Implant for severe psychological ED?

The final frontier. Deciding when, if and how.
considering89
Posts: 4
Joined: Tue Jun 01, 2021 1:06 am

Implant for severe psychological ED?

Postby considering89 » Thu Jun 10, 2021 7:00 pm

Gentlemen,

My first-ever post. I'm looking for input/wisdom from what I can see is a truly supportive and encouraging community.

The crux of my question is this: Even if my severe ED is psychological, is the implant an acceptable solution?

Here is the situation:

- 31 years old
- Several months into a dating relationship. It's going extremely well and we want to get married within a year
- Never been so happy with a girlfriend
- Problem: A month into relationship, I realized I have ED. She started giving me oral and I had very little response. I had no response to her handjob. Our first time trying to have sex, I got fairly hard during foreplay but lost it when trying to enter.
- I may have Porn Induced Erectile Dysfunction (PIED). I've watched a lot of porn in my life since 13 years old and masturbated a lot. I stopped cold turkey in February 2021. I've had successful sex in past relationships, but started to notice what I now realize were early-ED symptoms back in 2018.
- I struggle to both ACHIEVE and MAINTAIN an erection. I cannot even masturbate to an erection.
- I get some nocturnal erections but they are not 100%.
- Sildenafil was highly effectively for a couple of weeks (20mg), but is less so now. I'm taking 100mg sildenafil plus 5mg Cialis daily. I can always have sex with the drugs, but the erection quality is not as good as it first was.

My girlfriend is aware that I'm having erection issues, and she is aware of the pills I'm taking. She has been extremely supportive and does not pressure me, threaten to leave, etc. However, she has an extremely high sex drive, wants it every day/multiple times a day, and if my issues continue, it will cause a problem in our relationship. And MY SEX DRIVE is extremely high too. I am so attracted to this girl and I want to have sex all the time with her. I literally cannot imagine a marriage, or life, without sex at a high level and high frequency with my wife.

This entire situation has me severely depressed. I read the accounts of the mental toll of ED from other FT members, and I 100% get it now. I cannot go on living this way and I am prepared to take action.

Here's where I'm at:

This is 110% the girl I want to marry. I'd propose to her tomorrow if my ED were resolved. But the ED is extremely unsettling to me. If it's PIED, supposedly a period of time without porn/masturbation (which I haven't done either in 4+ months) will return me to normal erectile function. But the timeframe of that recovery is extremely uncertain, from my research. Some guys can take 1+ year to recover (or longer in some cases). I do not have that kind of time.

What I'd like to do is be very open and honest with my girlfriend about my ED issues, my depression as a result of it, my fears, and what I plan to do about the situation.

My plan - for your feedback:
- Put all of my ED issues on the table with my girlfriend.
- Explain that she is the girl I want to marry (she tells me all the time she wants to marry me). But the ED is scaring me because I fear that it will create strain in our relationship and I desperately want to have an active sex life with her.
- Then lay out my plan for dealing with the ED:

(1) continue the pills, meanwhile hoping for a return to normal erectile function (if my issue is PIED and I just need time away from porn to re-sensitive to a human
(2) should the pills stop working, my options are: injection, pump, implant, or no sex. Explain to her that I do not want to do injections (fear of scarring) and can't see using a pump every time we want to have sex. So if pills stop working, my only viable option left is an implant.
(3)propose that I would like to set a deadline at which point I will proceed to the implant if my normal erectile function has not returned and pills are not working effectively OR are no longer an acceptable solution because of the lack of spontaneity.
(4) hear her thoughts. In my view, this needs to be a mutual decision that we both agree on.

Questions for feedback:
What do you think of this plan?
IF my issue is PIED/psychological, is the implant a reasonable solution? Even if I have no physical issue, I simply am unwilling to go a period of 1+ year simply waiting and hoping that "NoFap" will resolve my ED and everything will return to normal.
Last edited by considering89 on Fri Jun 11, 2021 1:07 pm, edited 2 times in total.
31yrs. Struggle to achieve and maintain an erection without pills. Possible PIED. Discovered issue in new dating relationship. We both want marriage -- I'm considering an implant to solve this problem and take it off the table of our marriage.

AN02020
Posts: 27
Joined: Fri Jan 01, 2021 6:25 am

Re: 31yrs old / Met girl of dreams / Implant for severe psychological ED?

Postby AN02020 » Thu Jun 10, 2021 7:35 pm

1-How is your libido?
2- How often do you have sex with pills, what dosage, and how hard it gets?
3- Do you get any erection in foreplay, even if it's weak?

Thanks
40 Years; Suffering from ED due to taking SSRIs for 3 months; using Cialis 5 mg daily

considering89
Posts: 4
Joined: Tue Jun 01, 2021 1:06 am

Re: 31yrs old / Met girl of dreams / Implant for severe psychological ED?

Postby considering89 » Thu Jun 10, 2021 7:41 pm

AN02020 wrote:1-How is your libido? 10 out of 10. I want to hammer her all the time and would if I could.
2- How often do you have sex with pills, what dosage, and how hard it gets? 3 times/week. Sildenafil 100mg and 5mg daily Cialis. Erections were 10/10 but now about 7/10
3- Do you get any erection in foreplay, even if it's weak? I am now always using pills before foreplay, so yes. Before I took pills, I would get an erection from oral sex usually, but it would soften almost immediately so that I couldn't penetrate or would go soft soon after stuffing it in

Thanks
31yrs. Struggle to achieve and maintain an erection without pills. Possible PIED. Discovered issue in new dating relationship. We both want marriage -- I'm considering an implant to solve this problem and take it off the table of our marriage.

Fran4524
Posts: 114
Joined: Sun Dec 13, 2020 3:33 pm

Re: 31yrs old / Met girl of dreams / Implant for severe psychological ED?

Postby Fran4524 » Thu Jun 10, 2021 8:07 pm

Hi friend, sorry for hearind that...

Please try to split. Instead of100 mg of viagra and 5 of cialis, try 20 of cialis and take 50/100 of viagra if the 20 of cialis doesn't work well enough. Cialis effect last until 36hours. My symptoms are like yours and this works well for me.

Just my advise,
Best regards for you!
1993
-Erection problems since 2 years.
-I did jelqs and it is posible I injuried
-3 dopplers and 1 cavernosography . No sign of leaks(2 priapism with the tests)
-Having sex with 30mg of tadalafilo
-With a sexologist to found out the problem

ViaSwiss
Posts: 360
Joined: Fri May 24, 2019 9:09 am

Re: 31yrs old / Met girl of dreams / Implant for severe psychological ED?

Postby ViaSwiss » Thu Jun 10, 2021 9:03 pm

Man, #1 protect yourself. The worst stories of guys getting f3cked over emotionally, financially, and legally always start the way your story sounds. If it seems to good to be true it might be.

#2.. See a quality urologist in your area. He will do a doppler to see if you have venous leak, low testosterone, etc. etc. Implant is a last option if pills or injections dont work.
Age 34. Venous Leakage & Post Finasteride Syndrome (PFS) since age 18.
June 25, 2021: Titan implant w/ Dr. Alex Tatem in Indy.

wolfpacker
Posts: 299
Joined: Thu Dec 12, 2013 10:16 pm

Re: 31yrs old / Met girl of dreams / Implant for severe psychological ED?

Postby wolfpacker » Thu Jun 10, 2021 9:14 pm

Sounds like you could definitely have a veinous leak, for which the only cure is an implant. As ViaSwiss said the implant is the last option, but it is an incredible option.

considering89
Posts: 4
Joined: Tue Jun 01, 2021 1:06 am

Re: 31yrs old / Met girl of dreams / Implant for severe psychological ED?

Postby considering89 » Thu Jun 10, 2021 9:26 pm

wolfpacker wrote:Sounds like you could definitely have a veinous leak, for which the only cure is an implant. As ViaSwiss said the implant is the last option, but it is an incredible option.


How do I determine whether this is a venous leak?
31yrs. Struggle to achieve and maintain an erection without pills. Possible PIED. Discovered issue in new dating relationship. We both want marriage -- I'm considering an implant to solve this problem and take it off the table of our marriage.

AST2123
Posts: 166
Joined: Tue Jul 28, 2020 7:54 am

Re: 31yrs old / Met girl of dreams / Implant for severe psychological ED?

Postby AST2123 » Thu Jun 10, 2021 9:27 pm

Welcome to FT!
First, it is nice to have such a supportive girlfriend. Your plan is quite good. Yes, you need to be transparent with her, and any decision you make would be your decision as a couple.
As other guys here mentioned, you may have VL. At this young age, and sex drive that both of you have, I believe pills and injections won't be a solution. You already reached the max of pills dosage. IMO, the implant maybe your next option, but not before checking with a urologist.
Finally Bionic
51y old. RP Oct. 2017. Pills didn't work. Trimix worked a couple of times, then failed. Have inguinal hernia repair on both sides. Implanted AMS CX, 21 cm+1 cm RTE, by Dr. Kai Li at Kaiser Permanente, VA, Jan. 19th, 2021.

wolfpacker
Posts: 299
Joined: Thu Dec 12, 2013 10:16 pm

Re: 31yrs old / Met girl of dreams / Implant for severe psychological ED?

Postby wolfpacker » Thu Jun 10, 2021 9:32 pm

considering89 wrote:
wolfpacker wrote:Sounds like you could definitely have a veinous leak, for which the only cure is an implant. As ViaSwiss said the implant is the last option, but it is an incredible option.


How do I determine whether this is a venous leak?


A urologist can do a test called a doppler ultrasound where they inject your penis with alprostadil to induce an erection, then use an ultrasound to measure your blood flow to determine if too much blood is flowing out of your penis.

However, regardless of what the doc finds, if you can't get an erection you can't get an erection. His test results won't change that. If your diet/sleep/stress levels are all in check and this problem has been going on long enough to not just be a transient issue, then all you can do is proceed down the progression of pills -> injections (if they fit your lifestyle) -> implant

Username1
Posts: 20
Joined: Thu May 14, 2020 8:13 pm

Re: 31yrs old / Met girl of dreams / Implant for severe psychological ED?

Postby Username1 » Thu Jun 10, 2021 9:34 pm

Second see a urologist immediately. Don’t settle for half ass approach either, find a doc tells you flat out tells you: “you’ll have sex with me.”
And..let it go..the anxiety…sounds like you have a wonderful woman in your life..enjoy each moment together, don’t stress..live
Implanted 5.25.21 Coldplast, 24cm. Dr Tajkarimi.


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