Finding a doctor that is actually interested in helping?

[zezeze]

Look at my timing. I think Cusp just might get a bit more respect here.

I am advising a change in your demeanor zezeze.

I don't think I am disrespecting the guy for calling him ignorant when he has clearly shown he has very little knowledge over the things he is talking about. I also think he has very narrow minded view on how to deal with ED and there's plenty I disagree with him. I am sure I am allowed to express my opinion? Calling one ignorant, especially when it is true, is barely an insult and that's all I have done.

I am not being abusive nor trolling on this forum. I do think that a lot of what is posted here is a big load of nonsense & dangerous at times (yes, you corageon) and I don't have a problem pointing it out quite directly. So if you have a problem with it then I don't mind being banned from the forum.

 

[corageon]

I don't think I am disrespecting the guy for calling him ignorant when he has clearly shown he has very little knowledge over the things he is talking about. I also think he has very narrow minded view on how to deal with ED and there's plenty I disagree with him. I am sure I am allowed to express my opinion? Calling one ignorant, especially when it is true, is barely an insult and that's all I have done.

I am not being abusive nor trolling on this forum. I do think that a lot of what is posted here is a big load of nonsense & dangerous at times (yes, you corageon) and I don't have a problem pointing it out quite directly. So if you have a problem with it then I don't mind being banned from the forum.

That's interesting , because almost everything I post - with the exception of common sense type statements ; is well-sourced/cited for members benefit and so there is a clean understanding of what is being written.
If anything, you're being narrow , not just by insulting well-respected members on here, but by assuming YOU know the answer to OP's problem.

That's why I've become a little more "conservative" over the years, because I don't want to turn into one of the guys who's drivel ends up causing harm OR just becoming the new poster child for "best idiot of the year".

Since you want to lash out and have now ignored BigO's warnings, and now you are throwing criticism at me. Interesting because you haven't debated much with me in the last few months, perhaps because you know I will always* back up what I say?

Just now though, now all of a sudden you bring my name up in a negative fashion; with zero precipitation. That's an addition to bringing unnecessary inflammation to this thread. It seems a little hypocritical, don't you think?


OK buddy, keep goin, see where it leads ya.

 

[CUSP82]

That's interesting , because almost everything I post - with the exception of common sense type statements ; is well-sourced/cited for members benefit and so there is a clean understanding of what is being written.
If anything, you're being narrow , not just by insulting well-respected members on here, but by assuming YOU know the answer to OP's problem.

That's why I've become a little more "conservative" over the years, because I don't want to turn into one of the guys who's drivel ends up causing harm OR just becoming the new poster child for "best idiot of the year".

Since you want to lash out and have now ignored BigO's warnings, and now you are throwing criticism at me. Interesting because you haven't debated much with me in the last few months, perhaps because you know I will always* back up what I say?

Just now though, now all of a sudden you bring my name up in a negative fashion; with zero precipitation. That's an addition to bringing unnecessary inflammation to this thread. It seems a little hypocritical, don't you think?


OK buddy, keep goin, see where it leads ya.

Why would anyone here argue with a guy with a masters degree in biochem? Because someone must have a higher degree from the university of the internet.

Okay how do we, or did we , help this guy?

 

[corageon]

Why would anyone here argue with a guy with a masters degree in biochem? Because someone must have a higher degree from the university of the internet.

Okay how do we, or did we , help this guy?

Oh c'mon CUSP; you know I don't mind arguing, it's "flawed" arguing that counts after all.
I'm sure triple Ze's has an incredibly important degree he hasn't revealed to us yet, I mean hell, it will probably trump even Dr.Ric & Dr.Scally both outta the water!

 

[CUSP82]

You know this was a great thread. Maybe we scared the op off but if I had an issue I would love to see all the different sides and approaches to an issue as was done here. Let's hope it helps.

 

[corageon]

You know this was a great thread. Maybe we scared the op off but if I had an issue I would love to see all the different sides and approaches to an issue as was done here. Let's hope it helps.

Either we scared him off, or he's just absorbing a hella lot of information and trying to determine what merit there might be on his own recognizance.
It's just a matter of time before the proper coin is flipped.

 

[Orome]

Well this thread kind of blew up. Not sure how to respond to all that. Some of you get more emotionally involved than me and I'm the one with the problem. I do appreciate the input. It would be nice to be able to rule out physical causes, that has not been done, at least not completely. And venous leak isn't the only physical cause that can lead to ED. Some people are content knowing that things are unlikely without getting to the bottom of it, I'm not one of those people, especially when it's concerning myself.

When I concede that there could be a psychological component, I mean just that, I'm sure stress and worrying about it make the problem much worse. But I don't think it's 100% psychological. Be it vascular issues, hormones, whatever. Maybe it is 90% psychological, with hormones or other issues accounting for the other 10%. But a lot of other symptoms I have been having seem to suggest otherwise. Loss of libido, anhidonia, etc. Come to think of it, those things could have organic or psychological causes. They are hard to quantify and difficult to treat as well.

Someone mentioned why tackle only the physical, why not work on both fronts, physical and mental, that's a good point. It will probably at be at least a month before I am able to get anything done on either front.

I'll post back if I do find anything out.

 

[corageon]

Well this thread kind of blew up. Not sure how to respond to all that. Some of you get more emotionally involved than me and I'm the one with the problem. I do appreciate the input. It would be nice to be able to rule out physical causes, that has not been done, at least not completely. And venous leak isn't the only physical cause that can lead to ED. Some people are content knowing that things are unlikely without getting to the bottom of it, I'm not one of those people, especially when it's concerning myself.

When I concede that there could be a psychological component, I mean just that, I'm sure stress and worrying about it make the problem much worse. But I don't think it's 100% psychological. Be it vascular issues, hormones, whatever. Maybe it is 90% psychological, with hormones or other issues accounting for the other 10%. But a lot of other symptoms I have been having seem to suggest otherwise. Loss of libido, anhidonia, etc. Come to think of it, those things could have organic or psychological causes. They are hard to quantify and difficult to treat as well.

Someone mentioned why tackle only the physical, why not work on both fronts, physical and mental, that's a good point. It will probably at be at least a month before I am able to get anything done on either front.

I'll post back if I do find anything out.

Sometimes that other 10% is the one that drives ya over the edge, so perhaps you should halve the 90% or more. Just take things one step at a time, I have faith you'll find the answer.

 

[CUSP82]

Some, or most of you may disagree, but this is a great thread!

 

[zezeze]

Why would anyone here argue with a guy with a masters degree in biochem? Because someone must have a higher degree from the university of the internet.

So you are commending his advice/instructions to manipulate hormonal levels with supplements, at times with prescriptions drugs that he can clearly assume will be obtained online? That is what I was referring to and I am sure you have seen it yourself. Whether or not he has a masters degree is irrelevant. The whole point is that you, nor anyone on an internet forum can verify that. Besides any respected medical professional would highly advice against manipulating your hormonal levels on your own. All anyone should advice regarding the matter is what blood tests to ask and what the reference values mean.

I do not have a problem with him covering the topic of endocrinology with theoretical/educational point of view but it very rarely offers any practical use on a forum like this. Nobody with ED caused by hormonal imbalance is going to fix the problem on their own reading instructions online by a member claiming to have masters degree in biochem. The danger is that a young desperate guy is going to rely on some non-traditional ED treatment and get messed up even more.

As said before, huge amount of information posted by the users here is simply based on their own assumptions and can easily be non-sense. Therefore a lot of young guys are being misinformed. But of course it is their responsibility to use the site for mere reference and seek help from professionals. But even there, as it may come as surprise to you, it is the patients responsibility to demand to be examined properly. It is very common that a young guy going to a doc with ED leaves the room in few minutes with a prescription without any exams done.

 

[CUSP82]

Nice to see you back Z.

 

[closed224]

OP thanks for giving weight and merit to pursuing the psychological side also. Good luck brother, everything gets better with the right attitude.

 

[corageon]

Nice to see you back Z.

I s'pose that's all that can be said - he sure flipped the pages, didn't he?
But but but...REMEMBER - his advice is PERFECT, FLAWLESS, FLAWLESS VICTORY I TELL YA!

 

[Orome]

So... I've had 2 Doppler ultrasounds with injection since. I didn't respond to the injection both times. First time, very small amount, I wasn't able to get an erection, I just had some engorgement on the side where the injection took place, but not enough to even remotely call an erection.
Second time, different doctor/radiologist, again a small amout of injection, I was able to work up an erection but quickly lost it while he started doing the ultrasound. As I couldn't keep the erection during the study he was unable to complete it. So no definitive diagnosis. Could be nerves, could be VL, could be both.

This really sucks.

On a positive note, I do like this urologist and his radiologist. He did tell me he could inject me with more and see how I responded, or come in at a later date to repeat the test. He didn't want to inject me with too much and cause a priapism. I decided to repeat at a later date, because at that point I just felt it wasn't happening.

 

[corageon]

So... I've had 2 Doppler ultrasounds with injection since. I didn't respond to the injection both times. First time, very small amount, I wasn't able to get an erection, I just had some engorgement on the side where the injection took place, but not enough to even remotely call an erection.
Second time, different doctor/radiologist, again a small amout of injection, I was able to work up an erection but quickly lost it while he started doing the ultrasound. As I couldn't keep the erection during the study he was unable to complete it. So no definitive diagnosis. Could be nerves, could be VL, could be both.

This really sucks.

On a positive note, I do like this urologist and his radiologist. He did tell me he could inject me with more and see how I responded, or come in at a later date to repeat the test. He didn't want to inject me with too much and cause a priapism. I decided to repeat at a later date, because at that point I just felt it wasn't happening.

What injection?

 

[Orome]

What injection?

Trimix #5 2.5units for the first injection. I'm not sure on the second one. I did see a 'effect' causing localized swelling but neither really gave the desired effect. The second time they kept coming back in while I tried to stimulate myself. After about 10 min I was able to get a weak erection (not 100%) but it faded just as he started doing the ultrasound.

 

[corageon]

Trimix #5 2.5units for the first injection. I'm not sure on the second one. I did see a 'effect' causing localized swelling but neither really gave the desired effect. The second time they kept coming back in while I tried to stimulate myself. After about 10 min I was able to get a weak erection (not 100%) but it faded just as he started doing the ultrasound.

I suggest you contact not2big - he knows all about it and would know better about tri-mix dosages.
I can tell you based on the science though - that's very unusual, tri-mix is usually prescribed for either severe E.D or diabetes-induced E.D as well as some with neurological damage. It's very effective for almost all people who use it. I would consider looking into some bands and further exercises. There's a lot of information on here you just have to look around!

 

[Orome]

I suggest you contact not2big - he knows all about it and would know better about tri-mix dosages.
I can tell you based on the science though - that's very unusual, tri-mix is usually prescribed for either severe E.D or diabetes-induced E.D as well as some with neurological damage. It's very effective for almost all people who use it. I would consider looking into some bands and further exercises. There's a lot of information on here you just have to look around!

Yea, I know it's unusual. Kind of worrisome, I haven't been diagnosed with venous leak yet, because they were unable to finish the exam. I seem to get a better response from Viagra than I did with the tri-mix. I really don't know what to think. Nerves can override tri-mix to some extent, but I thought it was supposed to give you a long hard erection even if you weren't in the mood.

Tri-mix has a different mechanism of action than the oral drugs doesn't it?


My experiance with the ultrasound was similar to his: https://www.pegym.com/forums/penile-anomalies-injuries/84039-age-28-venous-leak.html

Only no real diagnosis at the end, the doctor still thinks it might be psychological, and stated I'm only 30. I'd like to believe it's only psychological, because that's not incurable. But the fact I didn't respond to the injection twice really raises questions.

 

[corageon]

Yea, I know it's unusual. Kind of worrisome, I haven't been diagnosed with venous leak yet, because they were unable to finish the exam. I seem to get a better response from Viagra than I did with the tri-mix. I really don't know what to think. Nerves can override tri-mix to some extent, but I thought it was supposed to give you a long hard erection even if you weren't in the mood.

Tri-mix has a different mechanism of action than the oral drugs doesn't it?

Yes, tri-mix is considered "Multi-Modal" - it acts on prostaglandin, alpha-adrenergic receptors (blocking) and on PDE's (like Viagra and Caffeine put together).

 

[corageon]

You know your issue may be dopaminergic in origin, you said that PowerFULL helped somewhat, are you still taking it?