Welcome to the forum, needsomehope
needsomehope wrote:from what I've read here I can expect a bit of size loss if I get the implant.
feedback or tips.
Size loss is not guaranteed.
Pre-op vacuum therapy can restore SOME lost length and girth, particularly if recently lost. There are two popular protocols. One involves staying under vacuum 30 minutes twice a day and the other, applying vacuum for a short time, releasing the vacuum and repeating for 30 to 45 minutes, twice a day. (I am working from memory here and the medical journal papers citing the studies have been posted here a number of times - I will post links in a few days unless someone else beats me to it.)
needsomehope wrote: I was recently diagnosed with venous leak.
Do you get nighttime erections or morning erections? This is a good sign for tissue health. Flushing fresh blood through the penile tissues is important. (note that the intermittent vacuum therapy protocol I mentioned does that - not as good ad pure arterial blood, but at least some.)
needsomehope wrote: get good at oral
By all means, get good at oral (and manual) and get good at non-sexual and sexual foreplay. You will find women a LOT more appreciative of a man who is attentive, no matter what the size or rigidity of his penis. Women make love to the MAN, not the penis. Be that man and it will not matter to her how well your penis does or does not work. This is truer the older the woman gets. Young women care more about the penis. As they get more experience and wisdom, they care more for the peripherals than the penis.
There was an article in the Spring of 2019 from Hannah Smothers in the magazine, Cosmpolitan you might want to read. It was addressed more towards 20-something women, of course.
30-somethings and 40-somethings are more discerning and are attracted to more sophisticated men who fill not only their sexual needs, but their emotional needs as well. This is where a man who has addressed his problems (including E.D.) head-on and solved them shines. Women are incredibly understanding and accepting if they feel trusted and respected. A man who knows who he is will get unbelievable amounts of support from a woman who herself feels cared for and supported.
By all means, talk to a urologist who specializes in sexual function. Investigate W.E.D. (vacuum erection devices), erectile oral medications (which may or may not work for severe Venous Leakage), injections or urethral suppositories. Implantation is an extreme step and irreversible. But it is the solution that worked for me after trying most of the others.