Thinking about low‑intensity shock wave therapy for ED and trying to figure out what actually matters before I spend the money. Would love to hear real‑world experiences on a few specific things:
- Focused vs radial devices: how did you confirm what the clinic used, and did you notice a difference if you’ve tried both?
- Targeting: some protocols hit the shaft only, others include the crura/perineum. Anyone notice better results with one approach?
- Scheduling: spaced out sessions (2x/week) vs more condensed protocols-did timing affect results or durability?
- Combining therapies: did daily low‑dose tadalafil, L‑citrulline, VED, or pelvic floor work make a noticeable difference? What about avoiding sex/masturbation right after sessions?
- Predicting responders: any signs before starting (like decent morning wood or good response to PDE5s) that correlated with better outcomes?
- Sensation changes: did glans sensitivity or orgasm quality change, for better or worse?
- Tracking progress: has anyone used wearables (Oura/Whoop) or home NPT tests to see objective changes in nocturnal erections?
- Mixed issues: if you have mild Peyronie’s or pelvic floor tightness, did shock wave help, do nothing, or make things worse?
- Non‑responders: did anyone who didn’t respond initially see benefits after adding something else or changing the protocol?
- Clinic vetting: what questions should I ask to avoid getting upsold on questionable devices or add‑ons?
If you could do it over, what would you do differently?