Want some advice at 42 years old..

The final frontier. Deciding when, if and how.
Markc2008
Posts: 212
Joined: Fri Jul 31, 2020 10:45 am

Want some advice at 42 years old..

Postby Markc2008 » Tue Nov 12, 2024 8:10 am

Hey guys. I have been a franktalk member for years. I am one of the unlucky few that have pssd from stopping a long time antidepressant. I’m not sure what It did but it caused low libido, Ed, low sensation,etc. I have been like this for six years and I am getting to the point that I believe I’m having to accept it is not going to improve. I have other issues non sexual from it as well but these issues are the most bothersome for my age. I’ve been on pills for the last six years and have had up and down success with them. I have been taking max doses for years as they work on arousal and when it’s tough to get aroused you can imagine how well they work. Factor in any alcohol or too much food and success is even less. I’ve also used injections off and on over the last few years and while they work well it is very hard to be spontaneous and not very fun to give yourself a shot there. With all of that being said I am really considering the implant. I have been holding out hope the last couple of years that new technology would come out like the implant that inflates without pumping, or the caverstim device but they just seem so far out. I recently took doxycycline for an ear infection and I have no idea how but somehow it aggravated my symptoms even more so I’m tired of worrying about it all the time. For those of you with implants what would your advice be knowing what you know now?

Also, I’ve been here long enough to see a lot of the concerns voiced and I like many others have the same concerns. Size, I agree a functional one is better but let’s be real no one wants to lose length.. especially someone like me that is six inches bone pressed. While I guess that’s average I sure don’t want to lose an inch or even two?? How common is this that everyone comes out of surgery smaller and doesn’t recover it? Girth is another concern but while I’m a little more on the slim side maybe I’ll even gain there. Airports, I fly a lot and sure don’t want to be stopped at every security check point.. although I do have precheck. Are all of these real concerns? I can afford to go see one of the best surgeons insurance covered or not. I just want to be normal again. I deserve it and my wife does too as she is not as bothered by it but says it consumes me. Any advice, direction, anything would be appreciated more than you know. It’s obviously a big decision being it’s permanent.

Old Guy
Posts: 2703
Joined: Tue Mar 31, 2020 4:31 pm
Location: Ohio

Re: Want some advice at 42 years old..

Postby Old Guy » Tue Nov 12, 2024 9:08 am

My opinion is do it asap when erections become unreliable. My thinking is the lack of natural erections over the years is what leads to size loss. I fought ED for 12-13 years using pills and injections. My implanted length is close to one inch less than my prime days. Always wish I could go back and get implanted before taking that first Viagra.
This is a major decision. Best of luck.
Nov. 8, 2019
4+ years, Coloplast Titan OTR
Married 36 years to my beautiful young bride
Always here to answer questions if you PM me

Gt1956
Posts: 3041
Joined: Fri Apr 05, 2019 2:47 pm

Re: Want some advice at 42 years old..

Postby Gt1956 » Tue Nov 12, 2024 11:47 am

A few years back the most common advice was to go through the generally effective steps. Pills, shots then an implant. Pills & shots are reconized as eventually losing effectiveness. So it sounds like you've done the pills & shots. The real trick is when/how to accept that you need to move to the next step. It seems we read of members that cling to "I can get an erection for" fill in the blank "for a few minutes but I can't have sex with it". "Should I get an implant"? That is kind of negotiating with the devil.

Only you can decide. But you've asked how we decided? Good question. In my case I kind of followed most of that path but no to the shots. An honest evaluation of where I was at was done. The best turning point for me was once I found & met with a competent dr near me. I never looked back. I did have to get a few life things done first but the path to the goal was clear to me. Part of the wait was getting insurance coverage lined up. My wife was a nervous wreck the day of the surgery. I was calm because I had done the steps that made sense to me. Yes, it was not pleasant. My recovery was kind of in the middle of what others have reported. Days 5 & 6 were roughest for me.

So you asked a question & I told you my answer. Somewhere in that you should be able to see your path. Good luck.
68yo, HBP at 40, high triglycerides at 45. Phimosis at 57. Type 2 at 60. Dr. William Brant May 1, 2023 CX 21cm w/no rte's penoscrotal 6" girth @ 6 months

Markc2008
Posts: 212
Joined: Fri Jul 31, 2020 10:45 am

Re: Want some advice at 42 years old..

Postby Markc2008 » Tue Nov 12, 2024 2:04 pm

Is it pretty general consensus that you’re going to lose length?
Also orgasm issues after?

LetoMan
Posts: 88
Joined: Tue Apr 09, 2024 1:25 pm

Re: Want some advice at 42 years old..

Postby LetoMan » Tue Nov 12, 2024 2:41 pm

Clinical study showed most guys gain length as compared to immediately prior after a few months. ED causes length loss, not implant. Implant likely increases length.

I’ve been through a couple dozen airport scans with implant, including full body imaging. Never heard a peep from anyone.

Git it done.

Be well,
Leto
49. Implanted 5/21/2024 at Kaiser SSF. AMS 700 CX 21cm, 3cm RTE. Penoscrotal. Venous leak my whole life. Pills helped, but hated the side effects; worked less as I aged. Skipped injections. Grateful to bionic brotherhood that helped me make this decision.

tomas1
Posts: 2003
Joined: Tue Jul 23, 2013 5:12 pm
Location: Tempe, AZ

Re: Want some advice at 42 years old..

Postby tomas1 » Tue Nov 12, 2024 3:47 pm

With a competent surgeon and no preexisting issues, you won't lose length and may possibly gain some girth.
I worry that some high volume guys might let a student do the measuring.
I was the same size as you, and was at that size the first time I cycled.
86 years
Inject testosterone weekly.
Implant on 1/22/19 by Dr Avila.
Scrotal, hor. incision just over 1"
18cm AMS 700 CX, 3.5cm RTE 100cc res
Gleason 6 prostate cancer. Monitoring it for now.
Update: On my last biopsies the cancer wasn't found.

Hope84
Posts: 66
Joined: Mon Aug 15, 2022 11:01 am

Re: Want some advice at 42 years old..

Postby Hope84 » Tue Nov 12, 2024 4:06 pm

Hey,

So I am younger than you are (30 yo), and I am in a similar situation as you: pills used to be okay-ish with ups and downs, until they lost practically all efficacy recently, injections work fine but are painful and such a hassle to deal with. I still have strong libido underneath the surface but my ED has clouded my thoughts and badly damaged my sel-confidence to the point that my sex dive has definitely taken a hit.

So I am, like many members of this website, in this grey area where I do not have FULL ED and yet I am absolutely dissatisfied with my sex life and want to change that for the better. I am going to get implanted on 5 December with an AM 700 CX. At 42, I think most members would agree that age should not be a limiting factor (in general it should not be, as the relevance of an implant should primarily depend on the severity of your ED, though young people should perhaps take more time to reflect on their situation and try different methods before going the implant route due to the irreversible nature of the procedure). So I would say go for it, but of course only you know what is right for you.

The fact that shots still work should likewise not constitue a barrier to your decision. Many members here were responsive to injections and yet chose to go the implant route for the factors mentioned above and that we are all aware of.

Best of luck in your decisions.
Last edited by Hope84 on Tue Nov 12, 2024 4:44 pm, edited 1 time in total.
30 years old French with ED caused by priapism episodes at the age of 15. Pills have lost most of their potency, injections work but are painful and not a long-term solution. Scheduled for an AMS 700 CX on 05/12/2024.

Old Guy
Posts: 2703
Joined: Tue Mar 31, 2020 4:31 pm
Location: Ohio

Re: Want some advice at 42 years old..

Postby Old Guy » Tue Nov 12, 2024 4:38 pm

Markc2008 wrote:Is it pretty general consensus that you’re going to lose length?
Also orgasm issues after?


No, most guys keep the same length, or gain, after healing. Aftercare is one important step to maintain size.
Orgasms should be the same after the implant as you had before. The implant isn't going to change anything except allow you to have an erection whenever you want.
Just remember the healing process takes time. That is the biggest variable since we all heal at a different pace.
Nov. 8, 2019
4+ years, Coloplast Titan OTR
Married 36 years to my beautiful young bride
Always here to answer questions if you PM me

Gt1956
Posts: 3041
Joined: Fri Apr 05, 2019 2:47 pm

Re: Want some advice at 42 years old..

Postby Gt1956 » Tue Nov 12, 2024 4:55 pm

Markc2008 wrote:Is it pretty general consensus that you’re going to lose length?
Also orgasm issues after?

Answers are no & yes. At least in my case.
68yo, HBP at 40, high triglycerides at 45. Phimosis at 57. Type 2 at 60. Dr. William Brant May 1, 2023 CX 21cm w/no rte's penoscrotal 6" girth @ 6 months

Gt1956
Posts: 3041
Joined: Fri Apr 05, 2019 2:47 pm

Re: Want some advice at 42 years old..

Postby Gt1956 » Tue Nov 12, 2024 5:12 pm

LetoMan wrote:Clinical study showed most guys gain length as compared to immediately prior after a few months. ED causes length loss, not implant. Implant likely increases length.

I’ve been through a couple dozen airport scans with implant, including full body imaging. Never heard a peep from anyone.

Git it done.

Be well,
Leto

I think you have covered the issue better than I did. Yes, after surgery it is common to be under your historical size. Actually after, you're likely at your stretch test size, perhaps a little longer. But, at least in my case, at the 3 month time I was about 2cm longer than my stretch test. My girth was a little under my historical girth but at 3 months I was at 6" which is my historical girth the best that I can tell.

To everyone, please remember that you'll look short due to the swelling at the base. Any length measuring after surgery will not be accurate.
68yo, HBP at 40, high triglycerides at 45. Phimosis at 57. Type 2 at 60. Dr. William Brant May 1, 2023 CX 21cm w/no rte's penoscrotal 6" girth @ 6 months


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