When do you know when it’s time?

[ElbowRoom]

When pills and shots stop working for you it’s time.

I decided to quit while I was ahead, and get some spontaneity back and preserve what I think is a penis in pretty good shape. The idea of "anytime as long as you or she wants" has allure as well.

I’d kinda like to skip the whole trimix and VED thing, but is that possible? Will insurance insist that you try them out first? How long do they drag it out?

A lot depends on your urologist and how he writes his notes. If you tell him you don't want to do shots and he writes something like "injection therapy not tolerated by patient" you're probably good to go. If he just writes that you don't want to try it insurance might balk.

Generally you don't need to have zero results with all other therapies to be covered, but you do have to have failed at at least two other therapies. "Failed" doesn't necessarily mean it didn't work...no tolerating it counts.

[ElbowRoom]

I decided to quit while I was ahead, and get some spontaneity back and preserve what I think is a penis in pretty good shape. The idea of "anytime as long as you or she wants" has allure as well.

I’d kinda like to skip the whole trimix and VED thing, but is that possible? Will insurance insist that you try them out first? How long do they drag it out?

A lot depends on your urologist and how he writes his notes. If you tell him you don't want to do shots and he writes something like "injection therapy not tolerated by patient" you're probably good to go. If he just writes that you don't want to try it insurance might balk.

Generally you don't need to have zero results with all other therapies to be covered, but you do have to have failed at at least two other therapies. "Failed" doesn't necessarily mean it didn't work...not tolerating it due to pain, side effects, etc counts.

[Alex258]

Not sure anyone would remember me here. I posted here maybe 10 years ago when I was 41 and had my first bout of ED. Testosterone was at “near castrate” level - has since been fixed with Clomid. Took maybe three months after the Clomid started to start to get back to normal erections again, with the help of Cialis.
Been on 5 mg daily Cialis plus the Clomid for 10 years. While there have been occasional mishaps and the fear and anxiety of ED never really go away, I’d say I’ve only had an average of - maybe 1-2 failures to make it to satisfactory orgasm for both myself and my wife, per year, in that time. Maybe even less. Today we are 51 (me) and 57 (her).
The last 2-3 months I have noticed a trend towards… not quite PE, but definitely orgasming sooner than I would like. Maybe after she orgasms only once or twice instead of 4-6 times like I’m used to.
Then, maybe a week ago, we tried to fuck standing up in the shower and I couldn’t stay hard. NBD, this was not a usual position for us and TBH it had not been since the first mishap ten years ago.
Now we’re on a trip together and when we went to fuck yesterday morning, I just could not get hard.
We spent the day, had some drinks, came back to the hotel, and I offered to just pleasure her without expecting anything else to happen. As it turns out I got hard enough to enter her, and slowly slide in and out enjoying each other for a while. But when I sped up, I lost it.
I’ve known for years, because of the good people here, that in the end my worst case scenario is an implant, and TBH it doesn’t seem bad at all. I’m not sure I’m at the point of needing one yet - think I might try losing weight first, as I lost 60 pounds after the first time ten years ago and have been slowly regaining it all this time since (still down 15 from where I was then). My guess is the recent troubles started with the last 5 or so pounds regained.
But… I sure would love to be able to fuck in the shower again, or anywhere really with zero anxiety about losing it. Seems to me the worst part is the time leading up to making the decision and getting it over with.
I’m rambling. But I’m curious - when did you decide it was time? What happened to make you come to that conclusion?
I’m in pain right now - mental and emotional pain - but it’s good to know that I’ll ultimately either get better, or not get better and then get REALLY better. No one wants to be the guy who had to get a penile implant, but from what I read here, once it’s done, it doesn’t sound like a bad guy to be.
Thanks for keeping this forum running. You’re a great bunch of guys, gave me a lot of hope 10 years ago when I really needed it.

When injecting became that impossible anymore. Should have done it sooner. Over 2 years in and happy as ever.

[suchasmed1]

Not sure anyone would remember me here. I posted here maybe 10 years ago when I was 41 and had my first bout of ED. Testosterone was at “near castrate” level - has since been fixed with Clomid. Took maybe three months after the Clomid started to start to get back to normal erections again, with the help of Cialis.

But… I sure would love to be able to fuck in the shower again, or anywhere really with zero anxiety about losing it. Seems to me the worst part is the time leading up to making the decision and getting it over with.
I’m rambling. But I’m curious - when did you decide it was time? What happened to make you come to that conclusion?

Nocturne;
Here is my story of making the decision, in case it helps.

My sex life ended after my late wife's hysterectomy (+ complications) left her turned off like a switch. Prior to that I was using Viagra with diminishing effects kicking in. Add on 15 or so years of atrophy (with only occasional masturbation in the shower,) I wound up with a bend in a smaller dick.

Then I went on a two year period of trying to reclaim/rehab myself. Pills, Shockwave (via Phoenix, IFYKYK,) 2 levels of trimix, trt, peptides, fitness. Best I could manage was a semi, And I could get semi to an extent without anything. I came a long way, but nothing with any potential for penetration. I realized my problem was circulatory and that, looking back, I'd probably always had a venous leak.

The progress to semi erections made me want to hold out to see if I could come back all the way "naturally." As I pondered it I realized 2 things:
1.) I had likely gone as far as I could. None the aids had given me a penetrative erection.
2.) Looking back through a history of fearing not lasting as long as I wanted as well as sometimes losing it my erection in mid stream I was struck by an epiphany. I didn't WANT my old sex life back. The rarity of really bad outcomes Made me decide to go for it. The payoff if all went well would be becoming the lover I always fantasized about being. To be able to watch my woman come without getting so excited I would lose my load was a tantalizing goal.

These are what drove my decision.

I am almost 7 weeks post op, cycling for 2 weeks, I don't have the happy ending to report yet. I'm taking my time, and the new sensations take a little getting used to. I've waited this long, I can take a little time to get it right. But I'm liking the potential.