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Home > Archive > Impotence Support > August 2006 > All meds have failed...
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All meds have failed...
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| dgmoore@erols.com 2006-08-23, 9:23 pm |
| I am 63 and had a stroke about 7 years ago, and was also diagnosed Type
II diabetic at about the same time. My BP and diabetes are well
controlled and I am very active, follow a strict diet, and exercise
vigorously every day.
Nonetheless, since the stroke my potency has gradually waned in spite
of increasing doses of V (which worked very well for about 5 years), L
(which didn't work as well as V), and C (which pretty much didn't work
at all). I also tried Muse, which never worked for me. We tried a
vacuum pump, but I didn't like it much and my wife hated it. My uro
tried me on Caverject and Edex (40 mcg), both alone and stacked with
Viagra - I had some response to these combos, but not enough to be
useful.
Today my uro gave me 85 units (he said that's pretty much the max
recommended dose) of 30/2/40 Trimix, which he says is a pretty powerful
mixture. The response was negligible. The uro suggested trying it again
at home, perhaps stacked with some Viagra, but at this point we're
thinking I've about reached the end of the line.
I'm toying with the idea of an implant, but I have many questions that
only somebody with experience can answer. Is sex with an implant
anything like "the real thing", or is it more like a disembodied
mechanical device? What about sensation? How is recovery from the
procedure? Would you do it again given the choice? Etc. etc. etc.
Sign me discouraged...
Dave
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| Ignatz's Bricks 2006-08-24, 8:21 am |
| dgmoore@erols.com writes:
> I am 63 and had a stroke about 7 years ago, and was also diagnosed Type
> II diabetic at about the same time. My BP and diabetes are well
> controlled and I am very active, follow a strict diet, and exercise
> vigorously every day.
BP medications are notorious for causing ED. List all the medicines you
are taking. Have you talked to the doctor who prescribed the BP
medication about ED?
> Nonetheless, since the stroke my potency has gradually waned in spite
> of increasing doses of V (which worked very well for about 5 years), L
> (which didn't work as well as V), and C (which pretty much didn't work
> at all). I also tried Muse, which never worked for me. We tried a
> vacuum pump, but I didn't like it much and my wife hated it. My uro
> tried me on Caverject and Edex (40 mcg), both alone and stacked with
> Viagra - I had some response to these combos, but not enough to be
> useful.
>
> Today my uro gave me 85 units (he said that's pretty much the max
> recommended dose) of 30/2/40 Trimix, which he says is a pretty powerful
> mixture. The response was negligible.
Was the Trimix response better or worse than the 40mcg Caverject / Edex?
Usually, the numbers in a Trimix prescription are different enough to
tell which is which, but I'm not quite sure on yours. There also should
be something like "Pros/Phen/Pap" or similar abbreviations on your
bottle to indicate the order that the ingredients are listed. What does
it say? It looks to me like he is using a strong bi-mix with the third
ingredient -- the one used in Caverject -- at well below its maximum level.
For the record: Although in different proportions, that mixture and
dosage is similar in strength to the one I'm using, and I stack with
Cialis or Viagra. I'm 67.
> The uro suggested trying it again
> at home, perhaps stacked with some Viagra, but at this point we're
> thinking I've about reached the end of the line.
If you have the bottle, there is no reason not to try this.
>
> I'm toying with the idea of an implant
An implant is forever. There is no going back, once it is inserted.
It is a wild shot, but where did you get the Trimix? A few of us here
have at one time purchased defective bottles of trimix, as the
ingredients used to make it are quite perishable. If the Caverject was
mixed from powder in the doctor's office, it is almost unheard of that
going bad. If it was the 40mcg liquid, then that can go weak very rapidly.
Ignatz's Bricks
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| William Koloff 2006-08-24, 4:22 pm |
| Have you considered using a pump and constriction ring such as the Osbon
Erecaid Esteem Battery Model? It is a fail safe method without the
dangers of an implant.
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| dgmoore@erols.com 2006-08-24, 4:22 pm |
| As I mentioned in my original post, we tried the pump (Osbon) - I
didn't like it much, and my wife HATED it. We gave it a fair trial -
numerous uses - and she said she'd rather have nothing at all than the
pump, and I pretty much agree with her.
William Koloff wrote:
> Have you considered using a pump and constriction ring such as the Osbon
> Erecaid Esteem Battery Model? It is a fail safe method without the
> dangers of an implant.
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| Hello Dave,
Implants are a list ditch effort! Before you take the irreversible
step, here's some thoughts and experiences. I realize though that my
situation isn't as serious as is yours.
I go along with William Koloff regarding the Osbon. My doc prescribed
it for VED therapy and he feels that its constriction rings are about
the best and safest available--probably more true for a diabetic with
some tissue and circulatory issues. I usually use a fitted cylinder and
bulb pump when I shave and shower on weekday mornings. I use the Osbon
a couple of times a week for an extended pumping session--I make of
waking my wife for those sessions. The Osbon has a nice transition
section that holds the ring at the ready to apply when you're ready to
retain an erection. I've only tried this once since I like a firmer
erection down into the pelvis and can still get this with orals or
Trimix. The Osbon erection was fully penetrable though and glans
sensitivity was better than I get from any of the orals.
I sympathize with your wife's issues regarding the pump and we went
through this as we introduced penis pumping into my own fitness program.
We are realistic that some of the techniques and toys we now use to
achieve sexual satisfaction would have seemed bizarre a decade ago. We
simply have no need to share the contents of our night stand with our
children or with fellow church goers (quietly suspecting that their own
night stands are populated by some really bizarro stuff!)
We've adopted encounter sequences (my words, not hers) that place
importance on the start of a reliable erection before initiating heavy
foreplay. (Just the opposite of how we learned to make love in our
teens.) My wife worked hard to accept this "artificiality" in our sex
life and she has become fairly adept at creating scenarios and scripts
that bridge all of this together into sequences that work for us. The
good news is that semi-retired's have enough time to accomplish these
extended sessions. I've worked on more "routine affection" hugging,
kissing, and touching when sex isn't an objective.
My Uro has emphasized my wife's presence during each office visit when
we've tried any new treatment approach beyond Viagra. This has included
both VED therapy and injectibles. Somehow, her hearing a doctor's
direction in using either injectibles or pumps has moved it from the
'bizarre sex toy' category to an accepted medical intervention. She
pretty well understands that it's not much different from exercising on
the treadmill or stationary bike. (very 'un-natural' approaches to
cardio training.)
I like Ignatz' thoughts on meds. It might be time to take a fresh look
at your whole slate of meds. Too freqently a GP or Cardio doc will
select the 'best-of-breed' or HMO favored med for a specific condition
without consideration of its impact on your sexual performance or
general well being. Look at seemingly minor things like supplements and
Aspirin and the time of day you take these. Before you leap at
implants, you might also seek the counsel of a Naturopath. I've not
been into Naturopathic medicine but a buddy (diabetic) recently got some
diet and supplement assistance that helped with his response to Viagra.
While you're transitioning the meds, adopt a pumping program -- ping
Avocet for this. Get the tissue sensitivity in your penis increased--to
make PDE5 inhibitors and/or Trimix work better.
Finally, after you've got the meds redone, give Trimix (on top of V or
L) another try. Start at some small dose (say 25 units) and work upward
over a couple of months. I have found that I'm more sensitive to Trimix
at home than in the treatment room at the Uro's office. I'm up sooner
when my wife injects me than when I inject myself. (I handle all the
right-side targets, she injects the left-side targets.) A nice mix of
V, Trimix and the Nitric Oxide shot that your mate can trigger might do
the trick. If you are going to stack, start early -- take the V at
least an hour before your wife injects you.
When oral meds weren't cutting it, my mate was ready to give up sex and
I had to use some pretty serious salesmanship -- nothing like a couple
of non-penetrating but major orgasms to help seal the deal! (:-)
Last ditch stand -- implants.
Best wishes ...Lmac
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| dgmoore@erols.com 2006-08-24, 9:21 pm |
| Thanks for the good words. As I said twice above, we gave Osbon a very
fair trial - used it many times over a period of months - and decided
that, for us, it is not the answer. If I had liked it better I would
have tried much harder to convince my wife to stick with it, but as I
said, she absolutely despised it, and I didn't like it much either.
My urologist is a respected specialist in ED at the university of
Maryland Medical Center in Baltimore - he knows his business and has
examined my plumbing, history, meds, and lifestyle thoroughly. I have
also been reading this newsgroup and researching this condition for
years on my own and am not ignorant of the treatment options available.
Yesterday he opined that, given the lack of response to Caverject, Edex
and a strong Trimix formulation, it is not likely that other
formulations will be any better - the venous leakage is too severe. The
blood goes in, but goes right back out again. I now have opinions from
two board certified urologists, plus my internist, that my only
remaining option is an implant. My internist also mentioned that plenty
of guys faced with this decision just opt out altogether and slip into
asexuality, but I'm not ready for that yet.
Dave
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| dgmoore@erols.com 2006-08-24, 9:21 pm |
| Sounds like your wife remains a lot more interested than mine. My wife
has passed menopause and reports that the hormonal changes have left
her pretty much neutral with regard to sex. The fact is that she's a
willing but not eager participant, and has no interest in role playing,
'encounter sessions,' or any other peripheral activities.
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| Muerta 2006-08-25, 8:22 am |
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"LMac" <lmac5491@yahoo.com> wrote in message
news:q5nHg.7538$Mz3.4065@fed1read07...
>
> We are realistic that some of the techniques and toys we now use to
> achieve sexual satisfaction would have seemed bizarre a decade ago. We
> simply have no need to share the contents of our night stand with our
> children or with fellow church goers (quietly suspecting that their own
> night stands are populated by some really bizarro stuff!)
>
I hear ya', LMac. I hate it when the damn hamster starts squeeking when
guests are over.
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| Muerta wrote:
> "LMac" <lmac5491@yahoo.com> wrote in message
> news:q5nHg.7538$Mz3.4065@fed1read07...
>
> I hear ya', LMac. I hate it when the damn hamster starts squeeking when
> guests are over.
>
>
Hmmm, Hamster you say! (:-) ...Lmac
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| LMac wrote:
> Muerta wrote:
> Hmmm, Hamster you say! (:-) ...Lmac
Just checked with the Pet store -- Hamster won't play well with our
lizard. Regrets, but thanks for the tip anyway ...Lmac
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