When to move from TRIMIX to Implant

The final frontier. Deciding when, if and how.
QuestionGuy
Posts: 128
Joined: Tue Sep 22, 2015 6:50 pm

When to move from TRIMIX to Implant

Postby QuestionGuy » Sun May 20, 2018 12:30 am

Bimix was a game changer for me 3 years ago – but I have since graduated to the strongest mixture of TRIMIX, am now getting mediocre results at this point. I understand that the implant will do a bit of destruction going in, and is not really reversible, so I am really trying to make sure I exhaust all other options before going down that road. I would love to hear “compare/contrast” from guys who did the “injections in the bathroom” and then graduated to the implant.

My original understanding of “ED” was a penis which could not become erect, under any circumstances, even with pills or injections, and regardless of the type of stimulation (sex, masturbation ect…) In this case the implant is the easy choice.

I have what might be called erectile “dissatisfaction”, and am therefor undecided as to when it becomes appropriate to opt for the implant. My sensation is good, and I actually can have quite intense orgasms (sometimes, even while flaccid). Even without injection, during masturbation I become erect “off and on”, and prior to climax I have a quite solid erection for a several minutes, but this is with concentration and constant stimulation. BIMIX originally gave me rock solid 4 hour erections, but over time the strength has had to be increased and the erection is medium, At this point, I can penetrate, with us both on our sides facing each other, doing a bit of a “stuff it in”. If I were having sex without TRIMIX , and stopped ,even to put on a condom, I would lose my erection. I do have peronies, but its uniform (no curvature – it’s like a ballpoint pen) since injections – I have also more lumpiness on the sides and now have a hard time depressing the needle once it goes in , due to resistance.

Could cycling off the injections for a few months reduce my tolerance, and perhaps I could become “born again” and go back to good results?

Does the fact the penis becomes solidly erect (for any length of time) rule out certain kinds of damage/disorders?

Could I be doing more damage by attempting sex with a less that ROCK HARD Penis?

Would implant surgery necessitate having to hack out all the rigid peronies tissue? or can they just work the cylinders around it?

Thanks everyone. Any advice would be greatly appreciated.
I'm 55. PostFinasterideSyndrome/Peyronies . Initially had good erections but numbness. Now erections are compromised, but good sensitivity. I see Dr. Irwin Goldstein and do : TRIMIX-Clomiphene-Arimidex –Cabergoline -Cialis -Traction-VED-Pshot-gainswave

ED2013
Posts: 1217
Joined: Tue Mar 05, 2013 8:15 pm

Re: When to move from TRIMIX to Implant

Postby ED2013 » Sun May 20, 2018 1:59 am

If injections are not providing rigid erections, your only options to achieve penetration are an implant or a pump with rings. The scarring or peyronies will probably get worse if you keep injecting. If you decide to get an implant I highly recommend you see a top surgeon. That will be your best shot at maximizing your size.

Gordon
Posts: 155
Joined: Mon Dec 05, 2016 9:16 am
Location: Somewhere in Alabama

Re: When to move from TRIMIX to Implant

Postby Gordon » Sun May 20, 2018 7:52 am

There is quadmix. Strongest you can get. a 4 part compound. Ask your Urologist or find another one.
Married 64
AMS LGX 700 2/15/2017

Donnie1954
Posts: 2518
Joined: Wed Feb 19, 2014 9:04 pm
Contact:

Re: When to move from TRIMIX to Implant

Postby Donnie1954 » Sun May 20, 2018 9:04 am

Injections worked until my Radiation treatment for prostate cancer. Then my venous leakage was so bad nothing but a VED with two rings worked. We hated the VED so my only option was an implant. If injections are making your dick tough. Please. Stop them Now! They are doing more damage than good.
Donnie
Implant AMS 700 CX, MS (18cm x 12mm with 5.5cm RTEs) on 10\4\16. 64 Dr. Edward Kata of Orlando. Awesome surgeon. Check out, 'DD Bryan. My implant journey, Wit and Wisdom, Stretching routine, Implant Pics, Natural Hang. Live in Ga.
.

radioradio
Posts: 1012
Joined: Tue Aug 09, 2016 2:44 pm
Location: Philly Burbs

Re: When to move from TRIMIX to Implant

Postby radioradio » Sun May 20, 2018 12:48 pm

Questioning,

I’m not a doc, and these are just my opinions based upon personal experience and research here on FT and elsewhere...



QuestionGuy wrote:Bimix was a game changer for me 3 years ago – but I have since graduated to the strongest mixture of TRIMIX, am now getting mediocre results at this point. I understand that the implant will do a bit of destruction going in, and is not really reversible, so I am really trying to make sure I exhaust all other options before going down that road. I would love to hear “compare/contrast” from guys who did the “injections in the bathroom” and then graduated to the implant.

Yes, implantation destroys the spongy tissue inside the corpora — the capillaries that fill with blood causing an erection. ED is when these vessels either don't get enough blood or can't maintain the blood at a high enough pressure to maintain the erection. LOTS of things can interrupt this normal plumbing phenomenon, but the filling of the corpora is whether the rubber meets the road as far as an erection is concerned. The implant's cylinders replace the spongy tissue and the plumbing is handled by saline solution pumped into them from the reservoir. To my knowledge, this is the only "destruction" that happens.
As far as compare and contrast goes, I'm probably not the best one to weigh in here. I had no success with Trimix of various mixtures or Bimix. All I got was a big fat chubby that was not firm enough to use, and a lot of pain that lasted for hours. So I advanced to the implant quickly.


My original understanding of “ED” was a penis which could not become erect, under any circumstances, even with pills or injections, and regardless of the type of stimulation (sex, masturbation ect…) In this case the implant is the easy choice.

Yes, for me it was easy.

I have what might be called erectile “dissatisfaction”, and am therefor undecided as to when it becomes appropriate to opt for the implant. My sensation is good, and I actually can have quite intense orgasms (sometimes, even while flaccid). Even without injection, during masturbation I become erect “off and on”, and prior to climax I have a quite solid erection for a several minutes, but this is with concentration and constant stimulation. BIMIX originally gave me rock solid 4 hour erections, but over time the strength has had to be increased and the erection is medium, At this point, I can penetrate, with us both on our sides facing each other, doing a bit of a “stuff it in”. If I were having sex without TRIMIX , and stopped ,even to put on a condom, I would lose my erection. I do have peronies, but its uniform (no curvature – it’s like a ballpoint pen) since injections – I have also more lumpiness on the sides and now have a hard time depressing the needle once it goes in , due to resistance.

I chose not to settle for my severely diminished sexual performance or experiences.


Could cycling off the injections for a few months reduce my tolerance, and perhaps I could become “born again” and go back to good results?

Good analogy, but your dick will never be "born again" through abstinence. It will take a conversion to another "penile religion", a bionic re-birth.

Does the fact the penis becomes solidly erect (for any length of time) rule out certain kinds of damage/disorders?

I think it rules out the problem of a lack of sufficient blood supply. Sounds more like the job of shutting off the outflow is more the culprit, and that be from several root causes.

Could I be doing more damage by attempting sex with a less that ROCK HARD Penis?

Don't know.

Would implant surgery necessitate having to hack out all the rigid peronies tissue? or can they just work the cylinders around it?

Again, others could give you a more experienced answer, but I don't believe anything gets "hacked out" as versus squashed.

Thanks everyone. Any advice would be greatly appreciated.


I wish you the best in your quest to become whole again, and would recommend not putting off what is probably inevitable. When I was researching and making my decision, I was struck by how common the theme was of "My only regret is that I waited so long."

Bob
Born '52. Married '79. RALP 3/1/17. ED 50+% prior to surgery even w/ meds. VED, Injections, ineffective. Considering implant even before PCa diagnosis. Dr. Kramer 8/2/17. LGX 21cm+0.5 RTE. Kramer replaced/repositioned pump 12/13/17. Willing to Show/Tell.

Captn20
Posts: 59
Joined: Mon Feb 26, 2018 1:35 pm

Re: When to move from TRIMIX to Implant

Postby Captn20 » Mon May 21, 2018 2:16 pm

QuestionGuy wrote:Bimix was a game changer for me 3 years ago – but I have since graduated to the strongest mixture of TRIMIX, am now getting mediocre results at this point. I understand that the implant will do a bit of destruction going in, and is not really reversible, so I am really trying to make sure I exhaust all other options before going down that road. I would love to hear “compare/contrast” from guys who did the “injections in the bathroom” and then graduated to the implant.

My original understanding of “ED” was a penis which could not become erect, under any circumstances, even with pills or injections, and regardless of the type of stimulation (sex, masturbation ect…) In this case the implant is the easy choice.

I have what might be called erectile “dissatisfaction”, and am therefor undecided as to when it becomes appropriate to opt for the implant. My sensation is good, and I actually can have quite intense orgasms (sometimes, even while flaccid). Even without injection, during masturbation I become erect “off and on”, and prior to climax I have a quite solid erection for a several minutes, but this is with concentration and constant stimulation. BIMIX originally gave me rock solid 4 hour erections, but over time the strength has had to be increased and the erection is medium, At this point, I can penetrate, with us both on our sides facing each other, doing a bit of a “stuff it in”. If I were having sex without TRIMIX , and stopped ,even to put on a condom, I would lose my erection. I do have peronies, but its uniform (no curvature – it’s like a ballpoint pen) since injections – I have also more lumpiness on the sides and now have a hard time depressing the needle once it goes in , due to resistance.

Could cycling off the injections for a few months reduce my tolerance, and perhaps I could become “born again” and go back to good results?

Does the fact the penis becomes solidly erect (for any length of time) rule out certain kinds of damage/disorders?

Could I be doing more damage by attempting sex with a less that ROCK HARD Penis?

Would implant surgery necessitate having to hack out all the rigid peronies tissue? or can they just work the cylinders around it?

Thanks everyone. Any advice would be greatly appreciated.


I experienced with Bi/Trimix for about a year prior to my implant. Most of the signs and symptoms you described (solid erection prior to climax, efficacy of injection wearing off....) applies to me perfectly. I started with 20, 30 and 40 units and reached the point that I needed about 80 units (on syringes marked to 100) of injection for Trimix to work!! Aside from the loss of spontaneity, injecting 80+ units AND sometimes missing the right spot and having to do it again..... were enough reasons for me to stop the injection.
Not to speak of the Peyronie's Disease that the injection caused :( My penis was not bent, but was somewhat deformed. On my first visit to my surgeon, he identified the Peyronie's Disease and asked me to stop the injection right away. Damage was not severe, yet, but could affect the implant; and it did. Now, injection was not even an option for me.
That's how I opted for implant; which was done less than two weeks ago. I don't know if our situations are similar/identical, but hope my experience help you make the right decision. Ultimately you and your doctor have to decide what's best for you.
Captn20
61 yrs old, ED started after prostatectomy May 2016. Surgery May 11, 2018; Dr. Eid Titan 22.

shooter1000
Posts: 276
Joined: Tue Apr 14, 2015 11:18 pm

Re: When to move from TRIMIX to Implant

Postby shooter1000 » Mon May 21, 2018 10:18 pm

Like Donnie I used injections successfully until a second battle with Prostate cancer requiring 35 radiation treatments left me with the need to constantly increase the amount of Tri-mix. When I reached a full syringe and it didn't provide a satisfactory erection, I chose to get an implant. It was the right decision. I had over 1000 injections, but very little scarring (5/16 #31 needles) I believe that with the risk of scarring and your other issues you should seek out one of the big three to do you surgery should you decide to go forward, or at least a very experienced one.

Best of luck to you.
Age 75 Implanted by Dr. Andrew Kramer 03/22/2017. AMS 700 LGX 18 CM with 2 Cm RTE for a total of 20 CM. Previously used injections over 1000 no scarring

QuestionGuy
Posts: 128
Joined: Tue Sep 22, 2015 6:50 pm

Re: When to move from TRIMIX to Implant

Postby QuestionGuy » Tue May 22, 2018 1:52 am

Thank you everyone!

Who are the BIG 3? My doctor is Dr. Irwin Goldstein in San Diego . He is an expert on all things sexual. I don't know how people on this site rank him as a surgeon.

Is there a pre-operation protocol for stretching to reduce the possibility of losing length? (i see people speak of vacuum and traction)

Is there a post-operation protocol for stretching to reduce the possibility of losing length?

I am a grower (and the ratio is extreme) I can be 1-2 inches flacid some days, or 4 inchs flacid for a couple of days after trimix, but at my "peak state", Im almost 6 inches in length and 6 inch's in girth erect. I only stretch to 5.5 inch's though, doing the "pull test" but this may be because of my lack of understanding of the nature of penis length. If I push my fingers to the pelvic bone I get that 6th inch. what confuses me is that I have read other posts where people acknowledge that some portion of the penis is buried, and therefor the implant cylinders will be an inch or so longer than "usable" or "measurable" length. ...but if I grind my pelvis into a woman's pelvis: isn't she getting all of it? regardless of what aesthetically is visible to the eye? Sorry if this is an dumb question, but Ive only ever manipulated my own penis, so i don't know what is universal and what is unique to me. I am reminded of a penis-enlargement operation that was popular a few years back, and it was revealed to be something of a scam, because it simply snipped the penis form the pelvic bone causing it to fall forward and 100% was then exposed. (accomplishing zero length increase as it relates to sexual function - but it looked longer because it all hung out)

I hope my post makes sense...but what i guess i'm wondering is: since I have such an elastically wide variance from flacid to maximum engorgement....am i in danger of the implant converging on a smaller size than my "maximum potential"?

thanks again everyone!
I'm 55. PostFinasterideSyndrome/Peyronies . Initially had good erections but numbness. Now erections are compromised, but good sensitivity. I see Dr. Irwin Goldstein and do : TRIMIX-Clomiphene-Arimidex –Cabergoline -Cialis -Traction-VED-Pshot-gainswave

Donnie1954
Posts: 2518
Joined: Wed Feb 19, 2014 9:04 pm
Contact:

Re: When to move from TRIMIX to Implant

Postby Donnie1954 » Tue May 22, 2018 7:33 am

My brother,
Prior to my implant, I was definitely a grower. My flaccid dick on a good day was about 2-3 inches. My erection was a good 7". After my implant, my deflated (never flaccid again) hangs a nice 6". I am well pleased with the look and shows a nice bulge in jeans. My penis pumped up is still a nice 7". I had no concerns or preexisting conditions (Peyronie's, shrinkage (which can happen after a prosectomy) or excessive scarring (which can be a result of injections). My dick was just dead due to severe venous leakage and damage due to radiation treatment for prostate cancer. I could get no erection at all unless I used a VED, which I, and my wife hated. My only option was an implant. I love the results and so does my wife. My 'stretching routine' thread works to get you back to pre opp length if you have an AMS. Check out my other threads as well.
Blessings,
donnie1954@mail.com
Implant AMS 700 CX, MS (18cm x 12mm with 5.5cm RTEs) on 10\4\16. 64 Dr. Edward Kata of Orlando. Awesome surgeon. Check out, 'DD Bryan. My implant journey, Wit and Wisdom, Stretching routine, Implant Pics, Natural Hang. Live in Ga.
.

oldbeek
Posts: 2454
Joined: Sun Sep 10, 2017 1:46 pm
Location: Los Angeles area

Re: When to move from TRIMIX to Implant

Postby oldbeek » Thu May 24, 2018 1:00 am

I have talked to Goldstein and he is the best in the So Cal area. Only problem was he didn't take medicare. I am surprised he didn't have you stop injections immediately. Have you told him about the pre pyronies. Scar tissue can really cause problems when implanting. A good surgeon will insert the implant between the corpa cavanosa and the tunica without damaging the corpa. There are guys here that get natural erections that supplement the implant when they are stimulated. Hope this helps
82, good health, RP 7-2017, all nerves taken , PSA 0.05, 4-18,, .07 1/19,.05 4/19, .03 11-21, .04 11-23, implanted 4-1-18, Infra-pubic, AMS lgx 15 cm with 5cm rte. Implant at USC Keck. Dr Boyd and Dr Loh Doyle 6.5 x 5, 800 AUS 7-21-20


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