19 year old with moderate ED, thinking about implant

[GBDS22206]

Viagra definitely does not worsen your condition, and only affects you less if your ED is getting worse on its own. You should absolutely stick with pills like Viagra as long as you can

Okay then, got it. I still don't see why I should stick to them till failure though. Like, If my ED is physical the only long-term solution is an Implant anyways, sure I will use meds to enhance what I have and not lose size before implantation, but I'll still be compromising my sex life and delaying the inevitable. Spontaneity is out of question too.

Dr Eid, probably the top and most experienced/knowledgeable implant surgeon in the world, says that the natural tissue of the penis glans and shaft will be caused to atrophy by the pressure of the implant over the years. In other words, the natural meat of your penis will slowly go away leaving you with less pleasure tissue and more of the hard plastic implant feeling. This happens slowly over years.

This is not to mention the risk of losing inches of your penis in the event of an infection or related complication.

Overall the implant is a great last-line treatment but you should be 100% certain you are out of other feasible treatment options first.

Oh... Can you elaborate on Eid's sayings? I can't find anything like that on Google. Still, not using your dick properly can cause atrophy too, right? And the injections too might damage it.

[wolfpacker]

Okay then, got it. I still don't see why I should stick to them till failure though. Like, If my ED is physical the only long-term solution is an Implant anyways, sure I will use meds to enhance what I have and not lose size before implantation, but I'll still be compromising my sex life and delaying the inevitable. Spontaneity is out of question too.

Dr Eid, probably the top and most experienced/knowledgeable implant surgeon in the world, says that the natural tissue of the penis glans and shaft will be caused to atrophy by the pressure of the implant over the years. In other words, the natural meat of your penis will slowly go away leaving you with less pleasure tissue and more of the hard plastic implant feeling. This happens slowly over years.

This is not to mention the risk of losing inches of your penis in the event of an infection or related complication.

Overall the implant is a great last-line treatment but you should be 100% certain you are out of other feasible treatment options first.

Oh... Can you elaborate on Eid's sayings? I can't find anything like that on Google. Still, not using your dick properly can cause atrophy too, right? And the injections too might damage it.

He does not write much about it online since it is his business to sell implants, but he is more open about it when 1 on 1 with patients in an appointment. Read the first post in this thread about what Dr Eid told him:

viewtopic.php?t=17513

[Bambino09]

You're new to this, and I understand you have questions.
The healthiest thing is to take pills for masturbation and sex.
I'm sorry to tell you that your life won't be the same as before, or maybe I don't know for sure.
What I do know for sure is that you should get used to taking pills an hour before sex or masturbation!
Forget about spontaneity. You're a different person now, and you should get used to it.
Don't try injections or implants. You're still too young.
Take your time, 1 or 2 years, to process your situation. Find a girl for sex, relax, and stay away from drugs.
If you have any questions, write to me or Wolfpaker. We understand and want to help. You're not alone. Hugs!

[Martin6469]

As others have said, you're getting ahead of yourself in thinking about an implant. And you're doing too much self-diagnosis! Dr. Google can be a quack! What has your urologist said?

It is possible for an enthusiastic girl riding you to damage a stiff corpus cavernosum, coming down hard when you're off-center. It almost happened to me several times in my young days. It's not uncommon and I think urologists can usually fix this.

You might have a separate problem: low testosterone. Get it measured - it's a simple blood test.

[GBDS22206]

You're new to this, and I understand you have questions.
The healthiest thing is to take pills for masturbation and sex.
I'm sorry to tell you that your life won't be the same as before, or maybe I don't know for sure.
What I do know for sure is that you should get used to taking pills an hour before sex or masturbation!
Forget about spontaneity. You're a different person now, and you should get used to it.
Don't try injections or implants. You're still too young.
Take your time, 1 or 2 years, to process your situation. Find a girl for sex, relax, and stay away from drugs.
If you have any questions, write to me or Wolfpaker. We understand and want to help. You're not alone. Hugs!

Thanks! Still don't understand why should I take pills before masturbation if I can get hard. Regarding my age, well, Irishguy was 17 when his VL started, he seems very satisfied and says the he would have done it at 20 if he could. I will, of course, take a year or two to figure out my stuff and only then get implanted if it doesn't get better, I'm in no position to jump straight onto it anyway, but knowing that there's a fix that annihilates my main issue (shaft rigidity) gives a lot of relief. Already texted Wolfpacker btw, will write to you soon too!

[GBDS22206]

As others have said, you're getting ahead of yourself in thinking about an implant. And you're doing too much self-diagnosis! Dr. Google can be a quack! What has your urologist said?

It is possible for an enthusiastic girl riding you to damage a stiff corpus cavernosum, coming down hard when you're off-center. It almost happened to me several times in my young days. It's not uncommon and I think urologists can usually fix this.

You might have a separate problem: low testosterone. Get it measured - it's a simple blood test.

I actually did get it measured half a year ago after that that incident when I was trying to fuck her on a table, it was in 320s range so yes, below optimal. Right now it's probably lower cause after that I have gone through some extremely stressful times and became a total mess, but I think I can get it to the 400-500 range with a healthy lifestyle and I'm adjusting to it slowly. I've been to an uro a few weeks ago, they checked my prostate and found slight fibrosis although there's no enlargement out of the norm, he then offered a lot of pricey tests but I declined, will get a Doppler soon. Don't know where fibrosis came from, from my previous sedentary lifestyle most likely.

Still, if T is my issue and my dick problems persist even after healthy lifestyle adjustements then my options are either TRT or an implant, which are both extreme at my age. I'd prefer implant though cause TRT doesn't always guarantee libido improvements, sometimes the effect is opposite even.

[Martin6469]

I discovered my low T when I went soft in my wife exactly as you describe. Then in the two weeks it took to get a doctor's appointment, I had exactly the stiff-limp-stiff-limp problem that you describe. T in 320s is low-normal and in my experience you should be at 500-700 for reliable erections. Far be it from me to discourage anyone from improving his lifestyle, but improving sleep, diet, and exercise won't get your T up this far.

TRT isn't extreme at 19 if there's something wrong with the complex hormone chain that produces testosterone. Simplified, the hypothalamus (in your brain) produces gonadotropin releasing hormone (GnRH), which causes the pituitary (also in your brain) to produce luteinizing hormone (LH), which causes your testicles to produce testosterone (T). This chain can become weak or break at any age. In rare cases it's caused by a tumor on the hypothalamus or pituitary gland!

Since urologists don't like to go above the kidneys, and certainly won't go above the neck, make an appointment with an endocrinologist, and get him or her working with your urologist. (I'm wondering about the quality of your urologist, who should have sent you to an endocrinologist immediately upon finding low T.) The endocrinologist will first put your skull through an MRI to check for tumors. Hopefully then your low T will be a simple case, like mine (see my signature) and he will give you synthetic T and you're fine. If not, your case being complex, there's an armload of other hormones actually in play to produce our T, and it takes an endocrinologist to figure it all out.

Hopefully you have insurance.

I've never heard of TRT doing anything but increasing libido.

[GBDS22206]

Far be it from me to discourage anyone from improving his lifestyle, but improving sleep, diet, and exercise won't get your T up this far.

Actually I've seen a user on here saying that his T was in the 300-400 range (he had an implant at this point and didn't have any performance issues due to that) and went up to 600-something a few years after healthy lifestyle adjustments. Now that might not be the case for everyone, but I should try at least. The thing with TRT is I don't want to go sterile and for that I'll need to at least take HCG with it which already complicates it and makes it less predictable.

[ElbowRoom]

I actually did get it measured half a year ago after that that incident when I was trying to fuck her on a table, it was in 320s range so yes, below optimal. Right now it's probably lower cause after that I have gone through some extremely stressful times and became a total mess, but I think I can get it to the 400-500 range with a healthy lifestyle and I'm adjusting to it slowly. I've been to an uro a few weeks ago, they checked my prostate and found slight fibrosis although there's no enlargement out of the norm, he then offered a lot of pricey tests but I declined, will get a Doppler soon. Don't know where fibrosis came from, from my previous sedentary lifestyle most likely.

Still, if T is my issue and my dick problems persist even after healthy lifestyle adjustments then my options are either TRT or an implant, which are both extreme at my age. I'd prefer implant though cause TRT doesn't always guarantee libido improvements, sometimes the effect is opposite even.

This is very low testosterone for your age...you should be *well* above 500. I was diagnosed with low T in my early thirties with a score of 281, not too far from yours and was immediately offered TRT.

I think if you resolve the low T you'll probably do much better with your erections. If you are so sedentary that your prostate is fibrosed at 19, you need to get up and moving. Walk or run a couple of miles a day, and start some resistance training. As a side bonus, resistance training will raise your testosterone, at least slightly.

[ElbowRoom]

I've never heard of TRT doing anything but increasing libido.

Really? As well as libido TRT helps with overall energy levels, weight control, lean muscle mass, cardiovascular endurance, and strength.