As anyone with a severe venous leak knows, most treatments are not  adequate. Oral medications, injections and the like all are designed  to increase blood flow, which is often not enough when it flows out  nearly as quickly. As far as I know, the only treatments for venous  leak are pelvic floor exercises, constriction rings, and surgery.  Many of the guys with this problem are young like myself, and have  been often encourgaged by their famous urologists (Goldstein, Melman,  etc.) to get implants (which generally only have an average life of  10 years – which could mean 5-6 surgeries over your life).    Pelvic floor exercises impact is limited according to a study in the  British Journal of Urology about 12 years ago, is really only  effective in mild-moderate cases of venous leak.

Good news, gentlemen(and ladies),  I can hardly contain myself and about ready to have an erection.  My PSA test was fine and I dont recall the number on that one but the  low testosterone blood check was anything but low.    Now guys, here is what I’d like to know. My testosterone count was in  the 749/750 range. I understand that to be nanograms/whatever. So I  still have my manhood.    What I’d like to know and maybe I’d answer my own question. Why do I  need to take Viagra if I still have plenty of manhood. It is just my  penis cant keep it hard long enough. I am not dripping any semen  before hand so no pre-ejaculation.    I did not have to drop my pants for anything. I am still keeping  minimal pubic hair for that odor control. I did not know how to  approach the doctor on this. Surely, guys, there must be some of you  out there that trim your hair. And, yes, I DO WASH DOWN THERE.    I am going out of town next week but I would like some input on  should I take it or not. If you want to leave a private email, that  is fine too.    And to the dads out there, Happy Fathers Day, and if you’ve got teen  age sons/grandsons, tell about doing a testicle self exam. You want  to protect your manhood.

I use both Viagra and T-patches. My insurance subsidy has decreased  as of May 1. I once paid 44 cents for each T-patch; now the price is  83 cents. I once paid $1.67 per Viagra tablet; now I must pay $3.13.  Despite the higher copayments, the amount paid remains a fairly small  fraction of the market price.    Have any others had such increases in prices for these two products?

the medication does swell my sinuses  and gives me a mild migraine headache. Tylenol will usually fix this.  Like nearly everyone else, it works in about 30 minutes for me, but I  can become more normal and have more spontaneous control after about  four hours. There is also impact during the next twelve  hours. My worst side efect is shortness of breath. After taking the  pills for the first few times years ago, it seemed like there was  some permanent lung  damage. I never got my breathing back right.    As far as physical shape, I became a karate champion, placed first  and second place for two consecutive years in national competition. I  started this even after I contracted E.D. I hoped that this exercise  would help, but it has made no difference. This was before Viagra  became available in Mississippi, where I live. I worked out in the  gym — weights and treadmill, amino acid supplements, B vitamins,  kick boxing aerobics. None of this help.    Formerly, when I got really worked up and super-hard, one testicle  would retract up inside me. The doctors did not think that this  situation contributes to my E.D. However, I believe that this is a  contributing factor to E.D.    I am a truck driver, and I do have some minor back pain up the middle  of my back. I sleep in my truck quite a lot. I also also hold my  urine for long periods during sleep, and I have wondered if this  could be a factor in E.D.    I also do not have as much seminal fulid as I once did. I have had  some problems over the years with chronic urinary tract  infections. I learned years ago that caffeine, asprin, or B.C.  headache powder, when overused, can cause E.D.    This is my sexual history. I was a sexaholic before this  happened to me, Yes, I am negative for any STDs. That’s the first  thing the urologist checked.

man i came here hoping to find answers,the only answer i found is  there isnt any answers and dont sound like theres much hope,guess the  good life is gone forever.you know all the miracle surgeries doctors  perform ,heart,sex change,heck they can even re atatch amputated  limbs, looks like they could do more to cure this problem.i dont  think they do enough research on this subject,insurances try to avoid  paying.funding seems to be hard no pun intended to  get,yet this has  a very real impact on our mental and physical aspects,it deminishes  the quality of life greatly.i hate the fact that my life is over at  45,i am bascily dead at 45,at least as far as my sex or love life is  concerned.woman just arnt goin to understand or tollerate the  inconvienience,they want spontanious,heated,hard,they also get in  there head if your taking a pill to get an erection,its not them that  gets you turned on its the pill.they also dont kid yourselves loose  respect for you as man.they cant brag to thier girl friends how good  thier man is in bed anymore.well you all know.yeah im freaking  out.but the real truth is this is only going to get worse.it will  never get better.my as well pull the damn trigger and get it over  with.thanks for letting me pound this out.

I got some advice for someone in this group that may help.  I had a  protein defiency. I read some information about protein and amino  acids. I was using Viagra but it would work sometimes and not other  times. I am using a protein supplement to get 40 grams of protein per  day; one’s body needs a minimum of 50 grams. I have been on this for  about three weeks.  It has help with hard-ons and sex.  I have been  able to have sex and maintain a hard on without the use of Viagra.  Not saying it a cure for everyone, but someone in this group  suggested it, and I read about protein first and then tried it out  and it has worked for me.

I still have my prescription for viagra but I see from the literature  about the side effects and I dont want to go through with what has  been noted. A gentleman I talked to just a few days ago told me about  a natural herbal product Noni or whatever the spelling is. Please  tell me if this is good or bad or whatever. Something still bugs me  and that I thought I would at least get some of this pill to try. But  this urologist did not give me any. Do you have to ask first.

Well, I am a doctor and I’m sorry to hear that my profession is  letting everyone down so terribly.  I’m a neurologist by trade and  joined this forum several years ago when I was having some E.D.  difficulties myself (you can wish that upon your arrogant doctors).    Anyway, the reason people think ED is vascular and not neurologic is  because the nerves that supply the penis do not regulate whether  they get erect or not.  Erection is a ‘parasympathetic’ process  while orgasm is a ‘sympathetic’ process.  But these parasympathetic  nerves not only supply your penis, but also your bladder, bowels,  blood vessels and other organs. If there was something seriously  wrong with this system, there would be a lot of other stuff  happening. For example, there are patients with spinal cord injuries  that have serious and significant parasympathetic nerve problems  that lead to blood pressure surges, loss of blood pressure,  constipation, diarrhea (usually a lot worse than garden variety  problems with this).    However, the erection itself is usually mediated by vascular  tissues.  Small valves stop the venous outflow of blood from the  penis, the penis engorges with blood leading to an erection.  Viagra  works through nitric oxide release.  Nitric oxide is a vasodilator  (dilates blood vessels) and that’s what can cause headaches, nasal  congestion and facial flushing with Viagra.  But, in the penis,  while it does dilate the veins, it also helps the outflow parts of  the vein to close and thereby cause an erection.  The mechanism of  closing the outflow tracts, in otherwords, is very sensitive to  nitric oxide.  Arginine is the molecular precursor to nitric oxide  and this amino acid can be converted into nitric oxide.  But, the  majority of us have plenty of this amino acid around and I believe,  though not from research or studies or personal experience, that  there are very few people that are arginine deficient and therefore  would be helped by supplementation.  Nevertheless, it is the  precursor to nitric oxide in the metabolic pathway.    Nitric oxide itself should never be inhaled to get it into the blood  stream.  It should be released from the arginine form in your cells.    Erectile dysfunction can be from many different things. Worst of  all, it can start as something medical or minor (I don’t know about  85% being medical that seems high) and end up being psychological  where your brain keeps getting worried about having problems with an  erection and then, of course, you can’t get one.  As for me, I found  that standard doses of Viagra gave me terrible nasal stuffiness and  headache.  I had to cut back to about 25 mgs.  But I also found that  it worked, for me, for up to twelve hours.  In fact, I like to take  mine several hours before intercourse (right after dinner).  It  doesn’t seem to work for me in the first 30 minutes as well as it  does at three or four hours and I can tolerate the side effects  better when I’m not in the actual act of intercourse. I also have  worked out a lot of issues with my wife which were screwing with my  head and this has helped a lot. About once in every three times we  have sex, we don’t use the Viagra and the majority (but not all) of  those times, things work out okay.  But, I haven’t managed to give  up the Viagra altogether and I doubt I ever will.      Regardless, I sincerely apologize for the way some of you have been  treated by your doctors.  As a doctor myself, this experience has  changed the way I treat my own patients and how I deal with their  problems and issues.  I was never as rude as some of your  experiences but I also was too uncomfortable with the topic to take  these matters seriosuly with my patients.  I hope that I’m a better  doctor for having been through this though I wouldn’t wish it on my  worst enemy.    Let me know if you have any specific medical questions that I can  answer and I’ll try to check this group more often than I have been