Post by Ignatz's BricksDuring the first month, he's limiting me to one shot a week to get a
good picture of scaring & healing after the four weeks is up.
In my humble opinion, (I'm no doctor) the two main causes of scarring
are injecting using too large a needle (I use a 31 gauge, the higher the
number the smaller the size) and injecting while you are hard, or are
wearing a constriction ring. Both of the above allow trimix to leak out
of the corpus cavernosum and be trapped there.
Got another potential cause for scarring here. I've got a "bleeder"
history with this Uro dating back several years. During annual
diagnostic shots I've always had to hold the wipe on the injection site
for a full five minutes.
In the case of this month's two office shots, I bled during & following
intercourse almost 2 hours after the shot--no, it wasn't rough sex.
(Recently I stopped taking Vitamin E and that should help--I was in the
NIH Sel-E trial and had continued those meds even after the NIH
terminated the trial for our segment.)
I've got a lot of faith with this Uro. I've been a patient of his since
1999. He got a prostate/bladder neck problem squared away and I got
very good coaching out of a Viagra problem I'd created for myself.
Being a good 'sheep' I'll follow orders; however, suggestions and
coaching from you and others this group count big--gangbusters!
Post by Ignatz's BricksHe wants to examine four distinct sites and an injection log showing
date and amount. (I think we are heading toward site reuse frequency
as a measure, as Jim suggests above.)
It seems all Uro's are different. Mine gave me no limits, other than
once a day.
The weekly bit is only for the titration period up to the scar check.
(This will be the first 'shortarm' inspection I've had to stand in
almost 50 years--shades of being a Seaman duce.)
The Group's injection handout suggests up to 3 injections per week if
unscared sites are available. His personal coaching to me is to
eventually alternate injections and Levitra.
Post by Ignatz's Bricks(Also assumes that I stay on his VED training schedule).
Have you seen any benefit from VED exercise? I had good hopes, but it
never seemed to help me.
I think so. Morning tent poles have re-appeared on a regular basis.
NEs are harder to assess as I'm not usually aware of them until the
fourth or subsequent REM cycle and my sleep schedule for the last two
weeks has been pretty well chewed up. The Levitra response seems a bit
quicker--however 'L' is a very 'quiet' drug for me with few/no side
effects. (In contrast, Viagra has a bit of a 'brass band' effect in my
body and I can do SEs on Viagra if I haven't taken it in a while.)
Psychologically, I've been better off not using Viagra.
I'm pretty suggestible so we may have a placebo effect here. I'm not
looking at VED to make a big change in erectile performance--rather, to
arrest an alarming loss of erect length. Jim initially suggested VED
for length loss and the Uro not only agreed but gave me a four page
handout of instructions. I go with Jim's training schedule (timewise)
and abide by the low pressures that the Uro suggests (3-5"hg vice
5-6"hg). I get a gentle stretch at 3"hg. Possibly characteristic of
age -- over 70.
My main complaint at this year's checkup was loss of nearly 3/4 inch in
erect length in the last 18 months. Overall I've lost over 2 inches
since age 20 and that's significantly more than the stats for the
average bear. Uro feels that this is probably the result of fibrous
formation due to poor NEs and that VED therapy, over several years, will
help arrest fibrous formation. The improved Levitra sensitivity is just
a bonus. He suggests that I may probably drop from 10mg down to 5mg of
Levitra once I start injecting regularly.
Post by Ignatz's BricksWhen I get better at this, I'll try to post some Levitra results.
Interesting. For me, Viagra works great as a booster if I fail to
inject enough. However Cialis does absolutely nothing to help an
injection, so I was surprised to hear you say that similar acting
Levitra helps. I've never found an affordable source for Levitra and
have only tried it a few times.
No, the Uro's experience is that the response to Levitra dosing improves
in patients that inject occasionally and also follow a VED training
sked. Thanks for tip regarding Viagra stacked on a small injection.
Sounds like a good use for the few tabs of Viagra that were left over
when I made the switch to 'L.' I'll keep some handy on the day I do the
'lowest' possible dose on the titration schedule.
Uro has discussed stacking once I'm titrated on Trimix and do a separate
build up for the stacking but that's not for now. Stacking's different
from what we're talking about here.
Post by Ignatz's BricksTerbutaline (5mg) is the prescribed antidote in case I screw up.
Huh? Antidote for an asthma attack or for a priapism?
I'd never heard of it before and found the same thing on Google. A
friend took it's sister drug -- Brethine -- very powerful effect on
Asthma and allergies. Terbutaline does have an interesting off-label
use--arrests pre-mature labor during problem pregnancies. Not sure what
that has to do with priapism--and don't care. Will swallow the pill if
need-be.
Anyway, this doc and the three other Uros in that group endorse this
off-label use. No clue as to how they arrived at Terbutaline as their
drug of choice. Their specifics direct one 5mg pill at the decision
point (in writing, that's 2 hours--informally, 2+45 or 3 hours if you've
got a fast car.) Next, cold shower on the base of the spine--same as
your suggestion. If no response, call the ER/Urgent Care and take the
second 5mg tab in the car. Wallet card provides instruction to the
ER/Urgent Care folks. (What that card says is enough to scare the pants
off Saint Peter!)
My first full office injection (20 units, formula unknown) was in early
June. Intercourse at the 2 hour point (about 2+20 after the injection)
had no effect. I didn't have either Sudafed or Terbutaline in the house
so swallowed a dose of Benadryl at about 2+45. I was flaccid in about
30 more minutes. Doc's opinion was that the Benadryl wasn't much of a
factor other than generally relaxing my bod. Guess is that 2+45 was my
normal response to 20 units.
My second office injection was Monday--15 units with a full 2 hour
response then quick return to limp. I had no rebound after that dose--I
hadn't had any Levitra since the prior Friday morning. I suspect that
the mix I'll start titrating with tomorrow is about 2/3 the strength of
the stuff at the office. Will start off at 15 units and work from there.
Post by Ignatz's BricksOn the one occasion where relatives showed up unexpectedly twenty
minutes after I had injected, a cold shower took it down in well under
one minute. I'd try aiming a cold shower at the small of your back (not
on your pecker) and thinking nasty thoughts before I'd try one of those
pills. LMac, I don't know where you live, but where I live the cold
water temperature is in the mid-50s F. If your area does not have water
that cool, it might not work.
Right now the cold tap turns out 70 deg. We don't see anything like 50
till the dead of winter when there's frost on the grass at the Olympic
Training Center.
Thanks again for the tip on Viagra as a booster for a small injection.
--
...Lmac