erectile dysfunction

  1. Nelson Vergel

    How Have Penile Implants Improved, and When Is a Penile Prosthesis the Right Choice for Treatment-Resistant ED?

    Curated By Nelson Vergel | ExcelMale.com | Updated June 2026 Key Takeaways • The three-piece inflatable penile prosthesis (IPP) carries patient and partner satisfaction rates exceeding 90%, higher than any pharmacological ED treatment. • The FDA approved the Titan Prime...
  2. madman

    The Missing Piece in Erectile Dysfunction: The Fibroblast as an Emerging Therapeutic Target

    The Missing Piece in Erectile Dysfunction: The Fibroblast as an Emerging Therapeutic Target by Dr. Eduardo Guimaraes, Research Specialist, Karolinska Institutet, Stockholm
  3. madman

    What can erectile dysfunction say about men’s health?

    https://www.cbc.ca/listen/cbc-podcasts/410-the-dose/episode/16210375-what-can-erectile-dysfunction-say-about-mens-health Erectile dysfunction is commonly thought of as a sexual health issue, but experts say the condition can reveal a lot about men's health. Dr. Dean Elterman, a urologist at the...
  4. R

    What has worked to get PDE5 inhibitors to work effectively again?

    I have been using Cialis/Levitra over the past decade, and I have observed that the efficacy of these medications seems to decrease over time. There seems to be a lot of feedback that others have experienced the same. I have added citrulline and also Maca to boost the effectiveness, but haven't...
  5. madman

    History of Peyronie’s disease

    Figure 7 https://academic.oup.com/smr/article/14/1/qeaf064/8317423 Conclusion PD is a localized FP condition of the penis and has been recognized for millennia. A myriad of oral and topical treatments have been advocated over time, usually anecdotally with short duration, small...
  6. R

    The dissapointment is real. Poor effect from Invicorp.

    Hi all. Middleaged man with lifelong ED here. Viagra/Cialis worked fine for years. I am in good shape, good blood panel, good BP. Dont smoke, drink or have diabetes. Since pills, in different combinations are no longer suffiently effective, I went to the urologist. I had a test shot, full...
  7. phalloguy100

    Trimix / Edex injection questions

    I have tried Edex and Trimix, with better results on a smaller dose of Trimix. I use an auto injector, and try to do the 1-3 o'clock position. Here's my problem: too many surface veins everywhere!! I think you're supposed to inject closer to the base of the penis, but I often have to go...
  8. madman

    Myths and Facts About Penile Implants

    Chapters 00:00 Introduction 00:40 Dr. Rafael Carrion 01:05 Dr. Vijayant Gupta 01:25 Mr. Vaibhav Modgil 01:50 (Dr. Carrion) Myth: Penile implants are only for older men. 04:00 (Dr. Gupta) Myth: Penile implant surgery is only for severe cases of erectile dysfunction. 05:51 (Mr. Modgil)...
  9. madman

    The Modern Penile Implant: How Today’s IPP Technology Restores Sexual Confidence

    Erectile dysfunction and male continence issues often go hand-in-hand — but most men never hear why. In this expert-led webinar, Dr. Nicholas Deebel, M.D., breaks down the shared pathways behind ED and urinary leakage, why they commonly co-occur, and how to choose the right next-step treatment...
  10. madman

    New Research Reveals Erectile Dysfunction Linked More to Blood Sugar Than Testosterone

    * “While testosterone certainly influences libido and general sexual well-being, its role in erectile function is less direct. Erections depend primarily on vascular and neurological integrity,” Zitzmann notes. * “When men present with sexual complaints — especially erectile dysfunction —...
  11. S

    How can I regain my libido without side effects?

    I'm suffering from low libido. I've tried Clomid which helped but it caused hair loss where i saw my hairs in the shower tub. I'm hesitant in trying it again. What can I do in order to regain my libido without causing any hair loss? When it comes to low libido, should I consult with a uro or...
  12. S

    Damage to my penis... please help

    Hi guys.. I've had ED for years. I was prescribed trimix and misused it by injecting myself multiple times in one session which I know was extremely stupid but I was desperate cuz I couldnt find my dosage and didnt want to disappoint my gf. This happened in May last month. I shouldve tested it...
  13. madman

    Beyond the Bedroom: The Hidden Truths of Male Fertility & Sexual Health

    In this enlightening episode of Secrets to Mindful Health, Dr. Justin Dubin discusses the often-overlooked aspects of male fertility and sexual wellness. He emphasizes the importance of male health in the context of fertility, debunks myths surrounding male infertility, and provides actionable...
  14. C

    First time with Trimix, my experience

    Hi everybody, thought I'd share my experience with Trimix . For the first time ever since the Dopler ultrasound over a decade ago, I took Trimix. Purchased from a compound pharmacy here in Montreal area, with a prescription from my urologist. $105 for 5 ml. Yesterday I accidently injected...
  15. S

    My PT141 Arrived Today - Is 20 Units Considered Too Much?

    Hi guys.. My pt141 arrived today with instructions to keep it refrigerated. I never tried it before in my life. Dosage of injection is 20 units. I assume 20 units is whats marked as '20' on the syringe, correct? If thats the case, is that considered too much for a 1st time user?
  16. madman

    Tackling advanced erectile dysfunction

    In this episode, titled "From investigation to resolution. Tackling advanced erectile dysfunction (ED)", experts Dr. R. Rees (GB) and Dr. V. Sahdev (GB) will take you through a thorough exploration of diagnostic techniques and cutting-edge treatment options. They will examine the underlying...
  17. V

    can high blood pressure meds help Erectile dysfuction ?

    Male 31, very fit and active, good diet, i dont smoke, no drugs, no diabetes, no cholesterol, all blood tests are fine, no known sickness, no pelvic floor problem, and my test is at good levels right now. Every time i saw my doctor over the last years he took my blood pressure and told me yes...
  18. L

    A Cautionary Tale...

    TLDR: I fucked up my hormones because I didn't listen to everyone on the site, and now I'm paying the price. Stay away from hormone treatments if not medically necessary. Hi Everyone, I'm here to post a follow up to two posts I made a couple of years back as a cautionary tale to others who...
  19. M

    Is it low T or High Blood pressure

    First time posting here. I am 40 years old. My history - June 26th - High glucose readings (7.1 to 7.4 fasting). Started Keto Diet (no carbs) July3rd - had 25 saucy chicken wings and lost my erection July14th - erection was back July 21st - ate Salty Basil chicken and lost my erection July 27th...
  20. madman

    Reclaiming Confidence A Deep Dive into Penile Implants

    The impact of a prostate diagnosis on sexual health and the transformative role of penile implants are two frequently ignored topics that Dr. Geo Espinosa and the esteemed Dr. Justin Dubin discuss in this eye-opening episode of The Dr. Geo Podcast. What You'll Learn: Penile Implants 101: Get a...
  21. madman

    New Frontiers in Men's Health

    Dr. Helen Bernie, assistant professor of urology and director of sexual and reproductive medicine at Indiana University, and Dr. Daniel Williams, professor in clinical urology, vice chair for education, and residency program director at the University of Wisconsin School of Medicine and Public...
  22. S

    Association between sex hormones and erectile dysfunction in men without hypoandrogenism

    I saw this featured on Dr Thomas O'Connor's IG page the other day, and thought it was interesting - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11167061/
  23. madman

    Long-term Effects of PDE5i on Cardiovascular Outcomes and Death

    *This is the first meta-analysis to fully assess the long-term effects of PDE5i on hard cardiovascular endpoints. The major finding of our analysis is that the use of PDE5i is associated with a reduction of 22% in MACE and 30% in all-cause mortality primarily in middle-aged men with a rather...
  24. madman

    Instruments for Penile Prothesis Surgery

    Our Aim To increase the quality of surgery and patient satisfaction by: Validation of surgical training and the assessment methods Standardization of evidence-based multispecialty and multi-tool training Dispersion throughout Europe of uniform training pathways based on these standards...
  25. madman

    Erectile Dysfunction Treatment: State of the Art Care in 2024

  26. madman

    Inflation and deflation of penile prosthesis

    How does a Penile Implant actually work? Patients often struggle to inflate and deflate the implant initially. We hope this video helps both clinicians and patients. https://www.manchesterurology.org.uk/treatments/fertility-sexual-dysfunction/inflation-and-deflation-of-penile-prosthesis Video...
  27. madman

    The Shocking Link Between Erectile Dysfunction and Heart Attacks

    *ED is a progressive disease *15% of men with ED experience a cardiovascular event, like a heart attack or stroke, within seven years. Renowned expert Dr. Mo Khera sheds light on common sexual dysfunctions in both men and women, emphasizing the startling connection between erectile...
  28. madman

    The Most Powerful Tool to Treat Erectile Dysfunction

    In this episode, Dr. Rena Malik and guest Dr. Lori Brotto discuss the benefits of mindfulness in treating male sexual health issues, particularly focusing on men with situational erectile dysfunction and prostate cancer survivors. They explore how mindfulness can reduce performance anxiety and...
  29. madman

    A 25-YEAR CELEBRATION OF THE LITTLE BLUE PILL THAT REVOLUTIONIZED AN INDUSTRY

    https://www.nytimes.com/1998/05/06/nyregion/vortex-viagra-madness-long-days-for-urologist-men-clamor-for-prescriptions.html *In the early days, up to 10,000 prescriptions daily were written. Urologists were using rubber stamps to churn out prescriptions INTRODUCTION AND OBJECTIVE The...
  30. V

    Canada UGL cialis/viagra, best results you had : Syn vs Deus vs olympiagold

    Canada UGL cialis/viagra, best results you had : Syn vs Deus vs olympiagold Which one had the best result for you ? To this day all i tried was syn pharma 5mg cialis. And yeah.. its wayyy less potent than generic 5mg cialis from pharmacy. (but the generic one from pharmacy is 10 times more...
  31. madman

    EFFICIENCY AND SAFETY OF COMBINING LONG-ACTING AND SHORT-ACTING PDE5 INHIBITORS

    Introduction Erectile dysfunction is a condition that affects many men worldwide, significantly impacting their quality of life. PDE5 inhibitors (PDE5i) are commonly prescribed medications for treating this condition, but some patients do not adequately respond to these treatments. Objective...
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