04-16-08
UPDATE on my attempt to start a chem PE routine- I thought I would post this for anyone who is considering seeing a doctor for Caverject.
Well, just got back from the urologist... interesting experience. I told him about my issue of not being able to maintain an erection for any sufficient time. I have struggled with this for quite some time for me even though I don't have a problem getting an erection. It can be quite irritating. I can get a rock hard erection (10+) but have a heck of a time keeping it. Without strong direct stimulation it deflates fast. I have always chalked it up to getting old, weak PC muscles, and me neglecting my kegels. I told him about trying Viagra and Levitra so he sent me home with a bunch of Cialis samples and a prescription.

He gave me 10mg X5 and 20mg X3. If the 10s don't help I should take the 20s. He says he prefers to take the less invasive road to start.
If I get no improvement with the Cialis then the next step is MUSE or injections. I told him I wasn't interested in MUSE but the injections might be an option.

He also mentioned a vacuum pump and I told him I have one and it's not the greatest tool for a romantic encounter so that's pretty much out.
I have to go back in morning for blood work. They are going to check my testosterone levels but said this would make no difference in treatment options. He said they use to do tons of testing to determine the cause of ED but that it really is a waste of time and resources because regardless of the cause the treatment options are pretty much the same. So no Dopler scans or imaging.
He ran me up a flag pole for stopping my blood pressure medicine. My BP was 188/99. I stopped my medication about 6 months ago to see if it would help with my erection problem, but so far it hasn't. I got the old grease up and assume the position routine. Talk about a humbling experience! My dignity took quite a blow but my prostate is fine.
I have a follow up appointment in June to evaluate effectiveness of the Cialis. If it works the same was as the Viagra and Levitra then I doubt it will help too much, at least I hope not.
I seriously doubted coming away with Caverject the first visit but I was hopeful. I guess waiting until June is not the end of the world. I do plan on ordering my IGF-1 Friday. I was hoping to have him teach me to inject before I started it. It doesn't sound too difficult so I will probably attempt it on my own. I hoping when I go back he doesn't see needle marks and start asking too many questions. He was a really funny, cool doctor. He didn't candy-coat anything. It made me feel more at ease, which I'm sure is part of his job.
It may take me some time to get started but I am determined to give this a go! Until then, I'm on break.
-Iguana