Encouraging Mulhall visit

My husband had a routine visit with his ED doctor, Dr. Mulhall yesterday and I went along to see what he had to say. It was a pretty encouraging visit. My husband is 13 months out of surgery. He has nocturnal erections on a regular basis (he wakes up with them a few times a week) but cannot get an erection when he is awake, even with Viagra.

He injects twice a week with trimix, mostly just for rehab. Trimix is usually somewhat uncomfortable for him, so we do not use it for romantic purposes (although we have). He is currently using 10 units of regular trimix and he gets an erection of about 8 on the hardness scale, which lasts for about 90 minutes.

Dr. Mulhall thinks that my husband will definitely recover. He thinks that my husband's problem is adrenaline caused by anxiety, which makes it difficult to have an erection. I think this is a pretty accurate diagnosis since my husband is very hyper and intense and admits to a lot of anxiety about ED. My husband is one of the few patients in Dr. Mulhall's practice who ever had to go as high as 75 units of super trimix (the amount he initially needed to get a level 6 erection). As he healed and his anxiety lessened he kept reducing the amount of trimix he needed, and now Dr. Mulhall wants him to go from 10 units of regular trimix down to 9 units.

Dr. Mulhall says that his nocturnal erections of a level 7 (with no Viagra or trimix) are what his body is capable of now. He should get at least a level 7 erection with 100 mg of Viagra. The only reason he is not is adrenaline.

The program now is to continue to inject twice a week with trimix. Dr. Mulhall does not care if it hurts a little since the main purpose of it now is for rehab. The goal is to heal so that he does not need trimix anymore. He is to take 100 mg of Viagra at least once a month and try for an erection. Dr. Mulhall does not want him to take 25 mg of Viagra nightly as he was doing, as he finds it does not do much after the one-year mark.

My husband had slight peyronies to one side which he successfully treated with a traction device. He recently developed slight peyronies that curves upwards so he will use the traction device again. If that doesn't work but the curvature doesn't get worse, Dr. Mulhall told him to forget about it since it is pretty minor.

My husband feels very encouraged from this visit. I wish he was able to relax about this whole issue.

Over all a good report. Anxiety can cause a lot of strange results. Hopefully this good report will help ease some of his worry.

Andrew

My husband's surgeon told him that he thinks Dr. Mulhall is the best ED doctor in the world. So far Dr. Mulhall has been 100% right in everything that he told my husband - when my husband had problems with trimix early on they told him it was due to anxiety and they were right - the protocol my husband was given for peyronies worked - I hope Dr. Mulhall's optimistic prognosis for my husband is right.

I also find him to be a very kind and patient man.

While I am certainly no Dr. Mulhall, I can absolutely back his statements with my own progress. I was getting nocturnals almost every night since surgery and my ED specialist told me that this was an excellent sign that I would totally recover. So you folks now know that the "hydraulics" work! He also stressed that my anxiety and depression about getting an erection was actually what was holding me back! I did the injections once a week and 5 mg. of Cialis every night. And by the way, if he is getting pain using Trimix, he can certainly go to Bimix which doesn't contain the component that caused the pain. But to my point..... once I got over worrying about getting an erection, that was when I actually got one! As my doctor explained to me, in order to get an erection, your muscles down there must relax and any type of fear or anxiety will surely prevent one from happening. And 13 months is still very early so even very slight external or mental influences can have a major dampening effect. Even though he may not think that he is stressing, he is worrying enough to cause ED. So this is a "catch 22" that must be broken. Once he acheives a natural erection, the worrying will automatically stop and better erections will happen. With them even more confidence will lead to even better erections! An "upwards sprial"! In my case, at 13 months I just started with natural erections with 20 mg. of Cialis. I figured out that it was "nervousness" in my case because when I took a certain presciption pain medication for a back injury, I could see that erections came much easier. So the pain meds were relaxing me and MY MIND!. At 15 months, 5 mg. of Cialis was all that was needed, at 23 no Cialis at all. Just a few nights ago at almost 29 months post surgery, I can honestly say that my erections and enjoyment were 99% of my pre-surgery level. And when you think about that, that includes the 2.5 years of natural aging that occurred from age 58 to 61. Very good indeed.

When I was at you husband's point in time, I would have bet my life that intercourse was over for me. As I keep telling guys here. Healing takes more time than we are led to believe. And don't worry about the often quoted statement that "what you have at 2 years is what you will ultimately have". My healing and improvement have occurred well past the 2 year mark. As a wife, try to get him to relax. A little more visual and physical stimulation may be needed. But he will get over this phase for sure in my opinion. RELAX and good luck.

Bill K. from NJ