reader Posted June 10 Share Posted June 10 From Pattaya Mail Pattaya is a city with its fair share of foreign males who are past the first bloom of youth. So it’s hardly surprising that a seminar on prostate problems and erectile dysfunction attracted a full house on June 7 at the resort’s most popular private hospital. The joint speakers were prosthesis surgeons and urologists Dr Niti Navanimitkul and Assistant Professor Dr Yossak Sakulchaiyakorn who managed to incorporate humor and empathy into what might appear to be dry subjects. About half of all men start to feel the symptoms of an enlarged prostate as early as age 50, but they rise to around eighty percent for guys in their 80s. There is no doubt about the tell-tale signs: getting up more than once in the middle of the night, a weak stream, difficulty in starting and stopping amongst them. Dr Niti took the audience through the various options such including lifestyle changes (cutting down on caffeine and alcohol), medication and several surgical procedures. But he concentrated on the latest technique in minimum invasive surgery known as water vapor therapy. The steam device is inserted and a needle deployed to inject hot steam, which immediately becomes water, into the enlarged prostate. Only moderate sedation is required and the actual procedure takes only a remarkable 10 to 15 minutes and does not require a repeat. Post operation, it is necessary for patients to use a temporary catheter for a few days whilst the swelling reduces. A lively question and answer session followed the presentation. Water vapor therapy is a one-off procedure, but the technique is new world-wide so it’s impossible to say how long it remains effective. The hope is 10 years. The improvement is not immediate but takes place after three or four weeks once the swelling has subsided. Several audience members, who had received the treatment at the hospital, confirmed that they were delighted with the results. A total package including consultations, preparation, surgery and follow-up currently cost 210,000 baht or about US$5,500. The session then turned to male impotence or inability to sustain an erection , or as one conference member described it, “Like playing snooker with a rope”. Erectile dysfunction can start in men as early as 40. As with the enlarged prostate, there are several options including lifestyle changes, medication, vacuum constriction devices and various surgery as described by Dr Yossak. Open discussion followed the presentation. It was pointed out that some medications for this condition lowered blood pressure which created problems for some men. There is research currently being conducted into permanent penile implants which are not yet generally available. The session concluded with participants being handed questionnaires on their personal health issues, with the opportunity to talk privately to Dr Niti or Dr Yossack about their personal scores. The seminar was free to all. Quote Link to comment Share on other sites More sharing options...
bkkmfj2648 Posted June 10 Share Posted June 10 I know that this is a delicate and can be embarrassing subject - but has anyone tried any of the ED (Erectile Dysfunction) therapies? TRT - Testosterone Replacement Therapy Shockwave Therapy ED Direct injections into the muscle part of the penis Are there other ED treatments available? other types of ED therapies? I recently started with the first option = TRT - here in Pattaya at https://www.wellthymeclinic.com/ after I saw the below 2 Youtube videos put out by Buzzin Pattaya. I am only 1 month into my new TRT treatments and there have been some positive results. The down side is that you need to go to the clinic twice a week to get the testosterone injections into your ass cheeks. Is it a "pain in the ass" - hahaha - a slight pain like a prolongated mosquito bite that lasts for a couple of seconds. Once a month you get your blood/urine work done so that they can monitor all of your levels - so it is a holistic health strategy. Doctor from the clinic told me to join a gym as that will also help and I immediately joined the Jomtien Fitness gym and now I have a personal trainer. I want to make the best out of this embarrassing situation and to get back into the swing of things and I want the POWER of our AMAZING Vinapu - my hero. Knowing this group - I am prepared for the ridicule - but if any of you are serious and know of other options and which one was the most successful for you I would be truly appreciated to know about it - and perhaps other members may also benefit. Thanks 😘 Quote Link to comment Share on other sites More sharing options...
reader Posted June 11 Author Share Posted June 11 No experience with any treatments but here’s my anecdotal experience. For me, emotions I experience with individual guys plays a role in how physically aroused I become. I feed off their emotions. I can be with a really hot guy but if he’s not emitting the visual and audio signals, I tend not.to respond physically . But if I’m with your typical guy next door who is displaying emotional involvement, I do get aroused. I know there are physical conditions responsible for ED, but I sense that emotions are a less appreciated component that can trigger physical arousal. floridarob 1 Quote Link to comment Share on other sites More sharing options...
omega Posted June 11 Share Posted June 11 Excercise is probably the cheapest and most effective thing a guy could do to improve his "performance". It solves a number of issues: Improves circulation, so blood can get to the important places Improves stamina and stregnth so you go longer and harder. Improves mental health, making you feel better about your own body And also makes you more attractive to the boys... which could help on the bargaining front Of course if you're already a mature adonis, and you're still having some issues getting it up, have a chat with your doctor; it could be symptoms of something else. A friend of mine in his 30's went to his Doctor about ED, found out he had a nasty case of untreated hypertension. Quote Link to comment Share on other sites More sharing options...
floridarob Posted June 11 Share Posted June 11 Use it or lose it....my Dr told me when I was young, he gave me permission to masturbate a minimum of 2 times a day, to keep a healthy prostate and the plumbing working. I told him I didn't need his permission, I was way ahead of schedule, he laughed. People either get busy with life or lose interest in sex, or for whatever reason and don't think about sex. It's part of my daily routine, with or without someone.... Quote Link to comment Share on other sites More sharing options...
Olddaddy Posted June 11 Share Posted June 11 I'm on TRT I had to cut it down as it can cause enlarged breast tissue I'm on 250ml a month It does NOT do anything for my erection ( lucky I'm a bottom) It's a myth that TRT does anything for erectionds,but it increases your nipples to hard and sensitive Be careful with TRT I'm getting heart ❤️ pain now after a year on it By the end of my 4 week cycle I'm getting very tired I need another injection just like a junkie hanging out My GP in Australia refused and still refuses to prescribe it to me My erection is still not any better ,it's a myth by these TRT companies Quote Link to comment Share on other sites More sharing options...
Members unicorn Posted June 13 Members Share Posted June 13 There are basically four treatments for ED. The most common, working for most men are the PDE5 inhibitors (avanafil, sildenafil, tadalafil, and vardenafil). If those don't work, or have undesirable side-effects, there are injections which go directly into the penis, little pellets one can put up the urethra (not too popular), or vacuum/rubber band devices, such as Erec-Aid. The last three usually work if the first doesn't. TRT is not really a treatment for ED. It should be used only for testosterone deficiency, and then only with informed consent, since it has both risks and benefits. Any other treatments for ED aren't supported by factual evidence. Quote Link to comment Share on other sites More sharing options...
bkkmfj2648 Posted June 13 Share Posted June 13 Thanks everybody for your feedback and opinions. Regarding PDE5 inhibitors, I have been on these for many years already and they are starting to have diminishing returns. I also hate the side effects; diarrhea, bloated bowels, and sometimes head pain. I also hate that it makes sex less spontaneous. Also, when mixed with alcohol the side effects are worse. I decided on the TRT treatment because of the success that the local Youtube star, Buzzin Pattaya, has had with it and consequently I have been in contact with other TRT beneficiaries and although it does not work for everyone - I want to give it a fair shot - like for 3 to 4 months. This week I passed my 1 month mark and the new blood results just came back and my testosterone level prior to starting these TRT treatments was a poor 285, which is under the minimum for proper sexual and libido activity. As of my post 1 month blood results, the testosterone has jumped up to 525, however it is still well below the optimal target of 1,000 - where the range should be from 900 to 1200 for optimal sexual arousal, libido, and performance. Many of you wrote that going to the gym is very helpful and my TRT doctor said the same and I immediately enrolled in a local Jomtien gym with a personal trainer to get me going after 10 long years of non-gym activity. On 6/11/2024 at 8:19 PM, Olddaddy said: I had to cut it down as it can cause enlarged breast tissue Olddaddy - in the TRT program that I am in - they give you an estrogen blocker with each testosterone injection to avoid enlarged breast tissue. My dosage is 175 mg 2 times a week and yours was 250 mg - 42% more than my dosage. My erections are improving - but I am still not yet satisfied - as their advertising stated - have the libido and erection of a 22 year old. At this stage where I am at 525 I am feeling like I have the libido of a 52 year old (I will be 63 soon) and the erection of a 55 year old - albeit an improvement, but still a long way to go. But I still have 2 to 3 more months to go before I can critique the outcome. Another positive is that my blood pressure has moved into a normal range as I suffer from hypertension - I believe this is a direct benefit of the intense gym workouts. None of you have commented on the Shockwave Therapy. Anybody have anything to share? https://heclinics.com/shockwave-therapy-for-erectile-dysfunction-in-bangkok/ Quote Link to comment Share on other sites More sharing options...
Olddaddy Posted June 13 Share Posted June 13 That was a paid advertising for that YouTube channel I'm going to be honest with you ....I believe the TRT injections will eventually cause a heart attack or stroke I cut mine down to 250 a month . I would love to get off it but I'm hooked like a druggie and that's why doctor in Australia won't give it to me .I have to get it from Thailand I give advice to guys not to go on it ,once your on it your trt levels won't recover It doesn't do anything for my erection the only thing is does is give me energy for the gym. Quote Link to comment Share on other sites More sharing options...
floridarob Posted June 13 Share Posted June 13 My testosterone was 173.....but it didn't stop this whore, mind over matter, lol They gave me Androgel to apply to my body, I used it for a little but but stopped because it was messy and sticky, not in the good way. My last test was 291, inside a normal range. I was more worried about the long term affect of low T, brittle bones for example. My erections and horniness never diminished, I've never been a multiple Programma/session guy even when young. one or two a day is enough, I know people in Brasil and Thailand that are doing 3, 4, 5 guys a day....I wonder what their Testosterone levels and bank accounts are , lol Olddaddy 1 Quote Link to comment Share on other sites More sharing options...
Olddaddy Posted June 13 Share Posted June 13 3 hours ago, floridarob said: My testosterone was 173.....but it didn't stop this whore, mind over matter, lol They gave me Androgel to apply to my body, I used it for a little but but stopped because it was messy and sticky, not in the good way. My last test was 291, inside a normal range. I was more worried about the long term affect of low T, brittle bones for example. My erections and horniness never diminished, I've never been a multiple Programma/session guy even when young. one or two a day is enough, I know people in Brasil and Thailand that are doing 3, 4, 5 guys a day....I wonder what their Testosterone levels and bank accounts are , lol My testereone levels are high with one injection per month. I don't get horny that much. The reason most get horny on TRT is because they take 5mg of Cialis per day to prevent prostate cancer . Injecting this *oil" into my bum every month can't be doing my heart ❤️ any good Quote Link to comment Share on other sites More sharing options...
