21 years old with moderate/ severe Ed, looking for help

[sammeta]

Hello everyone, I am pretty desperate for some help as I am feeling completely hopeless and stuck at the moment and I am hoping someone knowledgeable can chime in with their opinion or experience.

I am currently suffering from severe ED and hard flaccid which i believe was induced through occasional penis enlargement techniques in the past (so stupid i know). At the moment I have hard flaccid, numbness, low libido, nerve pains etc. For the past year i’ve had issues with erections so I always had a tiny piece of viagra to help boost confidence and performance. It then stopped working after developing the hard flaccid symptoms a couple of months ago. I am now on cialis 5mg daily however that is starting to become obsolete. I used to be a very sexual person however this has completely stripped me of my confidence and a major pleasure in my life. I am currently in a relationship which also adds to my stress and depression. In my case there isn’t really many recovery stories and the damage that I have caused seems to be irreparable as it just keeps getting worse. Is a penile implant a realistic option as a 21 year old in the UK? Do i need some sort of proof of physical damage or leakage? Is anyone else in the same position that I can talk to? Am i too young? and what steps can i take?

I have accepted that I won’t be back to normal again which is already hard enough but the thought of never having any function or ability to have a relationship at all is truly terrifying and is leading me down some dark places,
Thank you for reading I hope someone could please offer some guidance or mentorship please
Not sure if this belongs in this topic discussion but i am just trying to get my message out there, thank you

[LetoMan]

I am usually someone who will say that age isn’t really a factor in getting an implant. But there are a few things in your story that concern me.

The first is that you had sexual function, but then lost it. It’s not clear to me that you can’t get it back. It’s only been in the past year, and you describe yourself as depressed. It could be your depression is affecting your ED. You are also taking very low doses of pills.

You do not appear to be getting good medical advice. I say this because you are asking about what is possible in the UK. A urologist is the best person to answer whether you can get an implant, and is also the best person to address whether you need one in the first place.

Getting an implant is an extreme measure. It makes sense if you have exhausted all other options. But given that you seem to not be talking to a urologist yet about your options, taking pills in any serious amount, have perhaps untreated depression, and are prone to making somewhat rash decisions regarding your penis (such as trying to enlarge it), I would say your best bet right now is to get into see a serious urologist that can address your hard flaccid, work with you on trying interventions, and help address any psychological issues you may be facing. If the doc finds none of that works and recommends an implant, then you have your answer. But hopefully your issues will resolve themselves with some quality medical advice. I would focus on that right now.

ED is tough. We all know that, and we feel for what you are going through. But your best bet right now is to get the best medical advice you can get to try and help you address any issues. Get in to see a great urologist ASAP.

[sammeta]

Thank you so much for the reply and kind words, I appreciate it. I have an urology referral just waiting for the date of the appointment and hopefully I can find some answers. I agree there are definitely some psychological issues that have plagued me for a while and this has sent me into overdrive.

[CanGetItUpButNotOff]

See my answer in one of your other duplicate threads. BTW, the same question in (at least) 3 forums is going to get you fragmented replies.

My response largely was in accordance with what LetoMan has said here.

[John Dday]

I believe a lot of ED is cardiovascular problems. Learning about our blood, how to keep it working well, may help, but should be done anyway::))

[richard_goes_bionic]

John I feel for you but hard flaccid syndrom is a serios and not mild ED. See a specialist asap
You have to deal with this first before you consider an implant.
David-ralph.co.uk biggest implanter in uk.
Get in contact explain your case maybe he can help.
All the best.

.Hard flaccid syndrome

Hard flaccid syndrome (HFS) is a functional form of erectile dysfunction in which the penis feels persistently firm, rubbery, or semi-erect when flaccid. It is usually accompanied by pelvic floor tension, decreased sensitivity, pain during urination or ejaculation, and erection problems, and is caused by an overactive autonomic nervous system. [1, 2, 3, 4]

Common symptoms

Consistency: The penis is not soft when flaccid but contracts and feels firm.

Erection: Difficulty achieving a full erection. The penis responds poorly to visual or mechanical stimuli.

Sensitivity: Numbness or a feeling of coldness (especially in the glans).

Pain & urination: Pain in the perineum, weak urine stream, or pain during ejaculation.


Worsening: Symptoms often worsen when standing. [1, 2, 3]

Causes

The exact triggers are complex and are still being researched by urologists. Common causes include: [1, 2]

Physical trauma: Injuries from excessive pressure/masturbation, awkward sexual positions, or athletic activities (e.g., cycling). [1, 2]

Nerve irritation: Dysfunction of the pudendal or hypogastric nerve, leading to persistent tension in the pelvic floor muscles. [1, 2]

Psychological factors: Stress, anxiety, or depression, which can further tighten the pelvic floor muscles. [1, 2]

Diagnosis and treatment

Because the symptoms are varied, treatment often requires a multimodal approach. If you suspect you have this syndrome, consult a urologist or a pelvic floor physiotherapist. Treatment approaches include: [1]

Physiotherapy: Specific pelvic floor physiotherapy helps to release myofascial tension and relax pelvic floor trigger points. [1, 2]

Pain management: Use of anti-inflammatory medications, muscle relaxants, or nerve pain relievers. [1, 2]

Shockwave therapy: Focused shockwave therapy can improve blood flow and stimulate tissue healing. [1, 2, 3, 4]

Relaxation & posture: Adjusting posture in daily life, stress reduction, and breathing techniques to calm the autonomic nervous system. [1, 2, 3]

Note: Because the causes vary greatly from person to person, a medical evaluation is essential to rule out other physical conditions.

[Unhappy60]

As a person also in the UK and well on my journey to getting my implant just waiting now for operation date
The NHS calls implant surgery as a end stage treatment so you will have to try everything else before you will even be considered the waiting time varies depending where you are but it's still not short it's just under a year for me so far since I was approved for implantation
Speak to your urologist and good luck