Should I get an implant?

[macoza]

I'm able to have morning wood and during the night also. But when I'm with my gf I'm unable to perform cuz I get nervous that I wont be able to which makes me less able to perform. I've tried injections but theyre too risky and make my penis feel weak. Pills help somewhat but arent a magic bullet. This is why I'm thinking of getting an implant cuz with an implant I dont have to worry about pills or injections. Based on this, should I get an implant?

[duke_cicero]

I'm able to have morning wood and during the night also. But when I'm with my gf I'm unable to perform cuz I get nervous that I wont be able to which makes me less able to perform. I've tried injections but theyre too risky and make my penis feel weak. Pills help somewhat but arent a magic bullet. This is why I'm thinking of getting an implant cuz with an implant I dont have to worry about pills or injections. Based on this, should I get an implant?

Sounds like the answer is Maybe. I'd go talk to a local urologist.

[Kodixx]

marcoza, if you are physically capable of nocturnal penile tumescence (morning wood), it suggests you would be physically capable of an erection sufficient for sex. But as you say that is a problem because of concerns you develop when you are with your gf. Do you believe there is a path to overcoming those concerns so that sex is not impacted ? I don't know what that would be, but it seems advisable to exhaust every possible avenue before going thru with surgery.

On a separate but related topic, you might consider other steps to possibly overcome those concerns. I offer this with the caveat that, as with everything -- check with your Dr before doing anything to know what's best for you.

I continue to find that THC/CBD heightens libido and magnifies sensitivity. It's effect is very predictable. Starts at about 20 minutes with 80% at about an hour. It lasts around 3-5 hours. Following the "start low, go slow" mantra, I started at 3 fluid ounces which is 6mg of both THC and CBD (25mg per can), but I'm new at this. It felt like 2 or 3 alcohol shots, relaxing, and mainly increases libido, which in your case may tamp down those concerns when you're with the gf. Below is a URL for the 25mg dose of the product I like. Be aware that the product is sold in other doses.
https://greenlightdispensary.com/rock-port-menu/?geo-redirected=true&dtche%5Bproduct%5D=blackberry-coconut-sparkling-1-1-h2o-25mg

For a stronger libido & sensitivity boost I've used PT-141 many times. It's a SubQ injectable - you'll want to Google that if you don't know what that is. It is very low risk since it goes just under the skin. I take with low dose Ondansetron (Zofran) to avoid any nausea. Oddly, for me, it takes about 6-8 hours before it kicks in completely, but I feel the effect for 18+ hours. Most people say it takes a couple hours to have an effect.

- Chuck

[fucked0ne]

I'm able to have morning wood and during the night also. But when I'm with my gf I'm unable to perform cuz I get nervous that I wont be able to which makes me less able to perform. I've tried injections but theyre too risky and make my penis feel weak. Pills help somewhat but arent a magic bullet. This is why I'm thinking of getting an implant cuz with an implant I dont have to worry about pills or injections. Based on this, should I get an implant?

I’m pretty sure some guys here have gotten implants for psychogenic ED. I’m not sure how I personally feel about that; implants come with their own anxieties. If you’re still physiologically capable of erections, I’d seek some kind of sex therapy first. I don’t know anything about your relationship, but perhaps your girlfriend goes about sex in such a way that she gives you performance anxiety.

[macoza]

marcoza, if you are physically capable of nocturnal penile tumescence (morning wood), it suggests you would be physically capable of an erection sufficient for sex. But as you say that is a problem because of concerns you develop when you are with your gf. Do you believe there is a path to overcoming those concerns so that sex is not impacted ? I don't know what that would be, but it seems advisable to exhaust every possible avenue before going thru with surgery.

On a separate but related topic, you might consider other steps to possibly overcome those concerns. I offer this with the caveat that, as with everything -- check with your Dr before doing anything to know what's best for you.

I continue to find that THC/CBD heightens libido and magnifies sensitivity. It's effect is very predictable. Starts at about 20 minutes with 80% at about an hour. It lasts around 3-5 hours. Following the "start low, go slow" mantra, I started at 3 fluid ounces which is 6mg of both THC and CBD (25mg per can), but I'm new at this. It felt like 2 or 3 alcohol shots, relaxing, and mainly increases libido, which in your case may tamp down those concerns when you're with the gf. Below is a URL for the 25mg dose of the product I like. Be aware that the product is sold in other doses.
https://greenlightdispensary.com/rock-port-menu/?geo-redirected=true&dtche%5Bproduct%5D=blackberry-coconut-sparkling-1-1-h2o-25mg

For a stronger libido & sensitivity boost I've used PT-141 many times. It's a SubQ injectable - you'll want to Google that if you don't know what that is. It is very low risk since it goes just under the skin. I take with low dose Ondansetron (Zofran) to avoid any nausea. Oddly, for me, it takes about 6-8 hours before it kicks in completely, but I feel the effect for 18+ hours. Most people say it takes a couple hours to have an effect.

- Chuck

Hi Chuck,

Greatly appreciate your input. Just so you know, I get morning wood thinking about asian women - my gf is not asian, fyi. Thats part of the reason why I'm unable to get erect for her cuz of my sexually heightened asian fetish. I then get nervous that I'm unable to perform for her and that partly explains my ED. I'll be starting sex therapy very soon, btw.

But my ED stems from a medication I took 30 years ago that created permanent damage. Nonetheless, I'll use the sex therapy to help me BUT I'm not closing the window on an implant. I do think an implant can help.Let me know your thoughts please.

.

[Kodixx]

macoza, I think the therapy is an excellent path ! I'm sure that even with an implant, or without, you'd like to have the same strong attraction for your gf. So working thru that would be a best outcome. And after that, if it eliminates those concerns that impact you sexually, then great. And if you would still benefit from an implant, that path is always available also.

- Chuck

I'm unable to get erect for her cuz of my sexually heightened asian fetish. I then get nervous that I'm unable to perform for her and that partly explains my ED. I'll be starting sex therapy very soon, btw.

[AussieGuy81]

marcoza, i

I continue to find that THC/CBD heightens libido and magnifies sensitivity. It's effect is very predictable. Starts at about 20 minutes with 80% at about an hour. It lasts around 3-5 hours. Following the "start low, go slow" mantra, I started at 3 fluid ounces which is 6mg of both THC and CBD (25mg per can), but I'm new at this. It felt like 2 or 3 alcohol shots, relaxing, and mainly increases libido, which in your case may tamp down those concerns when you're with the gf. Below is a URL for the 25mg dose of the product I like. Be aware that the product is sold in other doses.
https://greenlightdispensary.com/rock-port-menu/?geo-redirected=true&dtche%5Bproduct%5D=blackberry-coconut-sparkling-1-1-h2o-25mg


- Chuck

Man if I had 25mg, that would f*ck me up , I have 10mg gummies and a whole one of them is easily enough for me haha

[ready2go]

I continue to find that THC/CBD heightens libido and magnifies sensitivity. It's effect is very predictable. Starts at about 20 minutes with 80% at about an hour. It lasts around 3-5 hours. Following the "start low, go slow" mantra, I started at 3 fluid ounces which is 6mg of both THC and CBD (25mg per can), but I'm new at this. It felt like 2 or 3 alcohol shots, relaxing, and mainly increases libido, which in your case may tamp down those concerns when you're with the gf. Below is a URL for the 25mg dose of the product I like. Be aware that the product is sold in other doses.
https://greenlightdispensary.com/rock-port-menu/?geo-redirected=true&dtche%5Bproduct%5D=blackberry-coconut-sparkling-1-1-h2o-25mg

For a stronger libido & sensitivity boost I've used PT-141 many times. It's a SubQ injectable - you'll want to Google that if you don't know what that is. It is very low risk since it goes just under the skin. I take with low dose Ondansetron (Zofran) to avoid any nausea. Oddly, for me, it takes about 6-8 hours before it kicks in completely, but I feel the effect for 18+ hours. Most people say it takes a couple hours to have an effect.

- Chuck

thc from pot ? someone said before that smoking pot gets him "in the mood"
as in hard . i never heard that before ,and have not smoked pot 40 plus years . And don't want to .
does the thc get you high? i imagine it would .

out of curiosity i looked up THC/CBD as a sexual stimulant . very interesting, and a lot of different opinions . There are even lubricants for woman with CBC in it .
"Helps relieve stress" etc.

[LetoMan]

I’m pretty sure some guys here have gotten implants for psychogenic ED.

I think we are learning that persistent ED where the patient can *sometimes* get an erection is largely correlated with a physical deficiency, venous leakage. Guys with venous leakage can often get and keep erections when under little to no stress, lying on their backs, no partner, looking at porn, etc. but the venous leakage makes it easy to lose that erection, and the effect of that compounds psychologically into what we have historically called “performance anxiety.” I’m not sure there is actually purely psychogenic persistent ED, I suspect it is always hand in hand with some sort of physical cause.

Regardless, whether it is always the case or often the case that “psychogenic” ED has a contributing physical cause, the bottom line is that it is not useful to use the evidence of whether one can get an erection *under certain circumstances* as an inference for whether the cause of the ED is “all in your head.” Instead, the relevant question should simply be whether the intervention is working to give the patient the desired result (a satisfactory sex life).

I’m not a doctor or a sex therapist. But I think if the OP is not getting satisfactory erections from pills and injections, that suggests that therapy is not going to work. When pills first came out, the docs used to say that you WILL get an erection as long as you are excited. If he is still not getting satisfactory erections with those interventions, I doubt it’s a psychological issue.

On the other hand, it could be that he really is not turned on by his girlfriend, so even with medication he is not getting an erection. Maybe therapy could help with that, but probably not.

Either way, seeing a therapist can’t hurt, and it sounds like Macoza has a number of things he might want to discuss with a therapist, so I can get behind that advice!

I just wanted to point out that being able to sometimes get an erection is no longer seen as evidence that the cause is psychological. Our modern understanding of ED is that for persistent ED the psychological effects accompany the physical causes. There may be purely psychogenic ED, but most of the guys we once described as having that actually have venous leakage.

[macoza]

Either way, seeing a therapist can’t hurt, and it sounds like Macoza has a number of things he might want to discuss with a therapist, so I can get behind that advice!

I just wanted to point out that being able to sometimes get an erection is no longer seen as evidence that the cause is psychological. Our modern understanding of ED is that for persistent ED the psychological effects accompany the physical causes. There may be purely psychogenic ED, but most of the guys we once described as having that actually have venous leakage.

Appreciate your insight. I have 2 questions:

1. What was the cause of your ED that led to your implant?

2. I understand that youre no uro or shrink. But based on your experience and my thoughts, would you suggest I go for the implant considering my issues?

.