Orgasms on Trimix

[Bill1234]

I found you post really interesting! I have taken Trinidad for two years after experiencing ED. It works great for providing an erection but after a few months I had trouble having an orgasm! If I can change that my adjusting the dose that would be wonderful! I asked the men’s clinic where I get my tri mix but the said not being able to climax was unrelated to using tri mix. If you could provide advise it would be greatly appreciated!

 

[Bill1234]

I have been using Trimix injections for a few months. Initially my erections were too hard (actually painful) and lasted 4+ hours requiring pseudephedrine injections a few times to get them to subside. The ED doc has been lowering the dose to where I now only take PGE-3 (0.12 cc) with lidocaine (0.38 cc), I guess not Trimix any more as there's only one drug. Now my erections aren't painful (though still not quite like the old days, with some mild discomfort), and subside in about 3 hours.

The issue I have is that it's difficult for me to orgasm on Trimix. I initially thought it was because the dose was too high and my penis was too hard, but even now on a lower more appropriate dose I'm having this problem. Does anyone else have this issue? The ED doc kind of blew it off, saying I may have to jack off after intercourse to come like you see guys in porn movies do (!), though even that is harder to do on the Trimix, and while I can ejaculate there is little pleasure. Could the lidocaine being affecting this?

if anyone else has experienced this please share your thoughts and possible solutions. Thanks!

 

[Bill1234]

I have been using Trimix injections for a few months. Initially my erections were too hard (actually painful) and lasted 4+ hours requiring pseudephedrine injections a few times to get them to subside. The ED doc has been lowering the dose to where I now only take PGE-3 (0.12 cc) with lidocaine (0.38 cc), I guess not Trimix any more as there's only one drug. Now my erections aren't painful (though still not quite like the old days, with some mild discomfort), and subside in about 3 hours.

The issue I have is that it's difficult for me to orgasm on Trimix. I initially thought it was because the dose was too high and my penis was too hard, but even now on a lower more appropriate dose I'm having this problem. Does anyone else have this issue? The ED doc kind of blew it off, saying I may have to jack off after intercourse to come like you see guys in porn movies do (!), though even that is harder to do on the Trimix, and while I can ejaculate there is little pleasure. Could the lidocaine being affecting this?

if anyone else has experienced this please share your thoughts and possible solutions. Thanks!

I have a problem having an orgasm on Trimix too! I stay hard for 3 hours but no orgasm. You have any solution?

 

[DadOfSonNOVA]

I’ve been using Trymex for a few years and I’ve also had the problem of delayed orgasm , partner saying it’s taking too long. my urologist recently prescribed Cabergoline 3x/week. I have not had an opportunity to test it yet. Has anyone tried this?

 

[bruin]

I have a problem having an orgasm on Trimix too! I stay hard for 3 hours but no orgasm. You have any solution?

using Trimix solves the primary problem ....then you got an erection. Mentioned in multiple quasi related forums there are many secondary things to consider. For me it was too much of an erection, turgid factor way too high, no orgasm possible. the mental...performance anxiety and then the sub hormone factors in play.

 

[Rixxtr]

I have been using Trimix injections for a few months. Initially my erections were too hard (actually painful) and lasted 4+ hours requiring pseudephedrine injections a few times to get them to subside. The ED doc has been lowering the dose to where I now only take PGE-3 (0.12 cc) with lidocaine (0.38 cc), I guess not Trimix any more as there's only one drug. Now my erections aren't painful (though still not quite like the old days, with some mild discomfort), and subside in about 3 hours.

The issue I have is that it's difficult for me to orgasm on Trimix. I initially thought it was because the dose was too high and my penis was too hard, but even now on a lower more appropriate dose I'm having this problem. Does anyone else have this issue? The ED doc kind of blew it off, saying I may have to jack off after intercourse to come like you see guys in porn movies do (!), though even that is harder to do on the Trimix, and while I can ejaculate there is little pleasure. Could the lidocaine being affecting this?

if anyone else has experienced this please share your thoughts and possible solutions. Thanks!

In my case, adding HCG to my TRT not only increased my sex drive but also my penile sensitivity that is directly linked to orgasms on or off Trimix.

Cardiovascular medications can affect orgasmic quality or time-to-orgasms to a lesser degree than antidepressants.

What is "HCG"?

 

[sirgawain]

In my case, adding HCG to my TRT not only increased my sex drive but also my penile sensitivity that is directly linked to orgasms on or off Trimix.

Cardiovascular medications can affect orgasmic quality or time-to-orgasms to a lesser degree than antidepressants.

I am on HCG (500 IU, 2x a week) and have seen no increase in anything but ball size. No libido change, just as difficult to achieve orgasm. I don't know if ti means I need more HCG or not...but oy, it's so hard to dial this stuff in.

 

[Singanotherday2020]

In my case, adding HCG to my TRT not only increased my sex drive but also my penile sensitivity that is directly linked to orgasms on or off Trimix.

Cardiovascular medications can affect orgasmic quality or time-to-orgasms to a lesser degree than antidepressants.

I feel bad to ask this, but what is HCG, how do you get it, what are the pros/cons?

My frustration is sensitivity and reaching orgasm...the tri-mix gives me a wonderful erection, but it sometimes feels that its not a part of my body. The sensations are just not there. (so frustrating) I am 69, in good health, no meds, gym 2 to 3 times weekly...still working and competing professionally in my own business that I am passionate about.

FYI....I'm 5'9"...168 lbs. Moderately Active (sit for long periods due to work)

 

[Vince]

I feel bad to ask this, but what is HCG, how do you get it, what are the pros/cons?

My frustration is sensitivity and reaching orgasm...the tri-mix gives me a wonderful erection, but it sometimes feels that its not a part of my body. The sensations are just not there. (so frustrating) I am 69, in good health, no meds, gym 2 to 3 times weekly...still working and competing professionally in my own business that I am passionate about.

FYI....I'm 5'9"...168 lbs. Moderately Active (sit for long periods due to work)

HCG gives you full testicles. I inject 500 IU twice a week. It also helps some men keep or increase their libido.

 

[Vince]

HCG Dosage Calculator

Even though it is a simple calculation, some men struggle calculating IU and cc doses of HCG. Here is a simple site to help. Before we start, why is hCG measured in IU's instead of mg? What is an IU? When measuring testosterone we speak of milligrams. HCG is measured not by weight but in IU’s...

www.excelmale.com

 

[Nelson Vergel]

I feel bad to ask this, but what is HCG, how do you get it, what are the pros/cons?

Please read this information in detail:

HCG plus TRT to Prevent / Reverse Testicular Shrinkage and Decreased Fertility

Human Chorionic Gonadotropin (From the book Testosterone: A Mans Guide, amazon.com) Short podcast: hCG: What Every Man Should Know Human chorionic gonadotropin (HCG) (not to be confused with human growth hormone, or HGH) is a glycoprotein hormone that mimics LH (luteinizing hormone), produced...

www.excelmale.com

 

[Ribeye]

I have a problem having an orgasm on Trimix too! I stay hard for 3 hours but no orgasm. You have any solution?

I have a problem having an orgasm on Trimix too! I stay hard for 3 hours but no orgasm. You have any solution?

Using any of the injectables with lidocaine, may make the discomfort in injecting, or if you had pain on erection with Trimix, lessen, but when you think about what lidocaine does, even in a small amount, it will deaden the nerves in your penis too. I.E. your penis not only feels less pain, but less pleasure too. You may well have more advanced ED than you or your doc thought. Just needing an injectable is an indication of that. Don't feel bad about this, I am in the same boat. However, I see one of the leading Sexual medicine docs in the country. Her opinion is to throw the book at it to find out what works for you, and what gives better improvement or results. I tried Trimix, and quad mix, and quad mix was better, I didn't have the pain sometimes associated with prostaglandins and the quad mix comes on quicker for me, but over about 5 minutes I can actually feel the sensitivity improving. Yes there are prostaglandins in quad mix, but the combination of vaso-arterial dilators must help because I get NO pain on quad mix, vs Trimix. I have also had shockwave treatments but, not gainswave. She doesn't like gainswave she believes the research is better (not great) but better for the type of system she offers. I have been using a pump too. Not to create an erection for immediate use, but to encourage micro blood vessel use. It takes some time, but faithful use, which does NOT hurt if done following the manufacturers directions, over time combined with aggressive use of the injectables and daily tadalafil, in my case at least, did help. Shockwave therapy definitely offered an improvement in sensitivity too. A little over a year ago, I could not attain an erection without using the pump or manual stimulation and injecting Tri or quad mix to get any erection that was large (full of blood) and to last at least an hour. Even then high does of Trimix produced an erection with some pain, that only lasted 25-30 minutes, and I rarely had an orgasm on intercourse. Today, I only use the pump occasionally as Dr. Rubin calls it, exercise for your penis! But I can today attain an erection without using any injections, and can often with enough libido, have intercourse and reach an orgasm in 10-15 minutes. Lastly, because someone else asked, the delayed orgasm may or may not have been helped by the all of the above approach, but low dose Cabergoline seems to be what has pushed things positively over the top. I am able to take it, with no side effect issues. As Dr. Rubin explains it to me, many of these things work in different ways, and they are complimentary. Work with your doc and don't be afraid to try more things, or combinations of things. As they say, it has nowhere to go but up.

 

[Singanotherday2020]

Using any of the injectables with lidocaine, may make the discomfort in injecting, or if you had pain on erection with Trimix, lessen, but when you think about what lidocaine does, even in a small amount, it will deaden the nerves in your penis too. I.E. your penis not only feels less pain, but less pleasure too. You may well have more advanced ED than you or your doc thought. Just needing an injectable is an indication of that. Don't feel bad about this, I am in the same boat. However, I see one of the leading Sexual medicine docs in the country. Her opinion is to throw the book at it to find out what works for you, and what gives better improvement or results. I tried Trimix, and quad mix, and quad mix was better, I didn't have the pain sometimes associated with prostaglandins and the quad mix comes on quicker for me, but over about 5 minutes I can actually feel the sensitivity improving. Yes there are prostaglandins in quad mix, but the combination of vaso-arterial dilators must help because I get NO pain on quad mix, vs Trimix. I have also had shockwave treatments but, not gainswave. She doesn't like gainswave she believes the research is better (not great) but better for the type of system she offers. I have been using a pump too. Not to create an erection for immediate use, but to encourage micro blood vessel use. It takes some time, but faithful use, which does NOT hurt if done following the manufacturers directions, over time combined with aggressive use of the injectables and daily tadalafil, in my case at least, did help. Shockwave therapy definitely offered an improvement in sensitivity too. A little over a year ago, I could not attain an erection without using the pump or manual stimulation and injecting Tri or quad mix to get any erection that was large (full of blood) and to last at least an hour. Even then high does of Trimix produced an erection with some pain, that only lasted 25-30 minutes, and I rarely had an orgasm on intercourse. Today, I only use the pump occasionally as Dr. Rubin calls it, exercise for your penis! But I can today attain an erection without using any injections, and can often with enough libido, have intercourse and reach an orgasm in 10-15 minutes. Lastly, because someone else asked, the delayed orgasm may or may not have been helped by the all of the above approach, but low dose Cabergoline seems to be what has pushed things positively over the top. I am able to take it, with no side effect issues. As Dr. Rubin explains it to me, many of these things work in different ways, and they are complimentary. Work with your doc and don't be afraid to try more things, or combinations of things. As they say, it has nowhere to go but up.

Very quality info. Thanks! Does this Dr work with others remotely? I'm in SC.

 

[Singanotherday2020]

I’ve been using Trymex for a few years and I’ve also had the problem of delayed orgasm , partner saying it’s taking too long. my urologist recently prescribed Cabergoline 3x/week. I have not had an opportunity to test it yet. Has anyone tried this?

No, but so curious how it works for you?

 

[aneuman]

I feel bad to ask this, but what is HCG, how do you get it, what are the pros/cons?

HCG stands for Human Chorionic Gonadotropin. It's a hormone produced primarily by the placenta in pregnant women that that two subunits, Alpha and Beta; the Alpha subunit is identical to the LH hormone produced by the pituitary and responsible for stimulating the Leydig cells in the testicles to produce testosterone. This means that if your pituitary is not producing enough LH, HCG could stand in for it and stimulate the testicles to have then produce testosterone. It's bit more complicated and involved but this should be enough to understand what it is.

People on TRT use it because exogenous testosterone suppresses LH production through negative feedback. Because there's no LH, the testicles do not produce testosterone and start getting atrophied (getting smaller). In addition, other hormones such as progesterone may not be produced at the right level. HCG, standing in for LH, keeps the testicles working and maintain their size (or close to it) and other hormones in adequate levels.

Some people on TRT claim that HCG helps them with sensibility and orgasm, others don't see any effect, while some see negative effects due to increased estradiol.

How you get it? Legally, it can be prescribed by a doctor and bought through a pharmacy with a prescription. There are other grey markets as well but I won't get into them.

Pros:

1. Testosterone Production: HCG stimulates the production of testosterone in the testes, which can help restore testosterone levels in individuals with hypogonadism.
2. Preserving Fertility: HCG therapy can help maintain or improve fertility in men with hypogonadism by stimulating the production of sperm.
3. Testicular Size Maintenance: HCG can help prevent testicular shrinkage that may occur as a result of low testosterone levels.
4. Psychological Well-being: Restoring testosterone levels through HCG therapy may improve mood, energy levels, and overall well-being in individuals with hypogonadism.
5. Some people claim that their penis feels fuller and hangs lower, other reports better sensibility and orgasm.

Cons:

1. Injections: HCG therapy typically involves regular injections, which may be inconvenient or uncomfortable for some individuals.
2. Cost: HCG therapy can be costly, especially if it is not covered by insurance. The price of HCG medication and regular monitoring can add up over time.
3. Adverse Effects: HCG therapy may cause certain side effects, including fluid retention, breast enlargement, acne, irritability, and changes in cholesterol levels. These effects are generally mild but can vary among individuals.
4. Variable Response: The effectiveness of HCG therapy can vary from person to person. Some individuals may experience significant improvements in testosterone levels and symptom relief, while others may have a more limited response.
5. Temporary Solution: HCG therapy is typically used as a temporary measure to stimulate testosterone production. It may not provide a long-term solution for individuals with primary hypogonadism (testicular dysfunction) and may require ongoing treatment or alternative interventions.

Typical doses for hypogonadism (mono therapy) range from 500 to 2000 IU a week. It's well acknowledged that it's preferable to inject less than 500 IU in 24 hours to prevent a spike in Estradiol. Some studies suggest that 300 IU every day for 5 days have the same effect as 1500 IU at once, without causing desensitization of the Leydig cells and without causing a spike of estradiol.

People on TRT usually use from 250 to 500 IU once or twice a week to prevent testicular atrophy and additional sense of well-being in some cases.

Finally, HCG is infamous for causing a fantastic sense of well-being, incredible erections, orgasms, and a general feeling of having reached the fountain of youth the first few days after the initial treatment, only to go away and not being able to recreate it regardless of dose or frequency.

Hope this helps answering your question.

 

[Singanotherday2020]

HCG stands for Human Chorionic Gonadotropin. It's a hormone produced primarily by the placenta in pregnant women that that two subunits, Alpha and Beta; the Alpha subunit is identical to the LH hormone produced by the pituitary and responsible for stimulating the Leydig cells in the testicles to produce testosterone. This means that if your pituitary is not producing enough LH, HCG could stand in for it and stimulate the testicles to have then produce testosterone. It's bit more complicated and involved but this should be enough to understand what it is.

People on TRT use it because exogenous testosterone suppresses LH production through negative feedback. Because there's no LH, the testicles do not produce testosterone and start getting atrophied (getting smaller). In addition, other hormones such as progesterone may not be produced at the right level. HCG, standing in for LH, keeps the testicles working and maintain their size (or close to it) and other hormones in adequate levels.

Some people on TRT claim that HCG helps them with sensibility and orgasm, others don't see any effect, while some see negative effects due to increased estradiol.

How you get it? Legally, it can be prescribed by a doctor and bought through a pharmacy with a prescription. There are other grey markets as well but I won't get into them.

Pros:

1. Testosterone Production: HCG stimulates the production of testosterone in the testes, which can help restore testosterone levels in individuals with hypogonadism.
2. Preserving Fertility: HCG therapy can help maintain or improve fertility in men with hypogonadism by stimulating the production of sperm.
3. Testicular Size Maintenance: HCG can help prevent testicular shrinkage that may occur as a result of low testosterone levels.
4. Psychological Well-being: Restoring testosterone levels through HCG therapy may improve mood, energy levels, and overall well-being in individuals with hypogonadism.
5. Some people claim that their penis feels fuller and hangs lower, other reports better sensibility and orgasm.

Cons:

1. Injections: HCG therapy typically involves regular injections, which may be inconvenient or uncomfortable for some individuals.
2. Cost: HCG therapy can be costly, especially if it is not covered by insurance. The price of HCG medication and regular monitoring can add up over time.
3. Adverse Effects: HCG therapy may cause certain side effects, including fluid retention, breast enlargement, acne, irritability, and changes in cholesterol levels. These effects are generally mild but can vary among individuals.
4. Variable Response: The effectiveness of HCG therapy can vary from person to person. Some individuals may experience significant improvements in testosterone levels and symptom relief, while others may have a more limited response.
5. Temporary Solution: HCG therapy is typically used as a temporary measure to stimulate testosterone production. It may not provide a long-term solution for individuals with primary hypogonadism (testicular dysfunction) and may require ongoing treatment or alternative interventions.

Typical doses for hypogonadism (mono therapy) range from 500 to 2000 IU a week. It's well acknowledged that it's preferable to inject less than 500 IU in 24 hours to prevent a spike in Estradiol. Some studies suggest that 300 IU every day for 5 days have the same effect as 1500 IU at once, without causing desensitization of the Leydig cells and without causing a spike of estradiol.

People on TRT usually use from 250 to 500 IU once or twice a week to prevent testicular atrophy and additional sense of well-being in some cases.

Finally, HCG is infamous for causing a fantastic sense of well-being, incredible erections, orgasms, and a general feeling of having reached the fountain of youth the first few days after the initial treatment, only to go away and not being able to recreate it regardless of dose or frequency.

Hope this helps answering your question.

First....thank you for being so gracious with your time. It's so valuable.

I may not totally understand. Maybe you can help.

1. One of the most prevailing benefits is to help with the production of testosterone. I'm on TRT now, so will it be beneficial and safe to take in addition to my current TRT?
2. My testicles have surly shrunken. My urologist said there was nothing I could do to reverse. Would HCG help with that...not only to stop the shrinkage but reverse and bring them back (if it's safe to take with my TRT)?
3. I've read in this group that those who have tried HCG loved it at first, then the old problems reoccurred. Can you speak to that?
4. If it's safe for me (my current TRT), where do I get it and although you may not know the cost of where I am located, but do you have a ballpark cost and how easy is it to be covered by INS?
5.How is it injected...i mean is it like a diabetic like injection (similar to my Tri-Mix injections) ?

As a closure...i had an extremely wonderful sexual event yesterday....but the last 10 minutes of an 1.5 hour amazing session, i had to finish myself (with some awesome sensual help from my partner)...but, my point is, had i not done that, i would not have had an orgasm at all. My challenge is to find a way that my sensitivity matches the wonderful, long lasting erections that I have. This is the motive behind my conversation.

I so appreciate your time. I know you could be doing something else.

 

[Ribeye]

Very quality info. Thanks! Does this Dr work with others remotely? I'm in SC.

Yes. She is in the DC area and does concierge medicine via zoom or internet videos. She does it all. Hormonal therapy, ED treatments like shockwave, meds, whatever path you need to follow. She does not judge folks and she is not afraid to be aggressive, (she was who told me for example its ok to use daily tadalafil generic Cialis, and the injectables together, even the 10 mg daily dose of tadalafil) and knows how to coach you as to what to be careful of and look for in side effects or adverse events. She also has 24 hour phone coverage for things like priapism emergencies. You can go to her website:Home | Rachel Rubin MD. Her treatment and advice isn't cheap, but it's high quality and not like you need to see her every week. Good luck, you will be in good hands.

 

[Singanotherday2020]

Yes. She is in the DC area and does concierge medicine via zoom or internet videos. She does it all. Hormonal therapy, ED treatments like shockwave, meds, whatever path you need to follow. She does not judge folks and she is not afraid to be aggressive, (she was who told me for example its ok to use daily tadalafil generic Cialis, and the injectables together, even the 10 mg daily dose of tadalafil) and knows how to coach you as to what to be careful of and look for in side effects or adverse events. She also has 24 hour phone coverage for things like priapism emergencies. You can go to her website:Home | Rachel Rubin MD. Her treatment and advice isn't cheap, but it's high quality and not like you need to see her every week. Good luck, you will be in good hands.

Thank you very much. Great info!

 

[aneuman]

First....thank you for being so gracious with your time. It's so valuable.

You're welcome. I have benefited a lot from information and knowledge from a lot of people on this site, the least I can do it to pay it forward.

Also pardon me if I'm too verbose but I believe that one should explain one's thoughts in the clearest form possible and without ambiguities. I'm not a one-liner person. I also believe that one-liners tend to be mesmerizing and give the impression of knowledge without really helping much.

I may not totally understand. Maybe you can help.

I'll try

1. One of the most prevailing benefits is to help with the production of testosterone. I'm on TRT now, so will it be beneficial and safe to take in addition to my current TRT?

In general, I'd say it's safe. HCG appears to the one of the safest thing you can try in this realm. Doesn't mean it's free of side effects, but basically you won't likely die because of it.

If you are on TRT now, adding HCG will probably kick start your testicles again, and will increase endogenous testosterone to whatever capabilities are left, so most likely would need to adjust your TRT dosage if you want to maintain your current values. I am not on TRT at the moment (just HCG) so my advice is based on published studies and anecdotes from other people on this forum. It seems that people on TRT are using anywhere from 250 IU twice a week to 500 IU 3 times a week. This is considered low dose, but it's effective in preventing testicular shrinkage.

2. My testicles have surly shrunken. My urologist said there was nothing I could do to reverse. Would HCG help with that...not only to stop the shrinkage but reverse and bring them back (if it's safe to take with my TRT)?

I do have a lot of respect for physicians and specialists. I do not know enough to counter that claim in your case, but if anecdotes in this forum and published studies are to be believed, then it seems that adding HCG to a TRT program can not only prevent testicular shrinkage but it also helps regaining testicular size and functionality, and it appears that yes, it's effective with TRT programs, although I have only seen it used with injectable testosterone (Cypionate, enanthate, propionate, etc). I'm not sure what method you're using, or whether your urologist arrived to his/her conclusions based on any particular situation you have, but that claim doesn't appear to apply to most people.

Notice that in general, HCG appears to be counter-indicated in the following situations:

1. Prostate issues: If the individual has a history of prostate cancer or an enlarged prostate (benign prostatic hyperplasia), HCG may not be recommended. HCG can potentially stimulate the growth of prostate tissue, which could worsen the condition or increase the risk of prostate-related complications.
2. Hormone-sensitive cancers: If the person has a history of hormone-sensitive cancers such as breast cancer or testicular cancer, HCG may not be recommended. HCG can affect hormone levels, and in some cases, it may not be suitable for individuals with a history of these types of cancers.
3. Allergic reactions: If the person has a known allergy to HCG or any of its components, HCG should not be used. Allergic reactions can range from mild to severe and may include symptoms such as rash, itching, swelling, or difficulty breathing.
4. Underlying medical conditions: If the person has certain medical conditions, such as heart disease, kidney disease, or liver disease, the use of HCG may need to be closely monitored or avoided altogether. HCG can have effects on fluid balance and hormone levels, which may impact these conditions.

Regarding point #1, I do have BPH and I have noticed that low-dose HCG has helped me with LUTS. My PSA has gone down as well. That's why I say "in general", we are all different. This is consistent with this study.

I can say that I feel better in general on HCG than out of it. It doesn't resolve all my symptoms (particularly the one you refer to at the end) but overall is a good experience. It raised my total T from 300s to 700s, and that has had its effect. As you can see, at least in my case it does put the testicles to work.

3. I've read in this group that those who have tried HCG loved it at first, then the old problems reoccurred. Can you speak to that?

People call it the holy grail, el dorado, or the dragon. It refers to a wonderful sensation of regained youth, optimism, sexual health, sensitivity, erection quality, orgasm, etc that many people (including me) feels the first time they use HCG, last for a few days or weeks, then things come back to normal never to return again. But the effects on mood, testicular size and function, etc tend to remain in most cases.

4. If it's safe for me (my current TRT),

I am not a medical doctor, let alone your urologist so I cannot say authoritatively whether it is safe particularly for you or not. Statistically speaking, it seems to be extremely safe. I do not have any evidence of life threatening problems or even serious side effects with doses up to 10,000 IU a week (studies). I myself have used from 250 to 2000 IU a week for more than year and have not noticed side effects.

where do I get it and although you may not know the cost of where I am located, but do you have a ballpark cost and how easy is it to be covered by INS?

I appears you are in the US. If so, with a prescription you can get it at Optum Specialty Pharmacy for $118 a month, including syringes, alcohol pads, bandages, and shipping. Your doctor have to fax/transmit the prescription to them (I don't know if you can do it yourself). Customer service is excellent.

Regarding insurance coverage, I do not know. It's probably non-formulary so it means that your doctor would need to make a very strong case to have it covered, I doubt it'll work, otherwise you need to pay out of pocket, that's what I do.

Depending on the dosage, it can last up to 2 months. Let me explain:

The medicine comes in a vial as a powder with 10,000 IU of HCG. You need to disolved it in bacteriostatic water (included), and that is what you inject. If you inject 300 IU Monday-Wednesday-Friday, that gives you 900 IU a week (300 x 3). This means that you have approximately 11 weeks of medicine, or approximately 2.5 months. That brings the effective cost of medication to $48 per month. Notice that the manufacturer advises to discard the medication after 60 days, in which case the effective cost would be $59

5.How is it injected...i mean is it like a diabetic like injection (similar to my Tri-Mix injections) ?

Although the manufacturer of the medication says "for Intra-muscular use only" most studies and practically 100% of the people in this forum (including me) uses it sub-cutaneously (sub-q) with insulin syringes from 29-31 gauge. This means virtually no pain, and no scars. These are the ones I use.

As a closure...i had an extremely wonderful sexual event yesterday....but the last 10 minutes of an 1.5 hour amazing session, i had to finish myself (with some awesome sensual help from my partner)...but, my point is, had i not done that, i would not have had an orgasm at all. My challenge is to find a way that my sensitivity matches the wonderful, long lasting erections that I have. This is the motive behind my conversation.

ah! don't we all? Welcome to the club. HCG might help, I don't know. Best case scenario, yes, that'll resolve your problem, second best case, you'll get that feeling for a couple of weeks, then go back to normal. Worst case, it will do nothing.

I so appreciate your time. I know you could be doing something else.

I'm glad I can help.

 

[Simbarn]

I have been using Trimix injections for a few months. Initially my erections were too hard (actually painful) and lasted 4+ hours requiring pseudephedrine injections a few times to get them to subside. The ED doc has been lowering the dose to where I now only take PGE-3 (0.12 cc) with lidocaine (0.38 cc), I guess not Trimix any more as there's only one drug. Now my erections aren't painful (though still not quite like the old days, with some mild discomfort), and subside in about 3 hours.

The issue I have is that it's difficult for me to orgasm on Trimix. I initially thought it was because the dose was too high and my penis was too hard, but even now on a lower more appropriate dose I'm having this problem. Does anyone else have this issue? The ED doc kind of blew it off, saying I may have to jack off after intercourse to come like you see guys in porn movies do (!), though even that is harder to do on the Trimix, and while I can ejaculate there is little pleasure. Could the lidocaine being affecting this?

if anyone else has experienced this please share your thoughts and possible solutions. Thanks!

I also wonder about adding Lidocaine in the preparation and what that does to sexual sensitivity in the penis? We use Lidocaine (with two other similar meds) as a topical anesthetic for facial C02 laser resurfacing in my clinic! So you can imagine how it helps to numb the area very well! I realise this is injected in your case, but it must reach the sensory nerves in the glans penis due the proximity and blood flow in the area, to some extent. These topicals can last for couple of hours on the area where they are applied. I personally would be trying to find a way whereby Lidocaine is not required.

Sexual sensitivity is extremely important to sexual function. Often this is the part of our sexual mechanism that is missing or dysfunctional first, which actually hampers the natural erectile process and either contributes to or causes ED.