It is estimated that ED effects 30% – 50% of men between the ages of 40-70 years of age, are you in this group? ED has inspired an incredibly huge market of easy remedies with Viagra and Cialis being two of the most popular treatments, but there are several others you may not be aware of. Bimix and trimix are 2 different medications that are injected directly into the penis in order to stimulate blood flow through vasodilation. It is rumored that a popular night club was frequented by a “doctor” who would give guys a injection that would boost their….um…. prowess for the night. Sounds like a great idea, doesn’t it? Maybe yes, maybe no. Today I would like to talk to the men out there about these two injectables, bimix and trimix, including some of the benefits but also some of the precautions. First though, I want to issue a warning. Because the arteries of the penis are only 1mm and those of the heart are 3mm in diameter, ED can be a warning sign of heart problems. If you are experiencing ED, then you should consult a physician and possibly get your heart checked to make sure there is not a larger issue. With that said, let’s compare bimix and trimix. As the names suggest, bimix is a combination of two medications, papaverine (vasodilator), phentolamine (alpha blocker) and trimix is the same as bimix but with the addition of alprostadil (prostaglandin). The medication is injected into the side of penis where the corpora cavernosa are located (the tissues that engorge with blood), thus creating an erect state of affairs after five to ten minutes after injecting and lasts between 1 and 2 hours. This sounds great, problem solved! Or is it? When you inject into the delicate tissue of this area, you have to pierce the tunica, a tough fibrous material that encapsulates the penis and ultimately gives it its shape. You are punching a hole into a highly vascularized area so there is a risk of bleeding and bruising, which probably is not the look you were going for! Fundamentally the body repairs all injuries with scar tissue. Scar tissue shrinks as it matures and can result in a change in shape of the penis, also known as peyronies.

Now to talk about the elephant in the room. ED is a medical condition and is a symptom of an underlying issue. We already talked about the heart and if that is clear then we need to talk about other causes, such as weak pelvic floor muscles. Do you also dribble after peeing (post void dribble)? Typically men will come to see me for either ED or post void dribble but we end up improving both at the same time! Pelvic floor muscles need to be kept in shape just like any other muscle in your body. You can’t wake up one day and decide you are going to run a marathon. You have to train for it. Same thing with sexual performance. You can take a pill or use an injection, but you are only painting a rusted door, the problem will still be there waiting for you when you return. Pelvic physical therapy can treat the underlying cause so you don’t have to rely on pills or injections.

May 9th at 10am I am hosting a Zoom meeting about ED. Email me for the link at learn more about a more natural way to treat ED without pills, injections, nor surgery from the convenience and comfort of your own home!