21 Years old with moderate/ severe Ed looking for help

[sammeta]

Hello everyone, I am pretty desperate for some help as I am feeling completely hopeless and stuck at the moment and I am hoping someone knowledgeable can chime in with their opinion or experience.

I am currently suffering from severe ED and hard flaccid which i believe was induced through occasional penis enlargement techniques in the past (so stupid i know). At the moment I have hard flaccid, numbness, low libido, nerve pains etc. For the past year i’ve had issues with erections so I always had a tiny piece of viagra to help boost confidence and performance. It then stopped working after developing the hard flaccid symptoms a couple of months ago. I am now on cialis 5mg daily however that is starting to become obsolete. I used to be a very sexual person however this has completely stripped me of my confidence and a major pleasure in my life. I am currently in a relationship which also adds to my stress and depression. In my case there isn’t really many recovery stories and the damage that I have caused seems to be irreparable as it just keeps getting worse. Is a penile implant a realistic option as a 21 year old in the UK? Do i need some sort of proof of physical damage or leakage? Is anyone else in the same position that I can talk to? Am i too young? and what steps can i take?

I have accepted that I won’t be back to normal again which is already hard enough but the thought of never having any function or ability to have a relationship at all is truly terrifying and is leading me down some dark places,
Thank you for reading I hope someone could please offer some guidance or mentorship please

[CanGetItUpButNotOff]

I don't know anything about hard-flaccid syndrome but I have a lot of personal experience with ED.

It sounds me that you haven't yet pushed the boundaries of what PDE5i medications can do. A little piece of Viagra and 5mg Cialis are beginner doses. My urologist told me that they start men on 5mg Tadalafil (Cialis) mostly as a placebo to see if anything responds. He put me on daily 10mg plus 50-100mg Sildenafil (Viagra). From there, I moved up to 10mg daily plus injections.

You didn't mention injections in your possible modalities but that is a much easier and less intrusive option before jumping to a prosthetic. As I understand it, TriMix is not available in the UK but some mixes are (Aprostadil, I think). Once you figure out how to use it -- which is easy -- you can go into an encounter with high confidence.

Since you are looking for help. I don't think your libido is an unsolvable problem. I bet confidence would bring it back.

[sammeta]

Thank you so much for the reply. Hard flaccid is a physical and psychological beast and has worn me down after just under 2 months. Yes I could definitely delve deeper into PDE 5 inhibitor use and I am not opposed to injection therapy as well, it would be interesting to see how it affects someone with hard flaccid syndrome. The only thing I am wary of is that I have a congenital heart condition (aortic stenosis + open heart surgery to correct it) so I am unsure if the increases in dosage could expose me to some dangerous side effects elsewhere; especially long term, but I would just have to see for myself.

At the moment I find myself torn between taking a long multimodal approach to address my hard flaccid and pelvic floor the best I can in the hopes that things improve without the need of invasive measures or pursuing more medical treatment to help with ED. It is a hard choice at the moment as I am a happy relationship however my issues regarding ED and overall identity is beginning to push us apart