Younger Man wants help

[Ashraf12]

I am young age 26, I am concerned frustrated about my situation with psychological Ed I have many questions about penile prosthesis, pls if you are experienced or have information answer.

My questions are:

1. Is a penile implant truly an effective and reliable solution in cases like mine?

2. Will I lose sexual pleasure or desire?

Will I still feel arousal when my partner comes close to me?

3. Psychologically, do men generally accept the implant over time?

4. From a partner's perspective:
Does it feel different? Will she notice something strange, or will she genuinely enjoy sex with an implant?

5. Do men commonly regret choosing an implant?

6. Will I lose orgasmic pleasure or have difficulty ejaculating after implantation?

7. Does a penile implant affect fertility or the ability to have children?

8. Psychologically, did any of you struggle with feeling "less of a man" because you rely on an implant?

9. Is there a real loss in penile length or girth after implantation?

10. Honestly, what is the real satisfaction rate?

Please bear with my many questions. I'm going through a very difficult psychological phase. After every failed attempt, I experience an intense feeling of distress and chest tightness that's hard to describe. What makes it worse is that all my medical tests are normal, which leaves me confused, frustrated, and stuck in endless overthinking.

I'm not chasing perfection. I'm chasing mental peace and relationship stability. I love my partner, she loves me, and I don't want erectile issues to become a breaking point between us. That's why I'm asking these questions and considering a radical solution.

If you have personal experience, professional insight, or additional information that could help, I would sincerely appreciate it.

Thank you in advance for taking the time to read and respond.

[JohnnyBorg]

Hey man, here’s my two cents.

1. Is a penile implant truly an effective and reliable solution in cases like mine?

Yes - but I’d exhaust all other options first because you are very young (I’m young too, I get it).

2. Will I lose sexual pleasure or desire?

Most guys on here say no, including myself. Desire is a whole other thing. Desire is why I needed the implant, my libido is through the roof but my biology wasn’t supporting it! (Venous leak -> ED).

Will I still feel arousal when my partner comes close to me?

I feel like arousal / desire and engorgement are separate things. I get lots of arousal & desire still and did before the implant. My penis also still engorges with blood. Over time, engorgement of blood tends to also fade for most men - in these cases, an IPP is still going to preserve your girth and let you fuck!

3. Psychologically, do men generally accept the implant over time?

Majority of cases on here, yes. Some guys do have differing experiences with this, but they are not as common.

4. From a partner's perspective:
Does it feel different? Will she notice something strange, or will she genuinely enjoy sex with an implant?

I can’t speak for my sex partner, especially since we just started fucking around a week or so ago. But I have not disclosed that I have an implant, and I can tell she’s really enjoying our sex. When an implant is correctly sized and installed, I think enjoyment comes down to technique more than anything else (just like sex with an unimplanted penis). It’s been my experience so far that the implant has let me focus entirely on technique and enjoyment, which is a huge huge win.

5. Do men commonly regret choosing an implant?

Some do, yes. Read around on FT here. But most folks however seem to really love what their implant has done for them. I feel like majority of regret comes from lack of research, misunderstandings of expectations, and not going to the right surgeon.

6. Will I lose orgasmic pleasure or have difficulty ejaculating after implantation?

Some men struggle here, but from my own research most men do not. In many cases these struggles are temporary and return over time. For some men, these difficulties are chronic but seems to be a much smaller number.

7. Does a penile implant affect fertility or the ability to have children?

It should not.

8. Psychologically, did any of you struggle with feeling "less of a man" because you rely on an implant?

You are not less of a man with an implant - nor are you less of a man because of ED. The things that “make the man” in my opinion are his drive and spirit to seize each day for himself, his family, and his friends and the people he loves. By getting an implant, you are saying “I love sex and am fighting for the sex life I deserve to have and my partner(s) deserve to have”. This is an act of bravery, and you should feel proud to be fighting for this.

9. Is there a real loss in penile length or girth after implantation?

Yes - but with IPPs most guys seem to fully recover their size or even gain a little. With MPPs, there is a higher risk of losing some size and not restoring, but most guys on here with MPPs (myself included) don’t report substantial loss (or any loss in majority of these cases, actually!).

10. Honestly, what is the real satisfaction rate?

Who knows. I’m sure we could do some case math and come up with a number. There are old studies out there you could look at. But when all is said and done, the question are “am I satisfied with my current sex life? Is the current quality of sex at an acceptable level for me? Can pills enhance this for me to an acceptable level? Could injections do that for me / do I want to try injections first? And if none of these work - do I want to commit to the implant and am willing to take on some of the risks that come with that, so that I might restore my sexual function (possibly have the best sex of my life so far)?”.

That’s how I see it. You have a loving partner - you should keep involving her in these discussions together.

[Frosty]

I won't go into as much detail as Johnny, as he provided a very well written response, and I agree with him nearly 100%. And I will just answer a few.....

1. Is a penile implant truly an effective and reliable solution in cases like mine?
Especially because you are young and it is not organic, exhaust all other methods. Pills, shots, sex therapist ...

2. Will I lose sexual pleasure or desire?
Not likely.

3. Psychologically, do men generally accept the implant over time?
I am.

4. From a partner's perspective:
Does it feel different? Will she notice something strange, or will she genuinely enjoy sex with an implant?
No easy answer to that. Some will, some won't, but they will definitely enjoy that it is erect!

5. Do men commonly regret choosing an implant?
Most do not.

6. Will I lose orgasmic pleasure or have difficulty ejaculating after implantation?
Possible. It usually comes back over time, as nerves heal, from what I have read here. I am struggling still, but it is getting better. I think it is now not because of the implant but some other reasons.

7. Does a penile implant affect fertility or the ability to have children?
It should not.

8. Psychologically, did any of you struggle with feeling "less of a man" because you rely on an implant?
Oh hell no. Just the opposite.

9. Is there a real loss in penile length or girth after implantation?
Some of us have. I think I was a little undersized.

Bottom line for you, I would say (and I am not your doctor) that you need to exhaust other methods, treatments, etc. You are much too young for the final solution. There is no turning back once you have the surgery. Take it slow and don't get frustrated. ED, like life, is a journey.





10. Honestly, what is the real satisfaction rate?

[LGXDownunder]

I am young age 26, I am concerned frustrated about my situation with psychological Ed I have many questions about penile prosthesis, pls if you are experienced or have information answer.

At your age I would make sure you have exhausted all conservative treatments first. An implant is a one way street, there is no going back. Once implanted you can never have a natural erection, even if the implant is removed. Also you need to consider that implants have a limited life span. Unless there are dramatic changes in device longevity you will need a number of revision procedures during your lifetime.

My questions are:

1. Is a penile implant truly an effective and reliable solution in cases like mine?

As long as the implant is properly sized and installed it is a 100% reliable and effective solution for ED, regardless of the cause.

2. Will I lose sexual pleasure or desire?

Sexual desire has nothing to do with the implant. Sexual pleasure (orgasm) can be affected during recovery but is usually temporary.

Will I still feel arousal when my partner comes close to me?

Psychological arousal has nothing to do with the implant. If you have arousal now from intimacy with your partner that shouldn't change.

3. Psychologically, do men generally accept the implant over time?

Most do I think. Recovery from the surgery generally involves discomfort, swelling, bruising, possible temporary loss of size and/or sensation.
Over time those things usually go away and in my experience the implant eventually feels natural and like part of your body.

4. From a partner's perspective:
Does it feel different? Will she notice something strange, or will she genuinely enjoy sex with an implant?

My wife has not commented that anything is different and frequently initiates sex herself, which rarely happened pre implant.
She is also a far more enthusiastic sex partner and often takes a more dominant role.
It's obvious to me that she enjoys sex far more now than in a very long time.
While I had ED she was just going through the motions without much pleasure.

5. Do men commonly regret choosing an implant?

Occasionally, but most are happy with the outcome.

6. Will I lose orgasmic pleasure or have difficulty ejaculating after implantation?

Both are a possibility but usually temporary.

7. Does a penile implant affect fertility or the ability to have children?

No, an implant has no effect on male fertility. Men with implants have fathered children.

8. Psychologically, did any of you struggle with feeling "less of a man" because you rely on an implant?

Absolutely not. In fact it has been the complete opposite in my experience. My sexual and general confidence has increased exponentially and is next level. I only felt "less of a man" while I had ED.

9. Is there a real loss in penile length or girth after implantation?

There can be loss of size, especially immediately post op. Most seem to recover their original size over time with recovery and regular cycling.
And that is also my own experience, but it took between 6 and 9 months to achieve it.

10. Honestly, what is the real satisfaction rate?

There are some actual stats around but I think the satisfaction rate is something like over 90% for inflatable implants (IPP).
In my own experience it has been the best thing I've ever done for myself. I wish I had not wasted so much time on ED treatments that all failed.