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To Trimix or not to Trimix? That is the question...

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Prostate Cancer
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soulmate 101
Regular Member
Joined : Jan 2010
Posts : 57
Posted 3/7/2010 6:40 AM (GMT -8)
We are nearing 8 weeks post surgery and hubby seems to be peeing well, no leaking, the biggest inconvenience he says is that when he has to go, he HAS to go quick!

As far as ED issues, though, that is so inconsistent with the Viagra. It's been up and down, so to speak :) and rigidity is the biggest issue. We are nearing our two month follow up appointment and since we initially had promising results with the meds, the doctor told us to hold off on the Trimix and to check in with him at this upcoming visit.

What would you guys do? Keep on a going with the viagra, or give it a "shot" with the trimix?
Any thoughts on pros and cons?

How soon do you start with Trimix? any thoughts would be appreciated. I'm sure the doctor will have his opinions, but I wanted to ask some of the veterans who've been there.

Thank you!
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Redman55
Regular Member
Joined : Jan 2010
Posts : 87
Posted 3/7/2010 6:59 AM (GMT -8)
If your huz is getting a response from ed pills at 8 weeks, that is a great sign. Mine has been nominal at 4 mos. as I had one nerve bundle removed so jury will be out on that. I use trimix and it works so it is great to get things back to normal at a more rapid time schedule. Full recovery can take from 4 months to two years so I wasn't waiting. Per effects, you do get some aching but it abates and you get used to it. I have modified mine where I also take an ed with it, but from the sounds of your husbands progress, it sounds like he'll get a good response at a very low dose.

good luck, and keep asking questions as that is what this forum is for.
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Arnie
Regular Member
Joined : Aug 2009
Posts : 374
Posted 3/7/2010 7:02 AM (GMT -8)
Hi Soulmate.........I started using Viagra every day (100mg/All Day Chemist-Manly) at about the 8-week post surgery mark. I had absolutely no results other than the side effect of stuffy head. But I had faith and have continued the same regimen to date, which is now about 13.5 months later. Coventional wisdom has it that it takes, on average, anywhere from 6-24 months for erectile function to return. Some longer, obviously, some less

time. All I really got from the 2-9 month mark was "plumping, off and on. Then from 9 months on, I've seen a gradual improvement. I fully expect for that to continue. If your husband is experiencing anything at this point, I would take that as a good sign, and not jump to the shots just yet. At this stage, the PDE-5's are mainly for therapeutic use to restore blood to the tissue. We are all anxious in the ED dept, and hope things happen sooner than later. The above is just my personal take on the approach, and others certainly will feel differently depending on many factors. Hope your husband's recovery continues on an upward path in all categories!

Arnie in DE

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Casey59
Veteran Member
Joined : Sep 2009
Posts : 3173
Posted 3/7/2010 7:16 AM (GMT -8)
You are only 2-months post surgery...? Give things a chance to work. Results will initially be, as you said, "up and down."  This is not unusual; don't be disappointed.  You need to wait until you are 6, 8, 10 or 12 months out before stepping up to the level of injections. He just had major urinary surgery!  Don't expect a miracle.

Post Edited (Casey59) : 3/7/2010 8:27:14 AM (GMT-7)

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soulmate 101
Regular Member
Joined : Jan 2010
Posts : 57
Posted 3/7/2010 7:59 AM (GMT -8)
Thanks, guys, I should also clarify that our urologist was ready to give my husband Trimix at our last visit, so it is not we who are trying to rush the use of the Trimix, it was brought up by the doctor. When we told him that hubby had some response from the Viagra, he said to wait until this next visit...he fellowed under Dr. Mulhall, who is supposedly a penile rehab guru.

That is why I am wondering what others' experiences have been regarding the timing of starting with injections...

thank you for sharing, it is much appreciated. I'm probably too anxious, as I have communicated in previous postings. Can't help it. Sometimes it feels like we've had a death in the family.
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Worried Guy
Veteran Member
Joined : Jul 2009
Posts : 3790
Posted 3/7/2010 7:59 AM (GMT -8)
Casey beat me to it. The order is: Patience, Pills, Pump, Prick. I applaud you for trying to get things moving early but at two months and with some response from pills, you are far from needing injections.

By the way, there is nothing "exciting" about the thought of an injection. Far from it. So far from it... Sigh.
Jeff
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Cajun Jeff
Veteran Member
Joined : Mar 2009
Posts : 4175
Posted 3/7/2010 8:32 AM (GMT -8)
101, Wow you have a great Dr. that is willing to work with the ED. So many of the Uros don't take much interest after the gland is removed. I think you are a bit early to start with injections but check with the Dr. He may think that this is a way to kick start things in high gear so to speak.

I do wish mine would have been aggressive in getting me back on track.. I had to find an new Dr. to get on injections after a year.

Cajun Jeff
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MrGimpy
Veteran Member
Joined : Jul 2009
Posts : 504
Posted 3/7/2010 11:35 AM (GMT -8)
Two months is really soon to try the Trimix route. He may simply need some more healing time and be ok.

My Dr started me on Trimx at the 5 month mark, before then it was all 3 ED meds and the VED, none created a usable erection. The Trimix however has made this absolutely amazing, far better that I ever was before. One and a half hours of the hardest erection I have had since my 20's , simple to administer and 100% successful every time

The Trimix shots are really no big deal at all, it sounds much worse than it really is, I suspect your Dr will just have you wait and see if things progress with the VED and oral meds for a while longer
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Tamu
Veteran Member
Joined : Oct 2006
Posts : 626
Posted 3/8/2010 8:54 AM (GMT -8)

soulmate,

I guess I come from the perspective of why wait.  In my case my urologist combined the use of ED drugs and the injections.  The only reason to wait is the fear of the injection which most men that have done it will tell you there is little if any pain.  The quicker the penis returns to states of erections the better the chance of recovery of normal erections.  Then there is the fact it allows the two of you to return to having sex.  I wish the drugs had worked for me and the fact they are having some effect on your husband is a good sign. 

Tamu

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Redman55
Regular Member
Joined : Jan 2010
Posts : 87
Posted 3/9/2010 6:45 PM (GMT -8)
I started trimix at 3 mos and glad I did. First ed pills, then ved, then trimix.
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soulmate 101
Regular Member
Joined : Jan 2010
Posts : 57
Posted 3/10/2010 6:37 PM (GMT -8)
thanks for all your encouragement, guys.
we see the doctor next week and will let you know how it turns out.
I'm also wondering if hubby should try other meds than viagra...that will be a question for the doctor, too.
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Redman55
Regular Member
Joined : Jan 2010
Posts : 87
Posted 3/10/2010 7:06 PM (GMT -8)
yes on trying the "other" two as in cialis and levitra. generally uro's go with cialis as it has a 36 hour shelf life and they go with half doses twice a week. I had mild ed prior to pc as a result of atherosclerosis as in plaque and high cholesterol and I ended up ordering from overseas for a generic called eregra. You'll hear this patent garbage,but we aren't buying cars here, we are solving medical issues. Eregra for me is fabulous...reduced side effects and it works. I blend that with trimix and I'm good to go. As we all say: Each of us has a different way. I have found my solution until hopefully my one half of nerve bundles comes back into the game.
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seaofpee
New Member
Joined : Feb 2010
Posts : 17
Posted 3/10/2010 9:16 PM (GMT -8)
Thanks for all the info. Surgery jan. 20 tried cialis once at 5 weeks and had a headache for 3 days, afraid to try anything else. Poor little fellow has diappeared.
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MrGimpy
Veteran Member
Joined : Jul 2009
Posts : 504
Posted 3/11/2010 4:46 AM (GMT -8)
Soulmate,

Definitely try the other 2 ED meds. Viagra's effectiveness is very dependent on what and when the person taking them ate. It is very possible very little if any is being absorbed, hence no effect if one is unaware or not careful of monitoring their food intake

Cialis is not sensitive to food, has a higher half life ( duration in the body) but for most causes back pain

Levitra lasts a little longer than Viagra in the blood, and is a little less picky about whet foods one eats

His doc should have samples of all 3 drugs so he can try them and see which one works best. Note that if they do not work now, in 2-3 months they very well may

Did the Dr have him start taking L-Arginine supps or food rich in Arginine ( such as Walnuts) they are a great blood flow aid. Do a google search on "Arginine ED"
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