For me and Im sure for a lot of us the biggest hurdle when deciding whether or not to go bionic is whether or not your existing erections are better than the risk.
The go to line with Implants for a lot of guys seems to be that they are 'last resort' when you erections are impossible- but what happens if your erections are possible but not good enough to live a comfortable life?
In order to help me make an informed decision I would like to ask here what people would rank my erection quality as if I describe it as best as I can.
Cause of ED is in my sig.
With no pills I am unable or very unlikely to get an erection good enough to penetrate with partner but can get a decent erection alone.
With between 15 and 20 mg of Cialis or 75-100 mg of Sildenafil I can achieve an erection that I am able to penetrate with about 80-90% of the time.
Due to the nerve and muscle pain this fluctuates between about 65 and 90% hard, but rarely feels 'fully rigid' even then. It sometimes goes soft after a few minutes and I tend to only last between 2 and 5 minutes. Changing positions is not possible even with high levels of pills, as soon as stimulation stops it starts to drop- I literally cannot flex it to keep it up.
There are occasions laying beside my partner it will stay hard and rigid longer, but they are few and far between and it doesnt usually carry into actual sex. Handjobs and blowjobs are usually better possibly because theres more sensation.
This is with a partner who is fully understanding and puts zero pressure on me- if it wasnt like that I doubt I would be able to as my cause is a mix of physical and psychological.
Im not sure injections are going to be a thing going forward as I have a problem with needles and they are cumbersome- plus if you miss you're screwed because you wont have taken pills to cover it.
I procrastinate because I keep reading people who say 'only get an implant if erections are impossible'.
What would people here see my erection quakity as and how would they deal with it?
Were an implantees here in a similar situation?>
Thanks.
Better understanding erection quality
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Never_Enough
- Posts: 234
- Joined: Fri Nov 24, 2023 7:54 am
Better understanding erection quality
39 m UK
Psych ED since forever less problems being erect alone.
3 kids. Long term partner.
CPPS pudendal neuralgia and muscle tightness in late 2023 making ED worse.
Cialis no longer works. Sildenafil 100mg with diazepam works some of the time.
Psych ED since forever less problems being erect alone.
3 kids. Long term partner.
CPPS pudendal neuralgia and muscle tightness in late 2023 making ED worse.
Cialis no longer works. Sildenafil 100mg with diazepam works some of the time.
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GoodWood
- Posts: 1544
- Joined: Sun Jun 16, 2019 1:07 pm
Re: Better understanding erection quality
I can’t answer for you, but I can put myself in your shoes.
With pills, an erection that is sort-of good enough, but doesn’t really last and is not dependable is achieved.
You aren’t interested in shots…
If I were in your shoes, in that situation, I would get an implant with the best, high volume surgeon I could find.
The good news is that (in that situation) I have some erectile function and with a great surgeon am likely to maintain much of that function around/on top of the implant.
That IS my situation. My erections weren’t entirely gone. But with a HUGE shot of meds I had a so-so erection for about 20 minutes. Now with my implant I still get nocturnal erections and morning wood around the implant. But now I have an absolutely dependable, rock hard, rigid shaft whenever I want. It’s great. I have zero regrets. My sensation is exactly the same. Feels even better actually because my brain interprets a rigid shaft as “OMG I’m so turned on!”
So, that is what I did in my situation.
With pills, an erection that is sort-of good enough, but doesn’t really last and is not dependable is achieved.
You aren’t interested in shots…
If I were in your shoes, in that situation, I would get an implant with the best, high volume surgeon I could find.
The good news is that (in that situation) I have some erectile function and with a great surgeon am likely to maintain much of that function around/on top of the implant.
That IS my situation. My erections weren’t entirely gone. But with a HUGE shot of meds I had a so-so erection for about 20 minutes. Now with my implant I still get nocturnal erections and morning wood around the implant. But now I have an absolutely dependable, rock hard, rigid shaft whenever I want. It’s great. I have zero regrets. My sensation is exactly the same. Feels even better actually because my brain interprets a rigid shaft as “OMG I’m so turned on!”
So, that is what I did in my situation.
57yo, NYC. ED started at 40. Pills, then shots for 10 years. 24cm Coloplast Titan XL w/classic pump by Dr Eid 3/25/2025. Will meet for show & tell.
Implant journal: [url] viewtopic.php?f=6&t=26225[/url]
Implant journal: [url] viewtopic.php?f=6&t=26225[/url]
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