I'm a new Trimix injection user with (I think) a rather unique problem. The trimix works great except that I often hit the wrong spot, resulting in no effect or unwanted bleeding.

My (again I think) uniqueness is that I have a penis that is very small when flaccid (1" or so), and when fully erect increases to a little over 6". Thus, when injecting, due to small flaccid size and girth, I think the standard 1/2" length needle is going thru the corpus cavernosum and into the corpus spongiosum. This seems to have happened a few times and results in spontaneous bleeding around the head of the penis as the blood vessels in that area dilate from the Trimix, and of course, results in no erection effect.

I've tried pre-increasing size with a VED, (no ring), but that doesn't always work either, since by the time I'm ready to inject, size has shrunk somewhat.

I'm thinking about switching to 7/16" or 3/8" needles to minimize this. Has anyone had a similar problem?

I am well aware of the structure and inject techniques, but if you've had a similar problem and solved it, I'm open to suggestions.

Jim

Post Edited (*JimO*) : 6/7/2014 1:07:03 PM (GMT-6)

I also use a 5/16 31 gauge needle and it has always worked great and has very little pain when injecting….if it is hard to push the plunger, then I just push it in a little harder….works great !!!

Curt

Actually, we agree with you. We both said 5/16" needles. The finer gauge helps with comfort, too.

Yes, I can see how the bleeding would be disconcerting. It's not a problem I have had but other guys have mentioned it and it never seemed to be a big deal (except for being a shocking waste of trimix.)

*JimO* said...
The 3/16" was a typo. I meant 5/16". Must be the "OldTimer's" disease kicking in.

Jim

I make endless typos not because of OT's disease but because I am a crappy typist. If you think you have gone in too far, you could back up a smidgin until you can aspirate blood. Or I suppose until it is really easy to inject, but seeing blood aspirate freely is an encouraging sign.

I have been using 0.5 ml needles 31g, 5/16" with my Trimix. When I got my Bimix yesterday, I picked up 20 1 ml 30g, 1/2". But then I got to reading that the Bimix had an even higher risk of fibrosis than Trimix and plain alprostadil had the least risk of all. So as I was already paranoid about fibrosis with the Trimix I have not yet had the courage to try my new needles with the BImix. But I need to get back to injecting something, not just because it leads to fun, but to keep the blood flowing. This seems a real rock(in more ways than one) and a hard place. It's one thing getting your head right about jabbing a needle in your penis, and getting over worries about an ER visit, but possibility of Peyronie's is a tougher one to get past.

*JimO* said...

BillyBob@388 said...

*JimO* said...


If you think you have gone in too far, you could back up a smidgin until you can aspirate blood. Or I suppose until it is really easy to inject, but seeing blood aspirate freely is an encouraging sign.

I would think that even if you were in the right place, you would still aspirate some blood. I've just been pulling the needle out a bit to avoid the problem.

Jim

Yes, exactly, I agree. Assuming you are well past the superficial and obvious surface veins, then blood is what you want to see upon aspiration. If you are in too deep or not deep enough, you won't get any blood flow back into the syringe. Because of the same thing that would hinder an easy injection that requires almost no pressure on the plunger, that is to say: the needle tip is in the tissue rather than in the corpora cavernosa. The C. Cavernosa is more or less just a big vein filled with spongy tissue, so I would expect some blood if I am in there. Not far enough in (in the tunica albuginea) or too deep into the wall that separates the two cavernosa chambers, and you get resistance to injection and no blood and no/poor response.

Of course, you can be too shallow and still get blood from a surface vein, but you should be able to see those and inserting nearly all the way to the hub is certain to get past those veins even if you do go through one. So, I think in general getting blood is a good sign. Funny though: I did not think of the C. cavernosa as a vein at first. So as soon as I popped in there on the 1st ever try, I got blood, freaked and pulled the needle out and quit.

*JimO* said...
.................................
I've tried pre-increasing size with a VED, (no ring), but that doesn't always work either, since by the time I'm ready to inject, size has shrunk somewhat. ...........................Jim

Oh BTW, James C. describes a technique that of using the pump to get a slight erection( ~1/3) and then putting the ring on to hold the blood in. This apparently makes a much easier target, bigger to see better and help avoid the surface veins, easier to tell when you have popped through, etc. then he leaves the ring on for a few minutes hoping to increase absorption, helping prevent outward blood through the veins carrying the meds away before absorption. I plan to try this soon.

Also, angling forward does indeed sound like a good idea, maybe decreasing the chance of going too deep? May have to try that also.

*JimO* said...
BillyBob

Yeah! I saw a post somewhere that recommend the same thing. Spoke to a couple of my professional friends and general opinion was that the ring blocks incoming as well as outgoing blood, but, truthfully, they really don't know if it helps or not. I would think it's certainly worth a try. Keep me posted. I'll do likewise.

Also, I spoke to the pharmacy today. As far as shorter syringes, they only have 5/16" available. I know you and Peter are having success with them, but I wonder if there is anybody else following this that might want to insert an opinion? I'll probably pick up a few to try.

Seems to me that a 1/2" syringe might be a little risky for anyone. Starting out, I had a problem about 1/2 of the time until I realized what was going on.

Jim

It may well block incoming as well as outgoing, at least with the strong rings that came with my pump. But I guess the idea is to hold the drug in the cavernosa preventing it's flowing out of the veins for a few minutes until it is better absorbed by the tissues, while some massage is going on to spread it around. Then after a few minutes- I can't remember how many maybe 4 or 5? - the ring is removed, everything is starting to dilate from the absorbed drug and the blood flows in. Maybe James C. will comment soon, as I have not actually tried it. I think for one thing he has found this to allow him to use much lower doses, but it is all just theory for me at this time.

And of course, none of this is part of the recommended technique for injection by the drug manufacturers. But it does seem like at the very least it would make injection easier. Sort of like the difference in trying to inject a deflated balloon without going all the way through and sticking the other side, vs a balloon that is inflated.

I have been using 5/16 31g, but my new batch is 1/2"(8/16) 30g. I think the recommended by Mulhall and the drug makers is 29g, 1/2". I suppose with the 5/16 you have to be more careful to push to the hub to make sure you get in deep enough. Again, aspirating blood seems to be the best confirmation for me, assuming you are sure you have avoided and gone deeper than all of those surface veins. But, if I am injecting myself- I have had my wife do it- this can get tricky. IOW, while I am trying to aspirate, things can move around and I can come out or go to deep! So maybe that's why the directions say to just push it in to the hub and inject unless you feel resistance, then back up a bit until you don't. That requires less manual dexterity than sticking the needle in and then trying to pull back on the plunger to aspirate.

Oh the fun of learning new skills for my resume!

EDIT: https://www.healingwell.com/community/default.aspx?f=35&m=1827385
from post #1 by James C. : "I don't combine by injections with other items such as pills or pump, but some here do. I, and several other guys, use what I call a pre-plump method to ensure successful injections. It begins with a penis pump, if you have one, and a penis ring. Using the pump, obtain a partial- maybe 30%- erection and apply the ring. This engorges the penis with blood, opening the cavernous cavities and filling them with blood. Then inject into this expanded cavity. Imagine injecting into an uninflated balloon, and putting the drug into the inside, versus injecting into a partially inflated one. That's what is being accomplished with this method. When injecting, you can easily tell when the needle point enters the cavity, as the resistance will drop and the needle will feel like it has 'fallen' into it. Inject and very lightly massage the penis, the purpose is to spread the drug around and ensure optimium adsorption of the drug. Keeping the ring on for 3 or 4 minutes holds the blood (and drug) inside and lets it have the best chance of being adsorbed. Continue to gently massage the penis and the drug around for 3 to 4 minutes, then remove the ring- the blood will most likely run back out of the penis, until the erection begins. You should get the drug induced erection in 5 minutes or so. Most of us who use this method find we can use much less drug, we can control results more consistently from one time to the next and reduce the chance of priaprisms."

Post Edited (BillyBob@388) : 6/10/2014 8:14:48 AM (GMT-6)