Does anyone have the scientific / clinical explanation for the “every other day / three times per week" that is generally quoted?
Is it to minimise the risk of scarring?
I have never found any scientific explanation, even though it is frequently specified as the maximum injection frequency.
Recommended maximum frequency
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WestLad
- Posts: 26
- Joined: Tue Nov 12, 2024 1:24 pm
Recommended maximum frequency
UK. 70 years old.
Type 2 diabetes
ED since 2010
Type 2 diabetes
ED since 2010
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CanGetItUpButNotOff
- Posts: 410
- Joined: Mon Sep 20, 2021 1:34 pm
Re: Recommended maximum frequency
Good question. I try to follow the rule, but not religiously, of not doing it in successive days or more than three times a week; but I've never seen the scientific basis for it. I hope we get that answer.
Born 1954. Diabetes, hypertension, atherosclerosis. Sildenafil iffy. Tri-Mix 30/3/20 Pap/Phen/PGE1 godsend pending long-term efficacy. Daily Cialis. Tried LiESWT 4 times, Botox, PT141, Eroxon, QST, DUS, Vertica, Ferticare, cabergoline, psycho+hypnotherapy
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Martin6469
- Posts: 759
- Joined: Tue Feb 18, 2020 12:22 pm
- Location: St. Louis, USA
Re: Recommended maximum frequency
A little Trimix or whatever you're using seems to remain after 24 hours, so your carefully titrated amount might be too much.
Age 80 in 2025. On testosterone replacement due to hypothalamus malfunction. (Attention depressed guys: low testosterone is a cause.) Healthy health nut but ED due to getting old. Like to keep enough cardiovascular ability to thrust for 30 min.
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ElbowRoom
- Posts: 793
- Joined: Mon Mar 17, 2025 1:58 pm
Re: Recommended maximum frequency
I dod injections basically every other day for a year or more. That seems to be about the most you can do safely.
58yo Coloplast Titan 28cm Penoscrotal with Dr. Hakky 10/21/2025.
Pre-op erect measurements:
8.5"L and 6.5"C
Post-op: 8”L and 6”C at one week.
8.5” and 6”C at three weeks with full glans engorgement
Pre-op erect measurements:
8.5"L and 6.5"C
Post-op: 8”L and 6”C at one week.
8.5” and 6”C at three weeks with full glans engorgement
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WestLad
- Posts: 26
- Joined: Tue Nov 12, 2024 1:24 pm
Re: Recommended maximum frequency
ElbowRoom wrote:I dod injections basically every other day for a year or more. That seems to be about the most you can do safely.
Do you have any supporting information?
UK. 70 years old.
Type 2 diabetes
ED since 2010
Type 2 diabetes
ED since 2010
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WestLad
- Posts: 26
- Joined: Tue Nov 12, 2024 1:24 pm
Re: Recommended maximum frequency
WestLad wrote:Does anyone have the scientific / clinical explanation for the “every other day / three times per week" that is generally quoted?
Is it to minimise the risk of scarring?
I have never found any scientific explanation, even though it is frequently specified as the maximum injection frequency.
Follow up:
I found this on an ED website -
It is important not to inject more than once every
24 hours unless otherwise instructed by your
doctor. Most doctors recommend no more than 3-4
times weekly to minimize scar tissue formation.
And this in a general search (but without any sources….):-
Urologists recommend a maximum of three intracavernosal injections per week to ensure patient safety and treatment effectiveness. This limit helps to:Prevent Priapism: Excessive use of injections can lead to priapism, a condition where an erection lasts longer than four hours, which can cause permanent damage to the penis.
.
Minimize Side Effects: Limiting the frequency reduces the risk of side effects such as pain, bruising, and fibrosis (thickening of the erectile tissue)
UK. 70 years old.
Type 2 diabetes
ED since 2010
Type 2 diabetes
ED since 2010
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ElbowRoom
- Posts: 793
- Joined: Mon Mar 17, 2025 1:58 pm
Re: Recommended maximum frequency
WestLad wrote:ElbowRoom wrote:I dod injections basically every other day for a year or more. That seems to be about the most you can do safely.
Do you have any supporting information?
Injection therapy isn’t supposed to be used more than once in 24 hrs. So every two days is common sense. Do I need to submit a research paper?
58yo Coloplast Titan 28cm Penoscrotal with Dr. Hakky 10/21/2025.
Pre-op erect measurements:
8.5"L and 6.5"C
Post-op: 8”L and 6”C at one week.
8.5” and 6”C at three weeks with full glans engorgement
Pre-op erect measurements:
8.5"L and 6.5"C
Post-op: 8”L and 6”C at one week.
8.5” and 6”C at three weeks with full glans engorgement
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QuestionGuy
- Posts: 160
- Joined: Tue Sep 22, 2015 6:50 pm
Re: Recommended maximum frequency
I used BIMIX/TRIMIX for over 5 years, so I'll chime in:
- you do build a tolerance if you use it allot, hence the increasing potency's from BIMIX to TRIMIX
- if you use it alot, you will develop scar tissue , which increases the possibility of injecting the solution into a useless location.
For a person who has sex a couple of times a week, BIMIX is a good solution, because the tiny pin pricks have time to heal and you won't really develop a tolerance fast enough to matter. If you become a fiend and inject multiple times a day...you will accelerate the process.....
- you do build a tolerance if you use it allot, hence the increasing potency's from BIMIX to TRIMIX
- if you use it alot, you will develop scar tissue , which increases the possibility of injecting the solution into a useless location.
For a person who has sex a couple of times a week, BIMIX is a good solution, because the tiny pin pricks have time to heal and you won't really develop a tolerance fast enough to matter. If you become a fiend and inject multiple times a day...you will accelerate the process.....
Age 63. PostFinasterideSyndrome/Peyronies
BIMIX - TRIMIX- Coloplast Titan
BIMIX - TRIMIX- Coloplast Titan
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CanGetItUpButNotOff
- Posts: 410
- Joined: Mon Sep 20, 2021 1:34 pm
Re: Recommended maximum frequency
QuestionGuy wrote:… you do build a tolerance if you use it allot, hence the increasing potency's from BIMIX to TRIMIX
I've not heard this before. The reports I usually see are that the medicine does not lose effectiveness but, generally, men's ED worsens so it takes more solution for the same effect. But I doubt anyone really knows.
Born 1954. Diabetes, hypertension, atherosclerosis. Sildenafil iffy. Tri-Mix 30/3/20 Pap/Phen/PGE1 godsend pending long-term efficacy. Daily Cialis. Tried LiESWT 4 times, Botox, PT141, Eroxon, QST, DUS, Vertica, Ferticare, cabergoline, psycho+hypnotherapy
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