Before you were implanted, how bad was it?

[Magic Rat]

Long time lurker here, 58 years old, currently single (which is both good and bad in this situation).

I have had ED since I was 30, mostly due to venous leak.

I first went through two rounds of veno-occlusive surgery. While effective for a short period of time, the benefits wore off in less than a year each time.

I then managed it with PDE5 inhibitors in ever increasing doses starting when they came out: first Viagra 25 mg, then 50 mg, then 100 mg. Then daily Cialis 5MG + Levitra 20 MG. Things were good for years. Then finally, about 5 years ago, the pills stopped working.

I then switched over to TriMix 30 mg PAP/1 mg PHE/20 mcg PgE1, which worked well for the first 4 years. In the last year or so, I have had to take a 100 mg Viagra in addition to the 40 ml Trimix injection.

I also have gone through annual shockwave therapy treatments since 2018 (Medispec 1000, which is the only good one on the market). These have definitely provided a boost but don't last more than 8 months or so.

Recently, over the 3 weeks, things have gone downhill, and the above combo is not working - the performance just isn't there. I am getting semi-erections that don't last very long, and my morning wood isn't solid or long enough to provide any effective natural health. I also feel like I have lost sensitivity from stem to tip. It's really weighing on me - my sleep and concentration at work have been affected.

I'm coming to the realization that I will probably need to go bionic at some point.

For all of you Steve Austins (insert theme music here), how bad was it before you took the plunge and got a Titan or an AMX?

Were you getting any natural erections at all? Or semis?

Were you getting any morning wood at all?

How good were your erections on either pills or injections (or both) at maximum doses?

Had you shrunk in size?

Any decreased sensitivity in the shaft/glans?

Part of my question comes from the thought that I probably don't want to let this go too long before acting, given the potential risk of shrinking and fibrosis (I know I have some fibrosis already).

Let me know your experiences.

[Time2Change]

From my perspective, my ED was bad.

Definitely no natural hard on to any degree ever.

And even with both pills and a cock ring I either didn't get hard or didn't stay hard long enough to have sex.

I didn't lose any size.

[cbinspok]

How bad did it get,
When I was 47 my wife and I were fucking like rabbits cowgirl style, without warning she flipped backwards and busts my rock penis in half. My dick “ turtled” doctors term not mine.
I had to sit down to pee for the next 12 months and cup my hand over a small lump ( my junk) so the peee could be forced down into the toilet, peeping like a girl!
Taking large doses of viagra eventually my penis reappeared, a little toadstool the size of half a thumb.
Its a miracle today my cock is with in an inch of those good ol days.

[ElbowRoom]

I would have morning erections, but they would go away the moment I tried to do anything with them. Trimix worked for intercourse, but over time I had less sensation and couldn’t have orgasms that way.

Masturbation required a vacuum pump and rings, and I’d have to re-pump every few minutes. Now with the implant, I can masturbate normally, orgasm in just a few minutes, and use no aids like pumps or rings.

I haven’t had sex yet with the implant, but I’m very optimistic that even if it doesn’t go great the first time or two, things will only get better.

[RigiconDownUnder]

I would have morning erections, but they would go away the moment I tried to do anything with them. Trimix worked for intercourse, but over time I had less sensation and couldn’t have orgasms that way.

Masturbation required a vacuum pump and rings, and I’d have to re-pump every few minutes. Now with the implant, I can masturbate normally, orgasm in just a few minutes, and use no aids like pumps or rings.

I haven’t had sex yet with the implant, but I’m very optimistic that even if it doesn’t go great the first time or two, things will only get better.

Can't wait to read your experiences with the implant. What are your thoughts on using Trimix/Bimix for masturbation? Can it be used 3-6 times weekly for masturbation alone? I've only used it a handful of times for sex.

[Irish Lad 34]

I'm 35. I had a perfectly high functioning penis that could jump up any time, any where, any place, right up until 2+ years ago. I got an implant after trying everything over a 2 year period.

I could masturbate all the time but only manage sex 50% of the time with injections+pills but there was no consistency. Sometimes mixing shots and pills would work, sometimes they wouldn't. I tried sex with an escort in October 2025 after 100mg Viagra + 40mcg alprostadil injected under a street light on a rainy night 5 minutes before arriving at the escorts house. Dick got about 80% hard while receiving a blow job standing up, went down to 60% when she put a condom on then died when she tried sitting on it. That was the last straw for me. I went home and booked the implant.

July 2023 I took dutasteride to treat my hair loss and it very quickly gave me severe ED. One night while trying to masturbate with a semi I heard and felt a popping noise in my penis and that was it. Dick totally died. That was in October 2023. I of course stopped using dutasteride at that point.

I regained semi-erections and regained the ability to masturbate and ejaculate within a few weeks but I hold an erection without constant hand stimulation.

Waited 6 months for the dutasteride to wash out of my system to see if it would recover naturally. Tried all the bro science shit such as injecting HCG into my glutes and gut. Tried all the pills; slidenafil, daily low dose tadalafil, then eventually the shots, starting with 5mcg alprostadil and titrating up to 40mcg. Was eventually diagnosed with a venous leak in February 2025, following a doppler. Did a vein ligation surgery in April 2025, got good results but regressed within 2 - 3 weeks.

In that 2 year period I had days and weeks when things would click into place and I'd get fairly alright erections. But for the most part it was a losing battle with no consistency, no predictability. I tried everything hoping something would give me certainty but nothing did and in the end I think it was worsening, so I pulled the trigger.

You're at that stage too it seems. Although you say you got 1 year of good results out of vein ligation surgery? If I got that much time from the ligations I'd be doing them once a year instead of an implant tbh.

[Magic Rat]

@Irish Lad 34: I actually did 3 venal ligations, one in '98, one in '04 and one in '06 (I forgot about the one in '06). Not really a road I would go down again. Their effective window got shorter each time I did it.

There's a reason why urologists don't really recommend them any more - long-term success is not great (75% recurrence of venous leak). They can also create scar tissue/fibrosis.

[fucked0ne]

Long time lurker here, 58 years old, currently single (which is both good and bad in this situation).

I have had ED since I was 30, mostly due to venous leak.

I first went through two rounds of veno-occlusive surgery. While effective for a short period of time, the benefits wore off in less than a year each time.

I then managed it with PDE5 inhibitors in ever increasing doses starting when they came out: first Viagra 25 mg, then 50 mg, then 100 mg. Then daily Cialis 5MG + Levitra 20 MG. Things were good for years. Then finally, about 5 years ago, the pills stopped working.

I then switched over to TriMix 30 mg PAP/1 mg PHE/20 mcg PgE1, which worked well for the first 4 years. In the last year or so, I have had to take a 100 mg Viagra in addition to the 40 ml Trimix injection.

I also have gone through annual shockwave therapy treatments since 2018 (Medispec 1000, which is the only good one on the market). These have definitely provided a boost but don't last more than 8 months or so.

Recently, over the 3 weeks, things have gone downhill, and the above combo is not working - the performance just isn't there. I am getting semi-erections that don't last very long, and my morning wood isn't solid or long enough to provide any effective natural health. I also feel like I have lost sensitivity from stem to tip. It's really weighing on me - my sleep and concentration at work have been affected.

I'm coming to the realization that I will probably need to go bionic at some point.

For all of you Steve Austins (insert theme music here), how bad was it before you took the plunge and got a Titan or an AMX?

Were you getting any natural erections at all? Or semis?

Were you getting any morning wood at all?

How good were your erections on either pills or injections (or both) at maximum doses?

Had you shrunk in size?

Any decreased sensitivity in the shaft/glans?

Part of my question comes from the thought that I probably don't want to let this go too long before acting, given the potential risk of shrinking and fibrosis (I know I have some fibrosis already).

Let me know your experiences.

No natural or spontaneous erections at all for four years. Surprisingly, did not lose size. ED was so bad even pills didn’t work. I never tried injections.

It sounds to me like you just need to take the plunge. The first emotion every guy experiences is regret (except for me because I had nothing to lose anyway). In a year, after all the cycling and stretching and softening, you’ll be relieved you did it.