Moving forward after priapism

[Nocturne]

So I just had my (over the phone) follow up meeting with my men’s health doc yesterday. It went well.
Doc recommended “sensate therapy” to address psychogenic issues (I remember doing that ten years ago - was not super impressed with immediate results but am willing to give it a shot again).
On the trimix front he agreed that my overall plans for using it were good; I want to learn to use it better in order to have it for vacations like the one that caused my initial ED event ten years ago and the one that caused this most recent relapse almost one year ago. Last time it took me like three years before I started to feel confident again and begin to get my life back.
He was very supportive of drawing individual needles and then freezing them to use maybe once a month, and offered to get me some on the “trimix antidote” (I forget the name) to have for home use. He agreed that it was possible I had been injecting “wrong” while slowly raising dose, until I injected “right” at too high a dose and caused priapism. Basically everything I was hoping he would say, he said.
Not sure at this point how to proceed with sensate therapy and trimix - they seem mutually exclusive as sensate involves a lot of not having sex, Has anyone here had much luck with it when dealing with psychogenic ED?

[Nocturne]

So I just had my (over the phone) follow up meeting with my men’s health doc yesterday. It went well.
Doc recommended “sensate therapy” to address psychogenic issues (I remember doing that ten years ago - was not super impressed with immediate results but am willing to give it a shot again).
On the trimix front he agreed that my overall plans for using it were good; I want to learn to use it better in order to have it for vacations like the one that caused my initial ED event ten years ago and the one that caused this most recent relapse almost one year ago. Last time it took me like three years before I started to feel confident again and begin to get my life back.
He was very supportive of drawing individual needles and then freezing them to use maybe once a month, and offered to get me some on the “trimix antidote” (I forget the name) to have for home use. He agreed that it was possible I had been injecting “wrong” while slowly raising dose, until I injected “right” at too high a dose and caused priapism. Basically everything I was hoping he would say, he said.
Not sure at this point how to proceed with sensate therapy and trimix - they seem mutually exclusive as sensate involves a lot of not having sex, Has anyone here had much luck with it when dealing with psychogenic ED?[/quote][/quote]

[Nocturne]

[quote="Nocturne"]So I just had my (over the phone) follow up meeting with my men’s health doc yesterday. It went well.
Doc recommended “sensate therapy” to address psychogenic issues (I remember doing that ten years ago - was not super impressed with immediate results but am willing to give it a shot again).
On the trimix front he agreed that my overall plans for using it were good; I want to learn to use it better in order to have it for vacations like the one that caused my initial ED event ten years ago and the one that caused this most recent relapse almost one year ago. Last time it took me like three years before I started to feel confident again and begin to get my life back.
He was very supportive of drawing individual needles and then freezing them to use maybe once a month, and offered to get me some on the “trimix antidote” (I forget the name) to have for home use. He agreed that it was possible I had been injecting “wrong” while slowly raising dose, until I injected “right” at too high a dose and caused priapism. Basically everything I was hoping he would say, he said.
Not sure at this point how to proceed with sensate therapy and trimix - they seem mutually exclusive as sensate involves a lot of not having sex, Has anyone here had much luck with it when dealing with psychogenic ED?

[Nocturne]

So I just had my (over the phone) follow up meeting with my men’s health doc yesterday. It went well.
Doc recommended “sensate therapy” to address psychogenic issues (I remember doing that ten years ago - was not super impressed with immediate results but am willing to give it a shot again).
On the trimix front he agreed that my overall plans for using it were good; I want to learn to use it better in order to have it for vacations like the one that caused my initial ED event ten years ago and the one that caused this most recent relapse almost one year ago. Last time it took me like three years before I started to feel confident again and begin to get my life back.
He was very supportive of drawing individual needles and then freezing them to use maybe once a month, and offered to get me some on the “trimix antidote” (I forget the name) to have for home use. He agreed that it was possible I had been injecting “wrong” while slowly raising dose, until I injected “right” at too high a dose and caused priapism. Basically everything I was hoping he would say, he said.
Not sure at this point how to proceed with sensate therapy and trimix - they seem mutually exclusive as sensate involves a lot of not having sex, Has anyone here had much luck with it when dealing with psychogenic ED?[/quote]

[CanGetItUpButNotOff]

Overall, I think you are on the right track. I expect good results for you soon.

offered to get me some on the “trimix antidote” (I forget the name) to have for home use.

Sounds good. Almost always the term "TriMix antidote" refers to liquid phenylephrine. But make sure. It should be by Rx in liquid form and a typical recommendation is to inject 25-100 units up to three times in intervals of 5 to 10 minutes. I say this, not to give medical advice, but just to help identify that you got the right antidote. On the few occasions I've needed it, one shot of 50 units has totally resolved the problem in 5 minutes. I have vials that are both refrigerated and not-refrigerated so that could go either way.

Doc recommended “sensate therapy” to address psychogenic issues (I remember doing that ten heads ago - was not super impressed with immediate results but am willing to give it a shot again).
…
Not sure at this point how to proceed with sensate therapy and trimix - they seem mutually exclusive as sensate involves a lot of not having sex, Has anyone here had much luck with it when dealing with psychogenic ED?

This is interesting to me. My wife and I have recently (three sessions) engaged a sex therapist hoping that what's good can be even better. Just getting her to go to someone like this is a major accomplishment. I'm letting the therapist pursue her own methods in her own time, but I anticipate that there will be sensate focus techniques in my future. Like you, this is not something I welcome. In fact, if she's adamant about going this direction I'll probably go another direction. Not only do I want to avoid long periods of abstinence, but to automatically go to this methodology indicates to me that she's just following a cookie-cutter approach and not really customizing a plan to our needs.

If you follow the sensate focus plan, let us know how you do.

[Nocturne]

Sounds good. Almost always the term "TriMix antidote" refers to liquid phenylephrine.

Yes, definitely phenylephrine. Doctor knew the name, I could not remember it. Any idea how long that stuff keeps? Should it be chilled/frozen?

As for “sensate focus”, yeah it sounds like a bunch of hippy dippy to me, but TBH the more I think about it the more I think it might do some good. Trying to plow through the anxiety over the last ten months hasn’t exactly gotten me where I want to be. This morning I woke up and touched her and kissed her knowing it wasn’t going to go anywhere and it really helped with the jitters. Of course my wife and I touch each other comfortably all the time, but since this all relapsed I’ll snap from comfort to dread as soon as sex is on the table.
Fucking ridiculous.
I’ve noticed that there doesn’t seem to be an actual section on this site for discussing psychogenic ED specifically. It kind of feels like it’s just not a topic anyone wants to address because what can you do? Wait until you physically deteriorate far enough that you qualify for an implant? Seems like you’re pretty fucked. Is that why there’s no section for it? Too uncomfortable?

[Martin6469]

Nocturne: Here's my politically incorrect sensate focus (don't mention it to your counselor!). See her only as a warm wet vagina into which you're going to aggressively slide your stiff penis. Don't see her as your wife until you ejaculate. Then resume your loving attachment and normal gentlemanly self.

We were cavemen for 200,000 years, and that's the kind of instinctive successful sex we have residing in our subconsciousness to this day. Concentrate and bring it out. Maybe have a drink to bring about some boldness.

Cavemen didn't have psychogenic ED.