I have been using Androgel for more then a year now, (usually 3-4 pumps) and Testosterone shots every 3-4 weeks and I haven't seen a positive change in my ED. 99.9% of the time, if I don't take either Viagra or Cialis, I'm unable to be intimate with my fiance. To put it mildly, this is driving me absolutely crazy!! Only being 49 years old and having this type of issue is more then any guy should have to deal with. I really feel like I'm at the desperate stage and I'm willing to try anything to help fix this. There are times when I try like hell just to think about situations which would cause a guy to gain the erection of an 18 year old, and nothing happens. I've even tried Yohimby, but I swear that stuff may kill you. I know my having high blood pressure, high cholesterol and being on medications for these issues for years is a strike against me, but I'm really too young to have to rely on a pill in order to get an erection so I can be intimate and the cost of those pills are outragious with my insurance only covering 3 per month. I'm getting married this year and I'm beyond desperate. Can anyone help?