What would you do in my case?

[Frenchie]

As the signature says I am a 23 year old man suffering from ED since 3 years. Pills aren't reliable for normal sex. I am thinking of trying injections but here in Europe we only have Caverject(Alprostadil) which i have heard causes some pain and that worries me a little.
Here is my biggest problem : I work in the medical sector myself and I am surrounded by all these women(hot nurses and doctors) all over in the workplace and I feel like a loser for not being able to sleep with them even in this young age, that I am totally considering having an implant but i"m thinking of delaying it till I am 30 because feels like I am too young now. The biggest worry is the need for multiple revisions and I am scared if something goes wrong in these revisions and i cant have another implant. What are your thoughts? How many implants can a penis take, without it getting destroyed all? I dont want to end my sex life at 50 lets say if my implants dont last as they say(10 years)

[Lost Sheep]

The conventional wisdom is to not implant a penis that has any sort of erectile function at all. And (as an implanted man) agree with that. Before implant, having sex with a penis that responded to my lover's touch was WONDERFUL. Now, all sense of urgency for sex is gone. All sense of spontaneity is gone. (I know, spontaneity is better with an implant than with pills or injections, but there is nothing, NOTHING, like having my penis rise in my lover's mouth or hand. For me and for her.

There a line in a song (American Folk. "Walk on Boy, Doc Watson)) "Son, find a good woman, be good to her and she's gonna be good to you."

So my advice to you is to give up on the idea of bedding all those hot women in your workplace. Find one good one with whom you have good compatability and THEN make the sex work for you both. Whatever it takes to gain satisfaction.

After I (and my partners, too) suffered through my early ED, I eventually learned to love cunnilingus. Fellatio was never a problem for me until my late '60s. So, for a few decades, I bedded a number of women (serial monogamy, one relationship at a time) and had wonderful, fulfilling sex. Not as good as I might have had with an implant, but pretty good and I did not have to endure the pain and expense of surgery.

I also wish to point out that a woman who knows you are not having sex with other women will tend to be more attentive to you, relax with you, trust you and open up to you (which all lead to better sex and relationship in general) than one who knows your are sleeping with others.

Lastly, in a few years, there will be improvements in implant technology. Reliability is always being improved incrementally and there is (reliable) talk of a remote-controlled battery-powered implant within the decade. If you get an implant now, you are likely precluded from getting that improvement until your implant fails. It may be better to wait a while.

REALLY lastly; The surgery to place an implant guarantees to make you impotent for the rest of your life without the aid of the implant. I will put it this way. If you can run a 1000 meter race in 10 minutes on your own feet, would you elect amputation and prosthetic feet that enabled a 3 minute 1000 meter run but, if/when they failed would put you in a wheelchair until repairs were done? In my own case, sexually speaking, I was on crutches and bound for a wheelchair when I elected my implant.

[Rebz89]

I'm 33 and wish I did it sooner... injecting myself and pumping everything before hand was just a complete mood killer and sometimes painful. I infact asked for the implant before trying injections but had to obviously trial injections first. They were still not enough on the max strength and tried over 6 months but just wasn't able to stay hard for long enough and then be in pain after orgasm.

Everyone's different though you may respond really well to pills and or implants mix.

Hope you find the right resolution for you.

My understanding is there's not really an exact limit on how many implant you can go through it may not need to be replaced and just fixed at times.

Maybe consider malleable implant too?

[2435tjklAS]

Well unless it's a European thing I don't think you not fucking your coworkers is a real issue. Your ED isn't causing that - that's caused because of general professional conduct.

[SwissTalk]

I am in a similar situation. Pills no longer work and I was considering switching straight to implants. Hakky recommended me to first try injections, just to see how they make me feel. If I can't stand them or they don't work, the option for an implant will still be there and it will make my decision easier as I at least now that I have explored all other options first.

Same as you I live in Europe so alprostadil is what I get for injections. I got the 10mg version and it is working okeysh, probably would need a higher dose. The injection part itself is not as bad as I initially thought, but sex afterwards is somehow painful, because of the alprostadil. Sex is definitely not as enjoyable as it used to be. And you have the logistics. You have to plan your sexual encounter, carrying around a needle and having to walk around with a semi for the next hour after sex.

By now I can say that for me personally injections are a real mood killer, I am no longer looking forward to sex and my libido dropped significantly. Yes an implant makes you completely impotent, but are injections and unenjoyable, painful sex really better? The only thing holding me back is the question of whether implant sex is really better than what I'm having now. To continue with Lost Sheep's comparison, for me it feels like running a 1000 metre race that I can only complete hopping on one leg. A functioning prosthesis for my missing leg seems like a solid alternative.

[Rider1400]

I know it’s been said before but deserves to be repeated. Getting an implant is a journey. It took 2 months before I could have sex without actually hurting and then was uncomfortable. After 4-5 months it became good and after 6 months…… WOW!!! It takes work to get back to a great results but man!! Has it been worth it!! I had almost no pain with the surgery , but was uncomfortable for months. It takes 4-6 months before it’s comfortable to wear your more fitting pants. All in all it has been totally worth it, but this is not for the faint at heart.

[Old Guy]

I've always said if you blew out a knee at 24 would you wait until you get old to get it fixed? I hope that's a no, even if the doc says you'll need a couple of revisions to that knee as you age.

[Lost Sheep]

accidental "reply" to myself instead of "edit". So I have deleted the text of the original posts and the one below is the edited version.

[Lost Sheep]

To continue with Lost Sheep's comparison, for me it feels like running a 1000 metre race that I can only complete hopping on one leg. A functioning prosthesis for my missing leg seems like a solid alternative.

That is how it was for me. I was able to bypsss VED, suppositories and injections. (I think I impressed my primary care physician by my knowledge of impotence and ED treatments so he trusted my judgement over conventional thought - he said I knew more about the subject than he did.)

I was unable to penetrate my partner's vagina almost every time and even when able to penetrate, collapse came quickly whether I orgasmsed/ejaculated or not. (Seldom ever able to stay erect to the one minute mark, or even close to it.)

Oral medications had (all three) been tried and effectiveness faded. Penile suppositories and injections were discussed and rejected and an implant was authorized. Then it was off to find a surgeon I trusted. No hesitation other than finding the srgeon and getting logistics arranged (which took 14 months). No second thoughts afterward, either, not a single instant.

[crazyjoe]

The Implants forum is labeled The Last Frontier. I am with the camp that doesn’t see them as having to be the end of the road, provided that there are no barriers such as financial that necessitate waiting. In retrospect, for me the injections phase I went through is regrettable. With my venous leakage, I wasn’t a good candidate. But at the time, I didn’t even know what it was and if I had it. If my doc, who was a good one, had tested me and told me I had it and that it would likely result in an ever increasing strength of Trimix to work, I would have most likely have gone to an implant at that time — and saved myself a lot of damage from the injections.
By selecting a great surgeon, my recovery was a nothing burger Today, even with a few issues, the benefits greatly outweigh the issues and I am a very happy implantee. So for me much sooner would have been much better. Just my story fwiw.