Got my ultrasound, still on the fence...

[medhatg]

What was Dr. Karpman's advice?

He definitely said I'm a good candidate for it, and that due to my size he suggested a Titan. He said it doesn't really make sense that something would suddenly start helping my erections if I've already been through all of the different treatments, so implant is the next step.

My real struggle is "can I be alright with how my dick works if it has been this way all my life anyway?" or something like that.

I can tell you that the implant is the best thing that happened to me and I wish I could have it done earlier. At the end of the day, it is up to you. Dr. Karpman did my revision last month and I found him to be quite knowledgeable, sincere and caring. He also advised me for Titan but I opted for AMS CX as it was covered under warranty.

[Captain1117]

Very similar situation as yours...morning wood with Cilais daily but when it comes to real penetration..pretty unsure and that causes more anxiety than pleasure.

The other point I can relate is high stimulation required to keep the erection and that leads to PE.

I am waiting to see a surgeon soon.
Did the implant fix your ED and PE issue.

[oldbeek]

You will enjoy your almost full length flaccid. Very few pumps and it is just right for foreplay or masterbation. Go for it. Life is short.

[Lost Sheep]

(edited for focus)

As for fellatio vs coitus, I can see how that might switch. I guess another question, if you don't mind sharing: Has it made you orgasm more quickly? More slowly? I know that getting soft generally slows down how quickly I can get there, but a few of the times I kept an erection from start to finish, I finished pretty quickly. Not sure if I stayed hard because I was just super pent up and aroused and was already kind of on edge, or if having the strong erection made things feel different enough or so much better that I got off more quickly. I'm sure a good amount of that part is mental...with this I could technically get an erection when not aroused at all, and I'm betting I wouldn't orgasm quickly in that case, if at all.

Hopeful,

I orgasm more slowly, sometimes not at all.  But that effect is lessening over months of time. The times I do not orgasm are getting fewer and the length of time used to be several minutes of coitus, now to only a couple of minutes. Fortunately my girlfriend likes me to orgasm. I have not been able to orgasm through fellatio but a few times.

Your observations of your arousal and response patterns reminds me of me.

Yes, it is not just technical. With an implant you can be erect and rigid as ever, even when in a bad mood, even immediately after orgasm/ejaculation and deep in refractory period. Of course, that is just the tunica albuginea/corpus cavernosum that is erect. The corpus spontiosum (the glans/head of your penis and what gives your penis fullnes) DOES depend on your state of mental arousal as well as blood flow. So, you can have a moderately soft but ramrod stiff penis capable of "penetrating a Buick" any time, any where and for however long you (or your partner) can stand it.

I also sent you a private message (PM)

[Waynetho]

LS, and I think it's the new "On-Demand" woody that may be partially to blame for the longer times to orgasm for some of us. We can put it up when we want it (isn't that ALWAYS for men?) but not aroused at all, or enough.

I'm wondering if I actually waited until I was at peak arousal before coitus, instead of just jumping in because I can, if I might go off earlier without tiring myself out with coital and following masturbatorial efforts beforehand.

[Lost Sheep]

LS, and I think it's the new "On-Demand" woody that may be partially to blame for the longer times to orgasm for some of us. We can put it up when we want it (isn't that ALWAYS for men?) but not aroused at all, or enough.

I'm wondering if I actually waited until I was at peak arousal before coitus, instead of just jumping in because I can, if I might go off earlier without tiring myself out with coital and following masturbatorial efforts beforehand.

my first inclination was to say, “no “, but you do have a point there.

My arousal pattern before the implant was always, if I was aroused enough to have any sort of erection it was an urgent priority to get it in and get it off. “Quick, before it melts “ my arousal pattern before the implant was always, if I was aroused enough to have any sort of erection it was an urgent priority to get it in and get it off. “Quick, before it melts “

with the implant, I can start when my mind tells me I want to cd (or my girlfriend asks me). and this is, as you say, whether or not my penis is aroused. So, if it takes a few minutes for my endorphins and nitrates and whatever it takes to get my penis ready to orgasm, that time is added to my (what they call in the Air Force the loiter time) . piled on top of that is the fact that I don’t have to stroke real hard as a requirement to staying erect. If I find myself close to climax I can slow down without losing my erection. Thus, I can last longer.

so I am leaning in the direction of what you said. I will have to run some tests and experiments with my girlfriend and be observant.

this weekend should be a whole lot more fun than my usual high school biology homework

[numansoon]

Its nice to see you are doing lots of research and deep thought to getting implanted. Its something not to be taken lightly. With that said I personally wish I had done it sooner. I was never able to keep it up very well, and post prostate cancer it was just a limp noodle. Still I thought oh well at least I am alive. I was single and basically just shut down any notion of dating let alone a relationship. I spent 10 years in that state, and finally thought what am I doing if there is some sort of option.
I researched and asked questions, and decided to go for it.
It was not a lot of fun healing but not terrible either. Almost immediately I had this sense of wholeness. Not that I would go out and screw anyone I came across but the fact that I could. The change in my sense of self really shifted, and frankly I hadn't expected it to be so obvious.
There are of course some adjustments. I was a classic grower-turtle head. All of a sudden I have this almost 5 in object in my pants. At first I was OMG how am I going to deal with this thing lol. After trying different underwear, and being a bit selective about pants, I got used to it. And frankly at this point I love having a nice package.
So I guess what I am saying is, at a certain point you need to decide on what will enhance your life the most. If you are fine and can settle with what you have great. If not then let go of your anxiety and move forward.
Best of luck
N