Most urban centers have a medical practice that goes by a variant of Male Medical. These places are most often legit: there’s an MD somewhere in the background although the therapist you’ll most likely encounter is a male nurse. They treat ED and offer testosterone injections. They may or may not accept insurance but their business model is more streamlined than the rest of the medical industry so their costs are generally lower. For ED they will generally prescribe injectable Trimix after giving you an injection to see how you react. As it’s name implies, Trimix is made up of three components which are adjusted to achieve a balance of penile stiffness and length of erection. Most of these practices will compound the prescription to suit your need right there.
Trimix is administered with an apparatus into which you insert the syringe. That apparatus is calibrated to insure it goes into your penis to the appropriate depth and no further. You can operate the apparatus with one hand while the other holds your penis in place. It is just a bit more uncomfortable than the diabetic’s blood/glucose test. Yes it’s a bit nerve racking to start with but by the third or forth time it loses its intimation. There are a number of videos on YouTube that cover this.
If memory serves, my initial visit cost $250 which included the examination, the apparatus and the first prescription. I currently pay $90 for three injections. There are volume discounts but in deciding how many to get at one time there are two factors to consider: Trimix has a useful life of just three months and must be refrigerated at all times.
When you ejaculate on Trimix your penis doesn’t immediately deflate and can actually become a bit sore from staying inflated too long. That is why getting Trimix adjusted and readjusted to you and your needs is important.
One final note, avoid if you can picking up refills of Trimix on Friday afternoons or Saturdays. The waiting room will be filled with men who would rather not be seen there and the wait long and tense.