Injections over pills just for preference

Sticking a needle Where? Courage, guidance and help.
Musson
Posts: 403
Joined: Wed Nov 17, 2021 12:59 pm

Injections over pills just for preference

Postby Musson » Sun Nov 19, 2023 11:38 am

The escalation of treatment for ED seems to be, in order:
Pills, increase dosage, add pump cock ring, injections, implant.

Notwithstanding the above protocols, are there many skipping to injections even though the pills work? For me I can get the pills to work I’m just tired of the side effects (mild but just makes me feel shitty). I really had to arm twist the doc to get the injections which I will be starting in several weeks.

So I guess another way of asking my question is whether it’s crazy for me to be jumping to injections.
63yr old. PDwith 40% dor. Curve. Pre-PD 7”x6”.lost 2 in. due to PD. ED prior to PD. Switched from Sildalifil to Trimix Nov 2023 . Currently titrating Trimix for optimization.

DQQ678
Posts: 32
Joined: Wed Sep 21, 2022 8:11 am

Re: Injections over pills just for preference

Postby DQQ678 » Sun Nov 19, 2023 11:57 am

I used the pills for 10+ years successfully, but also got tired of the side effects (they got worse over time too). My doc had no issue moving me to bimix injections. My only advice is to ensure you have a Uro that knows how to dose bimix or trimix as you don't want to be oversubscribed (first injection should be in the office). Oh, and I'm loving the injections, as well does my wife!

Musson
Posts: 403
Joined: Wed Nov 17, 2021 12:59 pm

Re: Injections over pills just for preference

Postby Musson » Sun Nov 19, 2023 3:13 pm

Thanks for the feedback. I’m hoping for the best and after this is settled will change Uro to one that I can build a better rapport with.
63yr old. PDwith 40% dor. Curve. Pre-PD 7”x6”.lost 2 in. due to PD. ED prior to PD. Switched from Sildalifil to Trimix Nov 2023 . Currently titrating Trimix for optimization.

ape1100
Posts: 202
Joined: Wed Feb 23, 2022 12:35 pm

Re: Injections over pills just for preference

Postby ape1100 » Sun Nov 19, 2023 6:26 pm

My uro also had no objections to trying injecting since the pills were not effective anymore. If he had given objections I would have done some arm twisting. I don’t miss the side effects of them and the wife and I are absolutely loving trimix. It works great for me.
50+ yrs old. married 25+ years. hypothyroid, on TRT. 10+ years ED, viagra, cialis now 50% ineffective. now on trimix 2MG phentolamine/30MG papaverine/20MCG alprostadil

Old Guy
Posts: 2514
Joined: Tue Mar 31, 2020 4:31 pm
Location: Ohio

Re: Injections over pills just for preference

Postby Old Guy » Sun Nov 19, 2023 7:14 pm

You pretty much have the progression correct. Us guys keep trying the simplest route to fix it, next step, next step.
The side effect from pills did me in too, migraine the next day. On top of not being very reliable.
Injections were great, at first. Same thing as with pills, keep increasing the dose to work. Until they didn't, and side effect of an achy member the next day made me stop.
Hope you find injections work well.
Nov. 8, 2019
4+ years, Coloplast Titan OTR
Married 36 years to my beautiful young bride
Always here to answer questions if you PM me

Pumpkinman
Posts: 178
Joined: Fri Nov 04, 2022 2:32 pm

Re: Injections over pills just for preference

Postby Pumpkinman » Mon Nov 20, 2023 8:20 am

Musson wrote:The escalation of treatment for ED seems to be, in order:
Pills, increase dosage, add pump cock ring, injections, implant.

Notwithstanding the above protocols, are there many skipping to injections even though the pills work? For me I can get the pills to work I’m just tired of the side effects (mild but just makes me feel shitty). I really had to arm twist the doc to get the injections which I will be starting in several weeks.

So I guess another way of asking my question is whether it’s crazy for me to be jumping to injections.



Many people don't have to progress to the implant and use the pills mixed with the injections for the long haul. It seems that many go to the implant because of the inconvenience of the injections as it gets old keeping it cold, transporting and well sticking a needle in your dick.

sogwap
Posts: 398
Joined: Wed Jul 20, 2011 8:10 am
Location: Ontario, Canada

Re: Injections over pills just for preference

Postby sogwap » Mon Nov 20, 2023 1:41 pm

Musson wrote:So I guess another way of asking my question is whether it’s crazy for me to be jumping to injections.

Nothing crazy about it.
Having side effects of pills is one of the reasons men start using injections.

There is one downside to injections.

Since starting Trimix I ask my wife if she wants to continue before doing the injection.
When I used Viagra I sometimes would take the pill. Since it takes at least 15 minutes to start working. If sex did not happen I tried and was at least hopeful that it would happen.
However, with Trimix depending on how reactive you are to Trimix you may be left with a hard-on for longer than you want. For some guys that could mean 1-2 hours or longer.
Age: 68. Struggled with ED/PE for years.
Used Viagra for 10+ years with mixed success.
In May 2022 started using Trimix with very good results.
Feb 2023 developed PD

Stayingstrong
Posts: 140
Joined: Fri Oct 02, 2020 7:57 am

Re: Injections over pills just for preference

Postby Stayingstrong » Wed Nov 22, 2023 1:02 pm

Musson wrote:The escalation of treatment for ED seems to be, in order:
Pills, increase dosage, add pump cock ring, injections, implant.

Notwithstanding the above protocols, are there many skipping to injections even though the pills work? For me I can get the pills to work I’m just tired of the side effects (mild but just makes me feel shitty). I really had to arm twist the doc to get the injections which I will be starting in several weeks.

So I guess another way of asking my question is whether it’s crazy for me to be jumping to injections.

You left one out.
Trimix with a cock ring. That is where I am at and why I am now moving onto an implant.
Worsening venous leakage as a result of the Trimix use and aging prompted me to begin having to use a cock ring as well to maintain a sufficient hardness.
Now even the Trimix and cock ring are not giving me what I want.
It is all an ongoing progression to "the final frontier" of an implant.
Glad that I went through all of the options, however, to get to this point and am now excited to experience the positives I have heard relative to the implant
Age 70
Pills didn't work well. Trimix worked good for 3 years, then only fair for following 3 years but need a cock ring in conjunction.
Implant 12/6/2023 Dr. Eid
Coloplast Titan 20 cm with right side trimmed to 19 cm. No RTE. Classic pump.

waykooksaram
Posts: 15
Joined: Tue Nov 08, 2022 6:47 pm

Re: Injections over pills just for preference

Postby waykooksaram » Sun Nov 26, 2023 8:07 pm

I prefer Trimix to pills. While pills work 90% of the time, Trimix is 100%. Also I know for sure it will last a long time. I only use pills when traveling.

oldbeek
Posts: 2472
Joined: Sun Sep 10, 2017 1:46 pm
Location: Los Angeles area

Re: Injections over pills just for preference

Postby oldbeek » Wed Nov 29, 2023 11:23 am

Why hasn't Tri-mix jell or muse put into the urethra been mentioned as an alternative step ? Just wondering. Low dose trimix was very painful to me (allergic to it) and erections lasted 3 hrs or more. I used trimix Gell to fill out my glans with the implant. Works pretty good increasing blood flow where nerves are dead after RP.
82, good health, RP 7-2017, all nerves taken , PSA 0.05, 4-18,, .07 1/19,.05 4/19, .03 11-21, .04 11-23, implanted 4-1-18, Infra-pubic, AMS lgx 15 cm with 5cm rte. Implant at USC Keck. Dr Boyd and Dr Loh Doyle 6.5 x 5, 800 AUS 7-21-20


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