32 and impotent - Two urologists refused me the implant. feeling very depressed..

The final frontier. Deciding when, if and how.
QuestionGuy
Posts: 156
Joined: Tue Sep 22, 2015 6:50 pm

Re: 32 and impotent - Two urologists refused me the implant. feeling very depressed..

Postby QuestionGuy » Sun Dec 14, 2025 8:31 pm

vincentmh wrote:
QuestionGuy wrote:I do not see in this thread that you have tried BIMIX/TRIMIX. This may well why the urologist does not want to jump to the implant. It would be analogous to installing a colostomy bag onto someone who might have been cured by taking antacids 3 times a week. This site is a wealth of information about the implant....but it has a very strong bias. After spending sometime reading threads here, it can seem like the implant is a "no brainer" for any and all erectile issues.....but make no mistake: it is not a trivial thing. I know there are people here that insist that having an implant is so much better than having to take a pill, or sneak to the bathroom for an injection....but at 32, I would try to exhaust other options, and experiment a bit, before insisting that someone install an implant. This is as much for you as the many lurkers and curious folk who read these threads....(and I'm not bashing the implant, or the people who evangelize for it....I just feel that the other options are sometimes to quickly dismissed here).


i have tried every pills so many time. i did not try BIMIX/TRIMIX because it is so expensive anyway (using it for 10 years would cost the price of an implant)
But anyway i did not get hard from the doppler injection from the urologist, so i can BIMIX/TRIMIX would not work ?


If you try BIMIX/TRIMIX and hate it, you can always get an implant. The reverse is not true. Your cost comparison suggests you have trivialized what is involved in the implant surgery. I've done both solutions for 5 years each .......and for me BIMIX/TRIMIX beats the implant. no contest.
Age 63. PostFinasterideSyndrome/Peyronies

BIMIX - TRIMIX- Coloplast Titan

vincentmh
Posts: 24
Joined: Wed Dec 27, 2023 10:27 pm

Re: 32 and impotent - Two urologists refused me the implant. feeling very depressed..

Postby vincentmh » Mon Dec 15, 2025 10:14 am

QuestionGuy wrote:
vincentmh wrote:
QuestionGuy wrote:I do not see in this thread that you have tried BIMIX/TRIMIX. This may well why the urologist does not want to jump to the implant. It would be analogous to installing a colostomy bag onto someone who might have been cured by taking antacids 3 times a week. This site is a wealth of information about the implant....but it has a very strong bias. After spending sometime reading threads here, it can seem like the implant is a "no brainer" for any and all erectile issues.....but make no mistake: it is not a trivial thing. I know there are people here that insist that having an implant is so much better than having to take a pill, or sneak to the bathroom for an injection....but at 32, I would try to exhaust other options, and experiment a bit, before insisting that someone install an implant. This is as much for you as the many lurkers and curious folk who read these threads....(and I'm not bashing the implant, or the people who evangelize for it....I just feel that the other options are sometimes to quickly dismissed here).


i have tried every pills so many time. i did not try BIMIX/TRIMIX because it is so expensive anyway (using it for 10 years would cost the price of an implant)
But anyway i did not get hard from the doppler injection from the urologist, so i can BIMIX/TRIMIX would not work ?


If you try BIMIX/TRIMIX and hate it, you can always get an implant. The reverse is not true. Your cost comparison suggests you have trivialized what is involved in the implant surgery. I've done both solutions for 5 years each .......and for me BIMIX/TRIMIX beats the implant. no contest.


the thing is my implant would be covered by health public system but not the BIMIX/TRIMIX, over the years it gets expensive

Gringoinparadise
Posts: 27
Joined: Fri Nov 07, 2025 7:45 am

Re: 32 and impotent - Two urologists refused me the implant. feeling very depressed..

Postby Gringoinparadise » Mon Dec 15, 2025 10:52 am

Yeah, but the point is that the implant is a one-way street and there’s no going back. The cost of injections would be spread out over years and if they’re getting you good functionality, I think most would agree it’s better exhausting that route first. The implant will always be there waiting. And maybe you can get it closer to the 40 year mark when your government would be willing to foot the bill for the implant.
45 yo American living in Bogotá, Colombia, had Stage 4 Hodgkin’s lymphoma x 2 s/p chemo/stem cell transplant, ED for years, poor results with pills, injections. Implanted 12/4/2025 with AMS CX 21 cm/1.5 cm RTEs. Preop 7” L, 6 “G at base/5” G below glans

FinallyBionic
Posts: 390
Joined: Fri Jul 22, 2022 8:12 am

Re: 32 and impotent - Two urologists refused me the implant. feeling very depressed..

Postby FinallyBionic » Tue Dec 16, 2025 9:18 am

Hey Vincent,
Sorry to hear about your issues. I believe the members here provided a lot of helpful opinions and advice. I totally agree with Old Guy on the implant age. The urologist statement doesn't make sense at all. Implant is a necessity at all ages, and when it comes to a comparison, I would rather implant younger men than older ones. For me, over 50, I already had enjoyed sex for more than 30 years. I needed an implant to continue enjoying it, although, at this age, I have a lot of other things that distract me and my partner away from having sex. But during my 20s and 30s, I would have sex almost everyday and my sex drive is way higher. You need this implant now, not after 40 or 50.
Regarding the insurance vs out-of-pocket, you are the one to decide, depending on your financial resources, but in my opinion, making sure that your surgeon is a competent and experience one is the top priority.
Finally Bionic
1969. RP Oct. 2017. Pills and Trimix didn't work. Inguinal hernia repair on both sides. AMS CX 21 cm+1 RTE, by Dr. Kai Li at Kaiser, VA, Jan. 2021. FT member since July 2020 as AST2123. See my previous 457 posts.


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