I've Started Shock Wave Treatments for ED

 I finally decided to try my urologist's U-Wave treatment even though it is supposedly not as effective for guys with advanced/severe ED like me.  I figured for the new lower price it would be worth a try, and it's good I signed up when I did-- the price jumped from $1500 to $2000 as of January 1, 2022.  This was still much better than the Total Performance Medical price of $5500 I was quoted maybe a year ago (see  past blog post).  

The procedure is very simple: you strip below the waist, the technician applies an acoustic gel to your willy and then he goes over it with the shockwave wand. After that you put your knees up and he gels and wands the area at the base of your shaft behind the testicles, where the artery supplying your genitals is located.  You can feel the pulses, kind of prickly/tingly, but it doesn't really hurt.  My 3rd treatment was given by the actual urologist, and he used a little less gel, which meant I felt it more, like really mild pin pricks but nothing to complain about.  I had my 4th treatment yesterday from the regular tech, and he uses more gel, which means I don't feel anything.  You get 2 treatments per week for 3 weeks.  The treatment takes about 4 to 6 weeks to have its full effect, after which they have a doctor consultation to gauge its success or failure.

As I said, I just completed my 4th session, and I can tell a difference even though I'm far from cured.  I take Super Bi-mix injections to achieve erections, and the tech suggested I induce one every 48 hours and keep it hard for as long as possible while the treatments are on-going, to help the body build and open the penile blood vessels. Before I started this, my injections were kind of hit or miss as far as success was concerned, not sure why.  Since I began U-Wave, however, every erection has been rock-hard and I've managed to make it last 1.5 to 2 hours as long as I put off climaxing... WOOHOO! That much alone makes it worth the $1500 to me.

I'll update this post after the last treatment, if there's anything new to report, and again after the 4- 6 week period.  Now if you'll excuse me, I have an injection to prepare.  ;-)

UPDATE:  My member feels "fatter" than it did, and my erect length seems to have improved, although not to what it was before I had Peyronie's Disease (see previous post).  Alas, I can't see much improvement in my ED in general, still need an injection to get hard. *Sigh*

Bi-Mix Rules!

Well I was using Edex, which worked okay but caused a dull ache in my penis the whole time, which was sometimes very uncomfortable.  Then my nice but generally disinterested urologist retired and I was assigned a new, much younger guy who nevertheless seemed very experienced.  He recommended Bi-Mix, which is a combination of my old friend Papaverine and Phentolamine, and is only available from a compounding pharmacy.  He recommended EmpowerRx which is located in Houston, TX and sends the stuff by mail order. It costs less than $100 for an amount that provides 7 - 12 doses depending on how much you need per dose, so its a HECK of a lot cheaper than Edex, and it works great!  Takes about 15 -20 minutes to reach peak hardness, lasts 60 - 90 minutes.  The Little Woman and I are gettin' older so she doesn't want to have more than one go-round in any one session, but I've gotten into the shower after a bout of lovemaking and within the above time-period found I was easily stimulated back to full attention, so I'm thinking you could get at least a couple of good rodgerings with each dose if you and your partner are up for it.  The only drawback is that I seem to require a bigger dose than when I started....   The Doc said that if I eventually need a really big dose then I should switch to Tri-Mix, which is the two drugs listed above plus the drug that's in Edex, so it would be back to having an aching Willy.  Woohoo!  The things we do for love....  

Peyronie's Disease: WTF Else is Gonna Happen???

About 8 to 10 weeks ago (see previous post).  I woke with one of my usual only moderately hard morning erections, and the damn thing was curved all the way up to touch my belly.  I finally got an appointment with my urologist in mid-February, and he detected a definite plaque (scar tissue) inside the ol' weenie that is causing it to curve.  He referred me to a urologist specializing in Peyronie's Disease. That doc said he did not believe the Edex had caused it, that I probably injured my member during sex at some point (and I do remember being bent bent double a time or two when I slipped out unexpectedly.  The injury supposedly happens usually when you are doing it in a woman-on-top position).

Anyway, this doc deals with Xiaflex, a new collagenase drug that is injected into the plaque to cause a break in it so the penis can be stretched to separate the parts of the plaque so it no longer "tethers" the penis.  He said, however, that at best it generally improves the curvature by only 33%, and that would not be much help to me, and people who already have ED are not good candidates for Xiaflex because it can make the ED worse.  Then, too, Xiaflex currently costs a whoppin' $3300.00 per vial, with as many as 8 vials sometimes necessary to complete the treatment!  Not sure if insurance would cover any of that, since the drug is sort of experimental.

His bottom line recommendation, if I cannot live with the curvature, is to get penile implants.  (It's a little too much for me to think about right now, so you'll just have to Google penile implants.) My Peyronie's is not stable yet, so he has me taking a couple of prescription drugs to mitigate it as much as possible until it does go from acute to chronic.  Supposedly, 10 to 12% of patients improve on their own, about 40% get worse, and the remaining bunch see no change at all.

Oh, joy....

Penile Curvature- WTH?

So I dunno if it was the bargain basement penis pump or the Edex, but my member has recently developed an upward curve to it.  She had trouble getting it inserted at first, but once in, we didn't have any problems.  I haven't been able to test it again because She fell and was injured a while back and has not completely healed yet, thus She doesn't have much interest in doin' the do, although she has cheerfully given me fellatio a couple times in the last two weeks-- I think she's still staving off the beast because a full Ironman session takes so much time and effort.  Anyway, I always had a little sideways curve due to unequal filling when the Little Man got excited (the 2nd wife used to call me "J-Man" because it would look like the letter J until it began to become fully erect) but this is definitely different.  I googled Peyronie's Disease, but I can't feel any sort of fibrous tissue in there when I palpate it myself.... I dunno, I've stopped using the pump for now.  Just wish I could use the Edex again to see what's going to happen.

With Edex, I am a victim of my own success....

After our last wild (for us) night that I detailed in my previous post, which occurred on a Friday, I tried to tactfully suggest we go again on Sunday night, because the only thing about great sex is that it just makes you crave more of it!  But the wife's response was "Oh no, I would have to work up to that!" meaning she needed a rest before enduring THAT again....  I didn't know whether to be proud that I wore her out, or depressed that she found it so tiring to be intimate with me.  The thing about Edex is that it is so expensive (with my crappy health insurance, it costs $205 for 4 doses) along with he fact that when you have ED it just... feels... so... damn'...GOOD to be rock hard again that you want to take advantage of its effects while they last, both of which led to the amazing two-fer of that Friday.  

The aftermath of that night led to another short dry spell of two weeks, although on that second Friday when we usually get busy, we were lying in bed when The Little Woman began playing with my equipment and brought it to Chubby Status, which is about the best I can achieve without the help of chemistry.  She started diddling her fingers along the underside of my shaft, and bore in on that sensitive part about two inches down from the head, and she did it so intensely that I soon exploded all over myself.  She chuckled, apparently taking a kind of weird (to me) satisfaction in the copious result of her handiwork.  I was much appreciative and we were both tired, so we went to sleep without doing the do.  Then again on the next Monday she tried the same thing again, but then began some oral techniques which put me into orbit, although again she switched to manual mode at the last so she could observe the results.  I was again amazed and delighted, but I was beginning to get the impression that by doing these things she was attempting to keep The Monster at bay, and to be honest, she was succeeding, really!

Then it came to be Friday again, and after a sumptuous meal and quite a bit of wine, She said rather unceremoniously "Let's go to bed, and bring your stuff."  Wow!  With trembling hands I hurriedly readied the dose and injected it.  As I've said before, Edex takes a while to work, but it seemed that as we fooled around I was throbbing with anticipation in no time, but ever the dutiful lover, I kept on with the preliminaries until suddenly she pushed me onto my back and mounted me.  She rode me furiously for less than a minute before she did her little "Unngh!" thing, which is usually my cue to let go, but it had been so long and I was so IN THE ZONE, that stable plateau period where it feels so good you don't want it to end, that I couldn't seem to get out of it.  Now, my sexual performance has varied widely since even back before ED was a problem for me, but I've noticed and read about how it sometimes becomes more difficult to climax as you get older.  That, however, did not seem to be the problem this time:  it was just so...damn'... GOOD that I didn't want to stop, and eventually She began to get tired.  I offered to assume top position, but she acted as if she didn't hear me, actually getting kind of angry, chanting "Come on!" as she thrust back and forth.  She finally seemed to make a supreme "I'll show YOU!" effort, and thrusted so hard and so rapidly it drove me off the plateau and into the abyss.  Orgasms in real life seldom approach earth-shaking for me, but by golly this one had me shaking for what seemed like an outrageous amount of time.  I was spent!

Always the passive-aggressive one, she said "I'm sorry I didn't excite you enough to come right away..."  to which I replied "ARE YOU KIDDING ME???" along with some superlatives about her beauty and her performance, all of which were true, mind you.  That honest adoration on my part seemed to take the edge off her, somewhat, and when she lifted off me and I was drenched by a deluge of our combined juices, she again let out that weird little chuckle of satisfaction and it seemed that all was right with the World.  We cleaned up (it took me a LOT longer than it did her) and then came back to bed, but when I got there she was already fast asleep.  Looking at her lying there brought my Little Big Man almost all the way back to attention, but after playing around with it a bit I found that I was too tired to make the effort to work it through to completion. I was hit by a thunderbolt of amazement that I, too, would have to "work up to doing that again"!  Sheesh!

Edex Performance Becoming More Consistent.

The Little Woman and I had another dry spell, albeit a shorter one of about two weeks, but after which her performance improved with the pent-up passion.  My performance, not so much:  She rode me furiously, and though I hung on longer than last time I still erupted at about the 4-minute mark.  Afterward she seemed to be energized, heading back out to the living room to watch TV while I in typical man fashion quickly fell asleep.  I read somewhere that there is an actual physiological basis for this, that some endorphin or hormone or something is released in the man's system after sex that makes him sleepy, probably so the ancient cave woman could get the hell away afterward!

I was awakened sometime later by Her coming back to bed.  I don't know how much later it was, but when she pushed up against me to spoon, my Little Man sprang to life.  I dunno what came over me, but I didn't try to seduce her with sweet talk, I didn't ask permission, I just attacked her, burying my face in her cleavage while I climbed on top.  She didn't resist or protest, just wrapped her arms around my shoulders and hung on for what turned out to be a good long motorboating and pony ride.  I think maybe, for once, she really enjoyed being taken.  Anyway, I must have been at the limit of Edex' efficacy because as soon as I expended myself, the Little Man collapsed,  exhausted.  And you know what?  This time we both instantly fell asleep. 

My Edex Experience Continues to Be Unpredictable....

Well there was a long dry spell owing to a big fight my wife and I had, along with other factors, part of which includes the lack of spontaneity involved with the use of Edex.  It's so expensive on my crappy health insurance that I generally wait until She commits to us doing the do before going ahead with the injection. Just the other night, though, it had been almost a month since we'd last had actual intercourse (although, trouper that she is, she gave me a wonderful blow/hand job just last week after we made up), so I knew from her attitude and demeanor she'd be ready about any time now....  She seems to be about the only woman who likes morning sex.  I think it's because we can immediately get cleaned up afterward and begin our day.  No matter how good/bad/mediocre the sex has been, she almost always gets up in a good mood, humming away while she fixes breakfast.  Ah, what a lovely girl she is... but I digress:

I ambushed her.  I got up first, zapped Little Willy with the Edex and returned to bed.  It took a good 15 to 20 minutes to take effect, but hallelujah when it did!  I waited awhile for her to wake up, playing with the wood every so often to keep it firm.  Eventually, however, I found myself becoming too aroused, as the pre-cum began to flow quite a bit.  I finally stirred around in the bed enough to get her half-awake, then rolled my back to her.  As I'd hoped, she took up the spoon position behind me and, as she does quite often, she kind of sleepily felt me up, playing with my butt, rubbing my belly, etc until her hand inadvertently dropped to my nether region, and whoa! she startled fully awake at finding the diamond-cutter waiting for her.  She seems to be continually fascinated by the wood that Edex produces, and she rolled me onto my back and went down on me for a bit, then rested her head on my belly while she played with her toy.  She seemed to be feeling it up and down out of curiosity rather than trying to give me pleasure, several times squeezing it rather hard between thumb and fore finger as if testing its firmness, etc.  It didn't bother me as I was in freakin' HEAVEN.  I couldn't help but moan.  She eventually mounted me and tried to move as slowly as possible, but the dry spell and and all the unusual foreplay had me at a fever pitch and I was GONE in no-time... damn.

Now the clinical aspect of the Edex:  After exploding with the rolling climax produced by expelling all the backed-up love juice, Willy softened up quite a bit, and seeing this, the Lilttle Woman, her mission accomplished, rolled over and went back to sleep.  We spooned, but uncharacteristically for a man, I was unable to sleep afterward with her beautiful body pressed up against me. Willy soon (5 to 10 minutes) became rock hard and ready to party again, but dammit, I didn't dare try a second ambush.  Thanks for the torture, Edex!

EDEX Still Rules, No Buts About It!

After the unexpectedly wild night of June 20, 2013 (see previous post), we were all fired up for Date Night on Friday the 21st.  A romantic dinner out, a few drinks at the local club, and we were both ready for action.  I'd read in the literature that something like 57% of guys who start out on Prostoglandin have to have their dosage adjusted within a few weeks, so that took away a lot of worry. This time I went right for the gusto and injected two 10 mcg doses.  It only took a few minutes to take effect with a VENGEANCE, and when that happened I was more relaxed and confident than I'd ever been, so I was able to pace myself and take a leisurely approach to foreplay like I hadn't been able to do for a few years.  Our fooling around went on so long that SHE was the one who finally initiated intercourse:  It was cowgirl up, and she rode me furiously, at one point with her hand in the air like at the rodeo.  She has this back and forth move with her hips that apparently feels really good for her but doesn't give me the same pleasure that her up-and-down motion does, but that was good because it didn't make me come too soon, either. It was kind of a weird feeling having my member slammed back and forth inside her, but the visual effect of her up there was also unbelievably hot, so it was both kind of relaxing and arousing at the same time!  

She went on vigorously like that for quite a while, then suddenly confirmed that her usual little outcries are indeed the sound of her coming-- It was a BIG outcry this time, and she flowed when she came, which I'm not sure has ever happened since we've been together. She then slowed her movement and lost focus for a few seconds, but soon began rising and falling on me, which was INCREDIBLE, but soon I could tell she was either losing steam or losing interest.  I laid her down, assumed the top position and carried on, thrusting to please myself.  Danged if after a few minutes she didn't cry "unnngh!" again (although not as loud as before) and sort of went motionless for several seconds.  I couldn't believe how good it was, and didn't want it to end.  My wonderful lover, however, knows every one of my erogenous zones and tweaked all of them, finally pinching both my nipples hard until I was driven over the edge.  I exploded BIG, did some crying out myself, and then collapsed on top of her.  We were asleep in seconds....  THANK YOU, EDEX!

EDEX STILL RULES, BUT...

...the 10 mcg dose hasn't worked for me like it did the first time.  The last time before this, I tried injecting 5 mcg and then another 5 after a minute or two, and that improved things, but The Little Woman still had to use some lube so that Little Willie could fit through the door without bending. :-(    But that all changed on June 20, 2013:

My wife, Wild Woman that she is in bed, doesn't like to talk about the details of sex, and I only know when she's in the mood when she pinches my butt a couple times during in the evening and then softly caresses my buns once we're in bed, like she's guiltily copping a feel or something.  So I was utterly surprised when she started this after we'd been in bed awhile, and when I asked if she was ready she said "Yes!" enthusiastically rather than "if you want to, dear" or something like that.  So I sounded general quarters and hit the deck a runnin' into the bathroom where I injected 10 mcg all at once.  We fooled around a little while, but the results were less than satisfactory.  She tried to mount up but to no avail.  "Dang it! It's not going to work!" she said with obvious frustration.

"Wait!" I said, and hurried back and went for broke and injected another full 10 mcg dose.  It might mean a trip to the Emergency Room, I thought, but it was gonna be worth it. About 5 minutes later, SPROING! and it was on!  It wasn't a personal record, but we certainly went on for much longer than usual.  As I said, my wife doesn't want to talk about it so I never really knew if the little outcry she makes sometimes is when she is coming or not.  After about 20 minutes and a couple different positions, I was on top and thrusting away, giving my all before I got too tired, and suddenly she did her little "unnnngh!" and a few seconds later I came harder than I have in months!  I won't tell you the stupid noises I made....

Then came the waiting to see if I'd need medical attention or not....  From my Papaverine test years ago, I know that curing that artificially induced priapism thing is as simple as inserting a needle and draining Little Willie, so I wasn't TOO worried, but lo and behold, my thing went down to normal in about an hour and a half, so all in all it was a freaking FANTASTIC night!

Where is my Stendra? And where is my ED 1000?

These are two ED treatments you've probably heard about if, like me, you research ED cures every other day hoping for a miracle.  Just in case you ain't heard, the miracle may be here, or rather, may be in Canada, Europe, and everywhere else except the USA!  The ED 1000 is a version of the ultrasonic shock wave machine that has been used successfully to grow new blood vessels in damaged heart muscle, now adapted for use on the penis to cure, that's right, CURE most ED problems.  It's made in the US and has been in use in Canada and the UK for a couple of years, and they report something like a 95% success rate.  The UK has pressed ahead with it because their National Health Service currently pays at least part of their citizens' Viagra and Cialis bills, so a cure would reduce that cost.  I read somewhere that the treatment takes 6 weeks and costs around $2100.  Hell, I'll spend almost that on EDEX this year alone!

Stendra is yet another PDE-5 inhibitor medication that supposedly was approved by the FDA in April, 2012, but I can't find any information on its availabilty.  My drugstore did not have it in its catalog, and I signed up for a newsletter on the manufacturer's website but have heard nothing from them.  Supposedly it works faster than Viagra, in like 15 minutes, and it wears off in an hour.  I thought I might try it, since every ED drug I've had works great for awhile then quits, except for Papaverine and EDEX which never fail.  We'll see....

UPDATE:  I read where the developer of Stendra finally obtained permission from the FDA to advertise that it was more fast-acting, and that having this permission persuaded another drug company to partner with the original developer in production and investment, etc.  Supposedly that means that Stendra may become available by the end of 2013.  Keeping my fingers crossed!  I've called a couple of ED clinics in Canada, but I've yet to find one that offers the ED 1000 treatment.

UPDATE, 03/13/2014: Stendra is now available.  There are numerous brochures sitting around in my urologist's offce advertising it, now.  Ya.  Hoo.

UPDATE, 05/05/2014:  I finally got my family doc to prescribe me Stendra.  The literature says that because I take Diltiazem for blood pressure, I should not take more than the lowest (50mg) dose, but that dose is on back-order everywhere for some reason, so he gave me some 100mg samples and said to cut 'em in half.  The first time I tried that, the other half of the pill went shooting out of sight and I never did find it.  The 50mg dose had absolutely no effect on my severe ED, so a day or so later I did a whole 100mg, which helped things but did not make it hard enough for penetration (although my angel of a wife cheerfully pleasured me orally!), so a couple days after that I did two 100mg tablets (they make a 200mg pill, so that's not outrageous) and it worked very well with no untoward effects, although it took a full 30 minutes to reach full power.  Still, supposedly you can take it with food, so that's a good thing!

UPDATE, 04/02/2015:  I'm on an ED1000 email list (subscribe at www.medispec.com) that says they are partnering with menshealthsolutions.ca in Canada to provide ED1000 treatment clinics.  The price for the treatment as of this date is $4000, although I dunno if that's USD or Loonies.  The on-line brochure also says ED1000 is approved as a treatment for Peyronie's, which is a surprise.  Not sure if I want to invest that much now and travel up North, or just wait until the treatment is approved in the US and might be covered at least partially by insurance.  Medispec's website has said for months that the ED1000 is in the final stage of clinical trials for approval by the FDA, so I wonder what the hold-up is, beyond maybe Pfizer, Lilly, the other PDE5 drug manufacturers trying to keep it off the market.  Oh, well....

Edex Still Rules- Though There're Glitches....

Well, the last time, if you read the previous post, I injected 10 mcg of Edex and it worked GREAT, but I was worried I might have to go to the hospital, it lasted so long....   So this time I injected 5 mcg, and the results were disappointing.  Little Willie got big, but not hard enough for penetration, although some contributing factors may have been alcohol (sorry to admit I was pretty intoxicated) and a some prior bad feelings between the Little Woman and me, in that we'd had an argument and still hadn't really made up. The semi-hardness lasted about 3 hours, though....   hard enough to get satisfactory oral sex, but she wasn't interested in that-- again, due to the semi-hard feelings (pun intended).  I'm thinking that the 10 mcg would be the correct dose, after all, though I don't know when I'll get to try it out since she and I are still on the outs....  Things were a little warmer the next morning, but Edex says not to use it more than once in 24 hours,  so I took my last Viagra 100mg in hopes of enticing her into some morning makeup loving, but the blue diamond had absolutely no effect-- I didn't even get the stuffy-nose side effect.  I guess it's injectables from now on or nothing.

Again with more than the recommended dose? Excuuuuuse Me!

I can't remember the name of the comedian, but he discussed the vararies of Viagra use:  He said that for him, foreplay consisted of him asking his wife "Am I taking this pill or NOT?"  Unlike that fella, my wife prefers spontaneity as much as possible, which is kinda tough when you're spending $20+ for a dose of something that only lasts 4 hours (Viagra, still).  What winds up happening is one morning each weekend, I get out of bed about an hour before I think the little lady is gonna wake up, and I take the little blue happy pill, then try to ambush her when I think she's in the proper frame of mind as soon as possible after she awakens.  Sometimes that works just fine, and sometimes I wind up taking a reeeeally long shower to get at least SOME use out of the the danged pill after for whatever reason she has decided she's not in the mood. 

Sometimes I don't even, uh, pursue things all the way to completion when that happens-- I fantasize and fondle just enough to make the little big guy stand at attention, and I just enjoy that ready-for-action feeling for a while....  When you have ED and you finally get a chance to have a full-blown (no pun intended) erection, its a feeling akin to The Big Bang Theory's Sheldon Cooper screaming "IIIIII HAVE THE SWOOOOORD OF AZEROTH!!!"  This non-completion practice works out well on rare occasions when my lady changes her mind-- she catches a glimpse of her Big Clean Man getting out of the shower, takes in a whiff of his freshness, or remembers watching Jude Law in The Holiday the night before and becomes aroused enough to drag me back into the bedroom or have me right there for breakfast instead of those eggs she was cookin'.  On those days, I am indeed a very lucky man....

On this most recent occasion when I was all firmed up with nowhere to go, however, self-arousal got the better of me in the shower and finished me off, which was good because my lovely Queen decided to finish her eggs instead of me that morning.  But that evening, she gave me a deep, rousing kiss when she walked by me, and as I was at the sink brushing my teeth after dinner, she came up behind me and reached between my legs and tickled the family jewels.  After I finished coughing up the toothpaste I'd swallowed, I washed down a Lil' Blue with my rinse water and hoped it wouldn't take too long to take effect. Success!  In about twenty minutes we were good to go.

Now I guess it's irresponsible to tell you anything encouraging about ignoring the package warning and taking two Viagras in the same day (albet at different times), but as you know from a previous post (which you've already read, right? Ha!) it had a wonderful effect on me once before, and this time was no different: I felt freakin' HUGE and hard as STEEL!  Unlike the loss of control that some guys get when they're so expanded they're about to pop, it felt so damn' GOOD as my little gymnast performed her pommel horse routine on me that I didn't want it to ever stop. She rocked my world, as she always does, but though I moaned and moaned with every stroke, it was forever before I finally went over the edge-- part of which is a function of aging, I suppose, but I think the extreme hardness (maybe combined with an increased feeling of confidence?) kept me in the plateau phase for an inordinate amount of time.  

I'll be honest and tell you I never really know when she comes, other than quite often she will whimper just a little bit and pause for a second... but then resumes whatever she was doing before, hardly a break in stride.  She did that this time, but then collapsed and laid forward on top of me, exhausted.  I had to finish by thrusting up from under her... and when I finally did come, the narrowing of the canal by the exteme engorgement of my cavernosas made the ejaculation feel as if I was exploding out through the nozzle of a power sprayer. It was the most powerful climax I've had in, like, EVER.   

If you're prone to Viagra-induced priapism, then obviously you should not do this, but I think if I were as rich as Hugh Hefner and could afford that candy dish of blue pills next to the bed, I'd be (literally) sorely tempted to go for Round 3, or even more... until a trip to the hospital was necessitated, at least.  Luckily, my pauperism will likely keep me from ever experiencing such heinous abuse!

With Viagra and some of the others it's all about TIMING!

I really miss the days when Cialis actually worked for me, because it made spontaneity SO much easier.  I could take it late Friday or early Saturday and be good to go through most of Sunday, which is why they call Cialis "The Weekender".  Sigh....  With Viagra and Levitra, however, you have to time the dose so you don't have to wait too long but then you don't wait so long the effects wear off before you can take advantage of them (and Staxyn takes so long to work you might just fall asleep before any fireworks can occur)..  My Lady is great because she likes to be surprised and is not adverse to a little action as soon as she wakes up in the morning.  Problem is, though, if I wait too long she gets  restless or hungry or has to pee and she goes off to remedy that and never returns, unless I reveal that I've already swallowed a $20 pill and would like to get our money's worth....  So, if I wake up before she does, I try to anticipate when she'll awake and take the pill about a half-hour before, but of course that doesn't always work out.  I suppose maybe we could work out a plan and ditch trying to be spontaneous, but it's just not quite as much fun.  This last time, we'd both been sick for a couple weeks and hadn't had any for a while, so she was plainly ready.  Knowing that, I just waited till she was awake, we started fooling around a bit, and then rather pointedly I went over to the nightstand where the glorious power nuggets awaited.  She just smiled.....  We then watched TV from the bed for a bit, finally began fooling around some more, and... SPROING!  Launch sequence initiated, entry assured, and a riotous blast-off point was reached a few minutes later.   Life was good again!   Maybe we can do that every time...?  Ah well, we'll have to see, I guess.  THANK YOU, PFIZER!  GOOD NIGHT!