Mentality

[defiant]

defiant,

I thought of one more thing that might be helpful for you.

Have you heard of a program called NoFap? It is a response to men developing psychogenic erectile dysfunction. While it is primarily aimed at people who watch too much porn, it can help many different cases of psychogenic ED.

The idea is that totally abstain from ALL sexual stimulation for as long as it takes for you to get naturally occurring erections again. This means no touching yourself when you feel horny. Absolutely no porn. Don't even look at your friend's bikini picture that she posted to Instagram -- deactivate social media accounts if you have to. Hell, don't even watch Game of Thrones. You may go through a "flatline" period where your libido completely disappears. But eventually you will start to feel so horny that you can't help but get hard.

Many men absolutely swear by this program and you can read all about it with a quick google search. PLEASE at least read this man's story here: https://www.yourbrainonporn.com/age-22-ed-cured-80-days

If your ED truly is psychogenic, then you ought to at least try this program for a couple months before opting for the implant.

Thanks so much for your input, man. I really appreciate it.

Yes I've heard of that approach. I've actually tried it in a way before although I didn't stick at it for more than a couple weeks I'd say by which point I attempted to masturbate and came with a semi which is one of the worst things ever.

I'm really plagued by the fact that I'm single now and the mere thought of trying to start a new relationship under these circumstances is of great distress to me.

Yeah okay I've got the pills but I think I'm beyond all this now. It's been over 12 years with this. I need some stability. I haven't yet made the final decision and I'm yet to see a shrink, which I think I ought to. I've got that booked in also.

But first the medical stuff - I need to see what my body's saying once and for all and I'll let the best implanter in Europe let his team get to the bottom of that. From there, appropriate choices can be made.

I really just don't trust this diagnostic process. The Dopplers seem to be carried out in wildly different ways and determine so much!

Yeah I've spent the last two years climaxing with a semi and basically avoiding women so I know how you feel. Can you keep us posted on your next test results? From what I've read the Cavernosogram test is more accurate and reliable than the penile Doppler but it is rarely performed. Maybe they will run this test on you?

I asked one of my prior andrologists if he would perform it and he was so dead set against it! He stated that it was particularly invasive and usually only performed prior to surgical intervention. Though he did recognise the merits of its diagnostic capability.

My issue with the dopplers is - do we wait longer than 5 damn minutes after injection to let the drug work, does it not stand to reason it will take longer in others? Also the fact the situation is sooooo stressful, I mean how the hell am I meant to get a boner under these conditions? What's more some advocate that you arouse yourself, others just instruct you to lay there. All of these things wildy affect the potential results and I'm absolutely shocked the test is not standardised worldwide. If you're testing for a heart attack, you take a troponin test, if you're testing for diabetes, you take an hba1c test. This, it just seems to be so divergent depending on the centre and that is NOT helpful at all.

So you see then, the reliability of an implant for 10 years is so attractive...

[Skier123]

Defiant,

For what its worth ... when I was much younger I had a lot of performance anxiety - so much that I couldn't get it up with my first "real" girlfriend. However, at home with some pix of naked women on the monitor -- no problem whatsoever. That's how I new it was psychological. My girlfriend was very patient and after a few weeks of "trying" I got past the anxiety and eventually could perform very well indeed. I mention all this because I think there is a big psychological component to our performance that you should try to eliminate before moving ahead with more drastic solutions. I can tell you I know for sure I need an friggin implant now cause ain't no amount of pictures, manual stimulation, girlfriends, blowjobs, meds, injections, etc. do me any good- and believe me I've tried them all.

I am in the process of trying to work out some other medical issues so I can get cleared for implant surgery. My advice is stay strong and keep working on it until you are sure of the best path forward.

[defiant]

Defiant,

For what its worth ... when I was much younger I had a lot of performance anxiety - so much that I couldn't get it up with my first "real" girlfriend. However, at home with some pix of naked women on the monitor -- no problem whatsoever. That's how I new it was psychological. My girlfriend was very patient and after a few weeks of "trying" I got past the anxiety and eventually could perform very well indeed. I mention all this because I think there is a big psychological component to our performance that you should try to eliminate before moving ahead with more drastic solutions. I can tell you I know for sure I need an friggin implant now cause ain't no amount of pictures, manual stimulation, girlfriends, blowjobs, meds, injections, etc. do me any good- and believe me I've tried them all.

I am in the process of trying to work out some other medical issues so I can get cleared for implant surgery. My advice is stay strong and keep working on it until you are sure of the best path forward.

I’ve made the simple decision that if Dr Ralph’s team disgnose any physical shortcoming I’m going to push for implantation and if they diagnose a psychogenic issue only via rigourous testing that I’m happy is irrefutable then I will just plough on, try to meet a loving woman and work through it, one day at a time.

[ED2013]

A properly done implant will lift the burden of ed. The psychological aspects of ed can be near impossible to overcome without a cure like an implant.

[Anonymous3]

Defiant,

For what its worth ... when I was much younger I had a lot of performance anxiety - so much that I couldn't get it up with my first "real" girlfriend. However, at home with some pix of naked women on the monitor -- no problem whatsoever. That's how I new it was psychological. My girlfriend was very patient and after a few weeks of "trying" I got past the anxiety and eventually could perform very well indeed. I mention all this because I think there is a big psychological component to our performance that you should try to eliminate before moving ahead with more drastic solutions. I can tell you I know for sure I need an friggin implant now cause ain't no amount of pictures, manual stimulation, girlfriends, blowjobs, meds, injections, etc. do me any good- and believe me I've tried them all.

I am in the process of trying to work out some other medical issues so I can get cleared for implant surgery. My advice is stay strong and keep working on it until you are sure of the best path forward.

I’ve made the simple decision that if Dr Ralph’s team disgnose any physical shortcoming I’m going to push for implantation and if they diagnose a psychogenic issue only via rigourous testing that I’m happy is irrefutable then I will just plough on, try to meet a loving woman and work through it, one day at a time.

If I remeber my doppler. It was just a trimix that did not vive me a full erection no self arousal. Dr said he uses enough to work on it own

[defiant]

Defiant,

For what its worth ... when I was much younger I had a lot of performance anxiety - so much that I couldn't get it up with my first "real" girlfriend. However, at home with some pix of naked women on the monitor -- no problem whatsoever. That's how I new it was psychological. My girlfriend was very patient and after a few weeks of "trying" I got past the anxiety and eventually could perform very well indeed. I mention all this because I think there is a big psychological component to our performance that you should try to eliminate before moving ahead with more drastic solutions. I can tell you I know for sure I need an friggin implant now cause ain't no amount of pictures, manual stimulation, girlfriends, blowjobs, meds, injections, etc. do me any good- and believe me I've tried them all.

I am in the process of trying to work out some other medical issues so I can get cleared for implant surgery. My advice is stay strong and keep working on it until you are sure of the best path forward.

I’ve made the simple decision that if Dr Ralph’s team disgnose any physical shortcoming I’m going to push for implantation and if they diagnose a psychogenic issue only via rigourous testing that I’m happy is irrefutable then I will just plough on, try to meet a loving woman and work through it, one day at a time.

If I remeber my doppler. It was just a trimix that did not vive me a full erection no self arousal. Dr said he uses enough to work on it own

This is what I mean though, did he give you enough time to let it get to work? I was reading a PDF how-to online via a medical journal and it said if no satisfactory response within a certain timefram the patient should be told to wait elsewhere until the agent takes effect up to a certain point by which time it is safe to assume its not taking effect.

Again, more divergencez

[Anonymous3]

I think they gave it 20 minutes only got to 30 %

[oldbeek]

It’s good you have an appointment coming from an implant surgeon. In the meantime, why not enlist the help of some “professional women”. Find one you’re comfortable with and keep trying. Confront your fear head on.

That’s not such a bad idea - I guess the idea being to remind myself I’m capable?

That is great advise. you don't have to please a pro. They have to please you. I have suggested a sexual counselor but a nice pro may do the same for a lot less. Also have you used Muse to aid with your erections.

[Thisworld]

Which alpha blocker you took?

I'm asking this because it's interesting the effect it had on your erection.
For sure it can be psychological ED, but even people with hypertonic pelvic floor ED report improvements under alpha blockers. So if you experience shrinking penis, position dependent ED and cold glans you may want to look into that.

With this being said I emphasize with your situation since I have started too have fear and anxieties about sex too. I'm sure an implant wuold solve those all togheter.

[defiant]

Which alpha blocker you took?

Strange that this thread has been resurrected just when I asked a similar question more than a year later.

I took Doxazosin but didn’t continue with it.