No venous leak but still gone with implant?

The final frontier. Deciding when, if and how.



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AussieGuy81
Posts: 45
Joined: Sun Apr 13, 2025 12:28 am

No venous leak but still gone with implant?

Postby AussieGuy81 » Wed Jul 02, 2025 10:43 pm

Hi guys,

I just had my initial appointment with a high volume implanter here in Australia.

He's recommended because of my age (43), we should do a Doppler first to check for a venous leak. I do agree with him, I think it's a good responsible first step to help see if there is anything physical going on.

I think a part of me wants there to be a venous leak so there is a justifiable reason for getting an implant and not just a psychological reason. I know that sounds crazy but in feel like it complicates things more if it's just a psychological thing and not physical.

Have any of you guys had a Doppler done, found no leak and still gone down the implant route?

The whole thing of just a massive mind f*ck

Thanks in advance
43, ED since late 20's, Pills on and off since then increasing strengths with inconsistent results. Now 5mg Cialis daily and either 20mg Cialis or 100mg Viagra
Not sure if it's Psychological or Physiological, long-term use of SSRI's probably hasn't helped

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tooyoung
Posts: 120
Joined: Sat Feb 01, 2025 12:46 pm

Re: No venous leak but still gone with implant?

Postby tooyoung » Wed Jul 02, 2025 11:27 pm

AussieGuy81 wrote:Hi guys,

I just had my initial appointment with a high volume implanter here in Australia.

He's recommended because of my age (43), we should do a Doppler first to check for a venous leak. I do agree with him, I think it's a good responsible first step to help see if there is anything physical going on.

I think a part of me wants there to be a venous leak so there is a justifiable reason for getting an implant and not just a psychological reason. I know that sounds crazy but in feel like it complicates things more if it's just a psychological thing and not physical.

Have any of you guys had a Doppler done, found no leak and still gone down the implant route?

The whole thing of just a massive mind f*ck

Thanks in advance


Because i know how pssd is unknown to doctors..my take is...If you got no morning wood for a long time, you already failed high dose pde5i, you tried sensate focus therapy and failed, you aren't currently taking any meds that affect erection and your marriage is at stake....go for it.

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tooyoung
Posts: 120
Joined: Sat Feb 01, 2025 12:46 pm

Re: No venous leak but still gone with implant?

Postby tooyoung » Wed Jul 02, 2025 11:28 pm

tooyoung wrote:
AussieGuy81 wrote:Hi guys,

I just had my initial appointment with a high volume implanter here in Australia.

He's recommended because of my age (43), we should do a Doppler first to check for a venous leak. I do agree with him, I think it's a good responsible first step to help see if there is anything physical going on.

I think a part of me wants there to be a venous leak so there is a justifiable reason for getting an implant and not just a psychological reason. I know that sounds crazy but in feel like it complicates things more if it's just a psychological thing and not physical.

Have any of you guys had a Doppler done, found no leak and still gone down the implant route?

The whole thing of just a massive mind f*ck

Thanks in advance


Because i know how pssd is unknown to doctors..my take is...If you got no morning wood for a long time, you already failed high dose pde5i, you tried sensate focus therapy and failed, you aren't currently taking any meds that affect erection and your marriage is at stake....go for it.


Also if your sex is occasional try trimix

fucked0ne
Posts: 499
Joined: Wed Nov 22, 2023 7:47 pm

Re: No venous leak but still gone with implant?

Postby fucked0ne » Thu Jul 03, 2025 12:08 am

Have you ever had your hormones checked? Your T can be in range, but free T and bioavailable T can be low enough to cause effects of hypogonadicism.

Testosterone mitigates venous leak in hypogonadal patients:

https://onlinelibrary.wiley.com/doi/ful ... 108.005264

Might be worth considering.
40. Implanted July 5, 2024, by Dr. Andrew Kramer, Urology Associates of Cape Cod. AMS LGX, 21cm cylinders + 2cm RTEs. Idiopathic "hard flaccid" ED following bacterial infection. Tried pulse waves, Cialis, TRT, even spinal injections. Nada.

drayan123
Posts: 106
Joined: Fri Jun 17, 2022 2:50 pm

Re: No venous leak but still gone with implant?

Postby drayan123 » Thu Jul 03, 2025 1:30 am

Hi who’s your doctor

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AussieGuy81
Posts: 45
Joined: Sun Apr 13, 2025 12:28 am

Re: No venous leak but still gone with implant?

Postby AussieGuy81 » Thu Jul 03, 2025 1:40 am

No morning wood for years, sometimes in might get a halfy, im not sure about nocturnal erections.

I take SSRI's normally for depression which absolutely can affect you sexually, I recently swapped over to a SNRI, I'm going to see how that goes for a bit.

As for hormones, I've had them all multiple times, free T, everything, every time they come back normal. If anything above the middle of 'normal' levels.

My Dr is Dr Chris Love
43, ED since late 20's, Pills on and off since then increasing strengths with inconsistent results. Now 5mg Cialis daily and either 20mg Cialis or 100mg Viagra
Not sure if it's Psychological or Physiological, long-term use of SSRI's probably hasn't helped

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tooyoung
Posts: 120
Joined: Sat Feb 01, 2025 12:46 pm

Re: No venous leak but still gone with implant?

Postby tooyoung » Thu Jul 03, 2025 1:51 am

AussieGuy81 wrote:No morning wood for years, sometimes in might get a halfy, im not sure about nocturnal erections.

I take SSRI's normally for depression which absolutely can affect you sexually, I recently swapped over to a SNRI, I'm going to see how that goes for a bit.

As for hormones, I've had them all multiple times, free T, everything, every time they come back normal. If anything above the middle of 'normal' levels.

My Dr is Dr Chris Love


You can't judge that you have refractory ED (the one that needs implantation) unless you stop meds affecting erections( snris included) and for a long time...that doesn't mean i say you gotta stop em...I'm stating raw facts.


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