Viagra and warfarin readings

Forgive me for how bad this is because I'm awful at writing posts especially about myself but I'd love to meet some cool people and have some chilled chats about anything!
Here is some basic information about me if you're interested:
I'm Rory from the North Of Ireland and yes, I've got a weird accent
I currently work for the government, unfortunately I'm not a spy or anything exciting like that
I love music and I'm always going to gigs but my taste changes all the time, Some of my favourites lately are IDLES, Viagra Boys, Thin Lizzy, and Fontaines DC. I also love sharing songs and playlists so feel free to send them my way
I'm a big traveller and love going on adventures especially to new places
I'm a bit of a gamer and play PS5/PC but I'm a bit of a loner in that department and would be down to play with some new people
I have a unhealthy addiction collecting vinyls
I'm constantly rewatching the same tv shows such as the office, it's always sunny in philadelphia, peep show, and the thick of it but I'm open for more recommendations
I enjoy reading books or watching documentaries on true crime and Irish history because I'm a loser
If none of the above interests you I have two dogs who are the best bois in the world and I can just provide pictures of them
I don't know else to say and feel like I've rambled on enough so hit me up if you'd like to! Have a good day! :)

Hi guys, mid 50's with high blood pressure controlled by daily Benaprizil, I'd say about 15lbs overweight. 155lbs is my ideal range, been working out for the last month and dropped from 183lbs to 177lbs the last two weeks. About a month ago I took Alpha Herb to help me last longer, didn't really work because I had a semi erection. Fast forward to last night I applied it again but couldn't maintain my erection. This never really happened before. So now I'm wondering do I have ED or did the alpha herb contribute?
Anyway I'm a total newbie to this world so would Viagra or Cialis be a first step for me to try? Also I read where I can get it from Amazon after consulting with an online doctor? I want to make sure taking Viagra while I'm on Benaprizil won't cause any issues
Thanks!

I love Dark Willow with all of my soul.
This beautiful purple woman is appearing in all my games. If I could pick 4 times this hero I would, I would fucking buy dota plus to see this Mireska with a fairy hairy pussy.
In other post I read one guy that said that he loves green heroes like Pugna or Windrunner, at least you see comming that fucking heros, not receiving a geographically ambiguous accent that blows your cock and drains your balls, while the goddess is walking to lane.
At least Queen of Pain goes to hit on you, this purple idol just teases me with that irresistable body.
And the trees... She pinned against a tree, and that seems like a requisite, but man, Dota map has more trees than the Amazonas (Thanks Greta Thunberg) and even Jex could get it against a tree, why not, that would be OP even in Animal Crossing.
And how she moves, bouncing her ass, good luck trying to resist it, its fatter than anyone's, and don't commit to much because she will 100-0 you with with her gorilla grip. Just buy condoms and Viagra and have fun getting edged whilst Dark Willow has fun. Try to edge her? She has Shadow Realm.
Valve please release the new patch and give me more of this perfect woman. I love it.

My mom has been on warfarin for 15 years. Her diet is pretty bad shes getting up there in age and shes put on some weight in the past year or two. She eats alot of fried and greasy foods. I want to get her eating fruits and vegetables but everything I google says it could have an interaction with her warfarin. What do I do? Her diet is basically meat pies, fatty greasy meats, lots of red meat, potatos and sauces/dairy (a typical balkan diet). She doesnt get much fiber in her diet which causes her to have very few stools. I really dont know what to do because I have read do not drastically change diet but I feel like she really needs a diet change I am worried the weight gain could give her a heart attack or something bad like that. What would you advise?

I just took the online test today and here are some tips to study:
Know your drug interactions somehow. (Antibiotics, warfarin, nitroglycerin were the ones I encountered)
Know drug storage rules (room temperature, how many days outside of fridge). Im not sure how unless you read up on medications or work in a pharmacy.
Gov't agencies (FDA -> recalls, ISMP, DEA)
Controlled medications rules.
Watch youtube videos for compounding, IV, sterile, techniques.
Pretty difficult test without proper pharmacy experience unless you have worked at retail or hospital setting. Or schooling. I only read from the study guide and took sample practice tests.
Best of luck!
https://sdshp.com/images/meeting/040717/13_tech_track_usp_797_800_update.pdf

44 year old female. Past history of multiple unprovoked Pulmonary Embolism. Floating thrombus in right atrium of heart. Taking Warfarin 1 year. Family history of stroke, DVT and ovarian cancer.
For the last couple of months I have been having headaches when laying at night. And they can wake me up. Sometimes they have a throbbing quality, and sometimes it is over the one side of the head and eye. Also I have having agonising stabbing pain in eyes (particularly the right eye) when I am sleeping. If I don't rest that eye enough hours, the pain gets worse. It's worse upon eye movement and I literally have to hold my hand over my eye firmly to immobile it and then slowly turn in bed. Because if the eye "moves naturally" (I hope that makes sense) the pain is agony.
This has started around the time that I turned 44 last month. I also have been having other new symptoms start at the same time of heavy menstrual bleeding and ALOT of pain when it's menstruation time and I have never had period pains for 20 years. So I don't know what's going on there....whether a cancer or perimenopause. But the period pains and headaches are not in the same parts of the month.
Best case scenario, I was thinking that perhaps the headaches are somehow hormonally caused due to perimenopause. And also with migraines having hormonal links.
However, I have no history of migraines, and no auras associated.
With my history I'm concerned it could be something worse, or leading to something worse.
But if it's newly onset migraines linked to hormones, that is not necessary a "safe" or benign thing either as I read that women with migraines themselves are at higher risk of stroke?
So can a headache ever be truly benign? (Not referring to tension headaches of course, but headaches where the body is indicating something).

I have been treated for Crohn's for over 20 years and at an age now the ED (erectile disfunction) becomes fairly common. As I am sure many of us do when looking at new meds you check how they may interact with other meds and conditions you have.
This search for me turned up the 2006 University College London study that found daily Viagra may have some beneficial effects on Crohn's. Reading more into treatment choices I saw that Viagra does not have an approved daily dose pattern but Cialis does. Now to be clear I meet the criteria to medically be on these medications separate from having Crohn's and receiving Remicade for that. But wow the symptoms of Crohn's that seemed to persit even with Remicade have definitely gone away since starting a daily 5 mg Cialis treatment.
Just wondering if this is something more commonly know in the community or if it's still not really talked about here as it's still technically in the research stages.
Hoping by sharing my experience maybe others that were not aware of this might start that conversation. I definitely plan to discuss with my GI later this month as I have been seeking alternatives to Remicade for over a year now due to previously undocumented side effects. Sort of difficult to get a doctor to believe you that you are experiencing life threatening side effects when they haven't been documented before. I only know about them from having them from an unrelated medication (over the counter cold medications) and being sent to the er.

I call my PMDD miserable cow syndrome because that’s how I feel.
I feel 9 months pregnant (I am not pregnant and I have never been pregnant so don’t even know how I know I feel pregnant).
I lay around like a worm, doom scroll and stuff my face with food. I eat and I eat and then I eat some more.
I don’t even care who’s reading this or judging me for this post. Downvote me to hell.
I am bored out of my mind and I don’t feel like doing anything. I couldn’t even muster the energy to take a shower or put a movie for my miserable self.
I am ready to cry at a drop of a hat. I cried at a commercial for viagra before, don’t test me.
The dinosaur is walking right now to the microwave to warm up its food. Nom nom nom.
I am nuts, I feel bad for my partner. I feel bad for this sub too. Save yourselves.

The link between Post-SSRI Sexual Dysfunction, Hard Flaccid Syndrome, Post Finasteride Syndrome, Pelvic Floor Dysfunction, Chronic Pelvic Pain Syndrome and advice on how to start your healing journey based on 8 years of research and personal experiences : pssdhealing (reddit.com)
Here are all my thoughts and advice based on my personal experiences, other people’s insight and helpful experiences, and research I have done on and off about pelvic floor issues from the past eight years or so. I am not claiming that any of this is revolutionary, but I hope it can help some of you out there to give you a head start on healing and advance our understanding of these conditions. As I am a 27 year old male with previous major problems with pelvic floor issues and hard flaccid, some of my advice may be biased towards my condition. However, I believe everyone can benefit from a lot of this because I really do think that all of these conditions that I mentioned are linked in at least some way, especially by pelvic floor dysfunction and sex hormone desensitization. I try not to come to these forums because it increases anxiety and negative emotions which leads to worse pelvic floor symptoms, so my apologies if I do not respond to your questions. For hard flaccid and pelvic floor affected people, follow my advice and I am confident you can heal and reach a place where your symptoms barely affect your life, if at all, which is where I am at now. The mentality of trying to find a 100% “magic cure” solution just leads to anxiety and catastrophic thinking if you have a set back which will only worsen your symptoms. You can and will heal. I know this is a lot of information, but try to implement just one or two things at a time. Focus on the present, and take it one day at a time. Don’t get overwhelmed. All of this is my opinion and not professional medical advice. Talk with your doctor before starting anything.
Post Finasteride Syndrome (PFS), Post-SSRI Sexual Dysfunction (PSSD), Hard Flaccid Syndrome (HFS), Pelvic Floor Dysfunction, and Chronic Pelvic Pain Syndrome all can have some similar symptoms. I believe that they are all either caused or can be exacerbated by androgen and estrogen receptor insensitivity and are triggered by medication, genital injury, and pelvic floor inflammation and dysfunction. The pelvic floor is rich in androgen receptors and estrogen receptors. However, without proper androgen receptor activation and sensitivity, the pelvic floor muscles don’t have enough DHT which line the tissues of the pelvic floor, genitalia, and lower urinary tract. DHT is vital for healthy sexual functioning in both sexes - it provides an anabolic effect to tissues to provide strength, stability, healing, and relaxation to tissues. As a result of androgen receptor insensitivity and lack of DHT, the pelvic floor can become chronically weakened, tight, and inflamed which reduces blood flow to the region leading to even more androgen receptor insensitivity and thus less DHT. These symptoms can cause psychological stress to the individual which tightens the pelvic floor further leading to more symptoms and less blood flow. One study found that androgen sensitivity has raised the possibility that androgens can be used to rebuild the weakened and/or damaged muscles comprising the pelvic floor - source. Some people may also have normal hormone levels in the blood when tested, but these hormones cannot reach or be effective in the pelvic floor tissues or brain due to sex hormone insensitivity and the lack of the blood flow in the region caused by pelvic floor tightness and dysfunction. It is also likely that there is a problem with desensitized estrogen receptors causing a similar mechanism of dysfunction because they are also found in the pelvic floor, genitals, and brain and are important for pelvic floor health, sexual functioning, cognition, and emotions in both sexes. The most important element to remember to help start the healing process for these disorders is to boost blood flow through supplements, stretches, and exercises which will increase both androgen and estrogen receptor sensitivity over time.
Many males with PFS, PSSD, and Pelvic Floor dysfunction are affected by the hard flaccid condition.
Post Finasteride Syndrome (PFS) caused by Finasteride, a 5-alpha-reductase inhibitor (5-ARI), plummets DHT levels in the body to try to help hair loss causing sexual dysfunction and pelvic floor issues. Androgen receptors that surround the pelvic floor, genitals, and brain become desensitized due to the Finasteride leading to less DHT binding to these receptors causing dysfunction and a tight, weak pelvic floor. The tight, dysfunctional pelvic floor now restricts blood flow which impacts healing and the delivery of testosterone to this area that further exacerbates androgen insensitivity leading to less DHT in these tissues. Since androgen receptors are found in the brain and androgens have neuroprotective effects, this could be one reason why some PFS and PSSD sufferers are also impacted cognitively. An herbal supplement called Saw Palmetto has also been reported to cause a disorder similar to PFS because it is also a 5-ARI that blocks the conversion of testosterone into DHT. Another disorder called Post Accutane Syndrome (PAS) is also similar to PFS and it reduces DHT as well through being a 5-ARI: “Isotretinoin, used to treat severe acne, has been shown to induce hormonal changes, especially to reduce 5 alpha-reductase in the production of the tissue-derived dihydrotestosterone (DHT) metabolite 3 alpha-Adiol G.”. PFS, PAS, and PSSD are thought to cause not only androgen receptor desensitization, but likely estrogen receptor desensitization as well.
For Post-SSRI Sexual Dysfunction (PSSD), SSRIs are also known to decrease androgens and down regulate androgen receptors. This study shows that SSRIs can have an anti-estrogenic effect as well and can even reduce the expression of estrogen receptors (ER), including in the hypothalamus.. As sex hormones get desensitized in the pelvic floor, genital region, and brain, it causes localized DHT and estrogen levels in these tissues to decrease causing emotional blunting, sexual dysfunction, pelvic floor issues, hard flaccid syndrome, and more. The pelvic floor dysfunction can then prevent the sex hormone receptors from being reactivated and sensitized due to restricting oxygen and sex hormone rich blood flow to the tissues. SSRIs can cause androgen receptor insensitivity and estrogen receptor insensitivity by severely inhibiting the serotonin transporter (SERT) leading to increased serotonin levels which desensitizes those receptors throughout the body. One key to help heal from PSSD is increasing androgen production, androgen receptor sensitivity, and blood flow to boost BDNF, SERT, and DHT levels to hopefully allow any estrogen receptor desensitization recover on its own over time after everything else is normalized. Once androgen levels in local tissues (pelvic floor, brain, genitals) are normalized again through androgen receptor activation and sensitivity, it will encourage the conversion of androgens into estrogens in these tissues via aromatase. It is also worth to mention that some community members are trying to restore estrogen receptor sensitivity via boosting estrogen in various ways including by taking hops extract which is a potent phytoestrogen. This is also interesting: Estradiol represents another important natural ligand for androgen receptors that may play an essential role for the androgen receptor function and the development of the male reproductive system.
As mentioned earlier, people with PSSD and other disorders might have normal looking hormone blood tests (testosterone, DHT, estrogen, etc), but the issue is that these hormones are not functioning in the brain, pelvic floor, and genitals properly due to androgen and estrogen receptor insensitivity. An important thing to also recognize is that the medical community still has no official explanation how exactly SSRIs cause all of these debilitating side effects, but they are still being readily prescribed without informed consent about the risks of PSSD. It is unfortunate that it is people like us on the internet leading the charge to investigate and inform. We all need to continue to do our part to spread awareness of these iatrogenic disorders to warn people about the risks of taking these medications because their medical providers aren’t likely going to. Thank you to the PSSD Network for helping to give a voice to the unheard.
Post-SSRI Sexual Dysfunction (PSSD): Biological Plausibility, Symptoms, Diagnosis, and Presumed Risk Factors
Androgen receptor (AR) inactivation in mice led to reduction in hypothalamic neural nitric oxide synthase (nNOS), indicating the regulatory sexual function of this neurotransmitter. Furthermore, activation of the pre and post-synaptic 5HT1A receptors was found to be correlated with inhibitory effect on erectile function. All of these factors are speculated to be involved in this symptom and might be related to epigenetic alteration of androgen receptor (AR) and estrogen receptor (ER) densities due to influence of SSRIs on the epigenome.
In male PSSD sufferers, the penile shaft can be rigid during erection, yet the glans of the penis remains flaccid.This symptom may arise from hypo-activation of the dopaminergic and oxytocinergic pathways. The glans of the penis, in particular, receives its blood supply from the deep dorsal artery. Perhaps this points to a selective arterial malfunction relative to pelvic floor dysfunction which usually accompanies PSSD.
Here is another interesting study that gives support to the importance of increasing blood flow to help heal:
If SSRIs produce sexual side effects by impairing vasocongestion to the genital region, it would be expected that pharmacologic agents that increase blood flow to the genital region would improve sexual functioning. Indeed, several anecdotal reports and studies have found that sildenafil (a drug designed to treat erectile failure by increasing blood flow into the penile tissue) was successful in reversing SSRI-induced sexual dysfunction in both men and women [8,9,87,88,109]. Sildenafil acts to increase blood flow into the genital tissue by facilitating c-GMP activity that is initiated by nitric oxide [19] and preliminary evidence suggests that the SSRIs may cause sexual difficulties by inhibiting nitric oxide synthase [39,118].
Here is a paper from a community member that hypothesizes that the main issue is lasting estrogen receptor insensitivity just to give another interesting perspective on Post-SSRI Sexual Dysfunction, Post-Finasteride Syndrome, and Post-Retinoid Sexual Dysfunction
As the body is starved of DHT, ARs upregulate in response. At the same time, ER activation is significantly increased as a result of the increased production of Estradiol during treatment (due to higher Testosterone availability by reduced 5a reduction to DHT) - eventually leading to ER downregulation.
Hard Flaccid Syndrome (HFS) - There are many men suffering from HFS and pelvic floor issues due to PSSD, PFS, heavy weight lifting, excess kegeling, or in the case I’m presenting here, physical damage to the genitals from excessive, vigorous sexual activity (my case) or penis enlargement exercises. When the genitals get damaged, an inflammatory process starts and the pelvic floor contracts to protect itself. Since the pelvic floor is now in a chronic, contracted state, it limits oxygen and sex hormone rich blood flow to the genitals and pelvic floor which leads to sex hormone insensitivity and negatively impacts healing, muscle relaxation, and DHT production in these tissues. Finasteride, Accutane, and SSRIs also desensitize sex hormone receptors in the genitals and pelvic floor tissues leading to hard flaccid and pelvic floor dysfunction. Since the pelvic floor tightness restricts blood flow, it is difficult for hard flaccid sufferers to reactivate and sensitize their pelvic floor muscle androgen receptors again to regain relaxation and strength in their pelvic floor muscles, including the ischiocavernosus (IC), bulbocavernosus (BC), and pubococcygeus (PC) which are in a contracted state; the IC muscle in particular is thought to be the most implicated in the cause of hard flaccid. We first need to promote relaxation in the pelvic floor by boosting blood flow through supplements and stretches because tight muscles are weak muscles. Once the pelvic floor is in a chronic state of tension, it is hard to heal from pelvic floor issues because you likely already had bad habits such as poor posture, unhealthy sexual practices, stiff muscles, sedentary lifestyle, unchecked anxiety, and other negative lifestyle factors. Along with supplements, exercises, and stretches, correcting these bad habits is necessary to heal to have an even healthier pelvic floor than you ever had before because it likely was already tight and dysfunctional to begin with before developing obvious issues, but it was more subtle and you had no awareness of your pelvic floor muscles until now. You have the potential to now become a much healthier person overall than you ever would have been without being affected by pelvic floor dysfunction and hard flaccid.
32% of women will develop a pelvic floor disorder in their lifetime which is double that of men. While childbirth and pregnancy plays a role in this discrepancy, women also have far less testosterone and DHT levels than men which I believe plays a major factor. Since women have less testosterone, their androgen receptors that line the pelvic floor don’t make enough DHT to adequately support these tissues compared to men. This makes them more prone to pelvic floor dysfunction that causes them a disparate amount of pain, tightness, and inflammation. Androgen receptors and their ability to convert testosterone into DHT play such a vital role in pelvic floor health and sexual functioning. This is mentioned in a research study: Prevailing scientific literature has indicated the presence of androgen receptors in the levator ani muscle and pelvic fascia. The existence of androgen receptors in the vaginal wall can play an essential role in the development of pelvic floor disorders in women.Thus, androgen-related disorders may interfere with the function of pelvic floor muscles. [Many people mistakenly believe that androgens are only important for male sexual health:](https://www.bumc.bu.edu/sexualmedicine/patientinformation-physicians/androgen-insuffiency-in-women/#:~:text=Androgen%20insufficiency%20syndrome%2C%20characterized%20by,of%20sexual%20dysfunction%20in%20women.] Androgens have a three-fold action on female sexual function. They (1) increase libido by providing the fuel for a woman’s psychosexual stimulation, (2) increase sensitivity and blood flow to the external genitalia, and (3) increase the intensity of sexual gratification.
What I see in all these conditions is that sex hormone receptors become desensitized in the pelvic floor and genital tissues either from a drug, pelvic tightness, or inflammation from injury leading to less hormones being produced causing sexual and pelvic floor dysfunction. The pelvic floor now goes into a chronic tightened state as a response, leading to less oxygen and testosterone rich blood flow to the genital and pelvic region which leads to more androgen insensitivity and subsequently less DHT. This all explains why many people who have these conditions are helped by supplements that improve androgen receptor sensitivity and blood flow, and why pelvic floor therapy and exercises are so helpful to many of them. Estrogen receptor insensitivity in the pelvic floor also appears to have a similar mechanical negative effect by leading to less estrogen levels in the pelvic floor and genital tissues. It is also possible that some people with PSSD/PFS may have subtle or no pelvic floor symptoms, but the medication still desensitizes sex hormone sensitivity in their genitals and pelvic floor tissues that is leading to sexual dysfunction.
Another study linking androgens and the pelvic floor: Levator ani and other muscles of the pelvic floor and lower urinary tract are sensitive to the anabolic effects of testosterone. Androgen receptors are also expressed in the pelvic floor and lower urinary tract of both animals and humans. Anabolic effects of androgens may play an important role in the female pelvic-floor and lower-urinary-tract disorders. Furthermore, the interactions between androgen and nitric oxide synthase and arginase have been demonstrated, suggesting that androgens may also participate in modulating the physiological functions of the lower urinary tract through nitric oxide. The action of androgens in the lower urinary tract and pelvic floor is complex and may depend on their anabolic effects, hormonal modulation, receptor expression, interaction with nitric oxide synthase, or a combination of these effects.
My solution to help heal and improve the well-being of people with these issues is to try to improve sex hormone receptor sensitivity and pelvic floor function through supplements, stretches, exercises, and boosting blood flow which will hopefully restore normal levels of estrogens and androgens in pelvic, genital, and brain tissues. The body has a tremendous capability of self-healing, but we need to support it through active recovery methods.
We will first start with supplements (this is not professional medical advice - talk with your doctor before taking):
L-citrulline - This is the precursor to l-arginine, and it will improve blood flow and levels of nitric oxide to help get oxygen and testosterone rich blood to the pelvic floor and genital tissues to increase androgen sensitivity. Nitric oxide can also induce smooth muscle relaxation which is important for relaxing the pelvic floor. Herein we report on a young man affected by PSSD who regained sexual functioning after 3-month treatment with EDOVIS, a dietary supplement containing L-citrulline and other commonly used aphrodisiacs.. I recommend taking at least 6000 mg daily by taking 2000mg three times throughout the day. The max dose is 10,000mg. Even potentially better, people report great results using Cialis to improve blood flow and healing rather than L-citrulline and some doctors will even prescribe it to women if you show them the evidence - talk with your doctor. “Tadalafil (Cialis) reversal of sexual dysfunction caused by serotonin enhancing medications in women”. L-Citrulline and Cialis are not recommended to be taken together.
L-Carnitine - This will improve the number of androgen receptors and their sensitivity to testosterone to increase levels of DHT in the pelvic floor, genital tissues, and brain. I recommend taking 2000mg daily. Acetyl-L-Carnitine can pass through the blood-brain barrier, while Propionyl-L-carnitine has a high degree of interaction with testosterone. Propionyl may be better for sexual and pelvic floor dysfunction, while Acetyl might help people suffering from the mental effects of PSSD. This study used each at 2000mg daily to improve erectile dysfunction along with Viagra.. I would work up to 2000mg each of Acetyl and Propionyl L-Carnitine along with Cialis instead of Viagra as it lasts in the body for much longer (36 hours) for increased blood flow healing purposes. You can also use L-Citrulline instead of Cialis as mentioned earlier. Discuss with your doctor before taking them.
Vitamin D - This vitamin, which acts more like a hormone, works directly with the endocrine system. It has its own receptors throughout the body and they are often in close proximity to androgen receptors. Deficiency in vitamin D is associated with a stunting of testosterone's effects on androgen receptors and a decline in testosterone levels. Vitamin D will encourage androgen receptor resensitization. One study found that higher vitamin D levels are associated with a decreased risk of pelvic floor disorders in women, and The levator ani and coccygeus muscles are skeletal muscles that are critical components of the pelvic floor and may be affected by vitamin D nutritional status. I recommend 4000IU of vitamin D daily or whatever gets your levels to 60 - 80 ng/ml.
If you have inflammatory issues or pain due to pelvic floor dysfunction, I recommend a fish oil supplement daily. I take fish oil, and I find that it helps limit pelvic inflammation. I also take Magnesium Glycinate to relax the smooth muscle that lines the pelvic floor and genital tissue. I recommend it for people with clear pelvic floor dysfunction, but others should be careful as research says magnesium is a 5-alpha-reductase inhibitor. Take quercetin and bromelain as needed if you experience pelvic inflammatory flare ups and pain, but just be careful as quercetin can also inhibit the production of DHT from testosterone as well. Some say fish oil blocks DHT too, but experiencing chronic pelvic floor pain and inflammation will do more harm to you than minimal DHT blocking. I recommend staying away from all DHT inhibiting foods and supplements for people with PSSD, PFS, and PAS unless you are experiencing pelvic pain and inflammation.
As always, discuss these supplements with your doctor to see if they are okay for you. Lower your supplement intake based on side effects. These aren’t a magic cure, but a tool to help you on your journey to recovery. Don’t do anything without doctor supervision, but this thread gives more evidence for the “cure” for PSSD/PFS being resensitizing androgen receptors and estrogen receptors along with enhancing blood flow as it details how some men recovered through taking high doses of androgens, post cycle therapy, and Cialis. This at least gives hope that a hormonal cure can be created one day by medical professionals. I would of course recommend trying to heal yourself naturally for a long time before doing any hormone treatments under the supervision of a doctor.
I also recommend doing some form of yoga or pelvic floor stretches daily to improve blood flow for pelvic floor relaxation and sex hormone receptor sensitivity. You also need to request to see a pelvic floor therapist for an evaluation and treatment. Learn how to do reverse kegels. Doing reverse kegels will be difficult at first because your pelvic floor is tight and you have little to no awareness of these muscles, so just focus on lengthening and relaxing the pelvic floor through stretches for now. Do not do regular kegels for pelvic floor issues. Learn how to diaphragmatically breathe in 360 degrees to create expansion in your rib cage and abdomen to encourage pelvic floor relaxation. Do not breathe through your chest, and “belly breathing” isn’t the right term because the ribs need to expand as well. You can learn how to diaphragmatically breathe through an exercise such as 4-7-8 breathing. Here is a great video on diaphragmatic breathing and another video. I cannot overstate it enough: retraining yourself to properly breathe diaphragmatically is the single most important thing that you can do to heal from pelvic floor issues. Be a student of breathing: study and take notes on how to breathe better.
Stretches/Yoga poses I recommend:
Hold the Malasana/hindi/yoga squat pose for at least 5-10 minutes at least twice a day, but doing it morning, mid-day, and at night would be the best. Some get great results holding it for 15-20 minutes.This is one of the most important things for your pelvic floor because it will help lengthen and release it. Doing them barefoot is also very beneficial to strengthen your ankles and feet which are connected to your pelvic floor. Again, remember to breathe deeply down into your belly and pelvic floor for all these stretches.
Begin your stretching routine with an Exercise ball ab stretch and Upward-facing dog/cobra pose. This will help stretch your lower abs and psoas muscles so that you can get more breath deeper down into your pelvic floor for the rest of your stretches. Some people say that these types of stretches aren’t great for people who have Anterior Pelvic Tilt, which we should fix, but I still do them as it is important to stretch the lower abs that are hard to get to. You can experiment with doing them sporadically instead of every time you stretch.
This is my current personal complete stretch routine I do in order 3+ days a week:
Myofascial release on my glutes with an orb massage ball but you can use any small hard ball (don’t do this if glutes are currently sore) > Calf stretch against a wall or a yoga block which is what I use > exercise ball ab stretch > upward facing dog > (optional) Do a handful of cat cows > Supine hamstring stretch with yoga strap or an IdealStretch tool which is what I use > Kneeling hip flexor stretch > flat on back supine single knee to chest stretch > then bring knee to opposite shoulder stretch > supine figure four > I do this stretch next right after figure four > Reclined bound angle pose > (optional) butterfly stretch > (optional) A little bit of downward facing dog to stretch the calves > (optional) Lizard Pose) > (optional) Half split stretch/Half monkey pose with yoga blocks > Half-pigeon pose > Child’s pose > Wall quad hip flexor stretch > Wall figure four stretch > Wall straddle pose > Wall happy baby pose > Flat on back while pulling knees apart > kneeling with one leg, other leg out to side for adductors > (optional) Frog pose with feet together > regular Frog pose with feet separated in line with the knees > Yoga squat/malasana > Corpse pose
All these stretches are the ones I found most useful in a routine. See what works for you and develop your own routine. Consistency is the most important. This long stretching routine may not be possible for you to complete regularly so make adjustments, but doing this routine at least 3 days a week is ideal. Stretches such as the yoga squat, supine hamstring stretch, hip flexor stretches, and wall stretches are vital and should be done most days to help relax the pelvic floor. For how long you should hold each stretch, just go by how you and your body feels. Really let go, breathe, and sink into every stretch. On rest days, doing some deep breathing in child’s pose, reclined bound angle pose, flat on back while pulling knees apart, and the happy baby wall pose is really great while trying to do gentle reverse kegels.
You can also work on more individualized stretches for posture to correct anterior pelvic tilt, muscle imbalances, and to release other tight muscles, such as the upper body. Listen to your body if you need to give yourself a rest day from stretching. Adding in a 30-60 minute walk/swim on rest days is incredibly beneficial as well. Eventually, you can also try to learn isometric PNF stretching to incorporate it into some of the stretches such as the kneeling hip flexor stretch and hamstring stretch.
After working to relax and lengthen your pelvic floor through yoga and stretches, I would begin gentle body strengthening exercises that are pelvic floor safe. The pelvic floor is a master compensator. So, if the glutes, adductors, deep hip rotators, transversus abdominis, and other supportive muscles are weak, then the pelvic floor is in the prime position to pick up the slack which leads to a lot of strain on the pelvic floor which results in tightness and dysfunction. You need to strengthen the surrounding muscles to relieve tightness in the pelvic floor. This is where working with a pelvic floor therapist would be helpful to point out safe individualized exercises for you. Yoga will help strengthen your muscles in a safe way too.
The glutes and transversus abdominis in particular are very important to strengthen. Glute bridge, single glute bridge, side lying leg raises, lateral band walks can help build up glute strength. Deadbugs, Bird Dog, 8- point planks, or planks with pelvic floor-friendly modifications, can help to strengthen the transversus abdominis (TVA). Abdominal work may be triggering to your pelvic floor symptoms, especially the 8 point plank, so you can instead look into hypopressive exercises to work the TVA without overworking the pelvic floor. These exercises will help you bring more awareness to your breathing, diaphragm, TVA, and pelvic floor which are all important for recovery. Here is how to find and become aware of the TVA. Do side planks for your oblique ab muscles.
For hip/abductors do the side lying hip abduction exercise, fire hydrants, and the shinbox lunge. For the adductors, do Copenhagen adductor exercise, cossack squats, and an exercise where you squeeze a soft ball between the knees just don’t do any crunch movements with pelvic floor issues. For hamstrings, Nordic hamstring curl/glute ham raises, and single leg bridge. For the back, do supine pelvic tilt. One person even reported that dorsiflexion exercises and stretches were one important element to solve his pelvic floor issues; this is most likely because the ankle bone, like everything else including even our jaw, is connected to the pelvic floor.
Like with anything, do all these exercises in moderation and stop if you sense your pelvic floor is not responding well to them - do them one at a time to see which ones your pelvic floor can handle for now. Here is an exercise routine from another poster that has helped many people. Just be careful of the ab exercises such as the ab wheel and 5 minute planks with your pelvic floor issues - don’t over do it or avoid it if they cause too many symptoms.
Myofascial release and foam rolling to release trigger points also helps a lot of people to relax their pelvic floor muscles and improve blood flow. The glutes are the most important area to target for pelvic floor issues when foam rolling in my experience if you only had limited time. Using a soft ball to lay on and breathe deeply can help release trigger points in the abdominal muscles and psoas which can help you breathe better and relax the pelvic floor. I haven’t done it, but you can also try out a massage gun for myofascial release; just be careful and don’t use it in sensitive pelvic areas. Some men and women also report success using a therawand to release internal trigger points that are causing them pelvic floor dysfunction symptoms.
Walking and swimming for 30-60 minutes are some of the best exercises to lengthen, relax, stretch, and release your pelvic floor, boost blood flow, and help to retain and build strength in muscles that give support to the pelvic floor. Walk or swim for 5+ days a week for the best results. The breaststroke and freestyle are very helpful for pelvic floor sufferers. Along with swimming, people also use an elliptical at a low resistance to help provide a cardio workout that is safer for your pelvic floor.
Fix your posture. Pelvic floor issues and hard flaccid syndrome are closely associated with Anterior Pelvic Tilt and other postural issues. Get evaluated by a physical therapist so that they can give you exercises and stretches to fix it. You could also look into the Postural Restoration institute and see one of their providers and try to implement some of their exercises. In the meantime, here is one video playlist on how to fix APT. Another video to fix APT says to stretch the hip flexors, lower back, while focusing on strengthening the abs, glutes, and hamstrings. Make sure that you sit and walk with good posture - watch this to learn how to walk correctly - activate your glutes during each step and push off with your back foot!. I also recommend getting a standing desk to try to avoid sitting for long periods of time.
Weight training can be effective for boosting active androgen receptors in the body to increase testosterone and DHT levels. However, you need to make sure that it isn’t making your pelvic floor symptoms worse which defeats the purpose. If you are going to lift weights with pelvic floor issues, don’t lift heavy, do any intensive ab workouts, or any other exercises that can put extra strain on your pelvic floor. Do lifts where you can sit down instead of standing up. Start with yoga, stretching, and gentle body exercises to relax your pelvic floor and strengthen surrounding muscles before incorporating consistent weight training. I highly recommend, however, just sticking with yoga and pelvic floor safe body weight exercises to build strength instead. Those with PSSD without pelvic floor dysfunction may benefit a lot from lifting weights, high-intensity interval training, and doing bodyweight exercises such as squats regularly to boost androgen receptors and DHT. Remember to see a pelvic floor therapist to get evaluated first before starting any weight lifting because many people have pelvic floor issues without even realizing it.
Work on your mental health. Anxiety can worsen pelvic floor issues. Just as dogs tuck and tense their tails when stressed, we tense our pelvic floors which are directly connected to our tailbone where we used to have tails ourselves in our evolutionary history. As we are impacted by sexual dysfunction and pelvic floor dysfunction symptoms, we become anxious along with other negative emotions which leads to more pelvic floor tension symptoms due to the fight or flight mode response causing even more anxiety leading to more symptoms. It is a vicious cycle that needs to break by not becoming anxious and negative when we experience pelvic floor symptoms or hard flaccid and instead let go, accept, and realize that it is a normal process when trying to heal because sometimes our muscles that are used to that tightness don't want to let go of the tension we hold in our pelvic floors. Daily yoga, meditation, stretching, and walking will help with anxiety. I would also see a mental health therapist because all of these issues are deeply traumatic and we cannot go through this alone. We often hold tension in the form of emotions and trauma in our bodies, especially our pelvic floor and genital areas. By openly talking about these issues with a therapist, it will help us process and release our emotions and trauma that we are holding inside our bodies to improve our anxiety, relax our pelvic floor, and to let go of all of our tension. Many people who healed their hard flaccid and pelvic floor issues said that solving their anxiety and negative thoughts by talking to a mental health counselor was vital in recovery. The mind-body connection is so powerful, and it directly impacts our pelvic floor. Those who are stuck in the cycle of experiencing pelvic floor symptoms leading to anxiety and negative thoughts will also benefit from Cognitive Behavioral Therapy you can do by yourself like in this video or preferably with a trained therapist. Here is an informative mini lecture on how stress impacts the pelvic floor.
I would also definitely go on a healthy anti-inflammatory diet. Avoid caffeine, alcohol, marijuana, and other substances. Avoid foods and liquids that can trigger pelvic floor inflammation such as highly acidic fruits and veggies, carbonated beverages, very spicy foods, and artificial sugars. To maintain a healthy gut to reduce inflammation in your body I recommend trying a low-histamine probiotic supplement along with eating healthy. You should also work on preventing or fixing constipation; eat a lot of soluble fiber to not get constipated - take a supplement such as metamucil if you have to. Check the Bristol stool shape chart to identify if you are constipated because even mild constipation can contribute to pelvic floor tension. This is because the constipation leads to a lot of pressure being put on your rectum and pelvic floor leading to the muscles becoming weak and dysfunctional. I am willing to bet many of you are constipated and don’t know it because it isn’t just whether you go regularly, it is also how your stool is shaped. People with pelvic floor disorders are at a high risk of constipation which makes their tension and dysfunction worse which then worsens the constipation, another cycle to fix. I recommend getting a Squatty Potty to reduce strain on the pelvic floor during elimination.
To help heal hard flaccid and pelvic floor issues, never watch pornography again (this is vital). Go on NoFap for 90+ days to help heal your brain and body from any unhealthy pornography and sexual habits you have partaken in. Pornography leads to involuntary kegels, a tight pelvic floor, desensitizes you, and messes up the dopamine and arousal circuitry in your brain. Don’t climax too often. Learn how to reverse kegel by yourself and during sexual activities. Never edge or regular kegel - it leads to pelvic floor tightness and dysfunction - just relax your arousal through a reverse kegel. Keep your pelvic floor relaxed during sexual activities.
Stay strong and never give up. You will heal. Thank you for reading.

Viagra might only be of some help, it still would not compare to having naturally high drive in your prime.
I've not researched extensively on it but if I'm correct, viagra only forces blood flow to help you stay erect, it does not however enhance desire that make you naturally erect nor does it rejuvenate the waning sensations that make sex pleasurable.
This is not even mentioning how unlikely it would be for a virgin male in their 30s to court with women in general, let alone the best looking women, most of whom are in their 20s and would have numerous better looking and more charming men chasing them.
If you find being a virgin in your 20s unbearable, you're not ready for what's next. If you are still a man in your 20s, how BADLY do you want to get laid? If it's life or death for you.... then you have to become a monster, a fighter, and make the best out of the time you do have left.
If you are truly 100% sure that you are done and there's no hope for you, I understand and I'm sorry but as for the rest of you reading this who believe all isn't lost yet, I really hope to kick your ass into overdrive and start fighting to become the man you always wanted to be 💪

I often see SBs post about how having contact with their SD in between meets results in "emotional labour" and from trying to read between the lines, it sounds to me mostly like having to be nice to him while chatting requires so much effort that it should be paid?
Can you give me some examples of what emotional labour is to you?
The reason I ask is I'd imagine the dynamic would be very much the other way around, that the SDs would be the ones providing the emotional labour for their SBs just because SDs are older and more settled, so have less drama.
For context, some examples from my own relationships:

• calmed SB on phone after multiple car accidents
• listened to two hour rant after her absentee father got in touch and wanted to re-start their relationship
• help her to hex her rivals
• found a storage unit and took care of emptying her apartment and selling off her stuff when she moved away
• comforted her after her "main" SD died, then fought the family for her inheritance and got the life insurance sorted; helped to retrieve her car from them too
• brainstormed ideas with her about why her money kept disappearing and whether the neighbours could climb from their balcony into her flat (and keeping silent when it was obviously the vanilla boyfriend stealing)
• calmed hysterical SB who found a grandparent dead
• brainstormed ideas about why her other SD had Viagra and condoms in his flat when she wasn't fucking him and he clearly couldn't have other women in his life (never understood her thinking on this one fully)

The most drama they ever get from me is me telling them my dog tried to drag an especially big stick home or something like that :)
Please give me some of your examples so I can see if I'm inadvertently laying heavy emotional labour on anyone.

I've surpassed the 60 day mark. Still got a long ways to go but I'm slowly but surely getting there. (Started porn obsession when I was around 16-17. 28 now and finally taking the steps to heal)
My only "relapse" was looking at a clip for 10 seconds but I immediately snapped out of it, didn't touch my meat or nothing.
Still use small doses of Viagra with the lady but the erections are definitely getting stronger with weaker doses than before, even rarely getting one naturally without pills sometimes, and morning wood is coming back too.
Reading finding this subreddit is basically how I found the cause of my ED so figured I'd share my story, since reading other stories here is what got me to finally kick start this journey.
We can do it lads!

Last October (~6.5 months ago), I had multiple bilateral PE and went on Eliquis. I tested negative for all the genetic factors so my hematologist felt comfortable taking me off the Eliquis after 3 months. I'm 36F and had no risk factors besides oral contraceptives.
At that time (in January, 1 week after being off Eliquis) I also had a test for lupus anticoagulant and it came back positive. My doctor just repeated that test again yesterday (now 3 months after being off Eliquis) and it came back positive again, along with a high aPTT which is associated with lupus anticoagulant/APS.
I haven't heard back from my doctor yet (just saw the results in the portal) but he mentioned that if I did test positive for LA, he would just recommend baby aspirin. I'm so confused because everything I read online seems to point to APS/LA with history of a clot means you need to be on Warfarin. I'd rather not go on Warfarin but my main priority is preventing future clots.
I'm going to ask my doctor about this but has anyone ever heard of treating lupus anticoagulant/APS with just aspirin in someone with a history of clots?

So I've been taking it for a couple weeks now. Has been a fucking ride. First three days, I laughed a lot. I found my boyfriend so freaking funny. He noticed and kept cracking jokes & I loved it. Then, I got a warning at work (I don't know if this is the correct therm) for doing nothing while depressed. I didn't care much, just kept working to repair the damage. I spent a week super chill. I rolled with it, played super chill lo-fi and enjoyed not being worried, not being anxious, not being sad. After a few days of being sedated, I started worrying 50mg might not be the right dosis for me, because super chill wasn't feeling quite real anymore. Also I didn't recognize myself in the mirror. Talked to psychologist, she said it was because I was in a phase of transition. Rolled with it again. I invited so many people over and I was so happy having a bunch of people in my home 🏡 Social anxiety seems to be gone for real. My libido was gone before taking Zoloft. & Now it's back. All of it. I feel like a teenager on Viagra 🤣 Many have said they can't laugh or cum.. not me 😅🤣 Also I sleep a lot. But it feels like, I want to enjoy life so Bad and go outside and see people and and and... That it makes me healthy tired. Oh yeah and sleeping 😴 I sleep! I had trazodone prescribed and on some days, I would take a whole pill and couldn't sleep. Yesterday I brought my son to bed and feel asleep. My boyfriend came to wake me up & I was like a stone. Hahaha I woke up to my boyfriend shaking me really hard 🤣 he wasn't aggressive, usually just walking in the room would wake me up. So yeah, I wanted to share, thanks for reading ^{^}

Feel free to give me feedback on your side because I’m not looking to use this much more.
Got a pack of PYT and used it the last two nights back to back. I am uncircumcised, in case that matters.
1) First time I grabbed three little rice sized bits and put it all around. Waited like 30 min and washed it off. It was fine just a small funky feeling, like irritating but not bothering. I lasted as much as I needed to last, idk 20 mins. Felt like I Could’ve gone much longer if I wanted to.
2) Second time I only put some around the frenulum, which is what I’ve read the most. Kept it in for about 30 min and washed it off. I could definitely feel it. It felt like your mouth feels when you have a mint or gum, but also a little burning of the fore skin. I lasted a lot and went limb. She came a lot and I had enough so I just stopped.
Do you lose your erections easily with PYT? I felt losing it sometimes and I also felt like I as losing it but I was actually hard at times too. Kinda weird. If I was to use it in a big situation I would probably use a little bit of Viagra just to help out on that side.
At the end of the day I’m leaning to not using it because I’m afraid I’ll irritate my skin if I use it more, I’m ok without it and I usually just take SSRI’s and Viagra if it’s a big moment (orgies/3somes/etc)

Before fist DDay we tried viagra because of course I noticed something was off. Even with viagra he barley got hard and definitely didn't stay hard. That made me question things a little more. Fast forward to our first DDay it did not go well. Of course he told me he would stop I believe he did for a few weeks. Then I noticed patterns coming back. He lied strait to my face. DDay #2 again didn't go very well. At that moment I decided (thanks to several of the posts I read here) I needed to worry about my healing in this journey because this has torn me apart. I told him that I cojld no longer focus all of my time doing the research and finding resources for him. I was done focusing on his problem because ot was exactly that. His problem. Since then things seem to have turned around. When we had sex and he couldn't finish he asked me if I wanted to talk about it. He's told me about urges. Seems more open to communicating about it. We decided to give viagra another go. It worked. My concern is this, he has taken it the last 4 times we've had sex. Don't get me wrong, we are successfully having intercourse and I'm loving it! But I can't help but wonder if it's possible that he's still using just figured out that the pills work and he can do both. Does anyone have knowledge or experience on this topic? I did read that viagra doesn't work if the desire isn't there which is probably why it didn't work the first time we tried. Opinions?

I am 20 days in with Atomoxetin, with a low dose of 18mg, my psychiatrist told me that she will raise the dosage with time.
I am also on Wellbutrin.
Since first week I am having erectile disfunction because of this. JAfter several times that i tried to have sex and couldn't is that i went to read more about and saw that several other people had ED as side effect. Some people said that it might get better with time, but not sure.
The libido is ok, but the ED is really bad, it is like a reverse viagra.
Now i am using Viagra too and it helps, but also it sucks to be on so many meds.
So about the title, anyone with first hand experience call tell more about your experience?

Good afternoon to anyone reading. The purpose of this post is to help anyone who has had a long history of anabolic/ androgen use with erectile dysfunction.
When I was in my early 20s I was drinking alot and always kinda knew I wasn't having rock hard erections like I use to. I began a new career which required high demand of physical fitness. We ran miles each week and I spent a lot of time in the gym and was consistently staying in great shape for about 15 years. During the 15 years I did blasting and causing cycles ranging from 200mg up to 1gram of test, and used almost every common gear all the way up to 800mg of tren ace. I had all the sides, hard penis with no orgasm, soft erections with orgasm, hard erection with orgasm, and no erections with no orgasm. It's really been a ride.
So where am I at now and how is it going? My wife has been very horny and needs sexual attention. She's very attractive and mentally I'm ready to take her to pound town. As of 2 weeks ago I was very depressed as it would take 60mg of cialis just to get my penis to do anything. 100mg viagra did nothing. I was losing my mind. So 2 weeks ago we have decided for me to get the $3100 procedure call "trifecta". It has 3 compounds, prp, botox, and something else. They also did some shock therapy on my penis as well. 16 hours later I was able to obtain an erection and we both orgasmed. Few days after I would achieve erection, but couldn't stay hard, just like the viagra. The Dr also gave me 10 units of "trimix" to assist if I wanted to have something while I wait for the trifecta to fully engage. It's supposed to take like 2-3 weeks to kick in. I used 6 units of the trimix and had excellent results. Got head, 69, missionary, head, she rode me, doggy, and then back to missionary to where we both orgasmed together. We had to stop too many time so SHE didn't orgasm too fast! We were both happy happy as I was back to like dating days. Two nights went by and I decided to use the remaining 4 units. It wasn't enough as I got an erection but lost it not long after. I called the Dr and asked how much for a bottle of trimix, he said $619! I was like wtf. But I told him I'd come buy it. While driving to go get the trimix I contacted olympia pharmacy. They said I can get 2 bottles, needles, and the antidote for $487. I said sold! So they sent it to me next day. I recieved the package the next day as promised. That hight I used the penis pump (hydromax 7 fat boy). I think I over pumped getting excited to put it on wifey. I stretched my penis to 7 inches long and stupid wide. So I got to inject it with 10 units, and wait and I got hard but it wasn't a rock hard erection. My wife said it didn't feel like me and it was a bust. A night or 2 later we woke up in the middle of the night and smashed like animals. No cialis, no viagra, no trimix, no nothing. I guess the trifecta was kicking in. She almost came so many times again and finally we exploded together again with such lust. Last night, I got cock and said let's try the shot as I didn't have much confidence in the company because 10 units didn't work. So I did 15 units, they say average is 20-30 units so I thought I was good. Well I think because of the trifecta procedure things are healthier down there. I obtained a massive 6in long and 6.5in circumference erection. Me and wifey had about 10 minutes of foreplay, 5 minutes of her riding (how she usually orgasms), then missionary. 5-10 minutes in, she's going wild and explodes to where she said it was almost as good as her vibrator and dildo together. I then continued to proceed and achieved my orgasm. We then relaxed and watched TV. At the 2 hour mark I was like dang go down. Then I started to get worried. At the 3 hour mark I began using the antidote. After injecting myself every 5 minutes just about, I finally lose my erection at the 4 hour and 10 minute mark. It literally took the whole bottle of antidote to subside my erection. It was very painful and uncomfortable. I always heard about this, but I was just like just keep banging! Can't, it's just too much! So we figured it was the trifecta kicking in as botox takes about 2 weeks and last night marked 13 days. I will continue to update all of you each day, right here, on my sexual experiences with these ED meds. Of you have any questions feel free to ask and I will do my best to answer!

Hi,
First ff all I want t thank eveybdy here. I think its one of the best communities on reddit. I've learned so much just reading it. You guys are awesome!
Back to my question. I'm 40 and had PC a couple of years ago. I went through RALP and it was a rough path for me to recover. I'm preety ok when it comes to urination but I struggle with my sex life. I need to use sildenafil or tadalafil to get hard and its not working everytime for me. My wife already has problem with me using those pills and the fact that those are not 100% reliable. I think it might be a bit mental in my case because we had some problems with communication along the way but we are getting there.
Because of that i was thinking a lot about penile implants. I'm so fed up with fighting with my own body and started thinking about the implant more and more lately. I want to have one and stop stressing once and for all but at the same time I'm afraid because you can never go back.
I have a few simple questions for those of you who made the call and now live with "bionic penis" (female perspective also highly apreciated)

• does it feel natural for you and your partner? (does your partner find it artificial)
• are orgasm the same as before?
• did you have any complications?
• how long you have it? did you have any faults?
• do you regret your decision sometimes?
• would you do it again?
• did you lost some size after the implantation?
• what implant brand do you have? (Coloplast and ZSI are the brands avaible in my country)

On the one hand I want to get one of those implants and stop worrying but on the other hand what if scientist will invent somthing better in a couple of years?. I'm also afraid it would feel artificial for my wife (she already finds viagra a bit artificial and had a lot of problems with that in the beggining). My case is a bit complicated because PDE5 inhibitors are working for me ca 70% of the times. I also tried trimix injections but it was not comfortable and a total mood killer for me. What would you do if you were in my shoes?