[Brandye]

I am back. Time out to set a broken arm in the middle of the night.

I am quite aware of the therapeutic range. I am also aware that most doctors will "sneak up on it" with these meds.

Now, to complete my response. One of the seldinafil drugs may help with your erection. They will not likely help much with the ejaculation unless the increased sensitivity works well. Seldinafil citrate is a circulatory drug and is used, in other meds, not for ED for for other circulatory issues. If the source of your problem is truly sirculatory, by all means try them all. It is important to note that the apparent desenstisation may not be circulatory at all but a neuropathy. Therefore, I recommend you get your neurologist involved.

Because the three drugs are so similar, do not get overly high expectations. A flacid penis is completely capable of ejaculating and your inability to do so may be causing your doctor to hesitate in continuing this line of treatment.

Men do not typically come to me for ED problems - but their wives drag them in and in this small community they are almost as hesitant to approach my two (male) colleagues. I have as yet to find anyone who responded to one of these drugs after another one completely failed. If there is a glimmer of response, one of the others may get to you better. If there is no response, I have not found the others to work.