Implant for severe psychological ED?

The final frontier. Deciding when, if and how.
considering89
Posts: 32
Joined: Tue Jun 01, 2021 1:06 am

Re: Implant for severe psychological ED?

Postby considering89 » Fri Jun 11, 2021 1:07 pm

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Last edited by considering89 on Thu Jun 16, 2022 2:23 am, edited 1 time in total.
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frank66665
Posts: 1248
Joined: Wed Mar 25, 2020 11:18 am

Re: Implant for severe psychological ED?

Postby frank66665 » Fri Jun 11, 2021 1:31 pm

ciao, trova un andrologo/urologo specialista nell'eco doppler basale e dinamico, da li potrai vedere se hai una fuga venosa importante, se hai fuga venosa importante non ti resta che l'impianto, se non hai fuga venosa imortante o piccola perdita devi fare esami ormonali, potresti aver bisogno di testosterone dall'esterno, in questo modo risolverai il problema
56, ED since 2010, pills work but not always and well, trt in progress improved but not so much, myocardial infarction january 2016, new stent september 2016, hypertension, venous on 1/23/23 titan one touch 22, no rte dottor Gabriele Antonini Italia

hectorm64
Posts: 87
Joined: Thu Dec 31, 2020 11:46 am

Re: Implant for severe psychological ED?

Postby hectorm64 » Fri Jun 11, 2021 10:24 pm

considering89 wrote:Is there anyone who's had an implant for psychological ED, and/or for Porn Induced ED (PIED)?


I will give you my 5 cents opinion.
I was in a similar situation and it ends in a divorce.
ED is a progressive disease, it doesn't matter the cause of it, It will end up permanently. The sad part of battling ED, is the psychological damage, frustration, insecurity, low self-esteem, depression, unhappiness, jealousy, envious, feeling guilty, etc.
These symptoms have a significant impact on our mental health and our love relationship.
You are young, happy in love, with an extremely supportive girlfriend, she has an extremely high sex drive, wants sex everyday/several times at day if it is possible. You want to make and keep her happy but with only several months in a beautiful relationship you have realized that you won't be able to keep up with her desires to have sex with you, her dream man.
You said that "I can always have sex with the drugs, but the erection quality is not as good as it first was". Do you think you and her deserve it. When you love somebody, you want to give her the best.

I suggest to educate yourself very well about the ED before having a conversation with your girlfriend, remember she doesn't have an idea how complex is "erectile disfunction".
You said that you think your issue is psychological. Please get a real diagnosis, from an experienced Urologist before having this conversation with her.
He will order a Doppler test to find out if you have venous leak.
Also, her support is very important but more important is "what do you want".

Believe me, during that conversation, she will say "I love you, I support you, don't worry about that, I understand, I will be with you no matter what" Please ask yourself how long do you think a young girl can handle this situation.
Be realistic, you guys relationship seems very solid but it is still new and fragile.
If I was you, I will make an appointments with a couple of good urologist specialist in penile implant and learn what they suggest.
You guys deserve to be happy, sex anytime, for as long as you both want it, you can ejaculate more than one and keep going. She will be extremely happy in that department.
We are here to help you and tell you about our experience. We don't want guys like you, go through what went through.
If you decide to get an implant, considerate to find a surgeon that use "Infrapubit approach" with this technique, you will recover faster and with less pain.
It took me two weeks to start cycling and on my third week, I was having the best sex of my life, today is my third month and I already have my pre-op pines size.
I wish you the best.
Hector
Note: FT has a lot reading material that will help you to understand and more important be realistic.
57 yo, PHX, AZ. ED all my life.Used Viagra,Cialis,Trimix failed. Implanted AMS 700CX 21 cm +2 cm RTE on 03/11/2021. Dr Shawn Blick.
Pre/post-op size length 6.0"X 6.5" girth. Cycling at week 2,Sex at week 3.
Cycling full erected 1hr am, 1hr pm

Gt1956
Posts: 2859
Joined: Fri Apr 05, 2019 2:47 pm

Re: Implant for severe psychological ED?

Postby Gt1956 » Sat Jun 12, 2021 6:51 pm

Only to add a little to Hectorm64's good post. It is a lot easier to profess love & eternal companionship when a problem arises in a relationship than it is to honor that for potentially the end of their lives. Not saying that they are not sincere. Just a long term problem with no end in sight is a huge burden to carry. I've watched a paralyzing injury, 2 asexual men & multiple substance addictions finally grind marriages into the ground.
I would suggest getting a cheap notebook. Write down diagnostic goals & decisions with a good estimate of a deadline date. Check this notebook often. Don't let those progress dates pass by very much before you move to the next goal.
Much like New Years resolutions. It is easy for the dates to fly into the past. Don't let that happen to your relationship. Erections that have faded into the past seldom return. Please be realistic about your ED.
68yo, HBP at 40, high triglycerides at 45. Phimosis at 57. Type 2 at 60. Dr. William Brant May 1, 2023 CX 21cm w/no rte's penoscrotal 6" girth @ 6 months

ED2013
Posts: 1217
Joined: Tue Mar 05, 2013 8:15 pm

Re: Implant for severe psychological ED?

Postby ED2013 » Mon Jun 14, 2021 5:03 pm

See a uro right away…. I agree with other posters this may be venous leak. Been there done that. Pm if I can help.

ochorey
Posts: 71
Joined: Thu Jun 10, 2021 4:28 pm

Re: Implant for severe psychological ED?

Postby ochorey » Mon Jun 14, 2021 6:08 pm

considering89 wrote:Is there anyone who's had an implant for psychological ED, and/or for Porn Induced ED (PIED)?


I am pretty sure that my issues were mainly psychological. But after 25 years of dealing with awkward/embarrassing situations, missed opportunities, and all that, and having pushed the other treatments as far as they’d go, I finally decided that, before I’m too old to care, I wanted to experience what it’s like to be able to just completely relax when there’s the possibility of sex. I was just so tired of “getting the syringes ready”, or thinking about pill timings, man it just sucked.

And as I’ve mentioned in other posts, after all that work, I didn’t want it all to go to waste, so I pushed for sex even when maybe the moment wasn’t right, like maybe she just wanted to chill and talk. Some women would still be game, because they don’t want to disappoint you, but you can tell when they’re not really into it. Anyway, when I discovered this, I could really see how, even though I was so proud of myself so concealing my methods, it was just all so planned, or scheduled. That’s fine for a one night stand, totally falls apart for longer term relationships.

Anyway, that really only left one option, which I hadn’t really considered much until my uro brought it up casually, earlier this year. I struggled with whether my psychological ED was somehow less severe that purely physiological ED. Ultimately though, like others have mentioned, I got tired of grappling with the cause, and just focus instead on my goals, which were:

1. Be able to have sex without needing anything external
2. Have an erection that doesn’t require arousal
3. Have sex for as long as she can take it
4. Wait a half hour, and back to 3

I didn’t have a single one of those with pills, and while trimix gave me 2 and 3, it failed miserably at 1 and if I OD’d (my erection wouldn’t go down after orgasm) 4 was out of the question, because I’d need to use an antidote to kill the erection, meaning no way was it going to be able to get going again later (too many punctures in one night, among other issues).

An implant could hit all 4, and I’m finally at a point in my life where I could afford it, so made the decision. It was definitely not an easy one, especially since I started taking 5mg daily cialis and was having good nocturnal erections. But it didn’t matter. If I felt like there was a possibility that things wouldn’t work, then I’d just be back in the same boat.

As an example, early 2020 I ended up in bed with a 25 year old, super attractive, definitely not the kind of girl I’ll be able to get much longer. Anyway, she was super nervous and crazy tight, because she couldn’t relax, to the point where it took me a solid half hour of trying then taking a break, before I could actually get it in without hurting her. There is absolutely no way I could’ve had sex with her that night with cialis. I would have lost my erection in frustration. But with the trimix, I was able to relax, which she picked up on, so then she relaxed, and we were able to bone. I thought about that night a lot when deciding to get the implant.

Anyway, that’s maybe more than you wanted, but to answer your question, yeah, My ED was mainly psychological and I now have an implant.
47, ED in some form all my adult life, Titan 22 “chopped”, June 11 2021 by Dr. Eid

wunhunglo
Posts: 155
Joined: Fri Sep 11, 2020 12:12 am

Re: Implant for severe psychological ED?

Postby wunhunglo » Mon Jun 14, 2021 7:50 pm

PLEASE see a urologist who specializes in ED BEFORE YOU GO ANY FURTHER.
An implant is NOT a panacea; there are tradeoffs and risks.

IMHO, you should exhaust ALL options before resorting to the implant.

If there are none in your local area, arrange a video call with Dr. Eid or Dr. Hakky. They will not try and sell you on an implant.

Good luck
Implanted April 9th 2021(age 55) by Dr. Eid w/ 24 cm Titan
Activated Day 3; minimal swelling and discomfort for 3-4 weeks
Preop injection size: 17 cms length (slight press) & 15 1/2 cm girth
Post up w/max inflation: 17 cm length 14 cm girth

oldbeek
Posts: 2454
Joined: Sun Sep 10, 2017 1:46 pm
Location: Los Angeles area

Re: Implant for severe psychological ED?

Postby oldbeek » Mon Jun 14, 2021 11:50 pm

wunhunglo wrote:PLEASE see a urologist who specializes in ED BEFORE YOU GO ANY FURTHER.
An implant is NOT a panacea; there are tradeoffs and risks.

IMHO, you should exhaust ALL options before resorting to the implant.

If there are none in your local area, arrange a video call with Dr. Eid or Dr. Hakky. They will not try and sell you on an implant.

Good luck
Totally agree,,, Nothing beats a blood filled erection. An implant is great IF there is no other option. Explore every option first.
82, good health, RP 7-2017, all nerves taken , PSA 0.05, 4-18,, .07 1/19,.05 4/19, .03 11-21, .04 11-23, implanted 4-1-18, Infra-pubic, AMS lgx 15 cm with 5cm rte. Implant at USC Keck. Dr Boyd and Dr Loh Doyle 6.5 x 5, 800 AUS 7-21-20

Bushpig
Posts: 177
Joined: Mon Jun 17, 2019 4:40 am

Re: Implant for severe psychological ED?

Postby Bushpig » Wed Jun 16, 2021 7:08 pm

I dont think that there will be much scaring after a few months of injections so my advise is to try that first and then get an implant if not happy. I used injections for years until they became less effective ( Hit and miss sometimes )
55 yo Aussie. E.D all my life. Used Viagra for years but. Went on to Injections which worked well but very inconvenient and didnt work sometimes. Implanted Jan'18 with Titan one touch 20cm/ 1.5RTE by Pro Chung in Brisbane.

ochorey
Posts: 71
Joined: Thu Jun 10, 2021 4:28 pm

Re: Implant for severe psychological ED?

Postby ochorey » Wed Jun 16, 2021 8:48 pm

Bushpig wrote:I dont think that there will be much scaring after a few months of injections so my advise is to try that first and then get an implant if not happy. I used injections for years until they became less effective ( Hit and miss sometimes )


Just to add one data point, I did injections for over 5 years, and Dr. Eid noted during my sonogram that I had no scarring. To be clear, I never needed more than 10 units for sex, often using just 4-5, which I understand is quite low, but that's what I needed. Using more will likely increase chance of scarring, but to what degree, what that relationship is, I have no idea. But anyway, yeah, I would think a few months of injections would be low risk, and definitely good to try before going the nuclear route.
47, ED in some form all my adult life, Titan 22 “chopped”, June 11 2021 by Dr. Eid


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