I was doing pretty well, consistently, through a couple of weeks ago. I had even been bicycling 3-4 times a week about 15-20 miles without raising a normally low pain level (1-3). Then I simultaneously ran out of Dr. P's special brew of tadalifil/oxytocin and amitryptiline. So I switched over to gabapentin and basic cialis without the oxytocin. Within a week, I started hurting again.
I've got some more of Dr. P's meds on order and hope they're delivered tomorrow. I switched back to amitryptiline but had to restart at 12.5mg (half tablet) for a few days. I took my first 25mg full tablet last night and today was my best day in about 2 weeks.
So, good learning experience. I realize I'm not healed, but I'm learning what mix makes life tolerable and what doesn't work. My other conjecture is that the effect of Dr. P's mega block is wearing off. Not sure.
Either way, I'm planning to try another cord block with Dr. P. in the fall and if I get a similar positive result seriously consider denervation.
I know a lot of people are opposed to denervation, but I've got a different story/background. My vas was in March 2005 and pain didn't start 'til October after, of course, bicycling. I had a reversal about 8 months later and the pain disappeared about 4-5 months after the reversal. I mean totally disappeared. It came back in late 2008 and lasted for about 6-7 months, then disappeared for 7 years. And I wasn't being gentle. I bicycled 2,000 miles per year during those 7 years and was pain-free the entire time. This 3rd bout started in April 2016 after (a) wearing overly tight pants all day and (b) stupidly going for my first bike ride of the year that same day.
A lot of the guys on the forum have had non-stop pain from the moment of their vasectomy. Mine has been much more intermittent and, even in the bouts of pain, somewhat manageable. Dr. P and my uro at the Cleveland Clinic both see me as a good candidate for denervation. I'm trying to avoid it, but am not as opposed as so many on the forum because my case is different.
Sorry if that's long-winded. I just started rambling.
Feel free to write back and ask any questions. I've been through a lot and have consulted many of the PVP uros....Dr. Witt in Atlanta, Dr. Marks in AZ, Dr. P. and Drs. Thomas and Shoskes here in Cleveland.