Successful self penile injection hints, questions, and answers. Most men begin injection therapy with Trimix, which is a mixture of 3 ingredients: alprostadil, phentolamine, and papaverine. Hands down the best. Pull back on the plunger of the syringe until it reaches 0.1 millilitre above your prescribed dose. 5 stars for sure!! Everything post consult was done expediently and professionally as promised. Keep up the great work!! I really feel decades younger. Use a new vial for each dose of CAVERJECT. The doctors are great, and the fast scheduling of consults and timely shipments are a plus as well. His deep product knowledge and sound advice gave me the confidence what I chose would yield the results I wanted safely. Careers. This video demonstrates how to use the Autoject 2 device to administer an intracavernosal injection into the penis. 2. We will be happy to reschedule another one for you. Feeling bad is not at all normal or something us woman have to get used to like Ive been told by other doctors before. Tina has been awesome! This was life changing for me I wish I had done it sooner.I cant say enough about Erica she was so professional and very patient answering a million questions for me and making me feel at ease. Thanks again Tina! Once the Intracavernosal (ICI) therapy protocol established, this treatment works predictably and reliably every time. 2013 Jan;189(1):238-42. doi: 10.1016/j.juro.2012.08.089. The urethra is simply a tube that runs through the penis. Prostaglandin E1 with phentolamine for the treatment of erectile dysfunction. [Prostaglandin E1 in erectile dysfunction]. Intracavernosal injections (ICI) involve a direct injection of potency-enhancing medication directly into the penis. In fact, a 2012 review showed that an estimated 89 percent of participants reported satisfying results from the injections. Never have I ever felt so rejuvenated and vibrant than after treatment with AAI! I filled out the online questionnaire and promptly received contact as requested.John, a Wellness Advisor of AAI, possessed a wealth of knowledge and had the answers to all of my questions immediately available.Since I had already completed the required blood work prior to contacting AAI, the entire process from initial inquiry to receipt of my over-nighted prescriptions was completed electronically (Email, Phone calls, texts etc).At about the midway point of my first TRT period Tina, a Clinical Director from AAI, scheduled the necessary tests for me at a local lab. [Clinical evaluation of intracavernous self-injection of vasoactive drugs for impotence: a long-term follow-up observation]. There are many medications used to treat atrial fibrillation (AFib). He has been there for all my question and concerns and has become a good friend. What are the advantages of ICI compared to oral medications? I went to AAI feeling tired all the time and my body had atrophied quite a bit. However, it is important to talk with your doctor and to read the instructions thoroughly before your first use. Im 42 and couldnt feel and look better along with my fianc liking what she sees and experiences! In general, an erection should follow an injection within 5 to 15 minutes. Nathan has been there for all my question and concerns for over two years now. Non-drug treatments are suitable for some patients, while prostaglandin E1 is the most appropriate drug for intracavernosal injection. Which one is right for you depends on a variety of different factors. The emerging of intracavernosal injection (ICI) of vasoactive materials was a major breakthrough in the treatment of erectile dysfunction (ED). A recent study shows that 87% of men who use ICI for more than 2 years are happy with the procedure. An erection rigid enough to allow penetration gradually appears after about 15 to 20 minutes, and it can last for about an hour. Through the specialized diet and finess program provided to me by Nate, along with the properly advised HRT program, I have seen nothing short of Amazing results. My experience with the company has been nothing but professional. Once reconstituted with 5 mL of Bacteriostatic Water: Papaverine HCl 30 mg/mL, Phentolamine Mesylate 2 mg/mL, Prostaglandin E1 20 mcg/mL, Atropine Sulfate 200 mcg/mL. An ICI is an artificial way to obtain an erection, by injecting a drug into one of the corpus cavernosum, which is helpful if theres a neurological or vascular defect. They help treat ED by improving blood flow to the penis, which leads to firmer erections. Plenty of standard erectile dysfunction treatments exist, but many men prefer natural treatments. Alternatively, they can be obtained from a large compounding pharmacy in Toronto, with rapid home-delivery through a special order from Dr. Marois. Thanks AAI for literally turning my life around in many ways ! Cialis or generic tadalafil is available from online services, along with other options for people looking to buy ED medication online. I just recently decided to take control of my health, I have been battling an immune deficiency for about four years now. This should only be done immediately before administering each injection. While there is strong evidence for their effectiveness, this medication isnt guaranteed to work for everyone. Urol Clin North Am. Its a higher form of erectile dysfunction(ED) treatment for men and yet simple to apply or to use. To optimize your chance of long-term improvement, complete the full course of treatment as recommended, look after your general health, maintain a healthy diet and an active lifestyle, reduce stress and control your vascular risk factors if any. Hsiao W, et al. While the thought of injecting a needle into your penis may make you cringe, a 2019 review found that penile injection therapy is generally an effective and well-tolerated treatment for ED. He is a great asset to have on your side. AAI Rejuvenation provides you with a caring personal specialist who is always availble for you. I did a 20 week therapy of testosterone, HCG, HGH, Ipamorelin/Semorelin, and BCCA's.. My energy, sleep, fat lose, muscle gain, recovery time, skin, healing from injuries, STAMINA, mood and more have dramatically improved. I was feeling sluggish and lazy and found out my testosterone levels were not optimal. Push the plunger quickly to release all the medication. Last medically reviewed on June 21, 2022. }, Does It Lead to Decreased Sex Drive and Desire, Testosterone affects on women's sexuality, Testosterone Therapy Improves Sexual Interest, Body Mass Index (BMI) Measure of Body Fat, Testosterone Therapy with AAI Rejuvenation, HORMONAL OPTIMIZATION, THE ULTIMATE GUIDE, Testosterone Therapy For Women, Guide to HRT for Women, AAI Rejuvenation Clinic (Testosterone, Sermorelin, hgh, Ipamorelin), Maintain full erection quickly with or without stimulation, Control your construction for 30, 60 or 90 minutes, No side-effects and Safe and convenient treatment, No restrictions on food, alcohol or medications. Injectable ED medications. I'm already feeling more energy, more focus, and better well being. From my first contact with them to ongoing customer service to answering any questions I havethe team at AAI is amazing. Thank you AAI clinic for making me feel young again. All these medications work by relaxing the smooth muscles and widening the blood vessels in your penis. MeSH The team takes your treatment personally and is readily available to answer questions and support you throughout your treatment journey. Bruising around the injection site is common. I want to give a big thank you to John Preston for making this process so easy for me. To treat priapism, try applying an ice pack to your penis. Aim To review the literature and summarize the use of ICI and its role in the diagnosis, evaluation, and treatment of ED. Intracavernosal Injection for the Diagnosis, Evaluation, and Treatment of Erectile Dysfunction: A Review ICI of vasoactive agents remains an important tool in treating and diagnosing ED, with high patient satisfaction and efficacy rates. I have had great results and Is highly recommend by me. Before starting my HRT with AAI, I was losing all hope. It can be used long-term, though youll want to vary injection sites each time you inject. You get so much more with AAI then just the therapy. These drugs work through smooth muscle relaxation. It is 100% worth it. For example, people who develop ED after prostate cancer treatment may be eligible for coverage. Adjust your hand so your thumb or index finger can push the plunger. Penile injection is a form of urethral medication that uses a tiny needle to inject the medication into the side . Intracavernosal (ICI) therapy is by far the most effective treatments available, now in days and It is safe and suitable for men with Erectile Dysfunction problems, regardless of age or medical condition Intracavernosal (ICI) therapy will work. Hold an alcohol swab on the injection site for about seven minutes to prevent bruising. Papaverine injection should not be used as a sexual aid by men who do not have erectile dysfunction. However, if you are experiencing these difficulties several times a week and over several weeks, it may be time to see a doctor. Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. I received a follow up call from the Doc letting me know the results of the tests, which included a complete metabolic panel.I am about 75% through this TRT period and I have noticed several very positive responses to treatment:Reduced body fatIncreased muscle massIncrease in strengthReduced joint pain (previous injuries)Increased quality of sleepIncreased activity levelsImproved moodI don't think I could be more pleased with the services provided by AAI, and I will be using their services again in the future. Injections are delivered with a fine-gauge diabetic needle (we utilize a 29-gauge needle) inserted midshaft at the 2 o'clock or 10 o'clock positions. They are always available to answer any questions I may have about the program. Be the first to rate this post. I would absolutely recommend them 10/10. Not sure where to begin. In less than three months of following my personally designed HRT program from Nate, my assigned and always available health coach/consultant, I have already gained 20 lbs in lean muscle and regained 2 and 1/2 inches in height. contraindications include history of hypersensitivity to . 4 0 obj Erectile dysfunction: Trimix injections. The combination causes dilatation of the penile arteries and penile tissues, increasing blood flow to the penis, which then stored in the erectile chambers. I would recommend them to all my friends & family. Healthline Media does not provide medical advice, diagnosis, or treatment. (2015). www.aaiclinics.com. Great service and products. PHARMACOLOGICAL THERAPY OF ERECTILE DYSFUNCTION. 1988 Nov;15(4):625-9. To ensure the smooth running of the clinic and a minimum of courtesy towards other patients and our staff, we ask you to notify us 48 hours in advance for the cancellation of a consultation, 5 working days in advance for a surgery at the office and 21 working days in advance for a major surgery. Slowly press down on the plunger with your thumb until all the medication has been injected. This seems to indicate that while the injections were widely successful, a large number of participants didnt choose to continue with the medication. Men with recent-onset psychological Erectile Dysfunction still have a reasonably intact physiological function. Papaverine belongs to the group of medicines called vasodilators. Long-term intracavernosal injection therapy: Treatment efficacy and patient satisfaction. Three friends of mine have seen the results and are planning their own return to awesomeness! I started with blood test. 1 Department of Urology, University of Iowa, Iowa City, USA. Benefits of (ICI) INTRACAVERNOUS for ED: Instant, and 98% powerful results Maintain full erection quickly with or without stimulation Control your construction for 30, 60 or 90 minutes Improved stamina and sexual performance No side-effects and Safe and convenient treatment No restrictions on food, alcohol or medications If these deadlines are not respected, a cancellation fee of 50% of the service will be charged. Anyone who finds that TriMix is ineffective may be prescribed QuadMix, which combines Trimix and atropine. Extremely happy with how well they listen and take care of you. I cant express how good I feel and look! I researched all the therapies offer by AAI. Most impressive has been the deep knowledge base as Tina Montero and others Ive worked with possess! If you have been experiencing issues becoming erect or losing an erection prematurely, its important to keep in mind that this can occur from time to time, even in young people. Amazing experts! John is great he helped me get started in a week or less and I was feeling like a new person in less then 2 weeks! (2012). After an injection test is performed at the clinic to ensure you dont experience pain or priapism, youll be prescribed an initial dose. For anyone considering HRT, there is no need to look any further than AAI Rejuvenation Clinic. I have been on TRT for about two years now and recently just switched to AAI Rejuvenation Clinic and was contacted by Mr. Preston, he helped redesign my protocals and within 3 weeks I felt 10x better than I did before. When papaverine is injected into the penis (intracavernosal), it increases blood flow to the penis, which results in an erection. Vasodilators cause blood vessels to expand, thereby increasing blood flow. Methods A systematic search using electronic databases (Medline, Pubmed) was performed for studies investigating injectable . Overall, most research tended to focus on the overall effectiveness of injections across several brands instead of focusing on just one brand. These folks really know their stuff!! Let go of the head of your penis and pick up the syringe with both hands. I've been under the supervision and care from this clinic for about six months and I am happy to say that they truly care about their patients. government site. color: rgba(255,255,255,1); 8600 Rockville Pike If these deadlines are not respected, a cancellation fee of 50% of the service will be charged. My weight was at an all-time low of 165lbs, I had no energy, and my joints were always inflamed and in pain. Do not use BiMix Injection more thantwo times a week; use at least 24 hours apart. In rare cases, priapism a prolonged erection that occurs without, or long after, sexual stimulation may occur. Dr. Marois is a urologist who is not a member of the Rgie de lAssurance Maladie du Qubec (RAMQ). www.urologytimes.com Urology Times is celebrating its 50th anniversary in 2022. However, initially speaking with Nathan immediately relieved any apprehension I had as he listened to my needs and made various suggestions at different price points. Intracavernosal injection test. The Challenge of Erectile Dysfunction Management in the Young Man. Patient satisfaction rates are high. background-color: rgba(255,158,33,1); A nurse at Les Cliniques Marois can teach you how to administer the medication during an injection test or Doppler ultrasound (link to this page), which is used to assess moderate to severe erectile dysfunction. An erection is usually measured on a scale of 0 to 4. I look forward on my new journey with aai. Hold the syringe by the barrel (not the plunger) and take the cap off the needle. <>>> They listen to what is actually going on and how you feel. Penile rigidity was classified based on the Erection Hardness Score system as Grades 4, 3, 2 or 1 (corresponding to . The syringe is then injected around the midpoint of the penis, which will maximize the medications effect and prevent interference with nerves or blood vessels. im now working on getting my results and moving forward with my health as a man and taken care of myself this is a great place to start if you are having man problems with your self and if your looking for a place that cares about you and your health this is the place to reach out to they are the best and thank you John for all you have done for me. Prices are reasonable as well. Epub 2011 Jul 21. If you care about your health and are looking for ways to be a better you, call Nathan today. The drugs in intracavernous injections relax smooth muscle in the vessels in the penis to increase blood flow. x[nH}7Gi_fX,2@SDUw-* %Q]}9Uuueo}Ym5|u{9W}o5y~-e8,- Highly recommend!! appropriate medical care for erectile dysfunction due to organic, vice psychological or psychiatric, causes. Before Highly recommend AAI Clinics. }#medify_button_606220b098021:hover { Felt and looked great after one of the programs referred to me by their personnel. Trimix is one of the most popular brands of penile injections and is generally expected to give you an erection for about an hour following the injection. Tina and John Preston have provide me with great customer service. <> Very professional staff. Ive been going here almost a year now after switching from another hrt doctor. Always answers my calls or emails immediately if I have a question and sends me great information to better improve myself constantly. Depending on your situation, your doctor may have you try oral medications before trying injectable medications. This is so rare. This was very comforting and ultimately made the decision of choosing AAI easier knowing there's a lot of competition out there. TRICARE covers the following treatments for organic impotency: External vacuum appliance; My wellness advisor John had some great suggestions about my treatment and has been instrumental in me feeling the best I have felt in a long time. Erectile dysfunction injections come in a standard vial and the medication is extracted through a needle syringe. Combination medications include BiMix, which is papaverine and phentolamine, and TriMix, which contains all three medications. Making me feel young and energetic again. These guys are the best and know what there talking about! Otherwise, it can cause permanent damage to the penis. Products are high quality and the service is excellent. An initial dose will be given to the patient in specialist erectile dysfunction clinic along with instructions on how to self-administer. I have been a patient for the last year and could not be more satisfied with the results and knowledge of the staff and physicians. Your first injection should take place at your doctors office under supervision. '/Kn%^4.q0cY{ //=c[;%-cW"n?g>dA@4)(!qe[|WVe/V>oW ,.bo>g?@S/ }^\m As with any type of injection, theres a slight risk of bleeding or bruising at the injection site. Even popular alternative treatments, like Viagra, could take you 30 to 60 minutes to achieve an erection. If anybody's thinking about hormone therapy or just trying to feel like they used to feel before, definitely call this place. I feel since I've been working with AAI my PCP doctor is so out in left field when it comes to the endocrine system. As such, if you require his professional services, you will have to pay directly the Cliniques Marois for the services rendered. She took care of EVERYTHING, and in astounding speed. Doctors reluctant to deal with me and at best, only dealing with symptoms and not the cause.I contacted AAI Rejuvenation and was assigned a very intelligent wellness advisor by the of Heather. Read our disclaimer for details. It is often used by individuals who have tried other erectile dysfunction medications with little success, including Cialis and Viagra (Coombs et al., 2012). FOIA Holding the syringe like you would a pen, insert the entire needle in the penis at a 90 degree angle. The medicine used in Intracavernosal (ICI) therapy is a combination of vasodilators, each of which is FDA-approved, known as papaverine, phentolamine, atropine, and prostaglandin E-1. My Wellness Advisor is always available to answer questions and has showed a great amount of compassion towards me. Extremely reliable . They are extremely professional. In 3-8 minutes you will have an erection that should last 30-90 minutes. So far I have no complaints. However, the medication wont be as effective if it freezes. Introduction: Intracavernosal injection (ICI) of a vasoactive agent has been an important part of the diagnosis, evaluation, and treatment of erectile dysfunction (ED) since its initial description by Virag in 1982. If an erection lasts for longer than two hours after an injection, stop all sexual stimulation and immediately begin to apply ice (in a bag wrapped in a damp cloth) intermittently to the penis. The staff, Erica and Tina are more than helpful and professional. highly recommend! [1] While no specific time period is part of this definition, some have suggested that the condition needs to persist for six months. This means that injection therapy may be cheaper, if not somewhat riskier, than oral medications. . He and his staff are courteous and helpful. Medications clearly labeled 1/2, 2/2 etc which coordinated with the packaging list making inventory super simple.The color instructional pamphlets were extremely easy to understand.Great service, as expected at this point. Staff is great and easy to work with.Products are top notch. Next, remove the cap from the vial and wipe the rubber stopper with an alcohol swab. The disease caused my to disks to shrink my height to 5'11". Hats off to the entire team, I appreciate you all! This avoids interference with the top of the shaft, where the blood vessels are, and the bottom of the shaft, where the urethra is located. In general, ICIs are used as a second-line treatment if conventional oral medications, such as Sildnafil, fail. Once youve selected an area, clean it with an alcohol wipe. I really can't thank him enough and AAI has truly been an answer to years of prayer. I highly recommend AAI Clinics over the strip mall alternatives! Avoid injecting medication into the urethra, as this can cause pain or a burning sensation. The prescribed formula is individually tailored to allow the construction to last approximately 30-60 minutes regardless of the occurrence of ejaculation or the state of mind. 804-867-5309 123 BHRT St, Richmond, VA 23060 DrZ@prevmedwellness.com Book Your Own Appointment! 3 0 obj Intracavernous injection of vasoactive drugs was introduced in the early 1980s and dramatically changed the practice of diagnosis and treatment of ED. They are friendly, knowledgeable, respond quickly to concerns, and are always there to answer any questions you may have. Remove the cap on the syringe and make sure the dose is correct and there are no bubbles in the syringe. If there is a partial response at 2.5 mcg, the dose may be increased to 5 mcg within 1 hour. That means its generally prescribed only if first-line therapy oral ED medications are ineffective or not well tolerated. Likewise, if youre experiencing pain or any bleeding that lasts more than a couple of minutes after the injection, see a doctor immediately. (2019). However, these effects may be due to the cause of ED rather than the injections themselves. We avoid using tertiary references. One of my girlfriends' friends had their husband ask me about it. These ingredients work by relaxing the smooth muscle and opening the blood vessels in your penis, causing an erection. He is extremely knowledgeable and always available to answer any questions you may have, day or night. To see content specific to your location, please choose your country or region. Remove the needle from its sterile packaging and insert it in the tip of the syringe. He is very helpful with understanding the products & programs. I highly recommend the PT-141. The doctor and staff are simply amazing. After seeking help from providers and other clinics, Nathan has dealt with my urgent questions quickly and desires to work closely with therapy. Pills for ED cost roughly $20 to $40 per dose. Now, Even though Intracavernosal (ICI) therapy is useful in most men, it may not be as effective in advanced Erectile Dysfunction when most of the usually elastic tissue has stored by fibrosis, and a common end-result of delayed of treatment, and only the remaining solution is the insertion of a penile prosthesis. Nathan, Tina and the team they have are excellent. As such, the clinic can not claim the RAMQ for the payment of his services. Thanks, Erica is great and very knowledge about hormone replacement and all kinds of health and wellness related subjects. One of the most effective treatments for erectile dysfunction is ICP. Your doctor can write you a prescription for an injectable medication after you receive an ED diagnosis. Very quick to contact me and help me get started to feeling better. Admittedly, it can be daunting and confusing when choosing a provider to help attain your goals whatever those may be. We say "fill-in" - because its not suited to provide a long term solution. Make sure the needle and the tip of the syringe dont touch anything besides the interior of the vial. A review of outcomes of an intracavernosal injection therapy programme. He is great to work with. this treatment is effective in providing adequate erections - up to 80% of patients respond to treatment with intracavernosal alprostadil (1) erection occurs typically 5-15 minutes after penile injection and frequently last 30-40 minutes, although the duration can be dose dependent. Awesome products with reasonable prices. Neurogenic and hormonal influences are thus bypassed as the status of the blood vessels of the penis is assessed directly and objectively. I had back surgery in 1993 and was successful but I kept pushing the envelope , cliff diving , motocross racing , etc. John responds fast and answered all of my questions. Place the needle against the skin in the chosen area and slide the needle into the shaft. They are great john is wonderful he has talked to me since day one ,giving me advice when ever I had a question even when i wasn't a patient in the beging but he would still reach out to me and talk with me. Highly recommended. Really a great place. It's been a great experience. Best way to describe this i feel good again. Awesome company and I surely do recommend for anyone out there who wants to up they're workout game. They are also prompt in getting back to me with my questions.I have tried other clinics in the past but this one is a gem !! I cant say enough about this clinic. We understand that events occur and schedules change, so we ask patients to give us at least a 24-hour notice for any changes of appointment. Its overwhelming success rate, minimal side-effects, and ease of use. Intracavernosal Injection Therapy (ICI) is a well-known nonsurgical erectile dysfunction "fill-in" treatment that's been around since 1983. Even through the things that I was a bit confused and concerned about Nathan took the time to help me understand and walk me through all the steps. The length of time that you can maintain an erection after injection will vary from brand to brand and from person to person. 2005-2022 Healthline Media a Red Ventures Company. However, when specific brands were mentioned, Trimix appeared often with an approximate 70 percent success rate. I highly recommend them to all woman who want to work on anti aging and feeling great!! These are the professionals that you will want on your team. Disclaimer, National Library of Medicine When compared to oral medications, there are generally fewer side effects and complications with penile injections. 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