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Meeting Dr. Mulhall

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Posted 3/28/2013 4:13 AM (GMT 0)
Today my husband had an appointment for an ultrasound with Dr. Mulhall and I went along to meet this famous doctor. He was extremely nice, generous with his time, and answered all of my questions patiently.

My husband's ultrasound was to diagnose venous leak and peyronies disease. My husband was found to have a little bit of both conditions.

Dr. Mulhall found a very small amount of venous leak. My husband had been having a problem with losing his erection while on trimix when he lay down. However, it has been getting slowly better and is now just about gone. Dr. Mulhall said that my husband's problem is mostly adrenaline. The reason that he knew it was adrenaline was because my husband's erections were lasting for 2 hours. I thought that it was the very high level of trimix he was using that was causing this, but Dr. Mulhall said it is adrenaline. My husband is a super intense, high adrenaline type of guy so I'm sure he is right. Dr. Mulhall believes that venous leak is permanent. The net result for my husband is that if his ED resolves he will need to take a pill for sex.

My husband has a slight curvature (only about 5 degrees) that started a few weeks ago and that I connected to his use of injections. Dr. Mulhall believes that the cause of peyronies is surgery and not injections. The treatment is for my husband to wear a traction device for 2 hours every day (husband is not happy about this). We need to closely watch to see if the curvature gets worse, and report it if it does. If it advances the treatment is intra-lesional injections of a medication (not sure which one). All this is very discouraging. Every medical treatment has a price to pay.

On the positive front we see strong signs that my husband's ED is starting to resolve. While he still has a long way to go, it seems to get better every week. This Viagra/trimix therapy that he is on is working.

Post Edited (bluebird123) : 3/27/2013 11:49:36 PM (GMT-6)

Posted 3/28/2013 10:09 AM (GMT 0)
Bluebird - I think that is good news overall.  How far out is your husband?  First of all it sounds like you have maintained intimacy and that is step one.  If he doesn' have siginficant leak then Mulhall (in the video available on line) says there is an excellent chance of being a superb pill responder at 2 years.  I am eleven months out and getting better.  I said from the beginning if I ended up with good potency but requiring pills it would be worth it.  My goal is daily cialis 5mg with 20mg on Friday nite which would allow some flexibility.  That will be 200 dollars a month well spent.  I willbe happy with that lifestyle.  Best of luck to the two of you.
Posted 3/28/2013 2:17 PM (GMT 0)
Hi Bluebird,

I believe Peyronies settles after two years and what curvature there is doesn't become any worse. You might want to ask Dr. Mulhall about that.

I watched all of Dr. Mulhall's videos thanks to someone linking them on this forum and was quite impressed with him.

Best to you.
Posted 3/28/2013 4:05 PM (GMT 0)
HCV - My husband is 5 months out of surgery. Both his surgeon and Dr. Mulhall say that he is ahead of schedule in his ED recovery. Dr. Mulhall's exact words yesterday were "Most guys at this point have nothing". Dr. Mulhall also said that when surgeons report their potency rates they are including men who take pills, and that most guys will ultimately need them.

The real progress started about a week ago, a few days before the 5 month mark. Once it started, it rapidly picked up steam. My husband started to get spontaneous partial erections. Last night he had one in response to visual stimuli. He said that there was a connection between his thoughts, visual stimuli and his sexual response. I have read that this is one of the last areas to improve. We are now able to successfully use trimix.

Although we have maintained intimacy, for the most part he is just using trimix injections to rehabilitate. They are uncomfortable for him, which Dr. Mulhall says is due to the prostoglandin.

Good luck to you HCV.

Buddy Blank - Thanks for your input. Dr. Mulhall says that curvature develops over a period of 8 to 10 weeks.

Post Edited (bluebird123) : 3/28/2013 3:54:41 PM (GMT-6)

Posted 3/28/2013 4:12 PM (GMT 0)
Sometimes PD corrects itself (not unheard of).
Posted 3/28/2013 4:19 PM (GMT 0)
Bluebird,

If the Alprostadil (prostaglandin) bothers him he could try one of two variations on his Trimix. For one thing he could try Bimix. Bimix contains the other two drugs in Trimix without the Alprostadil. I think they are in somewhat different concentrations to try to compensate for the missing Alprostadil (which is the strongest of the drugs but causes some men to ache.) The second option is adding a fourth drug. Some guys also add some sort of anesthetic to their Trimix to block the pain signals that the prostaglandin sends. My urologist tried to prescribe that for me but my local compounding pharmacy balked at mixing it. Some sort of special buffering is needed to keep the anesthetic (lidocaine?) stable for three months (the refrigerated shelf-life of Trimix) and they weren't sure they knew how to do it.
Posted 3/28/2013 9:54 PM (GMT 0)
Thanks for your suggestions Peter. My husband is quickly reducing the amount of super trimix he is using because he needs less now. Mulhall says that less trimix will ache less. If that doesn't work, we will investigate your suggestions.
Posted 3/29/2013 3:59 AM (GMT 0)
If he is five months out he is doing GREAT. I have friends who had similar rapid results and they are off pills completely. Relax and try to enjoy life.
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