pump(30 min everyday).

Short term ED solution

Try the auto injector next week and if its doable then get a prescription and use it for days before sex.Continue with 10mg Cialis.

Long term PE solution

Try hypnotherapy.The mens clinic recommended one therapist.
The doctor has prescribed Clomipramine 10mg. Try that before sex few times.
Learn and practice stop start technique.
Try the auto injector next week and if its doable then get a prescription and use it for days before sex.

Short term PE solution

Promescent spray

Those using trimix self injections, does it help with both ED and PE?
Any PRO and CON of starting at 44?

[60s_surfer]

Look in the section on Anorgasmia for a discussion of how increasing amounts of Trimix lead to delayed ejaculation. Since a longer time to ejaculation is what you want, then, for you, what is an unwanted side effect for those with delayed ejaculation may be just the thing.

[LookingUp]

I'm not a doctor. So, ask your doctors about priligy, Dapoxetine for PE. I'vs used 15mg with tri-mix. more than 15mg and I can't cum at all. Not as fun as it sounds. Most women don't enjoy an hour of pounding. Maybe on Honeymoon at the age of 21 but that might have been a dream.

With all drugs, I find the minimum to get the job done is best..

Best of luck.

Looking Up

[Flavio]

Oral phentolamine mesylate (formerly known as Vasomax) is an excellent ED and PE treatment.

Phentolamine is not Viagra: whereas the latter only increases NO levels, the former is an alpha blocker that stops sympathetic action in the penis. And because the sympathetic nervous system mediates detumescence and ejaculation, phentolamine also improves PE.

There are several studies that show the safety and efficacy of phentolamine:

https://www.ncbi.nlm.nih.gov/pubmed/9507837

And here's an excellent YouTube video on phentolamine that I've posted on another thread:

https://www.youtube.com/watch?v=uKjCqXS96eg

Phentolamine is not available in the United States but it is a popular ED treatment in China and you can buy it online. Contact Oliver Deng at www.parcl.com if you're interested.

[smphead]

I had undergone 18 shock wave sessions last year with another clinic(mainly run by nurses) and the same clinic is offering another 18 sessions at a discounted rate(with financing). I

So, what did the 18 shock wave sessions for you? Is your erection stronget? More morning wood and nightly erections?

Thanx