Addressing Low Libido with Over-the-Counter Aids

if your mind is made up do you have the surgery fingers crossed that you don’t have any complications. @jakedduck1 After I read your message, I did some looking and found the reason I opted not to do the injection $$$. I'm not really excited about the surgery or the recovery, but I am tired of living with no libido and no erections - for more than 3 years - and my wife isn't very happy about it either.

The bottom line

In fact there have been several times I injected it when I never felt a thing, believe it or not. I feel it less than when I go to the lab to have blood drawn. Don’t let the fact that it’s an injectable scare you off. Works great and works fast, in about 5-10 minutes but I have read it's recommended to wait 20 minutes after injection however no physician ever told me that. Trimix was one of the options my urologist talked about.

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It would surely be less invasive than a penile implant. I'm not sure why we didn't pursue it. As soon as surgery can be scheduled - who knows with covid19 running the show - I plan to have the implant, also called a prosthesis. The recovery sounds pretty painful for the first couple of weeks, and I'm not good at dealing with pain, even though I live with chronic neuropathy pain. But it seems to be the definitive treatment for ED. I'm putting the whole ED discussion on my agenda for my next therapy appointment on Wednesday.

I don't think we'll be able to cover it in 1 session, but it has already come up, so I guess it will be a continuation of the subject. @jimhd Good morning Jim, Have you ever seen an endocrinologist Jim? Might not be a bad idea if libido issues exist. There are so many factors that could be at play here. Although ED can sometimes cause libido problems, if that’s the case your surgery should fix it. You’re certainly right about the cost. It can be staggering depending on frequency. My medication has to come from a compounding pharmacy, a sterile compounding pharmacy at that. I get mine from San Diego not exactly the Walmart of cities. Peyronies has eliminated the treatment of my E.D.

My only option is surgery and Prosteties (?). @glenner075 Hello, Has your doctor mentioned Xiaflex as a treatment?

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I believe it basically desolves the scar tissue.

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My huge problem is that I have lost all of my libido, and that is no exaggeration. Maybe if I were to look at some porn, it would raise some libido, but not enough to lead then to a sustained erection. I went to an endocrinologist for testosterone propionate injections (getting Free-T into range) that I give my self each week. The side effect there is that it raises estrogen levels , so I need to take a medication (aromatase inhibitors/estrogen blockers, they call them) weekly that keeps the estrogen level on my blood to a normal level. Despite good levels within range for me as for now for both free-T and estradiol, I still have no libido.

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I had some infrequent occasions of libido last fall when I first started taking these meds, making me very hopeful, but the effect didn't last more than a couple of months. Without libido, the vacuum suction option doesn't work for me. Thank you for your response, I appreciate it! I've been seeing a urologist for a couple of years. The reason for my first appointment was mostly about urinary urgency and frequency.

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Oxybutinin has reduced the frequency, but not the urgency. At my last appointment, last week, we focused more on ED. #2 was a pump, which I tried. It's great for masturbation, but a real mood killer when used during intimacy with my wife. Even so, part of ED is the inability to maintain an erection. One downside is it’s cost, I understand it’s more expensive than surgery. Does it allow for the straightening of the Penis? Would you guess that the injection of Xiaflex would be more expensive than Surgery? Thanks much for your input and your suggestions. Be ready for sex whenever you're in the mood Reviewed by Lynn Marie Morski, MD, JD If you’re searching for the best sex pills for men online, you’re bound to find countless options with claims of making your penis bigger or boosting your sexual stamina. While some prescription and over-the-counter (OTC) “sex pills” are approved to support men’s health and wellness, others can be risky. In fact, some of the so-called best male enhancement pills, herbal supplements, and dietary supplements can be downright dangerous.

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Go to the Men's Health Support Group. Yes, I've tried the vacuum erection device, and it does work to gorge the penis with blood. But for me it was very uncomfortable and took away any libido sensation in my penis, so it wouldn't work with trying it for intercourse. Maybe if you were extremely horny you could get through the discomfort and enjoy sex anyway. Try it a few more or several more times.

3 uncommon but severe side effects

That feeling of discomfort (perhaps from a ring you’re using) will start to go away as you adapt; you’ll just get used to it, and your libido will help you forget about this minor annoyance. The rings work, but it takes a little experimentation and practice. Get the size right, be careful to avoid getting part of your scrotum pinched and don’t worry if you have to stop, take a break and start over. Getting an erection and keeping it are two different things. If you have trouble keeping an erection, you might find a ring helps, perhaps together with a 20 mg Cialis (or equivalent, minimum an hour or so before activity).

Men's health care at Mayo Clinic

Be patient with yourself and open with your partner; it helps. You can always stretch it to get it off. If you get a metal one, and your dick gets too engorged, you sometimes can't get it off while engorged and that can hurt. Also there are leather snap ones with three snaps. So you can always get that off easy. Non-prescription sexual performance pills are readily available online and in many stores.

Surgery is risky and may not work

#3 is injecting a drug into the penis. But I know that it works for lots of men. That leads to #4, a penile implant. An implant has the highest success and satisfaction rate. I'd like to hear what has worked best.

A Safer Solution

I can read the articles online, but I'd rather hear about what your experiences have been. Hi @jimhd, thank you for sharing your experience and questions. I'd like to tag @hodagwi and @glenner075 have experience with erectile dysfunction, some with these options, and may be able to share their experience. Here are two articles that include video from a Mayo Clinic physician discussing ED treatments: Treatment for Erectile Dysfunction - Online Treatments for Erectile Dysfunction - @jimhd Sorry Jim but I just now saw this and I thought I would reply. Nothing like being a day late and a dollar short huh.

Erectile dysfunction care at Mayo Clinic

I have ED due to my epilepsy & the 300,000 seizure meds I've taken. Just wanted to let you know that I use the drug TriMix and inject it. The injection may not be at the top of the list of fun things to do but if you do feel the injection at all it’s not as bad as you probably think. When I first heard about it I said “there’s no way I’m going to do that.” I know it sounds painful, that’s what I thought too when I talked to a man who was using it. He said at most it’s no worse than a pin prick. They’re cheap and accessible, but there’s no real proof that they work. And unlike sexual health treatments approved by the U.S.

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I don't know exactly what has caused ED. It could be tied in with the # of meds I take, though not 300,000. I take a couple of anti-seizure meds for depression. It's possible that the problem is, partly at least, psychological. I've never talked with a sex power tablet therapist about that possibility because none of them have been qualified to address it. Food and Drug Administration (FDA), OTC sex pills aren’t required to go through rigorous testing for effectiveness or safety.

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If you’re looking to improve your sex life, FDA-approved medications and treatments backed by real studies are your best option. We’ll dive into prescription medications shortly, but let’s first tackle OTC sex pills and supplements.

These products, often branded as male enhancement supplements, make some pretty bold claims, like the ability to: Some evidence suggests certain ingredients can boost sexual health in men. But that doesn’t mean the ingredients will necessarily improve your erections, sexual stamina, or overall sex life. The Hims guide to increasing your testosterone levels naturally outlines the ingredients that are backed to boost testosterone—and, in turn, your sex life—in more detail.

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@jimhd Hi again Jim,, I just had a thought, have you ever considered trying the tri-mix before you have the surgery just to see if the less invasive method might be effective. I thought the implant was procedure of last resort, only recommended when all other treatments fail. I guess I’m more old fashion and behind times than I thought. One potential benefit, it may be cheaper in the long run. I remember when I tried Cialis it was $60 a pill. The FDA treats dietary supplements like foods rather than medications. This means many sexual enhancement tablets aren’t rigorously tested for safety. It also means it’s not always clear exactly how or where sexual enhancement supplements are made. Some pills might come from clean, modern facilities, while others might come from facilities that lack safety and cleanliness standards. Shockingly, some pills even contain unlabeled prescription drug ingredients.

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