I think it is the most effective treatment for ED. By using a compounding pharmacy the concentrations of the constituent agents can be titrated to individual response. Some men need more than others. Also, one can purchase very fine .30 gauge needles which are virtually painless. As most people know, the side effect of priapism, an erection lasting more than 4 hours can be harmful and a man should seek care at an emergency room should this occur.

One must be aware that triple mix must be refrigerated because the prostaglandin E2 degrades over time...even if refrigerated. So, after awhile it may take a larger does to get the right response. It is best to buy only enough to last a month.

The injection site has to be varied to prevent fibrosis as others have said.

You have to come up with your own methodology if you want to keep your secret under wraps...that is do you tell your new lover how you happen to have this 3 hour erection after two ejaculations!

I feel your pain. I have had the same problems. For a while I thought I could only get a woody for my one and only. I tried meds, I tried meditation (not really), I talked to my wife....

So, after much thought I finally came to the conclusion that I was comparing all other women to my wife and they all WERE NOT HER! Not that they we less, just not the same and I was spoiled.

So I now concentrate on the difference and enjoy that all women are beautiful and they each have something to offer that is special. It is working!!!

I have looked at the pics of your wife. She is HOT!!! I think for you somehow others just don't quite do it. Maybe some self counselling about enjoying the variety might help.....so, in harsh words GET OVER IT!!!

If you are ever in our neck of the woods, drop us a note...we might try getting over it together!! :)

Still trying to figure that out... Am I just fiercely dedicated to this awesome woman? Am I thinking too much when with someone else? I don't know.

It appears to be 100% psychological... and it sucks...

Injections should be given on alternate sides. Peyronies desease is a possibility, but not a very common side effect.

Making sure the injection is made in the correct spot is important. It should be massaged with pressure to distribute the medication. Remaining upright will help gravity engorge the penis into erection.

Sometimes, a man can have much success with a certain dose and then find it doesn't work and then it works again. Mental state, fatique, desire all contribute to the erection as well as the drugs do. I read about guy about 26 who had an accident and was paralyzed from the waist down. He said there is no consistency to how a given dose works.

Cialis should not be used on the same day as an injection.

Asking a pharmacist in a compounding pharmacy will yield you much better information than a doctor. Doctors know what to prescribe. Pharmacists actually know the drugs better, their interactions, reactions, dosages and do and don'ts etc.

Some say to freeze until used.

Also you can definitely cum 2 or 3 times before it wears off. And it does not go limp after you cum, at least until the medication wears off. But it is really expensive - like $1500 to $2000 per year depending on how often you expect to need it.

My only problem is that I am unusually hypersensitive to the medication. They prescribed 0.20 ml, but anything over 0.12 causes an erection that can last 2 to 4 hours. It sounds like fun, and it is for about an hour. But as you approach 2 hours it really starts to hurt. Sudafed (the real stuff you have to see the pharmacist to buy) is the only thing that helps make it go down (along withe exercise). Even with that problem, it is worth it. Anything under 0.12 does not work very well, so for me precise measuring is very important.

You definitely need to keep it refrigerated and it loses potency as it ages.