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I'm 21 years old, healthy and in good shape. I've been with the same girl for 3 years and we've had sex many times. It's always taken me a lot time to climax. 20+minutes. The thing is I don't feel all that much. When I go from the back it's better it's not mental because I'm comfortable with her and have talked to her about it. And I am really turned on. I think it's because when I was younger I used to use a back messager to masturbate with and make have desensitized my penis. Any feed back would be helpful. I saw supplements on [deleted] for this but am kinda skeptical. Thank you. Fraud Herbal Viagra Company Seeking Investors Prescription or online?
Thanks so much! It definitely makes me feel better knowing people are going through the same thing and that I'm not going crazy!.
Libido enhancer, viagra replacement? Hi Lisa, have you started the methadone yet? I am just curious if you have given it a try and how its working? Yes she did drop your oxy down but she gave you methadone which is strong stuff and a good pain control. I hope you give it a try.As far as the klonapin goes, that will make you feel a bit spaced out at first. I hate the way that med makes me feel but I have to take it to sleep or I will wake up on and off all night long. its a very strange drug and hard to get off of BTW. but after awhile you won't feel it and you get used to it. it took me about 2 weeks for the funny leg feelings to go away. When I first started on it I could not walk around the house on it, it made my legs feel very floaty. it is normally prescribed for anxiety at least I thought and for sleep. I just take it at night time 1 mg and sometimes I take a half a pill. do you have anxiety I am just curious? wow I would never let a Dr stick me with anything until I new what it was and what she was injecting into my body that is scary. I do think you had trigger point injections, she just goes deeper maybe. each Dr can do them differently. Her office does sound strange and it sounds like your not to keen on going there again I can tell, but do keep us posted. I wish you all the best and I hope you get some relief from the new meds. I am thanful for my PM Dr. he is great and I would not want to be out there looking right now for a new Dr. I will count my blessings tonight. I feel for you, I really do. SS
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I have been with one partner for 3 years and we had a very good and fair sex life, both of us feel satisfy.and i had no problem at all with my erection Lately, i met this new beautiful and sexy partner who has a body that no body can complain. But whenever we wanted to have sex, my "thing" will go soften half way during the foreplay. She has been very supporting and patient, she will usually give me a blow job, which i turn absolutely hard in her mouth, but once i take it out and try to wear a condom before the real action, it gets soften almost immediately. We tried to do it without a condom, i felt extremely "weak" and ejaculate within 1 min inside her. What is the problem with me? generic cialis soft tabs NY has very strict rules with narcotics as well. This drug cannot be called in or refilled over the phone; a new prescription must be handed in just as the last poster said. They really don't like doctors calling it in either; it must be an actual prescription dropped off at the pharmacy. But your question was how soon or can you refill; the answer is yes it can be but with a new prescription and as I mentioned usually a few days before the first one is up. I'm in the same situation as you right now, my meds are working that great anymore and need to request an increase! Good luck ! Levitra on line sales Age concern and viagra..
Urned on and blow my load before she orgasms. i tried to hold it and stop moving for a second but as soon as she gets closer i just have to stop or pull out when i know i cant hold it anymore. and i see that shes very upset cuz shes so close to orgasm and i pull out. im so close to trying viagra or something of that sort but i really dont like pills but i ran out of ideas of how to stop it Tri Mix Injection Levitra light
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Hey guys - i've been having a problem with my boyfriend who i'm in love with, we can have sex, but when i go to top him in anal intercourse (actually i've never topped anyone before.i've had a very boring sexual history ), i lose my erection (or at least lose how hard i was during oral). if i lay on my back, he can get on top of me and we're pretty successful. (that's the background of my problem, oh and i'm 35 and exercise and lead a pretty healthy lifestyle.no smoking/drugs.my bf's a bit strict on sex tho, usually waiting until the weekend or something like that). so i go to a urologist, he takes a few moments to check out my prostate (which is fine) and ask questions, and he just gives me a subscription for cialis--directing me to take it an hour before sex. so i try the cialis, and i now get REALLY hard when i'm turned on.even harder than my boners are naturally. i've always had boners when alseep. he didn't say as much, but i guess he figures it's a mental/performance anxiety problem i have. is t cheap deal deal pill viagra
I have been having severe anxiety attacks at night ever since I got married this summer. They usually occur at night and have lasted as late as 7 in the morning. I went to see a doctor about something else, and when I mentioned the problems with sleep, he prescribed me 5mg Ambien. I really want to try it, but I've read a lot of reviews of people saying they feel crazy on it and have hallucinations. I don't even like the feeling of being drunk and I'm worried that taking this pill would make my anxiety even worse instead of helping me fall asleep. I know I would freak out if I started seeing things or losing feeling in my legs! Does anyone have any suggestions? Would 5mg cause these kinds of symptoms, or is it a small enough dose that it shouldn't be a problem? Please help me! I want to be able to fall asleep at night! | Loss of sexual energy . general loss of energy Invention of viagra I am going to doctor in two weeks and will keep you informed as to my progress..
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Hey guys - i've been having a problem with my boyfriend who i'm in love with, we can have sex, but when i go to top him in anal intercourse (actually i've never topped anyone before.i've had a very boring sexual history ), i lose my erection (or at least lose how hard i was during oral). if i lay on my back, he can get on top of me and we're pretty successful. (that's the background of my problem, oh and i'm 35 and exercise and lead a pretty healthy lifestyle.no smoking/drugs.my bf's a bit strict on sex tho, usually waiting until the weekend or something like that). so i go to a urologist, he takes a few moments to check out my prostate (which is fine) and ask questions, and he just gives me a subscription for cialis--directing me to take it an hour before sex. so i try the cialis, and i now get REALLY hard when i'm turned on.even harder than my boners are naturally. i've always had boners when alseep. he didn't say as much, but i guess he figures it's a mental/performance anxiety problem i have. is t cheap deal deal pill viagra
I have been having severe anxiety attacks at night ever since I got married this summer. They usually occur at night and have lasted as late as 7 in the morning. I went to see a doctor about something else, and when I mentioned the problems with sleep, he prescribed me 5mg Ambien. I really want to try it, but I've read a lot of reviews of people saying they feel crazy on it and have hallucinations. I don't even like the feeling of being drunk and I'm worried that taking this pill would make my anxiety even worse instead of helping me fall asleep. I know I would freak out if I started seeing things or losing feeling in my legs! Does anyone have any suggestions? Would 5mg cause these kinds of symptoms, or is it a small enough dose that it shouldn't be a problem? Please help me! I want to be able to fall asleep at night! Loss of sexual energy . general loss of energy Invention of viagra I am going to doctor in two weeks and will keep you informed as to my progress..
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Good day all, I am 51 Male, and on anti seaure meds, neurontin, (they are use to pain control in my case) and anti depressant, (for the same reason), lexapro. As I suffer from Fibromyalgia. These RX has caused me to suffer ED which I never did before taking them. The dr. gave me an RX for Viagra, even 1/4 of pill, (50 mg), gave me unbearable sinus pain and head ache that lasted for hours. Viagra worked very well in terms of erection, (which was very long lasting and my G/F and I enjoyed it), but the headche was almost the level of a Migraine. Now the Dr. gave me an RX for Cialis, 20 mg. Apparently, Cialis comes in 5mg., 10 mg, and 20 mg., as per the Cialis website. Since I reaced badly to the Viagra, I was thinking of starting with a lower dose of Cialis. Viagra paperwork suggested using Viagra once alone to see how you react, is the same true for Cialis? Do any of you have any suggestions of dosing? I did note that you can get Cialis from canadian Pharmacies generic, which of course is far cheaper. I also have had dealing swith candian rx firms for my regualr meds, (all 32 pills a day that I take) and it has been very positive. Thanks for any help or suggestions, take care. viagra users Perhaps he isn't lying, he is protecting your feelings. Maybe some things are left unsaid. What is better levitra viagra cialis
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I Love my fiance so much! However recently she experimented by smoking marijuana laced with cocaine, and her sexual urge was in extreme overdrive. Now this is all she talks about, how great the sex was just because of the high. dont' get me wrong, I enjoyed every minute of it lol. I did not participate in the whole smoking ordeal, just was too busy pleasing her. I too want to join in on her sexual overdrive, but i will NOT AND WILL NEVER DO ILLEGAL DRUGS to experience a sexual SUPER high. Are there any sex pills/drinks of any kind that can achieve the same arousal AND be perfectly legal at the same time? 50mg generic viagra Does anyone know the over-the-counter drug available to take with viagra to extend the time viagra is effective? Usa cialis Has anyone here tried these apparently "magic" penis growing pills. I don't know whether to trust them. I've bought them and am taking them, but they give me a stomach ache, they taste like glue and I haven't seen any effect yet, but its only been three days! They are also really expensive ! anyone got any idea? continuing medical education california viagra I was wondering if there was anyone that was able to get the 50mcg Sandoz due to the recall. I was not able to get them today at my independent pharmacy and had to pay for Duragesic brand $45 copay versus $15 copay for the Sandzo brian Sample pak cialis
I Love my fiance so much! However recently she experimented by smoking marijuana laced with cocaine, and her sexual urge was in extreme overdrive. Now this is all she talks about, how great the sex was just because of the high. dont' get me wrong, I enjoyed every minute of it lol. I did not participate in the whole smoking ordeal, just was too busy pleasing her. I too want to join in on her sexual overdrive, but i will NOT AND WILL NEVER DO ILLEGAL DRUGS to experience a sexual SUPER high. Are there any sex pills/drinks of any kind that can achieve the same arousal AND be perfectly legal at the same time? 50mg generic viagra Does anyone know the over-the-counter drug available to take with viagra to extend the time viagra is effective? Usa cialis Has anyone here tried these apparently "magic" penis growing pills. I don't know whether to trust them. I've bought them and am taking them, but they give me a stomach ache, they taste like glue and I haven't seen any effect yet, but its only been three days! They are also really expensive ! anyone got any idea? continuing medical education california viagra I was wondering if there was anyone that was able to get the 50mcg Sandoz due to the recall. I was not able to get them today at my independent pharmacy and had to pay for Duragesic brand $45 copay versus $15 copay for the Sandzo brian Sample pak cialis
levitra for sale online viagra female sexual inhancement I used to have a problem with having a smelly vagina, and really bad discharge, I went to 5 different doctors, and one gynaecologist, did all different tests, and all brought up nothing. Then my boyfriend suggested I try a douche. I had heard they create a imbalance in your vagina if you use the solution they come with, so i emptied out the vinegar + water solution, and replaced with only water, and started using that daily. After a few uses, the smell had gone, and I was getting less and less discharge. Get her to try that, you can by them from chemists. edinburgh find viagra search sites Johnx, Erectile Dysfunction (ED) can be caused by any combination of things, of a mental and/ or physical nature. I took a allergy drug Hismanal for several years. Between the months from April to July, when I was taking the drug, I had no sexual desire and no intercourse with my partner at the time. It took some years to realize this was happening. Of course you've heard of the many Blood Pressure drugs that can cause lack of sexual desire? I have tried many. Benicar has been good for me. I had to "relearn" my sexual desire after a year of no love making with my wife, and no sexual desire. Cialis seems to be helping with that now. I could not tollerate Viagra at all Viagra boosts chemical cuddle performance DH & I have been together for 15 years. Our sex life has exploded over the last year. Pre-vasectomy, he had trouble maintaining an erection with intercourse, but did fine with masturbation, oral and morning erections. We figured it was the condoms and just had fun with oral During his appointments with the urologist pre- and post-vasectomy, DH mentioned the problems he's having with staying hard. The doc totally brushed him off, said he'd never heard of such a thing for a man at 34 years of age. Well, DH has evidently been trying some supplements the last few weeks. He said one he bought didn't work at all. He bought two different types before this past weekend and, man, o'man, did they WORK! He wants to order a giant supply of supplements now. I'm hesitant because who knows what's in this stuff and what it could do to him long-term. But I also love not being able to walk right on Monday morning after the weekend we had! He'd mentioned that he was beginning to feel seriously inadequate before trying a sup cheap deal deal pill viagra Cialis recommendation. order telephone viagra overnight deliverywhat is levitra product Viagra boosts chemical cuddle performanceI am 30, with no problems just wanted to take some for an added boost which i did for the first time today. Got a sample packet of 6 with 50mg. Side effect was a little flush in the face which didnt last that long, but the stuff works wonders, and gave me that added boost which I wanted. order cheap viagra fas Maybe somebody can help me it's driving me up the wall. Anyways 25 yr old and pretty healthy. It started out with a pink ring around my foreskin. No problem I thought, I've had this happen before and a good washing and drying usually takes care of it. Well that didn't take care of it and one morning I woke up and around my opening was red and inflamed.So I thought maybe a yeastie down there so I got me some monistat and tried it for a week and it did nothing. So next I try some nystatin ointment with no effect on it. Then it decided to make a new home in my urethra and the bladder! Day by day I could feel it going further and further down.So I went to the doc and she gave me some std tests and ruled out it wasn't a bladder infection or any kind of std. Well no crap I said it started on my foreskin. She gave me some cipro and one diflucan. I took all the cipro and the 1 diflucan and it cleared out my urinary tract and it no longer burnt when I urinated and it didn't feel like I'd been kicked down there c wellbutron viagra I am 35 yrs old and circumcised - in the last several years I've felt that the shaft of my penis from the circumcision scar to the head feels a lot more limp and small than the rest of the shaft. When I have a partial erection or even flaccid the base of the shaft feels "full" and thick but the outer part where the frenulum is still very squishy between my fingers. I feel as though something is wrong with the tissue, blood flow, etc. Anybody else notice this? is this normal? Is it because there is less skin after the scar point? When all the way hard it feels normal mostly but the shaft below the head still looks thinner. The head is also very quick to lose that "full" feeling and goes back to limp. I should know what's normal for me but between anxiety and depression and SSRIs it's hard to know what factors are at play anymore. Any input would be welcomed Andrew Drugs similiar to viagra Hi Stacer, I've been through 3 different PM programs or clincs that were 8 hours a day, 5 days a week and 4 week programs. Each tought different methods and had different phyolosophies regarding how to treat pain. That's really no different than seeing a PM doc as far as they offfer what they know and believe works. I did feel the first two pretty much tried to pound every size and shape patient through the same perfectly round hole and if what they tought didn't work their was something wrong with the patient, not the clinic phlosophy. The first 2 clinics were before long acting meds were even available so as you can guess opiates weren't part of their program. However the education and the huge number of methods and modalities a clinic offers, most patient find some things work and other don't. These programs do teach you that despite what you say about your pain, in an organized structured environment, People that claimed to be housbound or bed wriden were shown that they can leave the house every day, be on time and particpate in these programs. They all consisted of PT twice a day, they included relaxation techniques where I learned self hypnosis at one, guided imagry at the second and bio feedback at the third. The rest of the day is taken up with education programs where you met with drs, pharamcology experts and learned how and why antidepressants, antiseizure meds and other distraction techniques actually work. I pretty much took away from the first two what worked for me and what didn't help at all. Take what works and use it, and forget about the rest. It wasn't until the last program in 2000 that long acting opiates and anything stronger than 5 mg perceocet was even available for non malignant patients. They prety much used the same phylosophies as the first two and incorporated opiates into a patients treatment plans that had come for more than just pain meds. Although the last one did start me opain meds, They didn't pain meds on everyone. At that time they only used them on patients that had no hope of being surgically corected or their condition 1000 simply didn't respond to any and all previous atempts and had tried everything else first before determining opiates were a patients only option for increased ability to function. If someone refused to particpate in anything other than swallowing the meds prescribed or refused to do anything unless they were given pain meds, either left the programs or went through the motions but didn't particpate. Docs can tell the difference between someone willing to try anything because thay have exhausted all other options and patients that felt entitled to whatever drugs were available at the time. It didn'tmatter what they had tried in the past, if someone knew pain meds worked and refused to try anything else, they never got a chance to try opiates. They certainly didn't treat everyone the same and their treatment was based on DX, observed abilities and attutudes and fortunately I was givena chance to try long acting meds. When you say PM clinic are you talking about an intensive daily program that incuded every aspect of pain management whether it was nerve blocks for some, IV infusions for others or TP injections, Epidurals, not to mention the education and psych portions of learnng to live with pain. Or are you talking about a PM clinic I see now that is just a group of docs from multiple speciltes that offer whatever is best suited for the patients DX and what seems to work best for each condition. I go to a groups of docs now at a PM clinic for montly medication maintaince and they can offer any therapy I have ever heard of from Botox injections to nerve blocks, Epidirals or basic TP injections, whetever else helps complimanet what medication alone simply can't. They are a clinic, have contracts, strict rules, due UA's and pill counts and demand absolute compliance, but they aren't a regemented daily program that I think of when someone says PM clinic. One half the building is dedicated to interventional procedures with sterile surgical suites where all the needle work and pump mamangement is done and the other side is offices where evals and follow ups were performed. At every clnic I went to we all did psych evals and met with psychologist. To say there is no psych component to chronic pain or learning to live with chronic pain pain would be like saying sterss doesn't effect your pain level. There is an obvious connection whether people want to believe it or not. That was the one thing along with PT/excercise that all the clinics I have been too tought and believed in and I beleieve. So no clinic has ever done harm.They may have tried modalities that simply didn't work and even with modalities like interventional procdures, not every doc is equally gifted. I've met some PM docs that couldn't hit the broad side of a barn doing a triger point injection and some docs that are truly gifted and have the touch to provide great relief. If I had and refused to let their docs try something as minimally invasive as TP injetions when the previous doc had no luck whatsoever, I wouldn't have been offered pain meds that were now available and I wouldn't know there could be sucjh a difference between one PM doc and another. They don't force anyone to go through invasive interventional procedures like RFA or nerve abalation or even nerve blocks if someone has never benfited from and these methods in the past they weren't going to make me repeat some of the more invasive stuff that didn't work. But I still use many of the tols I picked up along the way. I also wouldn't have realized the doc doing the procedures makes all the difference in the world. So I basically took what I learned worked over the years and incorporate what worked even 2% into the tretment plan I use now. I still
use relaxation techniques, I still excercise, because there are too many negative consequences from livng a sedentary life. Like a heart attack on my 36th Bday. Si I guess I'm not really sure what you mean by a Pain cl 1000 inic. It can mean anything from a daily intensive program or simply a group of docs from different speciltes that operate out of their own facilty. They don't have to send you over to the hopital for an ESI when they have an anesthesiologist on staff with a sterile surgical suite. Ether way, neither has harmed me. The last was the most efective method of managing my pain because the combinded both medicatoons and altherantive methods. Things are very different know. If someone simply dosn't want to have surgery if it is even an option, doesn't want to change their lifestyle whether it means changing jobs, cutting back hours, giving up recreational things that only make their condition worse. THere are some people that feel entitled to whatever med they ask for and feel they shouldn't have to try anything that doesn't gaurentee instant relief and there are docs that will treat a patient this way. That's how you end up wth people that have had pain issues less than a year, never had surgery and are on the most potent opiates available and think they have tried everything else because they spent 6 weeks in PT and tried one epidural steroid injection. That's hardly all that's available but if someone shops PM docs enough I have no doubt they can find one willing to simply write ever increasing doses of opiates. IMO these patients are only hurting themselves. They aren't docs, have no education other than what they read helped someone else and by refusing anything other than pain medication they are missing out on a great deal of relief that doesn't come with the growing price of continued physical depoendence. It is kinda hard to go back and try non opiate methods of pain Mangament when someone has already been on oxycontin for 3 years. Nothng is going to compare to the instant relief from high dose opiates but the patient will never know if they could have learned to manage their pain without having to pay the price of physcical dependence. There are certainly docs that believe doing nothing but writing prscriptions is doing harm and creating a generation of entitled patients that feel they shouldn't have to consider anything they don't want even when no harm can possibly come from taklking to a PM psychologist, trying acupuncture or learning what foods can trigger pain and how the mind body conection really works. The only thing that has harmed me that didn't work was surgery, but at the time when you have lost bowel and blader control, it's pretty much your only option to go in and decompress nerves or stablaize a spine or whatever the condition calls for. There are no gaurentees with surgery and no gaurentees with pain management. But seeing a doc that doesn't use pain meds, really isn't going to harm someone. They may actually learn non drug methods to deal with their new health circumstance or use different classes of medication like anticonvulsants for nerve pain or antidepressants to reduce the production of substance P. Substance P is a bi- product of living with chronic pain and it actaually makes pain worse because it's a neuro inflamatory agent. To me PMi is all about maniplating brain chemistry and staying open to anything and everything that might possibly help My answer is simple, Nothng caused any damage but not everything helped. Untill you try, you won't now if something like acupuncture, nerve blocks, Botox, steroids can actually help. Personaly I think if somone is only willing to try pain meds because they gaurentee relief, They are harming themself. Eventuall they will reach a point where the side efects prevent continuing to increase, that is unles they don't mind using a cath to pee or don't mind the impedence and other horomonal and psychological problems lke depresions that high dose use of opiates can cause. . Good luck, Anyone else ever actually gone to an Intensive Pm program or is the easy way of just finding a doc wiling to precribe whatever the patient wants the most effecti 1000 ve method to manage CP? Take care, Dave.
Hey all, i am a fit 34 yo with no med problems. i occasionally take viagra, moreso for stress than a physical ed problem. i also have started taking these tablets called "wyld for men" it is an australian product with the following herbs: tribulus (tribulus terrestris) fruiting herb top 3.75 (3750mg) horny goat weed (epimedium sagittatum) leaf 1.0g (1000mg) korean ginseng (panax ginseng) root 900mg schizandra (schizandra chinensis) fruit 225mg it is supposed to lift libido, energy, general well being etc etc. does anyone know anything about them? does it interact with viagra at all?
I am 30, with no problems just wanted to take some for an added boost which i did for the first time today. Got a sample packet of 6 with 50mg. Side effect was a little flush in the face which didnt last that long, but the stuff works wonders, and gave me that added boost which I wanted. order cheap viagra fas Maybe somebody can help me it's driving me up the wall. Anyways 25 yr old and pretty healthy. It started out with a pink ring around my foreskin. No problem I thought, I've had this happen before and a good washing and drying usually takes care of it. Well that didn't take care of it and one morning I woke up and around my opening was red and inflamed.So I thought maybe a yeastie down there so I got me some monistat and tried it for a week and it did nothing. So next I try some nystatin ointment with no effect on it. Then it decided to make a new home in my urethra and the bladder! Day by day I could feel it going further and further down.So I went to the doc and she gave me some std tests and ruled out it wasn't a bladder infection or any kind of std. Well no crap I said it started on my foreskin. She gave me some cipro and one diflucan. I took all the cipro and the 1 diflucan and it cleared out my urinary tract and it no longer burnt when I urinated and it didn't feel like I'd been kicked down there c wellbutron viagra I am 35 yrs old and circumcised - in the last several years I've felt that the shaft of my penis from the circumcision scar to the head feels a lot more limp and small than the rest of the shaft. When I have a partial erection or even flaccid the base of the shaft feels "full" and thick but the outer part where the frenulum is still very squishy between my fingers. I feel as though something is wrong with the tissue, blood flow, etc. Anybody else notice this? is this normal? Is it because there is less skin after the scar point? When all the way hard it feels normal mostly but the shaft below the head still looks thinner. The head is also very quick to lose that "full" feeling and goes back to limp. I should know what's normal for me but between anxiety and depression and SSRIs it's hard to know what factors are at play anymore. Any input would be welcomed Andrew Drugs similiar to viagra Hi Stacer, I've been through 3 different PM programs or clincs that were 8 hours a day, 5 days a week and 4 week programs. Each tought different methods and had different phyolosophies regarding how to treat pain. That's really no different than seeing a PM doc as far as they offfer what they know and believe works. I did feel the first two pretty much tried to pound every size and shape patient through the same perfectly round hole and if what they tought didn't work their was something wrong with the patient, not the clinic phlosophy. The first 2 clinics were before long acting meds were even available so as you can guess opiates weren't part of their program. However the education and the huge number of methods and modalities a clinic offers, most patient find some things work and other don't. These programs do teach you that despite what you say about your pain, in an organized structured environment, People that claimed to be housbound or bed wriden were shown that they can leave the house every day, be on time and particpate in these programs. They all consisted of PT twice a day, they included relaxation techniques where I learned self hypnosis at one, guided imagry at the second and bio feedback at the third. The rest of the day is taken up with education programs where you met with drs, pharamcology experts and learned how and why antidepressants, antiseizure meds and other distraction techniques actually work. I pretty much took away from the first two what worked for me and what didn't help at all. Take what works and use it, and forget about the rest. It wasn't until the last program in 2000 that long acting opiates and anything stronger than 5 mg perceocet was even available for non malignant patients. They prety much used the same phylosophies as the first two and incorporated opiates into a patients treatment plans that had come for more than just pain meds. Although the last one did start me opain meds, They didn't pain meds on everyone. At that time they only used them on patients that had no hope of being surgically corected or their condition 1000 simply didn't respond to any and all previous atempts and had tried everything else first before determining opiates were a patients only option for increased ability to function. If someone refused to particpate in anything other than swallowing the meds prescribed or refused to do anything unless they were given pain meds, either left the programs or went through the motions but didn't particpate. Docs can tell the difference between someone willing to try anything because thay have exhausted all other options and patients that felt entitled to whatever drugs were available at the time. It didn'tmatter what they had tried in the past, if someone knew pain meds worked and refused to try anything else, they never got a chance to try opiates. They certainly didn't treat everyone the same and their treatment was based on DX, observed abilities and attutudes and fortunately I was givena chance to try long acting meds. When you say PM clinic are you talking about an intensive daily program that incuded every aspect of pain management whether it was nerve blocks for some, IV infusions for others or TP injections, Epidurals, not to mention the education and psych portions of learnng to live with pain. Or are you talking about a PM clinic I see now that is just a group of docs from multiple speciltes that offer whatever is best suited for the patients DX and what seems to work best for each condition. I go to a groups of docs now at a PM clinic for montly medication maintaince and they can offer any therapy I have ever heard of from Botox injections to nerve blocks, Epidirals or basic TP injections, whetever else helps complimanet what medication alone simply can't. They are a clinic, have contracts, strict rules, due UA's and pill counts and demand absolute compliance, but they aren't a regemented daily program that I think of when someone says PM clinic. One half the building is dedicated to interventional procedures with sterile surgical suites where all the needle work and pump mamangement is done and the other side is offices where evals and follow ups were performed. At every clnic I went to we all did psych evals and met with psychologist. To say there is no psych component to chronic pain or learning to live with chronic pain pain would be like saying sterss doesn't effect your pain level. There is an obvious connection whether people want to believe it or not. That was the one thing along with PT/excercise that all the clinics I have been too tought and believed in and I beleieve. So no clinic has ever done harm.They may have tried modalities that simply didn't work and even with modalities like interventional procdures, not every doc is equally gifted. I've met some PM docs that couldn't hit the broad side of a barn doing a triger point injection and some docs that are truly gifted and have the touch to provide great relief. If I had and refused to let their docs try something as minimally invasive as TP injetions when the previous doc had no luck whatsoever, I wouldn't have been offered pain meds that were now available and I wouldn't know there could be sucjh a difference between one PM doc and another. They don't force anyone to go through invasive interventional procedures like RFA or nerve abalation or even nerve blocks if someone has never benfited from and these methods in the past they weren't going to make me repeat some of the more invasive stuff that didn't work. But I still use many of the tols I picked up along the way. I also wouldn't have realized the doc doing the procedures makes all the difference in the world. So I basically took what I learned worked over the years and incorporate what worked even 2% into the tre
tment plan I use now. I still use relaxation techniques, I still excercise, because there are too many negative consequences from livng a sedentary life. Like a heart attack on my 36th Bday. Si I guess I'm not really sure what you mean by a Pain cl 1000 inic. It can mean anything from a daily intensive program or simply a group of docs from different speciltes that operate out of their own facilty. They don't have to send you over to the hopital for an ESI when they have an anesthesiologist on staff with a sterile surgical suite. Ether way, neither has harmed me. The last was the most efective method of managing my pain because the combinded both medicatoons and altherantive methods. Things are very different know. If someone simply dosn't want to have surgery if it is even an option, doesn't want to change their lifestyle whether it means changing jobs, cutting back hours, giving up recreational things that only make their condition worse. THere are some people that feel entitled to whatever med they ask for and feel they shouldn't have to try anything that doesn't gaurentee instant relief and there are docs that will treat a patient this way. That's how you end up wth people that have had pain issues less than a year, never had surgery and are on the most potent opiates available and think they have tried everything else because they spent 6 weeks in PT and tried one epidural steroid injection. That's hardly all that's available but if someone shops PM docs enough I have no doubt they can find one willing to simply write ever increasing doses of opiates. IMO these patients are only hurting themselves. They aren't docs, have no education other than what they read helped someone else and by refusing anything other than pain medication they are missing out on a great deal of relief that doesn't come with the growing price of continued physical depoendence. It is kinda hard to go back and try non opiate methods of pain Mangament when someone has already been on oxycontin for 3 years. Nothng is going to compare to the instant relief from high dose opiates but the patient will never know if they could have learned to manage their pain without having to pay the price of physcical dependence. There are certainly docs that believe doing nothing but writing prscriptions is doing harm and creating a generation of entitled patients that feel they shouldn't have to consider anything they don't want even when no harm can possibly come from taklking to a PM psychologist, trying acupuncture or learning what foods can trigger pain and how the mind body conection really works. The only thing that has harmed me that didn't work was surgery, but at the time when you have lost bowel and blader control, it's pretty much your only option to go in and decompress nerves or stablaize a spine or whatever the condition calls for. There are no gaurentees with surgery and no gaurentees with pain management. But seeing a doc that doesn't use pain meds, really isn't going to harm someone. They may actually learn non drug methods to deal with their new health circumstance or use different classes of medication like anticonvulsants for nerve pain or antidepressants to reduce the production of substance P. Substance P is a bi- product of living with chronic pain and it actaually makes pain worse because it's a neuro inflamatory agent. To me PMi is all about maniplating brain chemistry and staying open to anything and everything that might possibly help My answer is simple, Nothng caused any damage but not everything helped. Untill you try, you won't now if something like acupuncture, nerve blocks, Botox, steroids can actually help. Personaly I think if somone is only willing to try pain meds because they gaurentee relief, They are harming themself. Eventuall they will reach a point where the side efects prevent continuing to increase, that is unles they don't mind using a cath to pee or don't mind the impedence and other horomonal and psychological problems lke depresions that high dose use of opiates can cause. . Good luck, Anyone else ever actually gone to an Intensive Pm program or is the easy way of just finding a doc wiling to precribe whatever the patient wants the most effecti 1000 ve method to manage CP? Take care, Dave.
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Hi, Im a bit in the dark here, and would love some insight. Ive been with my boyfriend for just 7 months now. He has a diagnosed anxiety disorder and has been on serious medications for 10 years that I know cause sexual side effects (zoloft, lexapro). Sexually, we were active, he had no problems, everything was good. Then about 3 months ago things stopped. He would be able to achieve erection and penetration, but sex became impossible. Regardless how long it lasted he would eventually have to stop and finish himself manually. Since then he has given up alltogether and will have sex maybe once every two weeks. He describes it as a feeling where orgasm is about to happen, and then all of a sudden he feels like it already occured, and cant continue. Physically he said he has been tested and is sexually healthy, and blames it on the side effects of the medications. Any attempt I make at seducing, or helping is to no avail, he actually feels worse. He says that asking for it, or speaking of it makes him feel pressured and when he knows he wont perform he'd rather just not try until he feels he can (the once every two weeks). Curiously, he is able to masturbate. Just as frequently as he could while maintaining a healthy sex life with me. So Im a bit hurt by this and wondering if this is typical for anxiety-medication caused dysfunction, or if this sounds like sexual dysfunction, or is maybe a whole other issue altogether? Nothing in our relationship has changed, Im a very open an encouraging person and we speak about it and encourage dialogue. He has mentioned with previous women that he could almost never orgasm while penetrating, he always had to pull out, so that for him, this is an upgrade that he can with me, even if infrquently. What hardest for me is the masturbation thing, while I am asking for sex, and that we went from fine and healthy to this stage with no warning (and no change in medications) Any advice would be very appreciated. where to buy viagra uk Ick 'report bad post' found in each posted message. And a reminder of some of the general board rules: These are peer support boards, please try to remember that when you post. Vulgar or disrespectful language is not allowed. Do not disclose or claim any medical education. Do not post the same question on multiple boards. Do not post any off-board contact information. Do not link to or name other websites with out PRIOR approval. Please follow the general Posting Rules. Thank you, Mod-S4viagra freesample offer Viagra cheapest viagra prices uk
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