I have the implant but used BIMIX for several ears first.....and have noticed that "these days" the implant forum has many voices encouraging folks to skip BIMIX and jump directly to the implant. So here are my thoughts on that:
The cost of a vile of BIMIX is about as much as dinner in a restaurant. If you spend any time on the implant forum, you can quickly come to believe that the implant is the only "real solution", and all other things are "workarounds", and that the implant is a one-and-done.... set-it-and-forget-it, miracle....and all other solutions involve a lifetime relationship with doctors and pharmacies and chemicals and needles. This is an oversimplification. I would give anything to be able to go back to BIMIX, so I can't emphasize enough that you owe it to yourself to at least give it several tries before dismissing it. ( this goes for anyone who gets ginnned up , into jumping immediately to an implant)
Extra BIMIX/TRIMIX info: :
- if you accidently land the need anywhere other than where it needs to deliver the solution....it does nothing...so its easy (in the beginning) to "screw it up" and think it does not work for you.
- 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.....but even then....the implant is an option.
Give BIMIX a chance before jumping to the implant
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QuestionGuy
- Posts: 161
- Joined: Tue Sep 22, 2015 6:50 pm
Give BIMIX a chance before jumping to the implant
Age 63. PostFinasterideSyndrome/Peyronies
BIMIX - TRIMIX- Coloplast Titan
BIMIX - TRIMIX- Coloplast Titan
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lasthope2.0
- Posts: 94
- Joined: Sat Oct 11, 2025 1:23 pm
Re: Give BIMIX a chance before jumping to the implant
This is very good advice. Someone can experience inadvertent dorsal nerve branch injury during implant surgery and partially lose sensitivity and the ability to orgasm during intercourse. Sometimes it’s better to use bimix than to live with a low sensitivity dildo and become a 0.5% “celebrated statistic” of a high-volume, dedicated implanter. It’s too late now, but I’ll follow this advice in my next life. 
Lifelong ED. Pills for 15 yrs. 2024: Malleable via subcoronal and circumcision by one of the highest volume surgeons. Result: ED cured! Side Effects: Lymphedema, Length loss 0.4"; Girth loss 1"; Reduced Sensitivity.
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Inject77
- Posts: 20
- Joined: Tue Feb 18, 2025 12:55 pm
Re: Give BIMIX a chance before jumping to the implant
QuestionGuy wrote:I have the implant but used BIMIX for several ears first.....and have noticed that "these days" the implant forum has many voices encouraging folks to skip BIMIX and jump directly to the implant. So here are my thoughts on that:
The cost of a vile of BIMIX is about as much as dinner in a restaurant. If you spend any time on the implant forum, you can quickly come to believe that the implant is the only "real solution", and all other things are "workarounds", and that the implant is a one-and-done.... set-it-and-forget-it, miracle....and all other solutions involve a lifetime relationship with doctors and pharmacies and chemicals and needles. This is an oversimplification. I would give anything to be able to go back to BIMIX, so I can't emphasize enough that you owe it to yourself to at least give it several tries before dismissing it. ( this goes for anyone who gets ginnned up , into jumping immediately to an implant)
Extra BIMIX/TRIMIX info: :
- if you accidently land the need anywhere other than where it needs to deliver the solution....it does nothing...so its easy (in the beginning) to "screw it up" and think it does not work for you.
- 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.....but even then....the implant is an option.
Dear QuestionGuy, could you please explain why you would give everything to go back to the injections? During the last year, my dosage is constantly increasing, so I see the implant in my future.
Thanks
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GoodWood
- Posts: 1437
- Joined: Sun Jun 16, 2019 1:07 pm
Re: Give BIMIX a chance before jumping to the implant
My urologist told me that “building tolerance” to mono/bi/trimix isn’t a concern. The reason doses and concentrations increase for many men is that their ED progresses.
My ED developed to the point I needed to start taking pills. Why would I think my ED would then become fixed/static at that point?
My ED continued to develop to the point that pills no longer worked well enough and I needed shots. Why would I think my ED would then become fixed/static at that point?
My ED continued to develop to the point that shots didn’t work well enough and I got an implant.
But all of that is just an academic discussion. The treatment is the same regardless: pills/shots/implant.
The decision of when to go for implant is a personal one and varies from man to man depending on his circumstances.
If you are married/partnered and shots work well, then sticking with shots is a solid choice. Shots have limitations (spontaneity and frequency) but for most of us that isn’t a major concern.
If you are dating and sex is more of a spontaneous thing that doesn’t always happen at your place (what if you meet someone when you are out and they invite you back to their place?) then shots can disappoint. If you want to have sex more than once every two days shots can disappoint.
And some guys are so phobic of shots (you want me to put a needle WHERE?!?!?!) that shots just aren’t an option they would consider. For them, moving directly to implant can make sense.
In my case pills worked for 5 years, then shots worked for over 10. I worked hard to keep shots working, adding pills back in (daily cialis), adding a cockring, but eventually the time I got erect from that shot was too short. It was a bit like a starters pistol went off when I took the shot and I needed to sprint to the finish before I lost my erection. Not very romantic. LOL.
I love my implant and have no regrets about it. It works great. I have more spontaneous sex than before. I still have some natural erectile function around the device. I still get morning wood. I still feel a stirring when I get turned on. I still get engorged around the implant when having sex. But I don’t regret sticking with shots for as long as I did. I feel like I got the timing right.
My ED developed to the point I needed to start taking pills. Why would I think my ED would then become fixed/static at that point?
My ED continued to develop to the point that pills no longer worked well enough and I needed shots. Why would I think my ED would then become fixed/static at that point?
My ED continued to develop to the point that shots didn’t work well enough and I got an implant.
But all of that is just an academic discussion. The treatment is the same regardless: pills/shots/implant.
The decision of when to go for implant is a personal one and varies from man to man depending on his circumstances.
If you are married/partnered and shots work well, then sticking with shots is a solid choice. Shots have limitations (spontaneity and frequency) but for most of us that isn’t a major concern.
If you are dating and sex is more of a spontaneous thing that doesn’t always happen at your place (what if you meet someone when you are out and they invite you back to their place?) then shots can disappoint. If you want to have sex more than once every two days shots can disappoint.
And some guys are so phobic of shots (you want me to put a needle WHERE?!?!?!) that shots just aren’t an option they would consider. For them, moving directly to implant can make sense.
In my case pills worked for 5 years, then shots worked for over 10. I worked hard to keep shots working, adding pills back in (daily cialis), adding a cockring, but eventually the time I got erect from that shot was too short. It was a bit like a starters pistol went off when I took the shot and I needed to sprint to the finish before I lost my erection. Not very romantic. LOL.
I love my implant and have no regrets about it. It works great. I have more spontaneous sex than before. I still have some natural erectile function around the device. I still get morning wood. I still feel a stirring when I get turned on. I still get engorged around the implant when having sex. But I don’t regret sticking with shots for as long as I did. I feel like I got the timing right.
57yo, NYC. ED started at 40. Pills, then shots for 10 years. 24cm Coloplast Titan XL w/classic pump by Dr Eid 3/25/2025. Will meet for show & tell.
Implant journal: [url] viewtopic.php?f=6&t=26225[/url]
Implant journal: [url] viewtopic.php?f=6&t=26225[/url]
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CanGetItUpButNotOff
- Posts: 420
- Joined: Mon Sep 20, 2021 1:34 pm
Re: Give BIMIX a chance before jumping to the implant
GoodWood wrote:My urologist told me that “building tolerance” to mono/bi/trimix isn’t a concern. The reason doses and concentrations increase for many men is that their ED progresses.
My ED developed to the point I needed to start taking pills. Why would I think my ED would then become fixed/static at that point?
My ED continued to develop to the point that pills no longer worked well enough and I needed shots. Why would I think my ED would then become fixed/static at that point?
This is a good argument to debunk the theory that the body develops a tolerance to ICI shots. Authoritative sources say that it is more likely due to a worsening of the underlying ED.
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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Old Guy
- Posts: 2989
- Joined: Tue Mar 31, 2020 4:31 pm
- Location: Ohio
Re: Give BIMIX a chance before jumping to the implant
I don't think anyone builds a tolerance to Trimix/Bimix/Quadmix. It's the ED getting worse, usually a venous leak (VL) that starts out at low volume then progresses to a major leak. Same for Viagra.
I used pills for about two years, about one year in it was increase the dosage. Then it became a maybe it'll work this time.
That's when Trimix came in. A stronger drug that was able to overcome my VL, for a while anyway. It was the same with injections, continually increase the dose to make things work.
Between the side effects and uncertain results is what made me go the implant route. And yes, I am one who wishes I could go back and just do the implant before subjecting my body to all the drugs. As much as pills and injections are a good answer for some, I hated having to schedule sex. Or the night I took a Viagra and come to bed to find the wife fast asleep. Or the wife getting me excited but have to stop, run and stick a needle in my dick.
I used pills for about two years, about one year in it was increase the dosage. Then it became a maybe it'll work this time.
That's when Trimix came in. A stronger drug that was able to overcome my VL, for a while anyway. It was the same with injections, continually increase the dose to make things work.
Between the side effects and uncertain results is what made me go the implant route. And yes, I am one who wishes I could go back and just do the implant before subjecting my body to all the drugs. As much as pills and injections are a good answer for some, I hated having to schedule sex. Or the night I took a Viagra and come to bed to find the wife fast asleep. Or the wife getting me excited but have to stop, run and stick a needle in my dick.
Nov. 8, 2019
5+ years, Coloplast Titan OTR
Married 37 years to my beautiful young bride
Always here to answer questions if you PM me
5+ years, Coloplast Titan OTR
Married 37 years to my beautiful young bride
Always here to answer questions if you PM me
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RG3p013
- Posts: 28
- Joined: Sun Jun 02, 2024 9:59 pm
Re: Give BIMIX a chance before jumping to the implant
GoodWood wrote:My urologist told me that “building tolerance” to mono/bi/trimix isn’t a concern. The reason doses and concentrations increase for many men is that their ED progresses.
My ED developed to the point I needed to start taking pills. Why would I think my ED would then become fixed/static at that point?
My ED continued to develop to the point that pills no longer worked well enough and I needed shots. Why would I think my ED would then become fixed/static at that point?
My ED continued to develop to the point that shots didn’t work well enough and I got an implant.
But all of that is just an academic discussion. The treatment is the same regardless: pills/shots/implant.
The decision of when to go for implant is a personal one and varies from man to man depending on his circumstances.
If you are married/partnered and shots work well, then sticking with shots is a solid choice. Shots have limitations (spontaneity and frequency) but for most of us that isn’t a major concern.
If you are dating and sex is more of a spontaneous thing that doesn’t always happen at your place (what if you meet someone when you are out and they invite you back to their place?) then shots can disappoint. If you want to have sex more than once every two days shots can disappoint.
And some guys are so phobic of shots (you want me to put a needle WHERE?!?!?!) that shots just aren’t an option they would consider. For them, moving directly to implant can make sense.
In my case pills worked for 5 years, then shots worked for over 10. I worked hard to keep shots working, adding pills back in (daily cialis), adding a cockring, but eventually the time I got erect from that shot was too short. It was a bit like a starters pistol went off when I took the shot and I needed to sprint to the finish before I lost my erection. Not very romantic. LOL.
I love my implant and have no regrets about it. It works great. I have more spontaneous sex than before. I still have some natural erectile function around the device. I still get morning wood. I still feel a stirring when I get turned on. I still get engorged around the implant when having sex. But I don’t regret sticking with shots for as long as I did. I feel like I got the timing right.
Hey GoodWood, I appreciate your post. My journey seems to have some parallels to yours time-wise. I started injections about 20 months ago. I recently went back to trying to use pills about 3-4 months ago with varying success, but I'm currently in a slump where they've been less effective, so I have used the injections more the past couple of weeks. I'd like to have the injections last as long as possible, but my physician (she actually has a sex medicine specialty ) cautioned me on using them 3 times per week at my age (49). I then met with a high volume urological surgeon who okayed me for an implant and opined that one never really knows how long they'll be able to get out of injection use. Out of pocket cost for an implant is a concern for me (my ED is psychogenic but VERY persistent since age 39). My thinking now is to perhaps aim for an implant in my mid 50's so that if I need a revision, it will be covered by medicare (hopefully). I'm curious how many times on average you were using the injections per week? 10 years is good mileage. Any feedback is appreciated.
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GoodWood
- Posts: 1437
- Joined: Sun Jun 16, 2019 1:07 pm
Re: Give BIMIX a chance before jumping to the implant
RG3p013 wrote:…I'm curious how many times on average you were using the injections per week? 10 years is good mileage. Any feedback is appreciated.
I wasn’t using it for masturbation, luckily I had enough function for that. But I was using injections once or twice a week. Sometimes I would go a week or two without due to circumstances beyond my control. I was already married. I think shots are a lot harder to deal with when you are just starting a passionate relationship and might want to have sex several times a week and in some cases a couple times in a day or weekend.
57yo, NYC. ED started at 40. Pills, then shots for 10 years. 24cm Coloplast Titan XL w/classic pump by Dr Eid 3/25/2025. Will meet for show & tell.
Implant journal: [url] viewtopic.php?f=6&t=26225[/url]
Implant journal: [url] viewtopic.php?f=6&t=26225[/url]
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