Trimix requires next to zero outside stimulation. Applied directly to the base of the penis ( Take a look at the Trimix Instructional Video ), results will generally occur within 10 minutes. Depending on the patient’s requested strength a trimix injection can last anywhere from 20 minutes to 2 plus hours. Trimix is a mixture of three compounded medications; Alprostadil, Papaverine, Phentolamine. For those that have had minimal success or experienced uncomfortable side effects with oral ED meds it is a highly effective alternative. Unlike oral ED meds, it is safe for patients on nitrates and alpha blockers.
There is some concern with TRT impacting fertility. Basically, it isn’t a sure enough thing to rely on as birth control. As a little anecdotal evidence, I was watching the documentary Generation Iron with the current Mr Olympia contestants and some of them had young children. And we know they’re on more than 200 mg of test. But if having kids was a major concern of mine, I would be hesitant to commit to TRT unless I really needed it. I just had my first kid and don’t want anymore so it can only help me. You can, like you said, always come off and use hCG to get things going again. Alternatively, you could try hCG mono therapy. I didn’t feel any benefit from it but Chris from Good Looking Loser said he loves the way hCG makes him feel. Everyone’s different.
Another point I’d like to make for people worried about a link between high testosterone and prostate cancer is that it just doesn’t make sense. Prostate cancer becomes more prevalent in men as they age, and that’s also when their testosterone levels decline. We almost never see it in men in their peak testosterone years, in their 20s for instance. We know from autopsy studies that 8% of men in their 20s already have tiny prostate cancers, so if testosterone really made prostate cancer grow so rapidly — we used to talk about it like it was pouring gasoline on a fire — we should see some appreciable rate of prostate cancer in men in their 20s. We don’t. So, I’m no longer worried that giving testosterone to men will make their hidden cancer grow, because I’m convinced that it doesn’t happen.