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Posted February 2, Reviewed by Jessica Schrader. No, not Viagra sildenafil or its sister medications Cialis tadalafil , Levitra vardenafil , or Stendra avanafil. The most effective drugs are papaverine, phentolamine, prostaglandin E1, or a mixture of all three Trimix. However, these medications repel the vast majority of men because they must be self - injected into the shaft of the penis shortly before lovemaking.
Few men can imagine sticking needles into themselves anywhere, let alone there. One-quarter of adult American men have ED, around 40 million. Few men who have erections by injection discuss it, but when they do, most say: The first time was difficult, but it quickly became no big dealβand I like the results.
Erection by injection debuted more than 40 years ago Urologists are familiar with it. One is trypanophobia, an intense fear of needles in medical settingsβvaccinations, blood draws, or any treatment delivered intravenously. Some men recoil from injected ED treatment because of trypanophobia. The treatment psychologists recommend involves deep breathing, which is relaxing, imagining a place where you feel safe and happy, also relaxing, and closing your eyes or looking away from needles.
Evolutionary psychologists suggest that natural selection may explain a good deal of trypanophobia. For our primeval ancestors, getting stabbed or cut was often life-threatening. But for most men, needle-sticks, per se, are not the problem. What they fear is self-injection into a very special place. The needle is tiny. Injections often feel like mosquito bites, which most men hardly notice. As mentioned, the first few self-injections are hardest.
Once men get the hang of it, self-injecting into the penis quickly becomes routine. Many men say the most difficult part of this treatment is not plunging the needle, but loading it with the right dose. Erections produced by injection typically rise after 10 to 20 minutes of erotic fondling. They last around an hour, and subside after ejaculation.