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....  

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 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!

Back to the Future: Edex Rules!

Since the PDE5 inhibitors aren't working for me anymore (see previous post), the doc prescribed a trial dosage of Edex, a brand of E Prostaglandin (Alprostadil) which you inject directly into the penis.  It's not as bad as it sounds, really!  Edex comes in little kits, with the drug prepackaged in solution in 10 microgram (or 20 mcg) cartridges.  You attach one of the included 29-gauge needles to the injector device which is like the outside of a syringe, insert the cartridge and then jab in the needle and push the device plunger down to inject the stuff.  This is a lot more convenient than it was with papaverine in the old days, where I would have to make up my own dosages/syringes, but it's also much more expensive.  The doc said to use 5 micrograms to start out, which you dose by squirting out the extra 5 mcg from the 10 mcg cartridge then inject all the rest.  If that didn't work, I was supposed to use a 10 mcg dose the next time. Well, you know I didn't want any failures the first time, so I thought I would inject 5 mcg and if nothing happened, I would inject the rest of the 10 mcg cartridge to buck up things and not waste anything.  The Little Woman and I had been drinking a little, too, so that may have clouded my judgement a little bit....

The problem was that even with my glasses I couldn't read the markings on the cartridge when I was holding it "down there", so I wound up just guessing by pushing the plunger part of the way down and then withdrew the needle.  It turned out I'd actually injected about 7 mcg worth, and even though they tell you it takes between 5 and 20 minutes to work, I got impatient when I didn't feel anything right away, so I stuck it in again and injected the rest of the cartridge.  Well!  Things started to happen then, lemme tell ya!  As soon as we started fooling around, Little Willie grew as big and hard as he's ever been, and actually started to ache a little bit (which is a common side effect, and it wasn't enough to make me stop going for the gusto).  She likes it on top so she can manipulate things to maximize her pleasure (and who am I to complain?), and very early on she became Cowgirl UP!  She even threw up her hand like she was riding a bronco, there for a bit.  She pounded me back and forth inside her so hard I was afraid I might get hurt....  She came first, but gamely rode me until I exploded.  She lay on top of me for a few minutes, then noticed I was still somewhat hard, and son of a gun, she mounted up and rode me to town again!  ....The third time, I told her she didn't have to do that, that the dose of Edex I'd taken would probably not let it go down for awhile, but she went at it again anyway (you can see why I love this woman), and danged if she didn't force out another climax from me, albeit much smaller than the first two.  I was spent, literally, and she was tired.  We both drifted off to sleep, but after an hour I woke up and was still hard.... I began to get alarmed, fearing that a trip to the hospital was going to be necessary.

In the old days my now ex-wife would never want to go around a second time, EVER, so I often found that the climax produced by a bout of self-love would trigger enough relaxation that the erection would subside faster.  This time, however, nothing doing.  When I reached the 3 hour mark things had softened only a little bit, but I was tired and set my alarm for 1.5 hours later, resolving to go to the emergency room if by then nothing had changed.  Just before the alarm went off I woke up again, and to my relief Wille was Little again.  Whew!  The next time I'm sticking to the 5 mcg dose, I swear!

PS:  I thought the, um, artificiality of things might be off-putting to my wife, but the next morning the Little Woman was affectionately calling me Iron Man, an apt analogy, really. She really didn't seem to care why it worked, was just happy it did.  Let me tell you, though, things are not totally artificial-- if there is no arousal on my part, the inside hardness will be there but the head remains small and the outside skin is a little loose.  Get me excited, though (as she almost always does with ease), and everything expands correspondingly, and then some, so it ain't all just the drugs, man.  EDEX RULES!!!

In the Beginning, There was Papaverine....

I've suffered from ED since my early 20's, and when I try to Google the ED issues that are important to me on the Internet, it seems there is no frank discussion of them (although I'm probably not the most astute search engine user).  If you Google "Cialis vs. Viagra", for instance, you get a bunch of sites that tell what the medications do, their side effects, etc., but there is no real comparison information for them.  Well, I'm here to change ALL that, baby!  In subsequent posts (which will be shorter'n this one, I promise!), I will try to tell you in plain terms what my personal experience with ED and various treatments has been.  As I age, I hate to tell ya, the game continues to change so that the struggle continues, although things are still better today than when I began this battle....  Feel free to comment and share your own experience!

A brief (?) description of my background, which of course you can skip:  I'm 55 years old, am on my third marriage (ED was not a factor in them, far as I can tell), and I began seeking ED remedies back in the early 1980's.  At that time I thought it might be a psychological issue and went to see a couple of psychologists (not psychiatrists) which was futile: They told me to get in touch with my feelings, immerse myself in the moment, etc, etc.  Neither of them ever said maybe I should see a medical DOCTOR to see if maybe I had a medical PROBLEM.  Some of the literature on the subject I read back then mentioned the "postage-stamp" test, where at bedtime you put a string of stamps tightly around your johnson and glue the ends together so you can see if you have erections while you sleep, which implied that if you did have them, there was nothing physically wrong with you (which is 'way INCORRECT).  Well I knew I was having night-time erections and morning wood, so I figured my problem must be all in my head, sorry to say. Later I heard that something like 80% of ED cases are medical, not psychological, and I bet the percentage might be higher now that diagnosis and treatment options have improved.

I was able to muddle through sexual problems in my first marriage in my 20's because at that time my night-time spontaneous erections and morning wood could be made to last long enough to have a fairly satisfying sexual experience for both of us, although there were often long gaps between performances, mostly due to my fear of the big "I" happening, I think.  This went on until my marriage ended in 1992....  I soon met the woman I thought was really the love of my life, and when we were comfortable enough together, I explained the problem to her.  She was very supportive, and after reading Dr. Bernie Lubbers' great book Male Sexuality, I found the courage to consult my family doctor, who referred me to a doctor specializing in Sex Therapy, who sent me first to a Urologist.  He gave me a Papaverine test (hope I spelled it correctly, since I'm too lazy to look it up)-- they inject a drug into your penis(!) that causes a spontaneous erection and then see how long and how much of the drug it takes to work. The appearance is a bit curious, because if you're not aroused, the shaft of the penis enlarges but the head and skin remain soft.  When that happened, it was such a new experience that I kinda stroked it a little to see how it felt, which caused everything to be hard and tight.  When he came to check on me, the doc noticed it and told me not to play with it because it might skew the test.  It was kinda funny-- I'm kind of well-endowed, so the doc placed a small towel over my growing member to cover it, but of course it raised quite a tent in my lap while I waited, and at one point a nurse came in to that room by mistake, looked at me, mumbled something about being in the wrong room, stared at me for another second, then covered her mouth and giggled, then backed out the door!

The doc said the Papaverine test showed I was circulatorily challenged, so to speak, so after I finished dancing a jig and singing "IT'S NOT ALL IN MY HEAD!  IT'S NOT ALL IN MY HEAD!  WOOHOO!, he prescribed a 5cc Papaverin injection whenever I wanted to have sex (Viagra was not yet available).  It works great, once you get over the whole jabbing your penis with a hypodermic needle thing, but the process is rather lacking in spontaneity. We finally worked into kind of a routine, where we'd fool around a bit, which would arouse my manhood to it's maximum soft size, which then made the injection easier to perform....  Seems like it would take about ten minutes for the Little Man to fully stand at attention, but after that it was Katy Bar the Door!  The first time I tried it I was soooo ecstatic, we made love for almost an hour straight, and after a few minutes I could've gone another round, but she said enough was enough. If kept stimulated, the erection would last an hour and a half to two hours, but if put away immediately like when you need to leave for work,  it would only be about ten to fifteen minutes before you could go out in public without drawing unwanted attention.  I don't know if Papaverine is still available, but I think Total Performance Medical may prescribe a similar injectible.  TPM guarantees results, but there's a $300 fee to start their program and you can only get the exact drug formula they prescribe from them, and I dunno how that expensive that would be.  When Viagra came out I switched to that, but looking back, I'm not sure I should have....