Finally found reason for my ED

[SkiDaddy]

Although I have been on TRT for years and levels are good, Viagra 100mg. or Cialis 20mg. does nothing, I kept having problems with ED, I finally found a office that does Doppler Ultrasound of Penis. Results are Venous Leakage, on both sides but more on left side.

 

[DixieWrecked]

Although I have been on TRT for years and levels are good, Viagra 100mg. or Cialis 20mg. does nothing, I kept having problems with ED, I finally found a office that does Doppler Ultrasound of Penis. Results are Venous Leakage, on both sides but more on left side.

doppler ultrasound. That instrument doesn't show a visual image, correct? Isn't more like listening to the penis with a stethoscope?

 

[SkiDaddy]

There is NO stethoscope involved, there is a visual image that you see along with the Dr.
and they explain what they see to you.

 

[Golfboy307]

It gives an image of the arteries and veins in the penis. Shows blood flow.

 

[DixieWrecked]

how much did that cost?

 

[madman]

Percutaneous Treatment of Venous ED - Excel Male TRT Forum

Erectile dysfunction is defined as the recurring inability to achieve and maintain a satisfactory erection for sexual intercourse associated with relevant life impairment. The underlying etiologies may be manifold and complex. Currently, vascular etiologies are highly prevalent, especially...

www.excelmale.com

 

[madman]

Age related ED: How to Prevent it and Manage it - Excel Male TRT Forum

Looking at some of the more recent studies it has been stated that: *No evidence has emerged concerning the development of any form of dependence or tolerance with the chronic use of PDE5 inhibitors. Aging-related erectile dysfunction—a potential mechanism to halt or delay its onset Monica...

www.excelmale.com

Etiology of ARED

All patients with ED will have as their primary cause either a psychological or a physiological reason. All forms of physiological ED other than what is due to a structural anomaly such as a chordee can be relegated to either a vasculogenic, neurogenic and/or a hormonal cause. When men of various ages from 18 to 80 years are studied to determine the cause of their ED, the most common etiology identified regardless of age is vasculogenic, specifically CVOD (17,18). This high prevalence of CVOD, when compared to that of arterial disease (or defective inflow of blood into the penis), is most striking in the younger population i.e., in men younger than 40 years of age (18,19). However, once middle age begins to set in and the onset of hypertension and diabetes mellitus and other middle-age maladies become more prevalent, the incidence of arterial disease as a cause of ED begins to follow suit (20).

Nevertheless, despite this increase in the incidence of arterial disease as men age, CVOD or venous leakage can still be identified in about 67% to 75% of men complaining of ED, regardless of whether they are young, middle-aged, or elderly (17).




Conclusions

The most common cause of ED, regardless of the age of the patient, is vasculogenic due to CVOD or venous leakage. Pathologically, this is due to aging-related apoptosis of the corporal SMC similar to what is believed to also occur in the media of the peripheral vasculature. The apoptotic process in the penis appears to begin early in a man’s life and can be first identified by the increase in the refractory period most men will experience usually sometime around their 3rd decade of life. The progression of this increase in the refractory period over time will reach a stage, depending on the patient’s genetics and co-morbidities, where maintenance of the erection becomes problematic, and symptomatic ED is apparent. In response, the SMC begins to fight the oxidative stress and apoptosis associated with these aging-related changes by producing NO from iNOS. Preliminary data suggest that products that upregulate this NO-producing pathway and/or pharmacologically release NO, and/or protect its product, cGMP, show promise in halting or reversing the cellular changes associated with this aging process. It remains to be determined whether such therapy will also be found to be effective on similar aging-related changes that occur in the media of the peripheral vasculature.

 

[madman]

Unfortunately many are still caught up on.....it must be the T, DHT, estradiol, prolactin!


*CVOD or venous leakage can still be identified in about 67% to 75% of men complaining of ED, regardless of whether they are young, middle-aged, or elderly (17).

*The most common cause of ED, regardless of the age of the patient, is vasculogenic due to CVOD or venous leakage.

 

[Tommy Wall]

Very interesting!

 

[SkiDaddy]

how much did that cost?

$350.00

 

[Swolldaddypump]

Did they say what treatment option are available?

 

[poweller]

My issue seemed to be psychological (performance anxiety?) based on the urologist’s observation that I have morning erections. Two months in, BiMix is working better than I expected. I get impressive, penetrative 2-hour erections. I wonder is men with venous leakage respond to BiMix?

 

[Straightnasty34]

Did they say what treatment option are available?

bump ....whats treatment ?

 

[madman]

Treatment of ED impotence due to venous leakage - Excel Male TRT Forum

www.excelmale.com

 

[xcpatr922]

Unfortunately many are still caught up on.....it must be the T, DHT, estradiol, prolactin!


*CVOD or venous leakage can still be identified in about 67% to 75% of men complaining of ED, regardless of whether they are young, middle-aged, or elderly (17).

*The most common cause of ED, regardless of the age of the patient, is vasculogenic due to CVOD or venous leakage.

My issue seemed to be psychological (performance anxiety?) based on the urologist’s observation that I have morning erections. Two months in, BiMix is working better than I expected. I get impressive, penetrative 2-hour erections. I wonder is men with venous leakage respond to BiMix?

Totally agree it's venous leakage. I've self-analyzed this condition and self medicated.

Method:
- after a few minutes of front penetration, sometimes it's weakening. But if I change position or different position it got really really hard. Sometimes if the V muscle doesn't squeeze our junior, it doesn't get stronger, vice versa.


Solution:
- increase the dosage of PDE5i esp Sildenafil. This solves my issue mainly. Timing it correctly. This is the first piece of advice from my ED doctor.
- Make sure, absolutely, truly absolutely, no eating three hours prior to intercourse and no fatty meals, eat only grain/bread prior.
- Use a cock ring, I use cock ring vibrator that always works. The lady like it too
- Bimix also working for me. Trimix with Apostradil(spell it wrong) is too aching to me.

 

[Cooper]

increase the dosage of PDE5i esp Sildenafil. This solves my issue mainly. Timing it correctly. This is the first piece of advice from my ED doctor.

What did you increase dosage to?

 

[xcpatr922]

What did you increase dosage to?

For Cialis, 20mg. Especially the Indian brand, same 20mg Cialis made in India is stronger than Cialis bought from goodrx.

For Viagra 100mg.

With the PDE5i,lot of trial and error, lucky got good suggestion from ED clinic doctor what is the actual secret. It's the food. I can last 1 hour now with Dapoxetine.