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Suggest Treatment For Low Testosterone Levels
Question: To whom may I speak regarding testosterone and ED injections?
not--as I am--a urologist? what's the difference?
not--as I am--a urologist? what's the difference?
Brief Answer:
Hormones are part of endocrinologist:
Detailed Answer:
Hello again,
Usually the endocrinologist deals with the hormonal side, the urologist deals with vascular or mechanical problems of the urogenital tract.
Regards,
Dr.Mirjeta
Brief Answer:
Would be a pleasure to help you;
Detailed Answer:
Hello,
Endocrinologist are the specialists who deal with them.
Will be a pleasure to help you, just write the questions or concerns you have.
Kind regards,
Dr.Mirjeta
Hormones are part of endocrinologist:
Detailed Answer:
Hello again,
Usually the endocrinologist deals with the hormonal side, the urologist deals with vascular or mechanical problems of the urogenital tract.
Regards,
Dr.Mirjeta
Brief Answer:
Would be a pleasure to help you;
Detailed Answer:
Hello,
Endocrinologist are the specialists who deal with them.
Will be a pleasure to help you, just write the questions or concerns you have.
Kind regards,
Dr.Mirjeta
Above answer was peer-reviewed by :
Dr. Yogesh D
I use Trimix, and it worked well for three weeks. It didn't the last time I tried it.
Is there a correlation between ejaculation and the intervals of time sexual activity takes place. What I described happened on Friday. I would like to try today, but am nervous about doing so.
My urologist says my testosterone is "border line low." Would you advise injections.
This is really frustrating.
Brief Answer:
Increase the dose of Trimix:
Detailed Answer:
Hello again,
At your age the testosterone is expected to be ''borderline low''. Usually the low testosterone level causes loss of libido and not ejaculation problems. So i do not think testosterone injections would help in your case.
As trimix has helped before, you should keep using it. You should know that the dose should be adjusted according to the symptoms. If ejaculation is not reached with the actual dose, you should increase it.
The common initial dose should be .05cc to .2cc depending on the level of ED. Increase by 0.025 cc to 0.050 cc until a satisfactory dose is reached.
Hope the information will help.
Kind regards,
Dr.Mirjeta
Increase the dose of Trimix:
Detailed Answer:
Hello again,
At your age the testosterone is expected to be ''borderline low''. Usually the low testosterone level causes loss of libido and not ejaculation problems. So i do not think testosterone injections would help in your case.
As trimix has helped before, you should keep using it. You should know that the dose should be adjusted according to the symptoms. If ejaculation is not reached with the actual dose, you should increase it.
The common initial dose should be .05cc to .2cc depending on the level of ED. Increase by 0.025 cc to 0.050 cc until a satisfactory dose is reached.
Hope the information will help.
Kind regards,
Dr.Mirjeta
Above answer was peer-reviewed by :
Dr. Kampana
I increased it yesterday --twice and no result. Phoned pharmacy just now and they rattled off a series of questions, and concluded I was doing everything correctly.
They expressed XXXXXXX that it worked so well the first two times but not afterwards
I went through the same problem for two months last year, then tried caverject. It worked so well after two times that, I resumed oral medication--cialis, viagra, and XXXXXXX Then difficulties arose in April. Tried coverlet; didn't work. Then trimix.
You said nothing about my the intervals between injections. So I assume that doesn't matter.
What is stronger Trimix or Caverjet ( which now comes in .40 cc[?]?
Baffled.
They expressed XXXXXXX that it worked so well the first two times but not afterwards
I went through the same problem for two months last year, then tried caverject. It worked so well after two times that, I resumed oral medication--cialis, viagra, and XXXXXXX Then difficulties arose in April. Tried coverlet; didn't work. Then trimix.
You said nothing about my the intervals between injections. So I assume that doesn't matter.
What is stronger Trimix or Caverjet ( which now comes in .40 cc[?]?
Baffled.
Brief Answer:
Caverject versus Trimix:
Detailed Answer:
Hi again,
Regarding to interval of injections:
Both TriMix and Caverject carry a warning that they should not be used more than once every 24 hours, and not more than three times in a week, or else incidence of fibrosis (scarification and curvature of the penis) rises.
Caverject contain Alprostadil, while Trimix alprostadil, papaverine, and phentolamine, so i would say that trimix is stronger (if the dose of alprostadil is the same at both preparations).
There is an option for cream preparations of Trimix that is more easy to use than the injections.
Normally they are a second alternative when viagra, cialis are not efficient.
Regards,
Dr.Mirjeta
Caverject versus Trimix:
Detailed Answer:
Hi again,
Regarding to interval of injections:
Both TriMix and Caverject carry a warning that they should not be used more than once every 24 hours, and not more than three times in a week, or else incidence of fibrosis (scarification and curvature of the penis) rises.
Caverject contain Alprostadil, while Trimix alprostadil, papaverine, and phentolamine, so i would say that trimix is stronger (if the dose of alprostadil is the same at both preparations).
There is an option for cream preparations of Trimix that is more easy to use than the injections.
Normally they are a second alternative when viagra, cialis are not efficient.
Regards,
Dr.Mirjeta
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Thanks for you comprehensive responses and please forgive the stylisic and grammatical imperfections in some of the above questions.
I saw my urologist today. After some pressure from me we agreed on TriMix Super
100 (mcg) of alprostadil; 3 mg phentolamine; 30mg papervine. He wanted me to first try .50 cc (?) of TimMix standard But I wanted to wait. I see my parter on Friday wanted to be ready for my friend.
He did warned me of the dangers (of which I was aware) of priapism. But I have been taking ED medications for 10 years. I routinely started with the highest dose, and sometimes--I know this is wrong--doubled the quantity. They worked up to last year. Priapism was never a problem. He prescribed the smallest dose ( I don't have the prescription) and indicated a slight increase --so the pharmacist in Florida, three thousand miles away) told me if there was no satisfactory result in twenty minutes.
How real, in your opinion, is the danger of priapism under the dosage he prescribed? I know you cannot answer authoritatively My interest is in an erection, but not at any cost, of course.
The problem was with that first bottle of TriMix standard. It worked perfectly twice once on a Wednesday under my doctor's supervision, the other on a Friday. And that was it. I waited an entire week before trying it a third time. Nothing. Two days later the same thing.
The pharmacist suggested my doctor examine the bottle. But he was not interested (he'd just come from surgery).
Can you speculate as to the reasons for the mishap. The pharmacist (or the doctor or myself) can't understand what happened. The directions say the medication should be frozen, but I left in the refrigerator for a week. Maybe that had something to do with it.
Thanks
I saw my urologist today. After some pressure from me we agreed on TriMix Super
100 (mcg) of alprostadil; 3 mg phentolamine; 30mg papervine. He wanted me to first try .50 cc (?) of TimMix standard But I wanted to wait. I see my parter on Friday wanted to be ready for my friend.
He did warned me of the dangers (of which I was aware) of priapism. But I have been taking ED medications for 10 years. I routinely started with the highest dose, and sometimes--I know this is wrong--doubled the quantity. They worked up to last year. Priapism was never a problem. He prescribed the smallest dose ( I don't have the prescription) and indicated a slight increase --so the pharmacist in Florida, three thousand miles away) told me if there was no satisfactory result in twenty minutes.
How real, in your opinion, is the danger of priapism under the dosage he prescribed? I know you cannot answer authoritatively My interest is in an erection, but not at any cost, of course.
The problem was with that first bottle of TriMix standard. It worked perfectly twice once on a Wednesday under my doctor's supervision, the other on a Friday. And that was it. I waited an entire week before trying it a third time. Nothing. Two days later the same thing.
The pharmacist suggested my doctor examine the bottle. But he was not interested (he'd just come from surgery).
Can you speculate as to the reasons for the mishap. The pharmacist (or the doctor or myself) can't understand what happened. The directions say the medication should be frozen, but I left in the refrigerator for a week. Maybe that had something to do with it.
Thanks
Brief Answer:
About Trimix efficiency:
Detailed Answer:
Hi again,
The risk of priapism with Trimix injections is about 16 % (of course in larger doses the risk is the highest). Using high doses without sliding scale (increasing it gradually) increases the risk of priapism.
There should be a very detailed analysis to try to find out why Trimix does not work some times, there are many causes starting from the examination of the bottle, the way you inject it, the environmental factors (psychological status ect).
You should discuss them carefully with a physician in person.
Best wishes,
Dr.Mirjeta
About Trimix efficiency:
Detailed Answer:
Hi again,
The risk of priapism with Trimix injections is about 16 % (of course in larger doses the risk is the highest). Using high doses without sliding scale (increasing it gradually) increases the risk of priapism.
There should be a very detailed analysis to try to find out why Trimix does not work some times, there are many causes starting from the examination of the bottle, the way you inject it, the environmental factors (psychological status ect).
You should discuss them carefully with a physician in person.
Best wishes,
Dr.Mirjeta
Note: Consult a Urologist online for consultation about prostate and bladder problems, sexual dysfunction, kidney stones, prostate enlargement, urinary incontinence, impotence and erectile dysfunction - Click here.
Above answer was peer-reviewed by :
Dr. Prasad
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