FrankTalk.org

Hello everyone, I hope you are doing well. Currently I'm suffering from psychological ed meaning because of extreme performance anxiety I can't get aroused, it's impossible with or without a woman because I'm too focused on the question whether it'll work or not. However I know that it's still possible for me to get hard when sometimes I'm able to fully relax and I'm not "checking" if it still works. I also take antidepressants which probably has lowered my libido and I need longer to ejaculate which is good because otherwise I'm also suffering from premature ejaculation. So my question is is it possible to tell how likely caverject injections will work for me if my problems are all in the head? and if it will work, is it possible that it works for a lifetime or will it eventually stop working at some point no matter what. thanks in advance for any response. have a nice day.

I am reliably informed aprostadil and other injections work regardless of mood and stress, but take the right dose as I took too little and I got a worse erection than natural.

I had a Tri-Mix T-105 .1cc (10 units) injection to check for venous leak at my urologist. It didn't do a thing while the attractive nurse who administered it and the attractive tech who did the ultrasound were in the room conducting their work. I basically got maybe a half a chub for the 1/2 hour that the tests took.

Left the office, where I could relax and not be concerned that the women would think I was a perv and got a VERY hard erection (similar to my normal best ones) pretty much the minute I got in the car to drive home, but it lasted for 5 hours and I had to have it drained at the ER.

So, yes, our minds can shut that shit down to an extent still...I'm SHOCKED that our brains have that much power/capability....but when it did finally kick in....it worked EXTREMELY well....too well in my case. Just be careful if you go this route and dont' take too much at once.

BTW, I also believe my ED is primarily psychogenic in nature.

So are we misled about injections?

One of the main points we are told about them is that they work regardless of stimulation... When clearly they don't.

Never_Enough wrote:So are we misled about injections?

One of the main points we are told about them is that they work regardless of stimulation... When clearly they don't.

"Misled" is the wrong word. For some men, injections don't work....at least that's what I gathered from my urologist who specializes in implants. He was testing me to make sure veinous leak wasn't so bad that I couldn't get/keep an erection with injections, which leads me to believe some men's veinous leak can be that bad that injections simply don't work or give the desired results. If that happens to someone, an implant is the last resort.

That said, when the doc heard the results of my test (that I didn't reach a full erection during the ultrasound) he thought I might have pretty decent veinous leak. When he found out at our next appointment that I'd had to go to the ER b/c of the priapism to have it drained...he said we could definitely rule veinous leak out.

My experience just shows how strong psychological ED can be...powerful enough to overcome the drugs, at least until we relax mentally enough to allow an erection to happen.

Let's also not forget there are many examples here on the forum of the injection missing the intended site and not resulting in an erection or a sub-optimal one.

I get them not working for physical reasons, but if you read literature on injections the notion is that they bypass the emotional and mental aspect and isn't that why they are used for the scans where men are unlikely to be able to get full erections even if they don't have ED.
I emotionally and mentally screwed because of relationship kids and the pelvic pain which means I need more than pills.. My hope was injections would be that pana sea to have at least one reliable session a week.

I had a full erection for 10.minutes with no help at all today, but 2 days ago I had 10 mg cialis and 20 Viagra and struggles to get any sensation so Lost it twice. It's horribly inconsistent.

Sean: Your post gave me a thought. Here in USA we're the inheritors of Puritanism, which the English (Hi "Never Enough" ) sent us a long time ago. Some of us are thus sexually embarrassed by nudity and sexuality, maybe only subconsciously, maybe consciously. This nonsense is stuck in our subconsciousness like concrete, and has been since childhood training: "Don't let anyone see you naked!"

My suggestion is, go to a family-style nude resort and get comfortable with being naked in public and socializing with naked women. Your nervousness with a woman in private might lessen. My wife and I have been nudists for decades; one thing we notice is that the families with kids have the most well-behaved, happy, and mature kids for their ages that we have seen anywhere. I have to believe that those boys will grow up free of psychological sex problems. And I have to think that those with psychological ED, after probably a lot of visits to different nude resorts, swimming, playing tennis, horseshoes, dancing, hiking, jogging, might see that subconscious discomfort diminished.

Don't mistake me: there is no sex at family-style resorts. These are G-rated and not for innuendo or swinging.

Unfortunately, many resorts try to maintain a 50:50 male-female ratio and so restrict the number of single guys. Some hold to this limitation more loosely than others, so you must research. Nude beaches are open to all, of course, but you must not approach women without an invitation, unless they are "beach ambassadors."

Never_Enough wrote:I get them not working for physical reasons, but if you read literature on injections the notion is that they bypass the emotional and mental aspect and isn't that why they are used for the scans where men are unlikely to be able to get full erections even if they don't have ED.
I emotionally and mentally screwed because of relationship kids and the pelvic pain which means I need more than pills.. My hope was injections would be that pana sea to have at least one reliable session a week.

I had a full erection for 10.minutes with no help at all today, but 2 days ago I had 10 mg cialis and 20 Viagra and struggles to get any sensation so Lost it twice. It's horribly inconsistent.

Apologies for not keeping up with this conversation as I should have. I completely get what a mind fuck ED is and sorry I went dark on you.

Let me just say, YOU'RE NOT SCREWED. The 'notion' is largely correct. I just gave an anecdotal experience (my own). What I was doing was telling you they likely will work, but don't panic or give up if they don't work immediately or the first time. They are FAR more reliable than cialis or viagra. You can botch the injection and not get it into the corpora cavernosa which just means you try again (maybe the next day).

If you haven't tried injections yet, DO SO. I *highly* recommend them, in spite of the fact I've only had ONE and it resulted in a trip to the ER. Injections, in my limited experience, hold THAT MUCH promise to restoring your sex life. Please don't give up...and give them a try.

One other thing, you mentioned a loss of sensation...do you mean in your penis? There's a large body of emerging research saying that lower testosterone levels result in exactly what you're describing in terms of loss of sensitivity in the penis. I experienced this myself and was on Clomid 25 mg per day for about 2-3 years in which time my total T when from 235 to 1113 (I was also supplementing with natural herbs which, with regular blood work kept rising to that high point). I don't recall my free T number but it was well in excess of the top range for my age (49 years old when I stopped and switched to Testosterone Cypionate).

Now, the interesting part for me was that even with a 1113 Total T....I still didn't have a lot of feeling in my penis. When I switched to 200mg of Test per week....my Total T was only around 7-800 ng/dl.....so much lower, but the difference in libido AND sensation in my penis was absolutely night and day. Constant night time erections, more libido....sex or masturbation daily again like when I was younger, etc.

So...if you haven't had your T level tested and if it's low, you can try Clomid....but I'd highly recommend injecting Testosterone instead. It has been absolutely life changing over the last year.

Martin6469 wrote:Sean: Your post gave me a thought. Here in USA we're the inheritors of Puritanism, which the English (Hi "Never Enough" ) sent us a long time ago. Some of us are thus sexually embarrassed by nudity and sexuality, maybe only subconsciously, maybe consciously. This nonsense is stuck in our subconsciousness like concrete, and has been since childhood training: "Don't let anyone see you naked!"

My suggestion is, go to a family-style nude resort and get comfortable with being naked in public and socializing with naked women. Your nervousness with a woman in private might lessen. My wife and I have been nudists for decades; one thing we notice is that the families with kids have the most well-behaved, happy, and mature kids for their ages that we have seen anywhere. I have to believe that those boys will grow up free of psychological sex problems. And I have to think that those with psychological ED, after probably a lot of visits to different nude resorts, swimming, playing tennis, horseshoes, dancing, hiking, jogging, might see that subconscious discomfort diminished.

Don't mistake me: there is no sex at family-style resorts. These are G-rated and not for innuendo or swinging.

Unfortunately, many resorts try to maintain a 50:50 male-female ratio and so restrict the number of single guys. Some hold to this limitation more loosely than others, so you must research. Nude beaches are open to all, of course, but you must not approach women without an invitation, unless they are "beach ambassadors."

Thanks for the recommendation Martin. First, I should mention that I'm married...been with my wife 27 years. 2nd, I don't plan to be around anyone but her naked and I'm completely comfortable with her seeing me that way though I do have body dysmorphia and that may contribute some to my ED but the dysmorphia is my issue, not hers and she doesn't make me uncomfortable in the slightest about my body and consistently praises it.

I don't think the nudist route would really help me and she definitely wouldn't be comfortable with it since she's not comfortable with her body either for different reasons.

Regardless, I appreciate your response and the good intentions with which it was obviously given. That was very kind of you and I appreciate it.

Kind regards,
Sean

Speaking of Venous Leak.

Last year I had an ultrasound to confirm that I have peyronies disease.
When scheduling the appointment I asked the urologist if the ultrasound could tell if I had Venous Leak, He said yes.
I've struggled with ED, for many years, and never had any diagnosis as to why I had ED. This was my first penile Doppler ultrasound.

When I had the ultrasound, the doctor injected 3 units of Trimix. Which was not enough (for me) to produce a full erection. That 3 units of Trimix only gave me a slight chubby.
When doing the ultrasound, the urologist said that I had plaque which confirms that I have peyronies disease.
He also said I had good blood flow.

I asked him if I had a venous leak, and he said no I do not have a venous leak. I asked him how he knew since I was never erect for the ultrasound.
He said that since the 10 units of Trimix that I inject to have sex works, I could not have venous leak. When I use 10 units of trimix for sex it gives me an erection for over an hour.