Question for psychogenic implantees about exhausting a less invasive psycho/spiritual approach...

The final frontier. Deciding when, if and how.
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duke_cicero
Posts: 443
Joined: Tue May 28, 2024 2:58 pm

Re: Question for psychogenic implantees about exhausting a less invasive psycho/spiritual approach...

Postby duke_cicero » Sat Jan 10, 2026 7:58 pm

Rider1400 wrote:Even for insurance purposes my insurance anppro only required that I had tried pills and injections and still had difficulty keeping and maintaining an erection to qualify. Don’t think any implanting Dr out there would specifically state that you only had a psychological issue!


Okay, so try a pill and a shot and say you don't like 'em! Lol.
Born 1990. ED since age 20 after a bicycle accident. Coloplast Genesis malleable implanted December 2024 by the great Dr. Laurence Levine in Chicago.

· December 2024 implant journal
· June 2025 update
· One-year update

Rider1400
Posts: 1263
Joined: Sun Dec 06, 2020 4:23 pm
Location: Benton Arkansas

Re: Question for psychogenic implantees about exhausting a less invasive psycho/spiritual approach...

Postby Rider1400 » Wed Jan 14, 2026 5:15 pm

duke_cicero wrote:
Rider1400 wrote:Even for insurance purposes my insurance anppro only required that I had tried pills and injections and still had difficulty keeping and maintaining an erection to qualify. Don’t think any implanting Dr out there would specifically state that you only had a psychological issue!


Okay, so try a pill and a shot and say you don't like 'em! Lol.

That’s all my insurance required. Dr said it’s medically necessary for me to have an erection and that I had tried pills and injections. Not even sure the injections were necessary. I really feel like it has something to do with how well the Dr knows what codes to use and how to explain on the paperwork. Was told by Clavell this past Monday that I should have no issues getting approved for a revision thru same insurance as I had almost 4 years ago when I had mine done. My implant functions perfectly but having issues with herniating resivour and tips of cylinders poking my wife as they are too close to the bottom part of glans.
59 years old ED started mid 40s pills failed after 10 years. Injections works but diminishing results with pain. Implanted 5-22 Baylor,Scott,and White Dallas.Dr Michael Wierschem, infrapubic Coloplast with Classic pump 20cm and 1cm RTE. Going strong

RG3p013
Posts: 31
Joined: Sun Jun 02, 2024 9:59 pm

Re: Question for psychogenic implantees about exhausting a less invasive psycho/spiritual approach...

Postby RG3p013 » Fri Jan 16, 2026 8:49 am

Rider1400 wrote:Even for insurance purposes my insurance anppro only required that I had tried pills and injections and still had difficulty keeping and maintaining an erection to qualify. Don’t think any implanting Dr out there would specifically state that you only had a psychological issue!


Mind me asking what insurance you have?

Time2Change
Posts: 497
Joined: Sun Sep 13, 2020 7:32 am

Re: Question for psychogenic implantees about exhausting a less invasive psycho/spiritual approach...

Postby Time2Change » Fri Jan 16, 2026 8:01 pm

Are you self-diagnosing that this is a mental issue?

I'm going to agree with other guys that, if you had a functioning hard on until you were 39, this is probably physical.

I had a perfectly fine hard on until I was 32. For years I went along with doctors' assessments that I had a mental problem.

Nope. Turns out I'd damaged my pudendal nerve while on a five-week bicycle tour.

I was never able to make peace with this problem. Pills worked okay for a while, but lost effectiveness over time.

Like other guys have said, do some more digging to uncover the physical problem.
57; ED for 24+ years; Coloplast Titan implant on 10/26/20; Dr. Martin Gross; Happy to share my experiences in private messages

Rider1400
Posts: 1263
Joined: Sun Dec 06, 2020 4:23 pm
Location: Benton Arkansas

Re: Question for psychogenic implantees about exhausting a less invasive psycho/spiritual approach...

Postby Rider1400 » Sat Jan 17, 2026 7:59 am

RG3p013 wrote:
Rider1400 wrote:Even for insurance purposes my insurance anppro only required that I had tried pills and injections and still had difficulty keeping and maintaining an erection to qualify. Don’t think any implanting Dr out there would specifically state that you only had a psychological issue!


Mind me asking what insurance you have?

I have BLue cross Blue Shield of Illinois. But after talking to them many times about my initial implant they explained that every policy they write for each company is custom and any and all policies can have exclusions or allow some things that another company may denie. So basically BCBS may or may not cover it. I’m 60 now so hopefully this one will last til I retire and then hopefully Medicare will cover any revisions after that.
59 years old ED started mid 40s pills failed after 10 years. Injections works but diminishing results with pain. Implanted 5-22 Baylor,Scott,and White Dallas.Dr Michael Wierschem, infrapubic Coloplast with Classic pump 20cm and 1cm RTE. Going strong

John Dday
Posts: 89
Joined: Thu Sep 05, 2024 8:30 pm

Re: Question for psychogenic implantees about exhausting a less invasive psycho/spiritual approach...

Postby John Dday » Sat Jan 17, 2026 3:09 pm

Interesting question RG3p013. ED is about relationships. It's a relationship problem, or should be. Life is complex. The health issues around ED are an indication of that complexity. Mental and physical. As we age, both these issues can become insurmountable. Hence, the statement 'I should have done it 10 years ago. An implant simplifies just one aspect of life, so, in theory, we can spend more energy on our fulfilling relationships.
It's a great question to add to this already great historical library in FT. Thanks for posting.
1955. I have had ED for years. We were planning to go for a Rigi10 in October 2024. Life got in the way (heart attack & stent), so we are now going for injections as a fill-in. 9/2025 More life roadblocks with prostate Cancer:((

Mark1974
Posts: 571
Joined: Wed Feb 15, 2023 5:16 pm
Location: Central Illinois

Re: Question for psychogenic implantees about exhausting a less invasive psycho/spiritual approach...

Postby Mark1974 » Sat Jan 17, 2026 4:18 pm

"Honestly, I would be fine with variable soft-cock sex if I can find away to make peace with it."

This would be so much easier and healthier than an implant
Born 6/15/74. Was diagnosed with venous leak in 2020 and had an MPP installed 5/25 by Dr Laurence Levine of Rush Hospital Chicago. He used a sub-coronal incision. Had MPP taken out 7/25 due to discomfort and insomnia. Sit to urinate. Living death.


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