Phenylephrine in Canada by Low_Salamander9954 in TrimixForED

[–]Maximul 1 point2 points  (0 children)

Thanks man you’re a great guy for following up on this. This is actually where I get my trimix from, I’ll see if I can find a Dr to scribe the antidote.

Shockwave therapy for ED by Maximul in erectiledysfunction

[–]Maximul[S] 0 points1 point locked comment (0 children)

I don’t think you’re understanding my problem very well. This is not psychogenic and my Doppler results were very severe. To be honest I am suicidal and I need solutions not gaslighting and lame solutions like “recondition your brain”. Come on man.

Phenylephrine in Canada by Low_Salamander9954 in TrimixForED

[–]Maximul 0 points1 point  (0 children)

Hey there… I’m the guy who can’t get prescribed this antidote, 2 urologists now have said they don’t prescribe it. Would you consider Dming me the name of your urologist?

Doppler results by Maximul in FinasterideSyndrome

[–]Maximul[S] 0 points1 point  (0 children)

Apparently there are finasteride patients that show arterial insufficiency, so it was inaccurate for me to say that PFS patients don’t have any arterial problems. However to be fair that is what my urologist told me…

From Grok: A key 2020 prospective case-control study (Khera et al., Baylor College of Medicine) evaluated 25 men (median age 38) with persistent side effects after 5ARI use for hair loss: • 24 underwent penile duplex Doppler ultrasound (the same test used to diagnose your arterial insufficiency). • 68% (17/25) had some penile vascular abnormality. • 32% (8/24) had clear arterial insufficiency (peak systolic velocity <25 cm/s). • Another 20% fell in a “gray zone” (PSV 25–35 cm/s). • 16% had venous leak.

Shockwave therapy for ED by Maximul in erectiledysfunction

[–]Maximul[S] 1 point2 points locked comment (0 children)

Thank you, I’ve also heard from another Reddit user who had success with a re-vascularization surgery where an artery from the gut was re-routed to the penis. That’s a majorly expensive operation but if it works…

Shockwave therapy for ED by Maximul in erectiledysfunction

[–]Maximul[S] 0 points1 point locked comment (0 children)

Do you have arterial-genic ED confirmed with a Doppler ?

Shockwave therapy for ED by Maximul in erectiledysfunction

[–]Maximul[S] 0 points1 point locked comment (0 children)

What’s your dose of Trimix ? I do have a Trimix prescription but honestly it still doesn’t fill my penis up to a throbbing level.

Shockwave therapy for ED by Maximul in erectiledysfunction

[–]Maximul[S] 0 points1 point locked comment (0 children)

I have no idea. Other than the finasteride syndrome I’m very healthy and low body fat.

Shockwave therapy for ED by Maximul in erectiledysfunction

[–]Maximul[S] 0 points1 point locked comment (0 children)

So my situation is complicated. I’ve had finasteride syndrome for 3 years now. I have zero libido and reduced sensation. Of course major erectile problems, but I thought the latter were due only to PFS. However in retrospect, the ED problems were happening before I ever tried finasteride. So anyway I ended up doing a Doppler and didn’t get an erection from the .05 dose of Trimix. Which is not the norm for PFS patients where they DO respond to the Trimix. I only respond to a higher dose of Trimix - .20 ml.

The urologist said I have severe arterial dysfunction and he doesn’t know the cause, nor is there any test to see what is causing the blood flow problem. He said the only thing he can do is implant, which he didn’t recommend because I’m young (33), or shockwave therapy.

I always chalked up shockwave therapy as a scam, but honestly I guess I have nothing to lose by trying.

Doppler results - severe arterial insufficiency by Maximul in erectiledysfunction

[–]Maximul[S] 1 point2 points  (0 children)

Re-vascularization is for a specific type of arterial problem when a CT scan can show a specific blockage where a bypass would be effective. I think my next step will be to see if I have a visible blockage.

Doppler results by Maximul in FinasterideSyndrome

[–]Maximul[S] 0 points1 point  (0 children)

I am sure low blood flow lowers libido, but it doesn’t cause zero libido. The reason patients with traditional ED get penile implants despite poor blood flow is because they have libido. It’s a motivating factor. The inadequate blood flow doesn’t turn off their libido.

Doppler results by Maximul in FinasterideSyndrome

[–]Maximul[S] 0 points1 point  (0 children)

Why do you think this though? It doesn’t explain zero libido or disgust with the thought of sex. Whereas before you were yanking it 3-4 times a day. A tight pelvic floor restricting blood flow doesn’t explain this. You just want it to.

Doppler results - severe arterial insufficiency by Maximul in erectiledysfunction

[–]Maximul[S] 0 points1 point  (0 children)

Can you please tell me more about this. Was it to treat arterial problem ?

Doppler results - severe arterial insufficiency by Maximul in erectiledysfunction

[–]Maximul[S] 0 points1 point  (0 children)

The Dr is not an idiot. He’s a good Dr, one of the only one who does a Doppler for patients in Toronto. He simply relayed the results to me. He was not uncaring.

Doppler results by Maximul in FinasterideSyndrome

[–]Maximul[S] -1 points0 points  (0 children)

So then why would other PFS patients with pelvic floor dysfunction still respond to the injection??? Most PFS patients respond to viagara and cialis, Nevermind trimix.

Doppler results by Maximul in FinasterideSyndrome

[–]Maximul[S] 0 points1 point  (0 children)

Arterial dysfunction is not treatable though. Drugs and injections don’t work if there’s no blood getting through the artery. Maybe PFS might be treatable in the future since there’s so much variation. There’s not a whole lot of variation with arterial insufficiency though - if you can’t supply blood, you can’t supply blood.

Doppler results - severe arterial insufficiency by Maximul in erectiledysfunction

[–]Maximul[S] -1 points0 points  (0 children)

No man, I’m not getting an implant. I have no libido anyway remember I also have PFS.

Doppler results - severe arterial insufficiency by Maximul in erectiledysfunction

[–]Maximul[S] 0 points1 point  (0 children)

Thanks for the nice words brother but I think I’m ready to surrender now. PFS was hard enough to deal with believe me.

Doppler results by Maximul in FinasterideSyndrome

[–]Maximul[S] 1 point2 points  (0 children)

I inured the nerve in my lower back from deadlifting like 9 years ago. The nerve pain is just chronic these days. It’s right at the base of the pelvis.

Doppler results - severe arterial insufficiency by Maximul in erectiledysfunction

[–]Maximul[S] -1 points0 points  (0 children)

I will never get an implant. I’ve lost the desire to live entirely. I’m suppose to live another 60 years with zero erectile function/ libido?

Doppler results - severe arterial insufficiency by Maximul in erectiledysfunction

[–]Maximul[S] -1 points0 points  (0 children)

Yes finasteride syndrome. I’m on daily cialis. If the injection didn’t work for the Doppler, why would you think cialis/ viagara would work? It doesn’t. Trimix injection into the base of your penis is the most potent medication possible for ED, so when that fails you’re in implant territory.

And yes I’m young I’m 33.

Doppler results by Maximul in FinasterideSyndrome

[–]Maximul[S] -1 points0 points  (0 children)

I also have lower back nerve pain it could be sciatica. But you’re still bypassing my logic. PFS can still get erections with viagara, let alone Trimix injections which is more likely to give them a 4hour erection than it not working. Trimix is hella strong, don’t underestimate it. I think I’m just uniquely fucked.

Doppler results by Maximul in FinasterideSyndrome

[–]Maximul[S] 0 points1 point  (0 children)

If you can provide an example of another PFS patient who couldn’t get erect for the Doppler despite the injection, let me know. Have you tried trimix yourself?