returntocenter wrote:Hi everyone,
I'm 25 years old, and I've dealt with pretty bad ED for my entire life. I was diagnosed with a severe venous leak in 2020, and I've been able to confirm that diagnosis with other urologists after that.
In a nutshell, my situation is that I can have penetrative sex without any pills etc., but only standing up, and even then, my erections leave a lot to be desired and start to go away as soon as I stop stimulation. If I lie down, the erection immediately goes away. Pills make my erections somewhat stronger but not enough to fundamentally change the outcome for me, i.e. let me have less constrained sex. Injections give me stronger erections, but they also go away quickly, and are very unappealing to me since I don't want to feel like my sex life depends on these shots. Moreover, based on my experience with them in doppler tests, it doesn't seem like they would actually help me have normal sex (i.e. lying down, etc.).
I have tried a barrage of different supplements over the years. They helped a bit but had no major impact on the situation. I also tried going on an Ayahuasca retreat to dig into my own mind and see if any emotional or physical trauma from my childhood had ended up manifesting as this venous leak (psychosomatically or otherwise). While helpful, I didn't find any connections there that fully explained or resolved the issue.
At this point, what's left to be tried (that I'm aware of) is shockwave therapy and pelvic floor therapy. I have had trouble finding these services where I live, but I haven't been very enthusiastic about the search because I'm skeptical about whether they would work or not.
I'm at a crossroads here. Based on the context above, if you were in my shoes, would you keep trying non-surgical treatment options or simply bite the bullet and get an implant? I'm of course concerned about the number of revisions necessary at my age. I worry about making this decision prematurely. I'm also hesitant because I can still have erections (albeit very mediocre ones). But I am not satisfied at all with the kind of sex I am able to have right now, and I'm tired. I'm tired from having dealt with this problem for so long. It has been 8 years of my youth so far. I would like to simply enjoy my life.
Thank you in advance for any advice and thoughts.
Are you still on here? Really similar experience