Malehealth's Sex Therapist

Thursday, December 01, 2005

Harry B's Penis Injections

Harry and I discussed the pro’s and con’s of the physical treatments available to him for his erectile dysfunction and he was keen to try intracavernosal injection (ICI) of the drug alprostadil. ICI involves using a very fine needle to inject a drug into the shaft of the penis. I can see you all wincing! Don’t, 95% of my ICI patients find it almost completely painless and in fact I’ve tested it myself too, when I was watching the darts one night, so I could truthfully say it doesn’t hurt. The drug used allows the blood vessels in the penis to relax and widen so more blood can get pumped in and an erection can develop / get better. After the correct dose is found in the clinic then a man can start using it at home; he will need to inject himself each time he requires an erection.

I showed Harry how the drug was made up (very easy to do) and then gave him a test injection of a low dose to see how he would react. He developed a bit of an increase in the size of his penis over the next 10 minutes (I leave and encourage men to become aroused to get the best effects) but there wasn’t much rigidity, so we’ve arranged another appointment for him to demonstrate he can make up and inject the drug himself, and we’ll increase the dose if there is no further response.

You might be sitting there horrified at the thought of all this – but there’s no point being coy about it, if you need to use this method it’s not incredibly dignified but it is matter of fact and it probably will give you a hard enough penis to have sex with.