Reviews

Reviews of the Priapus Shot® Procedure

Please be considerate.  Honest and intelligent observations will be welcomed. Negative and positive comments needed for honest discussion. Hateful and thoughtless comments will be deleted and the commenter blocked.

Sexuality is beautiful, pleasurable, and sacred.  Comments should consider those principles.

Thank you very much.

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653 thoughts on “Reviews”

    1. Dwyane,

      Is your pump a single cylinder all-in-one pump or does it have a detachable cylinder? If the latter, those come in various sizes and you can order another one. Specifically, Dr. Joel Kaplan sells pumps and is who many of us order from. The cylinder should not be so tight as to cut off circulation and your penis should not be touching all sides of the cylinder when fully erect. You should be able to remove the cylinder/pump easily when erect. Be sure to use a water-based lubricant when using the pump and do not pump more than 10 min twice a day at a pressure of no higher than 7-10 mm Hg if your pump has a gauge.

      -Emily Porter, MD
      Austin, TX

      1. Thanks for very much Dr Porter. With the pump I have I completely fill it up and touch all sides. Very uncomfortable. So I will contact Dr Kaplan per your advice.

      2. Thank you very much Dr Porter. I will contact Dr Kaplan. I completely fill the pump I was provided and touch all sides. Very uncomfortable. I will get a new one. How long should I pump after my treatment? Does it male a difference if I combine the P Shot plus Gainswave treatments? Any difference if I get the P Shot plus Stem cells? Your posts are very helpful to all of us!

        1. You should pump at least 6-8 weeks after the Priapus Shot, twice a day for 10 min at a pressure of 7-10 mm Hg or until penis is fuller than it would be with just a normal physiologic erection. It should feel full but never HURT. The pump strengthens the muscles that line the arteries and veins of the penis. This does a couple things. It helps strengthen the blood vesels so they can pump and hold blood better once it’s in there so it doesn’t leak out. Pumps also help increase the nutrient (nitric oxide) to the penis. This is the goal of drugs like Viagra and Cialis. The goal of the pump is to help enhance the results of the procedure, but it’s also to strengthen the penis more long-term. Think of it as penis yoga. I recommend my patients make 10 min of pumping part of their daily routine to keep the muscles strong because if you don’t use it, you lose it. There is some thought that using the pump at least a few times a week is the secret to maintaining any increase in girth that results from the procedure.

          It is great to pump after GAINSWave treatments as well as if stem cells were used.

          Pump tips/tricks:
          1. Shave/trim hair for best seal

          1. Pump tips/tricks:
            1. Shave/trim hair for best seal.
            2. Water-based lubricant and make sure you get to the glans (head) so it doesn’t stick to the inside of the pump.
            3. Stand up or sit on the edge of the bed and let gravity help keep your testicles low so they’re less likely to get sucked up in the pump.
            4. Aim the penis down toward the floor.
            5. Use the pinky of your non-dominant hand to create a barrier across your scrotum and hold the cylinder with that hand.
            6. Pull the cylinder towards your spine. It will need to press against the fat pad there in order to create a seal.
            7. IT SHOULD NOT HURT!!! It might feel uncomfortable/engorged/intense, especially due to the suction on that fat pad.
            8. DO NOT OVERDO IT!!!!! You can actually cause harm but using the pump more than 20 min per day (okay to do 2 separate 10 min sessions but take a 5 min break between them). Aim for a pressure of 5-7 mm Hg if pump has a gauge. Do not go about 10 mm Hg.
            Lots of good info on http://www.drjoelkaplan.com

      3. hey Dr. Porter, I’m considering doing the PRP shots. Do you have any pictures documenting size gains? Im 7×5. what’s a realistic size I can expect after 3 treatments? will they go away after 6 months if I stop pumping?

  1. If you are a South Florida patient, avoid Dr Chenven in Broward County. Really, $250 for a consultation? If a Dr. won’t do the consultation and instead attempt to pawn you off on a staff member, or sales person, , avoid that practice. If the Dr. wants to charge you for a consultation, avoid them as well. Stated on the phone they don’t disclose price over the phone and that I needed to see the Dr directly and then when I arrived (45 min drive there) then told me it’s $250 to meet with the Dr. I walked out. Dr’s have seen me and consulted for free. Any Dr should explain why you should use them.

    1. Jay,
      I’m sorry this happened to you. I don’t know pricing in South Forida, but whether or not a physician charges for a consult often varies greatly by the type of practice they have, the region and what is customary there. I can only speak for my practice and we try our best to qualify prospective patients over the phone to make sure we can likely meet their expectations. If they desire a consultation with me, I do charge (less than you paid), but I also spend 30 min with them. If they decide to do the treatment, I apply the consultation fee towards the procedure. I’ve found that this prevents massive numbers of cancellations and therefore allows me to treat more patients without months of waiting. I’d perhaps look for another practice.
      -Emily Porter, M.D. Austin, TX

  2. I am 51. Overweight, latent autoimmune diabetes, Multiple sclerosis, neuropathy.
    I have a very small penis in length, and have not had anything resembling an erection in ten years.
    ED pills have had zero effect.
    I once tried 60mg of Cialis and had no erection and horrible backache to show for it.
    Is the shot and/or shock therapy worth trying, or am I too far gone?

    1. Jim,

      I would recommend a trial of Trimix in a physician’s office. It is a combination of drugs that cause blood to flow into the penis if the blood vessels are able to fill. Tiny amount in an insulin needle. Think of it as Viagara in a needle. The physician can go up in dose. In my experience, if I am able to give a man an erection with Trimix, he is someone who may benefit from the Priapus Shot and shockwave therapy. In the meantime, I teach him how to do Trimix at home. If the man has zero response from Trimix, the arterial disease is very severe. In your case, you have the double whammy of MS causing both nerve damage and diabetes causing nerve damage and arterial damage. My suggestions to you:
      1. Keep your hemoglobin A1C below 6.
      2. Walk as much as your MS allows; ideally 21 miles/week.
      3. 10 mg Cialis daily, then 100 mg Viagra as needed 1 hour prior to intercourse.
      4. Eval by a physician who is comfortable with Priapus Shot, shockwave therapy, and Trimix. If Trimix works, I’d start shockwave and do 2 Priapus Shots. If no response from Trimix, I’d consult with a urologist for possible placement of a penile pump.

      Hope that helps.

      -Emily Porter, M.D.
      Austin, TX

  3. I just got the P-shot but they used embryonic fluid. So far much increase in girth. I pump 2 times a day for 10 minutes. Not sure yet on length but erections and flaccid state are impressive. Wife notices. I also had a laser treatment after the shot. I do recommend it. You won’t be a new porn star but your confidence will increase and your partner will enjoy the new you. I will update later as time goes on.

    1. RCV,

      I’m glad to hear you are having a good experience so far. Was your provider a member of our group? (http://www.priapusshot.com/members/directory/). Did they use a product called Amnion? Also, did you have a laser treatment or something called extracorporeal shockwave therapy (i.e. GAINSWave or similar)? How long after the Priapus Shot did they do that? I ask because it is more beneficial to do any sort of shockwave or other treatments BEFORE the Priapus Shot. Any kind of treatments in the next 3 weeks or so may disrupt the integrity of the platelets once they from the Platelet Rich Fibrin Matrin (PRFM). This may adversely affect your results. You should also avoid smoking as well as systemic steroids such as prednisone and NSAIDs (ibuprofen, Aleve, aspirin) for 6-8 weeks after your procedure for optimal results.

      I look forward to hearing your progress. Most people really start to notice a big change around 2 months in.

      -Emily Porter, M.D.
      Austin, TX

    1. Unfortunately they do not at this time. They also do not pay for the O-Shot. Both work wonderfully, and all certified providers offering the procedures should refund your money if they don’t make you well. I usually do a second shot at 3 months if no improvement. Most men prefer that over the refund because 1) they have experienced the procedure and know there is very little discomfort and 2) they want to be well.

      Emily Porter, MD
      Austin, TX

        1. You can contact Dr Karan Singh Address – 94 Charlotte Maxeke Street (old Beatrice Street), Durban Medical Centre, 12th floor, suite no 1204.

          Contact number: 0659786966

          Hope that helps.

        1. William,

          If they’re a good candidate, I do one shot and they don’t notice any improvement, I repeat it for free. I keep my word, but I expect them to be honest as well. So far, so good. If they repeat 6 or 12 months down the line, I’ll sometimes discount $300 because they already have the pump, I’ll throw in some goodies (specialty compounded sildenafil and tadafil/oxytocin troches or a GAINSWave treatment), or I cut their wife a deal on an O-Shot.

          -Emily Porter, M.D.
          Austin, TX
          drporter@austinlovedoctor.com

  4. I recently received the P Shot with Dr. Emily Porter, and the results have been more than I expected. While I was prepared to see results over a couple weeks or months, I actually saw in increase in erection size and sensitivity in under a week. I did not tell me wife about the procedure, but she definitely noticed something was different. She not only commented on how I felt, she has initiated sex more in the last three weeks than she has in the last ten years. While I didn’t actually have ED before the procedure, I knew I wanted to feel more like my younger self. The results already have been more than worth it! I cannot recommend this procedure or Dr. Porter high enough.

  5. I had the priapus shot about a week ago and have been using my pump as directed. I was wondering if I can use a tight cock ring in my penis for sex so soon after the procedure or would that be harmful to my penis. Thank you

  6. I am 37 from uk and decided to try the p shot. I can 90% of the time get an erection but a lot of the time struggle to maintain it and it is never rock hard. Last year I had hyaluronic acid for girth which left me with a few small lumps on right side of penis and also caused a slight bend. The doc went through everything and said he recomends that to do it correctly I needed to have the fibrin and prp. He put numbing cream on and did two tubes of blood one for fibrin and one prp then injected quite a few places but only muscle. The first one or two injections I felt a stinging sensation and then the rest was ok. For the rest of the day my penis was numb and quite bruised. Next day I had a few drinks with wife and couldn’t wait to try it. Still had a lot of bruising but no pain. I couldn’t get a full erection at and was very disappointed. Day 2 I decided to start my pumping and pumped for about 10 min. My penis actually looks like it’s hanging a good inch lower than before. I decided to try it again with wife and wow. I got a erection like normal and started having sex but as soon as I was in my wife my penis was so hard she even said what is going on with me lol. I have never had an erection this good in my whole life and she kept saying how hard and fuller my penis was which made me feel amazing. Its day 3 and I will carry on pumping daily and just hope this lasts and wasn’t just a one off thing 😀

  7. I had the P Shot 6 weeks ago with extracorporeal shockwave therapy immediately after the procedure and twice a week for several additional weeks. My concern is that I am not seeing any growth with regard to length or girth. My errections may be slightly improved but I wonder if the shockwave therapy has hindered my progress.

    Dr Emily Porter advised above that “……it is more beneficial to do any sort of shockwave or other treatments BEFORE the Priapus Shot. Any kind of treatments in the next 3 weeks or so may disrupt the integrity of the platelets once they from the Platelet Rich Fibrin Matrin (PRFM). This may adversely affect your results.”

    I have been following the protocol as advised. Do you think a second round of the P Shot procedure would produce better results without any additional shockwave therapy?

    1. Chris,

      In theory, what I said is true, and that’s the GAINSWave protocol as well as how Dr. Runels has trained his teachers. However, we know one thing for certain; we don’t know everything and everything is always changing. Just 2 weeks ago, we had another weekly journal club meeting where a prominent urologist in our group said he was doing the Priapus Shot first, waiting 2-3 days until the PRFM was set up, and then beginning shockwave with excellent results. I never guarantee any change in length or girth. If it happens, it is an added bonus, and using the pump is a huge part of it. If it’s been a full 8-12 weeks, I’d go back to your physician. If you were my patient and had no change, I’d offer to repeat the Priapus Shot for free. Most of us will.

      Good luck,
      Emily Porter, M.D.
      Austin, TX

  8. I have had 6 gainswave treatments. Can’t say I noticed improvement with ED. Still need to use PDE’s which I hate. Considering doing the P shot. How long after the P shot should I wait before continuing the rest of my gainswave treatments? My goal is to not need pde’s anymore. Also, would I likely see gains in size with 1 shot? I am 6 1/2” ave girth.

    1. A lot of my treatment plans vary based on the severity of the ED. A standardized way to measure that is the IIEF-5, also called the Sexual Health Inventory for Men (SHIM). http://rohbaltimore.com/SHIM.pdf

      Goals of both GAINSWave and Priapus Shot are to decrease dose of drugs like Levitra, Cialis and Viagra, optimistically by half if a high dose or to discontinue them completely. If you fall into the moderate to severe ED, in order to get your best outcome I recommend optimizing testosterone to 900-1100 via a steady stream of bioidentical hormone pellets, 1-2 Priapus Shots space 8-12 weeks apart. GAINSWave can also help significantly and can be a good monthly maintenance treatment. If I’m doing a combination therapy, I usually do the GAINSWave first, then P-Shot (can be same day), wait 6-8 weeks after P-Shot to resume GAINSWave.

      The change is size is not really dose-dependent but rather luck of the draw and compliance with pump use. 30-40% of men get an increase in girth. When Dr. Runels first injected his own penis, he only did so bilaterally near the base. He noticed that the girth increased, but disproportionately in that area so he taught us to inject more distally as well.

      I hope this helps.

      -Emily Porter, MD
      Austin, TX
      drporter@austinlovedoctor.com

    1. Laz, We unfortunately don’t see much change with length with the procedure. While 1/4-1/2 inch increase in girth is a nice benefit for many patients, it’s also not a guarantee. I personally have not had a single man who did not notice a change for the better in the quality of his erections/orgasm after this procedure. One man wasn’t sure, so I repeated at no charge and he’s quite happy now.

  9. I would like to know will my insurance company cover the cost for this procedure due to the fact that my ed is a result of my diabetes

    1. I am so sorry to hear this. Diabetes is such an unforgiving disease and I hate it and what it does to people, even those who “play by the rules.” I’ve experienced it personally. Unfortunately, insurance companies do not cover this procedure no matter the cause. I know it’s expensive when compared to an office co-pay, but instead, compare it to the cost of a new transmission. Most people value their sexuality at least that month, and if your doctor thinks you’re a good candidate and get good results and you don’t, most of us will refund your money or repeat the procedure. It’s the ethical thing to do.

  10. I received the Pshot Dec 6th from a very reputable Dr in Canada. My ED has been psychological for many years and recently started on an SSRI which killed my sex drive and made ED worse. Age 38, fit, non smoker, decent size: 7.25/5. Happy with length wouldn’t mind a decent girth increase.

    Pain was manageable. I worst part was the numbing shots. Overall nothing to worry about unless you have a phobia.

    My only concern is that everyone on here says that the minimum PRP injection is 8-10ml. While the dr definitely took 2 5ml vials, there was only about 60% amber PRP. The dr said I gave a good sample, normally he only gets 5cc of PRP but I gave 6. So when we talk about minimum injection amounts, do we mean total blood drawn or actual PRP? If the latter then I worry I was not injected with enough.

    Pumped for 10 mins immediately after injections. Felt really floppy for the day. Pump for 10 mins 2 times per day since. I haven’t measured myself but I do notice a bit of girth increase at the base while flacid. My erection quality while masturbating seems to be a bit softer, orgasms feel the same. Sensitivity the same.

    Will update in the coming weeks. But I can’t help but feel I received a lower dose than the minimum.

    1. It sounds like you may have been ripped off. Many people erroneously think they know what our licensed providers do and use our name (Priapus Shot®) without being licensed by the Cellular Medicine Association.There should be at least 10ml of prepared PRP injected into your Penis.
      If the provider (the person holding the needle) is not listed on the following website (even if someone else in the office is listed), then the person doing the procedure is not licensed by the Cellular Medicine Association to do the procedure…

      Licensed Providers World-Wide<---

      1. Furthermore, I believe the dr is actually a national trainer of the procedure for other drs. When I asked about the amount he said the only time he’s taken 3 vials of blood was for someone with a 12” penis which was simply too large to become erect

        1. Paul,

          I am so sorry you were not given the best care possible. I too am a national trainer. The procedure is to inject 10 mL into the penis. If I get 11 or 12, you get 11 or 12. But never less than 10 mL. Different tubes/kits yield different vials but many are 12 mL whole blood that produce 5-6 mL PRP. That can be less depending on the man’s hematocrit (especially if on testosterone). I did a procedure today on a man on testosterone. We drew 2 vials and when we spun them down they only yielded 8 mL of PRP. It took an extra 7 minutes to draw one more vial of blood. I didn’t want to cheat the patient and give a substandard procedure, he ended up with 12 mL.

          Please write the name of the physician who treated you here. If you don’t feel comfortable doing that, you can email me at drporter@austinlovedoctor.com and I will communicate it with Dr. Runels and he will address it. We all make a promise not to keep someone’s money if we don’t help them or at least to repeat it at no charge. Hopefully we can clear things up and get you well. If you want to visit Austin, I’d be honored to repeat it for you at no charge.

          -Emily Porter, M.D.
          Austin, TX
          drporter@austinlovedoctor.com

      2. I recently had the p-shot. The primary goals were to improve sensitivity (improve delayed ejaculation) and improve ED (lessen use of cialis).

        I am 59 years old and in very good health and do not use any psych meds. I Am on weekly testosterone therapy, with optimal blood levels.

        With these goals in mind, what is the recommendation for use of the pump?

        And what is the recommendation for repeat procedures?

        Thank you

        1. Jefferson,

          You should pump at least 6-8 weeks after the Priapus Shot, twice a day for 10 min at a pressure of 7-10 mm Hg or until your penis is fuller than it would be with just a normal physiologic erection. It should feel full but never HURT. The pump strengthens the muscles that line the arteries and veins of the penis. This does a couple things. It helps strengthen the blood vesels so they can pump and hold blood better once it’s in there so it doesn’t leak out. Pumps also help increase the nutrient (nitric oxide) to the penis. This is the goal of drugs like Viagra and Cialis. The goal of the pump is to help enhance the results of the procedure, but it’s also to strengthen the penis more long-term. Think of it as penis yoga. I recommend my patients make 10 min of pumping part of their daily routine to keep the muscles strong because if you don’t use it, you lose it. There is some thought that using the pump at least a few times a week is the secret to maintaining any increase in girth that results from the procedure.

          Pump tips/tricks:
          1. Shave/trim hair for best seal.
          2. Water-based lubricant and make sure you get to the glans (head) so it doesn’t stick to the inside of the pump.
          3. Stand up or sit on the edge of the bed and let gravity help keep your testicles low so they’re less likely to get sucked up in the pump.
          4. Aim the penis down toward the floor.
          5. Use the pinky of your non-dominant hand to create a barrier across your scrotum and hold the cylinder with that hand.
          6. Pull the cylinder towards your spine. It will need to press against the fat pad there in order to create a seal.
          7. IT SHOULD NOT HURT!!! It might feel uncomfortable/engorged/intense, especially due to the suction on that fat pad.
          8. DO NOT OVERDO IT!!!!! You can actually cause harm by using the pump more than 20 min per day (okay to do 2 separate 10 min sessions but take a 5 min break between them). Aim for a pressure of 5-7 mm Hg if pump has a gauge. Do not go above 10 mm Hg.

          Lots of good info on http://www.drjoelkaplan.com

          Keep testosterone 900-1100 at a steady state.

          Repeat procedure every 12-18 months for best results.

          Emily Porter, M.D.
          Austin, TX
          drporter@austinlovedoctor.com

  11. I am from Dallas, a 60 year old male, in decent but not perfect health. I had heard / read about Dr. Porter in Austin (actually in Leander a northwest suburb which is closer than going into Austin) so I went to her for the Priapus Shot.

    Dr. Porter (at Wrinklefree Medspa) was excellent. So friendly, informative and helpful. I don’t like needles(typical male) but nothing about this was painful. The numbing cream and pain block shots made it so that I didn’t feel any of the PRP injections. I was surprised it was over so quick.

    That was about 2-3 months ago. I pump everyday. The results are pretty amazing. I didn’t measure (in fact – where do you measure the length?). I notice that my girth is larger. My erections are rock hard – feels like a steel pipe now. I can begin and finish intercourse very erect and hard. It seems like it is more sensitive now – to my own touch or from my wife. I also have very hard firm erections during the night. 1 to 3 times a night I wake up with an erection so hard that it almost hurts.

    My orgasms (from masturbation or intercourse) are more explosive.

    Questions – 1. where do you measure to track results? 2. Is it normal to have these night time erections? 3. I notice with intercourse I climax way quicker than I hoped – in about 1 to 2 min. Any suggestions?

    Thanks, and I am looking forward to see how the changes are or is at 4 months out.

    1. Jason,

      I’m sorry my comments to you a few months ago did not get posted. There must have been a glitch. I’m thrilled that you are happy with your results. I do want to answer your questions though because they are important.

      1. You can measure length using a piece of string from the base of the penis to the most distal part when it’s fully erect. Then lay that out on a ruler and that’s your length.
      2. Girth–same thing. We usually measure at the base, middle and glans (head).
      3. Nighttime erections are normal, awesome, and not to be wasted. Wake your wife up!! Just be sure you’re meeting her needs so she’s not cranky in the morning,
      4. Some men can have an issue with premature ejaculation after the Priapus Shot. It usually goes back to normal after your body adapts to the new sensations. If you’re really struggling, however, try some of these tricks. https://priapusshot.com/category/premature-ejaculation/

      Can’t wait to see you again! You know where to find me!

      -Dr. P

  12. Have any of the licensed providers here in the states tried contacting Dr. Sharath, whose research Dr. Runels has highlighted in at least one conference as well as here on this site? I’ve emailed Dr. Sharath at every email address I could find and could never get any reply. Have any of you in the US tried to utilize his variations on the standard technique? The study quoted indicates such a large patient sample and the claimed results are so extraordinary. It seems strange to me that no one seems to have attempted to replicate and, I’m sorry if this sounds rude, validate his claims?

    1. Rob,

      This varies greatly. Some men get improvement the first day because of the extra volume in the penis and use of the pump. That platelet rich plasma (PRP) hangs out around 3 days, then it turns into something call PRFM (Platelet-Rich Fibrin Matrix) which usually lasts around 3 weeks while it recruits stem cells. That process can take 8-12 weeks. I don’t consider the procedure a failure until a patient has waited 12 weeks and has been compliant with twice daily pumping. If absolutely no improvement, I repeat it at that time at no charge or offer a refund.

      -Emily Porter, M.D.
      Austin, TX
      drporter@austinlovedoctor.com

    1. This varies greatly. Some men get improvement the first day because of the extra volume in the penis and use of the pump. That platelet rich plasma (PRP) hangs out around 3 days, then it turns into something call PRFM (Platelet-Rich Fibrin Matrix) which usually lasts around 3 weeks while it recruits stem cells. That process can take 8-12 weeks. I’d say the average response is around 4-6 weeks. I don’t consider the procedure a failure until a patient has waited 12 weeks and has been compliant with twice daily pumping. If absolutely no improvement, I repeat it at that time at no charge or offer a refund.

      -Emily Porter, M.D.
      Austin, TX
      drporter@austinlovedoctor.com

  13. I have no issues. I’m 50 next month. always open to improving. should I do the pshot? what will it do for someone with no ed issues? also if I do it I want the best dr to perform it. so who from the list is best? any suggestions? I’m from nc. thank you.

    1. Todd,

      For most men, even without ED issues, the Priapus Shot will enhance their erection quality and improve orgasm/ejaculation. My husband was my first model at age 39. No heath issues, normal testosterone, no meds, no ED. I wanted a truly unbiased opinion so I could discuss the procedure with men ethically and know it wasn’t all just hype. His experience was that his erections were harder (like those of his 20s), he said he got erections thinking about me doing dishes (instead of me topless), and his orgasms were stronger. He had about a half inch increase in girth. I knew he wasn’t bullshitting me when he asked me for another one a year later.

      We use this same technology on women. We can inject PRP behind the nipples to increase sensitivity if lost due to implants, breastfeeding, or aging. We can inject it inside a woman near the G-Spot to help enhance blood flow and nerve endings, increase lubrication and reduce stress urinary incontinence as well as treat some nasty conditions such as lichen sclerosus. Finally, the second part of the O-Shot involves injecting the clitoris which enhances sensitivity and blood flow. I’ve had 5 in 3 years and I’m not yet 40. 🙂

      Try it. Find someone who will refund you if you get no improvement.

      You’re most welcome to visit me in Austin. I need an hour of your time. In North Carolina I’d recommend Dr. Hunter Hansen in Charlotte. http://thecarolinamensclinic.com/

      Good luck!!!

      -Emily Porter, MD
      Austin, TX
      drporter@austinlovedoctor.com

    2. My name is Dale. Real name! I had the P shot about 3 months ago. Ill just say this. I will not be asking for my money back!! I will be saving for the next round?? My wife had the O shot at the same time. I laughed the other day when she said we needed to start saving to put the P and O shots in our budget!! More on my experience after I say this.

      My heart goes out to so many of you as I read these posts. Especially those of you that seem to have little hope of obtaining an erection. Here is the reality. Sex is a vital part of our life experience. Its fun. It feels good. It is the ultimate form of intimacy with our spouses. Another reality. A man cannot have intercourse without first having an erection! I am so grateful Dr. Porter and others have the passion and the technology to help.

      I was more like Todd. Just a bit older. I am 64. Good health. No ED issues. My wife and I were having great sex regularly. My wife is considerable younger than I am. Reality is even though things are great for me at 64 things aren’t like they were when I was 20’s to 40’s!! My wife and I often had fun talks of what it would be like sexually if we had known each other when we were younger. We determined we would never have seen the light of day!!

      I decided it would be fun and rewarding to see what was out there that might set the clock back a bit. I found Gainswave and did that about a year ago with some benefit. Then I started investigating PRP and the P shot. I read every testimonial and watched every video. One name kept coming up and the compassion with which she wrote was so impressive. So genuine. So real. And here is what did it for me. Dr. Porter guaranteed her work. Her only objective was result. She trusts her customers to be honest. Who does that!! I emailed her. SHE CALLED ME ON MY CELL PHONE! She shared with me her passion to treat couples and asked if my wife would like to join me. I was hooked. Todd here is my point. The practitioner does matter. I drove 3 hours to Dr. Porter when I had doctors just minutes from my home who would administer the procedure. I think who you choose for treatment can be just as important as the procedure itself. And Todd, these therapies are not chump change. If I am writing this kind of check I want to make sure I have the best chance of success. I was convinced that was, for my hard earned dollar, Dr. Porter. I was not disappointed.

      After my P shot (it was painless) I started noticing subtle differences in a couple of weeks. I had more frequent erections during the night and they were full and firm and long lasting. Dr. Porter says that is the time to wake the wife up and not waste the erection and I did just that a few times!! As time went on i noticed more and more sensitivity. For older guys it can be more work to climax. I found that I was climaxing more easily and that my climax would last longer and more was more intense. Amazing. Here is the part that has really been nice. In the younger days just a thought would result in an erection. That is not the case when you get older. In my experience. I cant say a thought gives me an erection now, but I can tell you i feel the beginnings of the “urge” and that alone is a benefit I hoped for but did not expect. I don’ want to get too graphic but you all know the “H” word. Well; I seem to be “H” all the time now and that is a really cool feeling!!

      I now WANT sex almost everyday. I have had times when it is twice a day. My wife (thank goodness) feels the same way and the O shot has been amazing on her end.

      I have been long. I hope this post is beneficial to someone. Either to get the erection they have lost, use less medicine to get there, or just ramp up what is already a good thing. Dr. Porter has my number and I told her I would be happy to share my experience if you would like to call.

      Dale

  14. Hi Dr. Porter.

    Do you have a suggestion of a specific provider in the Dallas area for the p-shot and GAINSWave therapy?

    Thanks

    1. While no one from Dallas seems to dominate the market, Dr. Pat Sharratt is one of the certified trainers and also offers shockwave therapy. He’d be my choice. I do have many patients who drive from Dallas. Often they get the shockwave locally out of convenience and then come to me for the P-Shot. I had one from Abilene today with the same story.

      Emily Porter, M.D.
      Austin, TX
      drporter@austinlovedoctor.com

  15. Hello I am considering this procedure, but I am a little bit afraid because I have heard that calcium chloride is mixed into the prp to activate it and then injected. Calcium chloride is known to cause necrosis…I only have one penis like most men and this really freaks me out. Can someone advise about this? Am I overreacting about the risks, how much of this cacl2 is considered safe?Thanks

    1. Robert,

      Excellent question and means you’ve been doing your research! We use about 0.5 mL of calcium chloride to activate the PRP and cause a more complete release of growth factors. That is 1/10 of a teaspoon, and it’s mixed into the PRP. Doctors safely inject 10mL CaCl Calcium chloride (or gluconate) into the veins all the time during cardiac arrests and overdoses of certain cardiac medications. Necrosis is extremely rare usually due to injecting large amounts of pure calcium into a very small vein. I would not worry here. However, if this concerns you, we can also activate the PRP using hyaluronic acid such as a dermal filler like Juvederm. In Europe the PRP gel kits come with HA but those aren’t out in the U.S. (yet). Regen Labs is working on it.

      Emily Porter, M.D.
      Austin, TX
      drporter@austinlovedoctor.com

  16. 64 y.o. male. Diabetes Type 2. I heard about the shockwave therapy from an ad on the radio. Turns out they were about 90 mins away in good traffic, so I looked for something closer. Found a clinic about 10 mins away. Dr. was very nice. She suggested that I get 6 shockwave treatments and 2 P shots. After 4 treatments and 1 Pshot, I notice absolutely nothing. It was mentioned here that the Pshot should be 10ml injected. I am familiar with needles and looking back, it did not look like it was that much injected into me. This Dr. specializes in skin issues and in fact the word “skin” is part of the clinic name. I’m spending a lot of money $500 each shock treatment, and $1500 each injection total of about $6,000. I checked the Dr’s name on the Cellular Medicine Association, and her name was not there. Now her office contacted me and cancelled my latest appt. stating that their shockwave machine is down for repair and won’t be available for a couple weeks.
    I went into this blindly, trusting that there were measures in place with regard to consumer protection. How do I know that the machine was working properly in the first place? How do I know that the person doing the shockwave therapy is properly trained? Shouldn’t there be a certificate I should be looking for? The “Gainswave” logo is in her ad, but to my recollection, I have not seen that logo anywhere in her office. I looked at the shockwave machine and there is no brand name on it anywhere. I’m at a loss as to what to do. They will call me to reschedule my next appt. Should I even go back? How can I find out more about the Dr.? Thanks.

    1. If the name is not on the directory, and they use the name “Priapus Shot®” ===they are breaking the law! It’s that simple. I would be similar to claiming to be part of the Mayo Clinic but not actually be part of the clinic. Please report this “poser” to support@cellularmedicineassociation.org so others are not deceived. No method is perfect, and results vary with any medical procedure–but our method has been tried and tested and improved for over 9 years and anyone pretending to be part of our group (the Priapus Shot® provider group…a division of the Cellular Medicine Association) who is not listed on our directory is breaking the law and deceiving patients. There could be legal options open to you as well for their deception. I have no idea what was done for you, so cannot comment on the procedure.

    2. Ken,

      I am so angry for you. And you have every right to be angry. Both Priapus Shot® and GAINSWave® are registered marks for a reason–they come with a guarantee that the person doing the treatment has been trained and is following a proven results-driven protocol. If you go to Starbucks, you expect a certain flavor of coffee that is hot and would be angry with a cold cup of Folgers. But this is people’s HEALTH!! I live in Texas and we have a huge problem right now with laypeople practicing medicine without a license. I am a certified training center for both the Priapus Shot® and GAINSWave®. I paid a good deal of money for the training and I also pay a licensing fee to both the Cellular Medicine Association and GAINSWave® and so it angers me, too, because it is unethical and unlawful. And it puts patients at risk. You should be getting 10 mL PRP in a legit Priapus Shot® and GAINSWave® also has a few approved devices and we adhere to certain settings (energy and number of pulses).

      Here is my advice:
      1. Report to Dr. Runels. Part of our licensing fees goes to his attorney.
      2. Look on gainswave.com and if she’s not on there, report her there as well. Email me at drporter@austinlovedoctor.com and I’ll steer you in the right direction with them. I know the team well.
      3. Report her to your state medical board.
      4. Ask for the full refund, even on the treatments you already received.
      5. If they refuse a refund, file a dispute with your credit card company.
      6. Seek legal counsel or go to small claims court if you don’t get your money back.
      7. Absolutely do not go back there. You deserve better and they don’t sound trustworthy.

      If you’re anywhere near Austin, I’d love to make sure you get the experience you deserve. I’m so sorry this happened to you.

      -Emily Porter, M.D.
      Austin, TX
      drporter@austinlovedoctor.com

  17. Hi Dr Porter,

    Are you familiar with any of the providers of the p-shot and Gainswave therapy solutions in the Dallas area?

    Thanks

    1. I get tons of patients from Dallas. Short drive to a fabulous city in Austin. The Dallas docs are not super active on our weekly calls and I don’t know if there’s one person there who really dominates the market. I’d choose Pat Sharratt at Hormone Therapy Dallas because he is one of the certified teachers.

      Emily Porter, M.D.
      Austin, TX
      drporter@austinlovedoctor.com

  18. Many of the providers in my area don’t have the money back policy or the option for the 2nd treatment free of charge in case the patient doesn’t get well. What can I do?

    1. JP,

      In short, no, because you are still aging. If we inject PRP into a scar or tissue defect, that result can be permanent because the etiology is no longer there. You age regardless. However, I DO recommend maintenance pumping, and here’s why. The pump strengthens the muscles that line the arteries and veins of the penis. This does a couple things. It helps strengthen the blood vesels so they can pump and hold blood better once it’s in there so it doesn’t leak out. Pumps also help increase the nutrient (nitric oxide) to the penis. This is the goal of drugs like Viagra and Cialis. The goal of the pump is to help enhance the results of the procedure, but it’s also to strengthen the penis more long-term. Think of it as penis yoga. I recommend my patients make 10 min of pumping part of their daily routine to keep the muscles strong because if you don’t use it, you lose it. There is some thought that using the pump at least a few times a week is the secret to maintaining any increase in girth that results from the procedure. What we DO know is that men who do not provide their penises with the appropriate nutrients they need (nitric oxide) will actually LOSE LENGTH OVER TIME and have PERMANENT SHRINKAGE. This is because cells that are not nourished and have suffered poor blood flow will actually start to fibrose (become scar tissue) and that causes the penis to shrink. Scarred cells can’t expand, and in order to have a satisfactory erection, the tissue in the penis needs to be spongy and stretchy and elastic so it can fill with blood, and the cells need to be strong so they can trap the blood long enough for a man to get the outcome he desires.

      Hope that helps.

      -Emily Porter, MD
      Austin, TX
      drporter@austinlovedoctor.com

  19. Hi. I’m a 50 year old healthy male who has had zero problems getting and maintaining an erection. One day about a year and a half ago, something happened and I was unable to keep an erection. Ok no big deal, was able to eventually make it work but ever since then, the thought is in my mind and it has worked sporadically. Sometimes I’m good for a few weeks, then it suddenly creeps back into my head that it may not work, and of course it doesn’t. I’m now at a point where it scares the hell out of me to initiate sex. The desire is definitely still there, I’ve had testosterone levels checked (500+), I’ve taken Cialis and Viagra which work sometimes but not 100%. This issue affects NYU self confidence and is literally ruining my life.

    Can a Priapus Shot help when it is likely psychosomatic? Thanks.

    1. Jim,

      Great question And I’m sure a difficult one to ask. Thank you for your bravery. We need to make you confident so that your big brain doesn’t get in the way of your little brain.

      First things first:
      1. Optimize your testosterone to 900-1100, ideally with bioidentical pellets. We can polish the car all day long, but if there’s no gas in the tank we’ll be stuck in the driveway.
      2. Get a Priapus Shot. You sound like a great candidate and are very likely to have a great outcome, especially if you are compliant with the pump.
      3. If 1 & 2 don’t resolve things, consider seeing a sex therapist to help you work through the fear you’re having. I’d recommend psychotherapy and hold off on any antidepressants even if your mood worsens because many of them destroy libido and can cause ED.
      4. If this is with a single partner, tell her/him how you feel and what’s going on. You may be embarrassed at first, but they are likely to understand and telling them your fears will improve the situation and take the pressure off.
      5. If you are not attached to one partner, great. Find several. Hump freely. Get a couple good experiences under your belt so that you can focus on that and put the past in the past and leave it there!!!

      Hope that helps.

      -Emily Porter, MD
      Austin, TX
      drporter@austinlovedoctor.com

  20. If one is considering 6 Wave Therapy (ETSW) treatments and the P-Shot, what is the safest protocol delivering the best results? After two consultations (MD and the other a Physician), I was recommended different timelines and protocols for the combination treatment. For instance, the physician insisted 6 (ETSW) treatments (2) per week for three weeks followed the P-Shot no less than 5-6 weeks after the last ETSW treatment. On the hand, the MD suggested 6 (ETSW) treatments (1) per week over the course of six weeks followed by the P-Shot 1 week after the last ETSW treatment. There does not seem to be a general consensus about the combination ot the two treatments.

    1. Eric,

      I am a certified trainer for both GAINSWave® and the Priapus Shot® , and here is what I was taught.

      If you were going to have 6 ESWT treatments and 1 Priapus Shot, I would do 1-3 treatments per week but try to complete them all in 4 weeks. Then, on the last ESWT treatment, I do the Priapus Shot the same day. There is some thought that the combination of both the inflammation from the shockwave combined with the PRP could be synergy. I don’t personally do ESWT for 6 weeks after a Priapus Shot because I don’t want to damage platelets or disrupt the platelet rich fibrin matrix. Dr. Runels hosts a weekly journal club for the members of the Cellular Medicine and about a month ago, the guest physician said he does the Priapus Shot first, then the ESWTs in the weeks afterward and gets great results. The answer? No one quite knows because this is still so new. What I do know is that if I treat you and you don’t get a good result, I would repeat your treatment at no cost or give you your money back. I’d demand the same of whoever treated you. Either order is SAFE; it’s a matter of efficacy and the jury’s still out.

      -Emily Porter, MD
      Austin, TX
      drporter@austinlovedoctor.com

  21. 40 years old in good health. I had my shot three weeks ago. My main goals were quality of erections and a moderate increase in size. I have been pumping faithfully twice a day since I received the shot. I am starting to lose confidence as I am not seeing much improvement. I know the documentation says it starts working in the third week. From what I’ve read, pumping is the key. Did anyone try more than twice a day? Are there any other things I might try?

    1. JP,

      Don’t give up! It’s still very early. Give it the full 12 weeks and keep pumping twice a day. 10 minutes twice a day with no more than 10 mm Hg pressure. More can actually be harmful and cause nerve damage.

      Also try:
      1. Testosterone 900-1100.
      2. Walk 3 miles/day
      3. Ask for your money back or for them to repeat the procedure free of charge at 12 weeks if you don’t notice any chance.

      Emily Porter, MD
      Austin, TX
      drporter@austinlovedoctor.com

  22. How much pressure should I use with a vacuum pump after the p shot? I’ve heard ranges from 5 mmhg to 15 10 minutes twice a day

    1. Mike,

      Pump pressure of 5-7 mm Hg, with max of 10 mm Hg twice a day for 6-8 weeks, then at least weekly thereafter just for maintenance You can do back-to-back sessions with the 5-min break in between.

      Emily Porter, MD
      Austin, TX
      drporter@austinlovedoctor.com

  23. Hi, I got hit really hard with a frisbee about 11 years ago on my penis and ever since then I have had difficultly getting much pleasure from my penis and there are some erection problems stemming from this as well. I was wondering if the P-shot might help with nerve damage and or possible tissue damage.

    1. George Town,

      Yikes! That sounds painful. Do you have painful erections or a bend in your penis at all? If you came to me, I would try to help you. I think it probably will. Here’s a study showing how it helps repair a nerve in the arm. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5852429/
      If it didn’t work, I wouldn’t keep your money. Find someone who thinks like I do and you have nothing to lose.

      Emily Porter, MD
      Austin, TX
      drporter@austinlovedoctor.com

  24. About 7 years ago I used a penis pump for a few months but I believe that it caused permanent nerve damage after using it for a long period of time once. The pump reduced the amount of oxygen to the penis (and nerve) I think killing that area. I stopped using the pump immediately.

    Since that incident the sensitivity has become worse over the years. I would say a 2 out of 10 (prior to pump incident). I can barely feel much on front side of penis head, back side is more sensitive. Can the P Shot help with feeling/sensitivity? I’m 35 and have no ED problems or health issues. Non drinker or smoker.

    1. Brian,

      It unfortunately sounds like you may have done just that. The P-Shot can likely help some of your damaged tissue. In normal tissue, it often increases sensitivity. We inject PRP behind the nipples to increase sensitivity, There are some studies showing regrowth of nerve after trauma. I had a graft done to my gums last year and the dentist soaked it in PRP. I’d make sure there aren’t any issues, get the P Shot and get retrained on the pump so that you don’t overdo it.

      Emily Porter, MD
      Austin, TX
      drporter@austinlovedoctor.com

  25. I’m in San Antonio Tx and wanted to do the P shot, do you have any recommendations or can I come to you. I am overweight but my results aren’t what they use to be anymore. Can you help.

    1. Mr. Noble,

      Come to me! I’m just up the road in Austin. I’d be honored to help you and if can’t/don’t, I won’t keep your money. You can call my office at (512) 943-6945 to schedule. I need about an hour of your time for paperwork, blood draw, numbing, procedure and pumping. I usually include a testosterone lab at no charge to make sure we don’t have the odds stacked against us.

      Emily Porter, MD
      Austin, TX
      drporter@austinlovedoctor.com

  26. I am looking forward to the P-Shot, I am 55 with a decently large size, but I used to be longer. Girth is very good but I have mild ED and PE issues, plus I would love to have back the lost size. I have an HSA/HRA which requires no prior authorization and I will use that for payment.
    My Question: Is there anything I can do now to prepare for the P-Shot for maximum results? I do not smoke and am not diabetic, but could stand to lose a few pounds. I’d also like a measuring guide, because if I can restore my lost size it will be Fantastic! TIA,
    ROB

    1. Rob,

      You sound like an excellent candidate for a Priapus Shot. It is true that men’s penises do shrink with time if they are deprived of nutrients. This is due to fibrosis or scarring of the tissue and is difficult to reverse. If the penis is deprived of vital nutrients including nitric oxide (what Viagra tries to increase), the tissue can degenerate and the penis doesn’t expand as much during an erection. Using a vacuum erection device (penis pump) can help with this somewhat, but it’s definitely ideal to use one a few times a week before there is damage to prevent issues by keeping the muscles inside the penis and its blood supply strong.

      Second, regarding size, you mentioned you “could stand to loose a few pounds.” If you carry any weight in the suprapubic fat pad (the area over the pubic bone where hair grows), it can make the penis look smaller than it really is because the penis gets “sucked up” into that fat pad. Weight loss certainly won’t hurt, but if the area is prominent, you’d be better served by liposuction and/or male pubic lift which should be done by a board certified plastic surgeon. Depending on where the fat is, I have also seen it reduced nonsurgically with CoolSculpting.

      Third, in preparation for your Priapus Shot, I would continue to avoid tobacco as its toxins impair blood flow to the penis. Walking 21-25 miles a week does wonders for the body and the penis. Dr. Runels discusses that here: https://priapusshot.com/category/podcast/ Ideally, you would avoid NSAID medications such as Motrin, Aleve, and aspirin as well as any corticosteriods like prednisone for a week before the procedure as they decrease the immune response. If possible, I also advise avoiding for 4-6 weeks afterward.

      Lastly, measuring. The norm for length would be to measure the erect penis from the base of the shaft to the glans. For girth, it would at the base and the glans (one is often wider than the other). An easy way to do this is with a piece of string which you then lay out on a ruler. Some pumps also have marks along the cylinder and I have some clients who mark theirs with a Sharpie marker. While a change in girth/length is not guaranteed with the Priapus Shot, at least half of my patients have a noticeable change in one or the other or both.

      Hope that helps!
      Emily Porter, M.D.
      Austin, TX
      drporter@austinlovedoctor.com

  27. What color should the P-shot be? I have heard amber on here but mine was a pinkish-purple color.

    1. The color of the PRP depends on the type of system used and is really just an indicator of the number or red blood cells mixed into the plasma. Most of the gel kits (Selphyl, Regen, Eclipse, EmCyte, etc)–where your blood is drawn into tubes with a special gel to separate out the plasma–they most often produce more of an amber-colored PRP. The double spin centrifuges, where blood is drawn into a big (usually 60 mL syringe) and then processed through a centrifuge that pushes it into a smaller syringe, they produce PRP or various colors depending on what volume you tell it to make. The first syringe produced is usually the clearest and most yellow. Subsequent syringes are more orange/red. There’s no evidence that any color/kit is better than any other, or that a certain concentration of platelets yields better results. Focus on that–the results–and if you don’t get any improvement at all, ask for them to repeat the procedure at no charge. Anyone in our group should do that.

      Emily Porter, M.D.
      Austin, TX
      drporter@austinlovedoctor.com

    2. Mine was pinkish-purple color as well. Did I get ripped off? Can someone answer what the color should be and what did I and the original poster receive? For me, I used someone from the directory of approved providers.

      Can someone answer please.

      1. Matt,

        The color of the PRP depends on the type of kit used. If your injector is using a “gel kit,” the color is usually a yellow/orange color. If they are using a double spin centrifuge, it may be yellow/orange but also can be a more reddish color. What matters more is 1) Using someone from the directory and 2) Getting results. If you don’t notice an improvement, let that person know. If they don’t repeat the procedure for free or give you a refund, post here. Everybody listed on the site should be willing to make things right for you.

        Emily Porter, M.D.
        Austin, TX
        drporter@austinlovedoctor.com

    1. Stuart,

      It’s funny you ask that. The reason why we inject in various locations across the penis is because when Dr. Runels did the first on (on himself), he only injected a few inches down his penis. He used the pump and over time he noticed the girth was thicker in the area injected, so he modified the protocol to inject in more locations. So, in short, your penis shape won’t change from this procedure. That being said, if you have an existing deformity, there are some physicians who are able to even things out with PRP and occasionally some dermal filler like Juvederm.

      Emily Porter, M.D.
      Austin, TX
      drporter@austinlovedoctor.com

    2. Hi and sorry if i keep posting. Im finding that I have not seen my replies or comments here at all. I am 28 6ft 2 200 lbs healthy non smoker. I got the shot in hopes gaining an inch or so and just overall better sex (who wouldn’t) I located a Dr. (J EMERY) who provided a pshot in my area from the directory. I got the pshot on 4.19 and have not noticed a thing in the 3 days I know I need to be patient but I have read people have seen immediate results. I am currently also on testosterone therapy (pellets)
      I use the pump every day since and Im curious If i am just a lost cause in this or I should be more patient. Maybe the reviews of people seeing immediate results is throwing me off. Im 5.5 when erect and hoping to get a little more. Just looking for some feedback and hoping for the best after paying for this Thanks!

      1. Jim,

        While perhaps 40% of men will get a lasting increase in girth of perhaps 1/4 to 1/2 in from both the P-Shot and the 6-8 weeks of daily pump use. That takes 3ish months to occur. Any immediate change in size is due to the 10 mL of PRP injected into the penis the day of the procedure. Whether that causes a noticeable change in girth depends on the length of the penis. Obviously a shorter penis will have a more noticeable change from the volume than a longer one. The PRP is absorbed into the tissues and forms a matrix from which it recruits stem cells. Lasting changes in girth, while not guaranteed, wouldn’t occur until 2-3 months from the procedure. Daily pump use also makes the arteries more elastic and the muscle walls stronger so your penis can hold more blood. For best results, I’d recommend using the pump 10 min twice a day for 8 weeks, then once a day maybe 3 times a week (or daily) indefinitely for sustained results. Think of it as penis yoga where you’re keeping the muscles strong. If your pump has a gauge, 7-10 mm Hg, no more. If you stack sessions, take a 5 min break between. More is not better and can cause damage. This is a marathon, not a sprint. Think long-term here.

        Happy pumping!

        -Emily Porter, M.D.
        Austin, TX
        drporter@austinlovedoctor.com

  28. Why isn’t there picture evidence of this? Yes you can say there was a study done by s doctor in India with 1224 patients but can you even call that a real scientific study, if you can it’s the weakest study I’ve ever seen. No standard in the amount of PRP injected, only blood drawn, no before measurements, no standard deviation in results, no age, BMI, etc data.

    Is this just a money grabber?

  29. I felt a difference after the P shot but I am concerned as I had severe muscle pain and took an Advil about 9 days after. My penis doesn’t feel the same like it did after the shot. Should I be concerned?

    1. Aaron,

      No need to be concerned. A dose of Advil shouldn’t affect results. It’s the daily use of NSAIDs and steroids that may make PRP less effective. Your penis probably doesn’t feel the same after the Advil because the liquid PRP has formed something called PRFM (platelet-rich fibrin matrix) which happens as soon as 3 days and the pump helps keep the PRP local in the penis. Hang tight. If you don’t notice an improvement after 12 weeks ask them to make it right. Pumping is critical to good outcomes.

      Best,
      Emily Porter, M.D.
      Austin, TX
      drporter@austinlovedoctor.com
      http://www.austinlovedoctor.com

  30. Looking for some positive motivation. Just had the procedure done on friday 4.19.19
    No results so far.
    On testosterone therapy as well.
    5.5 when erect hoping to get to 6 plus.
    Healthy dont smoke eat clean
    Provider i had procedure from was from this website..
    People have explained they experienced immediate growth in girth
    As of now i have no clue what is different from procedure.
    I pump every day 15 minutes..
    Am i doomed? When will i notice a change?? I know its 3 days but some people said they have had immediate results following the procedure

    1. While perhaps 40% of men will get a lasting increase in girth of perhaps 1/4 to 1/2 in from both the P-Shot and the 6-8 weeks of daily pump use. That takes 3ish months to occur. Any immediate change in size is due to the 10 mL of PRP injected into the penis the day of the procedure. Whether that causes a noticeable change in girth depends on the length of the penis. Obviously a shorter penis will have a more noticeable change from the volume than a longer one as there is less space to fill. The PRP is absorbed into the tissues and forms a matrix from which it recruits stem cells. Lasting changes in girth, while not guaranteed, wouldn’t occur until 2-3 months from the procedure. Daily pump use also makes the arteries more elastic and the muscle walls stronger so your penis can hold more blood. For best results, I’d recommend using the pump 10 min twice a day for 8 weeks, then once a day maybe 3 times a week (or daily) indefinitely for sustained results. Think of it as penis yoga where you’re keeping the muscles strong. If your pump has a gauge, 7-10 mm Hg, no more. If you stack sessions, take a 5 min break between. More is not better and can cause damage. This is a marathon, not a sprint. Think long-term here.

      Happy pumping!

      -Emily Porter, M.D.
      Austin, TX
      drporter@austinlovedoctor.com

    1. Jumon,

      While not impossible, I’ve not seen it. Again, maybe 40% of men will have an increase in girth. I never guarantee that. I also never promise an increase in length. While I’ve seen it, it’s not the norm. The average increase in girth is 1/4 to 1/2 inches. 2 inches is asking for a miracle. And while they happen, they’re rare. My question to you is: Why do you think you need 2 more inches? The average erection is 5.1-5.6 inches long and 4.33 inches in girth. Interestingly, only 45% of men are happy with their penis size while 85% of their female partners are, and most women think girth matters more than length. The average aroused vagina is only 3.78 inches long and 1.47 inches wide. Those porn stars with 8 inch dicks? THAT’S WHY THEY’RE PORN STARS. I have seen men who’ve had enlargement surgery, both with cutting the suspensory ligament for increased length and fat transfers to increase girth. Guess what? They’re not happy, and only about 30% of men who undergo penis enlargement surgery are happy. And guess who IS happy? The 10% of women who only have sex with people who have NO PENIS. Bottom line: Stop obsessing about your penis size and own what you’ve got now. Take that energy into making sure you’ve got the best fingers and tongue for 3 counties and put them to work!!!! Start by learning about the clitoris and the hood that covers it. Ask her what she likes. Wash the dishes. Tell her she’s smart and beautiful. Those things will get you way farther with any woman I’ve ever met than an extra 2 inches.

      Just my 2 cents.

      Emily Porter, M.D.
      Austin, TX
      http://www.austinlovedoctor.com
      drporter@austinlovedoctor.com

  31. I had my P-shot 2.5 weeks ago. Erections are firmer and girth has increased. I still have a bruise at the base of my penis. Size of a quarter. The bruise looks like a burn and it feels like a burn when touched. Think of a rug burn. Swelling in the area is minor but the burning sensation causes discomfort when pumping or when it rubs against my pants. Is there something I can do to accelerate the healing? Is this burning sensation on the bruise normal?

    1. Milton,

      Is this is a friction burn from the pump? Are you using lube? Any history of herpes lesions or other sexually transmitted infections? I’m guessing the former is the most likely. I’d be sure to keep an occlusive ointment on it all the time such as Aquaphor. Use lube when pumping and it doesn’t have to be aggressive. If you were my patient I would want to see the lesion in question to give you the best advice. If yours doesn’t have one, many of the pumps make silicone sleeves that help cushion the base of the penis. I like to take care of my people, so I’d recommend you call the office that did the procedure and have someone look at it, or at a minimum, send an email with a photo. Finally, if the skin is comprised, I’d even consider taking a break from pumping for a day or two. While this is not ideal, you also don’t want to end up with a scar at the base of you penis that affects its ability to grow and stretch into an erection.

      Emily Porter, M.D.
      Austin, TX
      http://www.austinlovedoctor.com

  32. I would like to know what color the p-shot should be as well. Like the previous posts, mine was pinkish-purple. Other doctors say it should be yellow. Can someone clarify please?

    What did I receive with pinkish purple p-shot? Did I get ripped off?

    1. Matt,

      The color of the PRP depends on the type of kit used. If your injector is using a “gel kit,” the color is usually a yellow/orange color. If they are using a double spin centrifuge, it may be yellow/orange but also can be a more reddish color. What matters more is 1) Using someone from the directory and 2) Getting results. If you don’t notice an improvement, let that person know. If they don’t repeat the procedure for free or give you a refund, post here. Everybody listed on the site should be willing to make things right for you.

      Emily Porter, M.D.
      Austin, TX
      drporter@austinlovedoctor.com

  33. Dr. P
    Can you recommend someone in the El Paso area. Saw a Dr from the list and kind of left me with a salesman pitch feeling. I’d love any recommendations or referrals for someone local that is a good administer if the P shot.

    Coming to Austin is also.an option to see you😉

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