Injecting on “special occasions”?

[Nocturne]

Struggled with ED for 10 years now, although the last 6-7 or so have been pretty good (before it came roaring back a month ago).
Beginning to come around to the possibility that it might be mostly “psychological”, although my T was at “near castrate” levels when the magical ED fairy first blessed me with a slap of her flaccid wand a decade ago. I was on a weekend vacation when my wife, had been drinking a lot with her, and she was pushing for sex despite the fact that she was on her period. Something went wrong and it never fully went right again.
Although T restoration and Cialis combined to help me claw my way out of that. Took me a few months to get back to anything like normal sex again, and a couple three years before I really began to trust my body again.
Fast forward to a month ago when - once again - we were on a trip, she wanted it on the first morning, and it didn’t work. And, like last time, I was trapped in a hotel room with her for the next three days, failing every time. I say “trapped” but understand this woman and I have a great relationship and we truly love each other - the fact that she stood by me ten years ago is a major reason why I love her so much. But despite the feel of her next to me always giving me comfort, yes it does feel like being “trapped” when I can’t even masturbate to check myself out to reassure myself that I’m OK (and yeah, she did suggest me staying in one day, but I’ll be damned if I’m going on a vacation we have planned for years so I can jerk off alone in a hotel room).
Now I’m in the full tailspin, crash and burn again, looking down the barrel of maybe a quarter year of basic impotence followed by a couple three years of anxiety around sex in general. Whee.
Here’s my question - would it be possible for me to convince my urologist to let me try using an injection only on the rare occasions that my wife and I take a trip alone together? It is obviously a trigger for me and if it is a trigger for years of mental anguish and baggage, I’d rather use an injectable and take a hard pass on the suffering.
Is that a thing that people do? Like just get a few doses once every year or two?
“Psychogenic” ED is annoying AF because no, it’s not purely “psychogenic”, there was a time when my erections would kick in the front door, barge in, and not leave until THEY were ready, anxiety or no. And for a long time in my 30s, they’d come in politely when invited and stay until I was done with them.
Now they’ll usually come in when called, but they have to be watched to make sure they don’t wander out again and if anything startles them they’ll bolt.
If you go from “fully functional dick” to “dick that will work OK unless you are anxious”, is it fair to call the ED “psychogenic” when in fact a fully operational penis will work fine even IF you are a little nervous?

[wolfpacker]

So the plan would be to have injectionless/Cialis sex most of the time,.and then inject on these rare occasions? I'd just be aware that you could face the possibility of reducing your natural/Cialis erection potential by introducing the injections. They cause scar tissue inside the penis and this scar tissue is ultimately what causes ED in the first place.

[bldoink]

Here’s my question - would it be possible for me to convince my urologist to let me try using an injection only on the rare occasions that my wife and I take a trip alone together? It is obviously a trigger for me and if it is a trigger for years of mental anguish and baggage, I’d rather use an injectable and take a hard pass on the suffering.
Is that a thing that people do? Like just get a few doses once every year or two?

As long as you don't have strong negative reactions to alprostadil (PGE1) I think you're the perfect candidate for the expensive Edex cartridge injections. Your insurance might cover a limited amount of doses per month, or not. The Edex is alprostadil (PGE1) that comes in a cartridge containing dry alprostadil powder and saline in two chambers separated by a rubber plug. You combine the 2 chambers just before use. The great advantage of Edex cartridges is their easy portability, their lack of needing refrigeration and their long shelf life. It sounds perfect for you, if the cost isn't an issue.

[Nocturne]

So the plan would be to have injectionless/Cialis sex most of the time,.and then inject on these rare occasions? I'd just be aware that you could face the possibility of reducing your natural/Cialis erection potential by introducing the injections. They cause scar tissue inside the penis and this scar tissue is ultimately what causes ED in the first place.

Thanks, and yes you have it right.
Honestly I’m 51, I’m heading for open heart surgery sometime in the next decade, and am unlikely to see past my 70s (I would have said “past my 60s” up until a few months ago when I got some surprisingly good - or at least “not as bad as expected” - medical news).
Part of why I want to do this is so I can say that I’ve already tried the injections when the time comes to get an implant. I really want to get one before I die, and I don’t want to deal with several years of “try this, try that” and so-so anxious sex because I don’t likely have an abundance of years to enjoy.
So yeah, the scarring? The reduction of Cialis utility? That would just give me an excuse to get an implant sooner.

[Nocturne]

Here’s my question - would it be possible for me to convince my urologist to let me try using an injection only on the rare occasions that my wife and I take a trip alone together? It is obviously a trigger for me and if it is a trigger for years of mental anguish and baggage, I’d rather use an injectable and take a hard pass on the suffering.
Is that a thing that people do? Like just get a few doses once every year or two?

As long as you don't have strong negative reactions to alprostadil (PGE1) I think you're the perfect candidate for the expensive Edex cartridge injections. Your insurance might cover a limited amount of doses per month, or not. The Edex is alprostadil (PGE1) that comes in a cartridge containing dry alprostadil powder and saline in two chambers separated by a rubber plug. You combine the 2 chambers just before use. The great advantage of Edex cartridges is their easy portability, their lack of needing refrigeration and their long shelf life. It sounds perfect for you, if the cost isn't an issue.

That… is interesting! Thank you, I will bring this up with my urologist when I meet with him in August. It sounds like exactly what I am looking for.

[wolfpacker]

So the plan would be to have injectionless/Cialis sex most of the time,.and then inject on these rare occasions? I'd just be aware that you could face the possibility of reducing your natural/Cialis erection potential by introducing the injections. They cause scar tissue inside the penis and this scar tissue is ultimately what causes ED in the first place.

Thanks, and yes you have it right.
Honestly I’m 51, I’m heading for open heart surgery sometime in the next decade, and am unlikely to see past my 70s (I would have said “past my 60s” up until a few months ago when I got some surprisingly good - or at least “not as bad as expected” - medical news).
Part of why I want to do this is so I can say that I’ve already tried the injections when the time comes to get an implant. I really want to get one before I die, and I don’t want to deal with several years of “try this, try that” and so-so anxious sex because I don’t likely have an abundance of years to enjoy.
So yeah, the scarring? The reduction of Cialis utility? That would just give me an excuse to get an implant sooner.

Hell yea, that is exactly the right attitude in my opinion. I didn't mean to suggest that you shouldn't do it, just to be aware of the scarring as a potential consequence. Sounds like you are eyes wide open and would be a good choice in your situation

[CanGetItUpButNotOff]

I can see no reason not to go for it. If you're one of the very few people who can't tolerate aprostadil then try TriMix (lower dose of aprostadil) or BiMix (no aprostadil). Although contrary to the label, many here freezer their TriMix and get very long life - my vial is 7 months with no loss of efficacy.

[colev939]

About the injections—you can definitely ask your urologist about using them just for special occasions or trips. Some guys do that, keeping a few doses on hand for when they really need them. It’s not super common to only use them rarely, but it’s not unheard of either. The doc might be open to it, especially if it helps you avoid anxiety and get some confidence back without the pressure of daily meds.

[Nocturne]

About the injections—you can definitely ask your urologist about using them just for special occasions or trips. Some guys do that, keeping a few doses on hand for when they really need them. It’s not super common to only use them rarely, but it’s not unheard of either. The doc might be open to it, especially if it helps you avoid anxiety and get some confidence back without the pressure of daily meds.

Well, this would be in addition to daily meds (Cialis) - but it seems like there is risk of priapism with that? Or can you also carry a “boner-B-gone” shot with you just in case? This kind of thing is what makes me feel like just skipping ahead to the implant might be the best choice.
Rather than twisting in the wind for the next 10 years until I have a stroke and - OOPS! - no more sex life! - shoulda done it sooner!

Edit: I took a shot once as part of a blood flow test and while I did not get a boner from it with five strange guys in the room, I massaged one up shortly after they left, and required TWO “boner-B-gone” shots before it went down enough for me to leave. So I know the damn things WORK…

[sogwap]

I'm not sure of your question.

You have ED. Dont be like some of us, who said it works sometimes. And hope it works when you need. And go years with a crappy sex life. You may be ok with that idea. But its not fair to your partner.

The fact is Trimix does not work for everyone. But unless you try, you won't know.
As far as usage. Some guys inject 2-3 times a week. While others only inject maybe once a month.

Not sure what you mean by "Special Occasions?" - Seems to me every sexual encounter is special. Even if you aren't married.
I know some guys who use Trimix for masturbation. As their wife has checked out sexually. Even then it's a special occasion.