Implant for psychogenic ED

[Dile2709]

I'm 28 years old and have suffered from psychogenic erectile dysfunction for 10 years, since the beginning of my sex life. My problem is psychological; I've tried all possible alternatives: pills, sex therapy, injections. The injections work sometimes, but there have been anxious moments with such a large adrenaline surge that it ended up overpowering even the injections, which made me lose confidence in them. I've used Bimix in two different formulas and various titrations, I've tested Trimix, and so on. Besides not being consistent—not in relation to the injection itself, I've never missed a single injection, but rather due to variations in anxiety, which end up causing me even more anxiety—there's also the issue of practicality and lack of spontaneity, since I can only inject three times a week on alternate days. Not to mention that my girlfriend is young and sex can happen at any time. Traveling together is a nightmare because it can really happen in unexpected situations, and there's no point in trying to plan it; sometimes she's simply not in the mood. In short, it's not what I want for myself. We've already had a frank conversation about all of this; she's very supportive and understanding, but it's such a delicate and frustrating situation that I feel like garbage and frustrated. It's not a matter of libido; I want to have sex with her all day, but when the time comes, it's extremely inconsistent. My worry about "Is it hard? Will it stay hard?" haunts my mind and ends up taking away my pleasure, and with each failure, I sink deeper into depression and anxiety. I end up avoiding sex not because of a lack of libido, but because of the absurd fear of failing. It's a situation that has been happening for many years, since the beginning of my sex life, as I said before, and I've really exhausted all non-surgical alternatives. Since it's psychological, many will say: go to therapy, seek help! I've been doing that for 10 years, I've tried several different therapists, I've used various psychiatric medications, and I don't see any improvement.

Even when I achieve some success in sex and gain more intimacy with my partner, the next time is always uncertain. I recently consulted two of the best urologists in my country, specializing in ED in general, and with extensive experience in psychogenic problems, and both informed me that I am a candidate for the implant. I also consulted with a sex therapist who concluded that I am a candidate. I am aware of all the risks, I have aligned my expectations, and I haven't decided on this yet, but I would like to hear what you have to say. Sex isn't everything in life, but my inability to enjoy the moment and my partner, whom I am truly passionate about and with whom I want to build a future and a family, makes me apathetic, often lifeless, with a constant reminder and tension related to my situation.

[LetoMan]

First of all, your ED is not psychogenic. If you are taking trimix injections and not getting hard, it is because something is wrong with you physically. Anxiety may exacerbate whatever is wrong with you, but the cause is physical.

Yes, if you can’t get satisfactory erections even with Trimix, I would absolutely strongly consider an implant.

[Dile2709]

First of all, your ED is not psychogenic. If you are taking trimix injections and not getting hard, it is because something is wrong with you physically. Anxiety may exacerbate whatever is wrong with you, but the cause is physical.

Yes, if you can’t get satisfactory erections even with Trimix, I would absolutely strongly consider an implant.

I can get a 100% erection even without medication when I'm alone, for as long as I want, as long as I stimulate myself, of course. The issue with Trimix is ​​that, at home, alone, it works perfectly, sustaining an erection for hours, even without any stimulation. The problem arises during peaks of anxiety during sex; the erection starts to fluctuate, even with Trimix.

I am mentally exhausted after years and years of unsuccessfully searching for ways to solve this.

[LetoMan]

If you want to believe that it is all in your head, be my guest. What do I care? But the issue is that your corpora leaks blood, partícularly when you are under stress.

An implant is a solution to that.