Implant?

[Old Guy]

The decision to implant yes or no is so difficult. I am on 7.5 mg Cialis daily, for sex I have to add 20 mg Cialis or 100 mg Viagra, but I feel sexually incapable, all the pleasure and dominance from before is gone, for almost 10 years now, and I am getting older.

Should I stretch out the time until the implant as long as possible with higher and higher doses of PDE 5 inhibitors until I can't take it anymore, or should I get a rescue implant so that I can fuck everything that comes my way in the next 10 years before I get too old for something like that?

Difficult...

Sorry, there is no miracle cure for ED. If you've been suffering for 10 years it is more than time to do something. Taking higher doses of pills is only going to lead to more issues down the road, if they haven't already. Viagra was causing me horrible migraines before I moved to injections. Hated sticking myself with a needle.
It was 13 years of fighting. When I learned there were implants it was my goal to get it done. Unfortunately, all the years with lack of erections caused me to end up close to one inch loss of length. But I have a penis that stays hard as long as I want it to. Do it before you lose.

[NorCol]

Following prostate surgery nothing would get my dick hard. Nothing! Tried everything with no success. Atrophy and development of PD with severe fibrosis resulted in loss of length. My opinion is that once started nothing will return you or your dick to what it was and all roads will eventually lead to an implant. The thought of having your junk worked on is scary but isn't any surgery stressful? I have had two implant surgeries and will have more it needed without hesitation. I have posted pictures of what I have now, slightly shorter but excellent appearance and 100 percent reliable. My only regret is not having it done immediately. Whatever it takes I definitely would go a high volume surgeon. In my case, Dr Clavell. Regards and best wishes.

[JohnHC]

The implant is great in that like you said you'll be able to have sex at anytime. But it won't give the desire back to you. It might return if it was a mental block ( after you get the implant and your brain realizes that you can do it whenever and you don't have that " I can't ever get it up " mental thing going. I sorta had that block going on before my surgery, and after my revision, when it worked those 6 months, I started to get everything back then of course the revision broke and now after a 13 month wait and fighting with insurance - tomorrow Feb 18th, I'll be having my second revision and having Dr Hakky do it instead of the original Dr. So hopefully I'll have a great outcome on this one.

[Chevalier]

The decision to implant yes or no is so difficult. I am on 7.5 mg Cialis daily, for sex I have to add 20 mg Cialis or 100 mg Viagra, but I feel sexually incapable, all the pleasure and dominance from before is gone, for almost 10 years now, and I am getting older.

Should I stretch out the time until the implant as long as possible with higher and higher doses of PDE 5 inhibitors until I can't take it anymore, or should I get a rescue implant so that I can fuck everything that comes my way in the next 10 years before I get too old for something like that?

Difficult...

Sorry, there is no miracle cure for ED. If you've been suffering for 10 years it is more than time to do something. Taking higher doses of pills is only going to lead to more issues down the road, if they haven't already. Viagra was causing me horrible migraines before I moved to injections. Hated sticking myself with a needle.
It was 13 years of fighting. When I learned there were implants it was my goal to get it done. Unfortunately, all the years with lack of erections caused me to end up close to one inch loss of length. But I have a penis that stays hard as long as I want it to. Do it before you lose.

The "problem" is that my nocturnal erections are still excellent, so I lost no length or grith or whatsoever at all. My theory is that for the noctunal erections different nerves are responsible than for sexual erections. So I am caught in a trap: The situation good to easy justify an implant, but far too bad to live a good life... - while life is passing by.

[Doggedly_positive]

Have you had your testosterone levels checked? The high level during the night would explain the nocturnal erections.
https://www.google.com/url?sa=i&url=htt ... AdAAAAABAJ

[splitpeach]

The decision to implant yes or no is so difficult. I am on 7.5 mg Cialis daily, for sex I have to add 20 mg Cialis or 100 mg Viagra, but I feel sexually incapable, all the pleasure and dominance from before is gone, for almost 10 years now, and I am getting older.

Should I stretch out the time until the implant as long as possible with higher and higher doses of PDE 5 inhibitors until I can't take it anymore, or should I get a rescue implant so that I can fuck everything that comes my way in the next 10 years before I get too old for something like that?

Difficult...

Sorry, there is no miracle cure for ED. If you've been suffering for 10 years it is more than time to do something. Taking higher doses of pills is only going to lead to more issues down the road, if they haven't already. Viagra was causing me horrible migraines before I moved to injections. Hated sticking myself with a needle.
It was 13 years of fighting. When I learned there were implants it was my goal to get it done. Unfortunately, all the years with lack of erections caused me to end up close to one inch loss of length. But I have a penis that stays hard as long as I want it to. Do it before you lose.

The "problem" is that my nocturnal erections are still excellent, so I lost no length or grith or whatsoever at all. My theory is that for the noctunal erections different nerves are responsible than for sexual erections. So I am caught in a trap: The situation good to easy justify an implant, but far too bad to live a good life... - while life is passing by.

I have something similar. Decent nocturnal erections and even waking up with them sometimes. I asked Prof Ralph about this last week and he said it's to do with Adrenaline. As soon as you start waking up you begin producing more adrenaline and that affects your erections because physically you're already compromised.

I actually believe its your body's energetic system. Getting into what some would call pseudo science here but I'm pretty sure that's what it is.

[adkd124]

Have you tried injections? I really regret that I skipped them.

[equusAz]

The decision to implant yes or no is so difficult. I am on 7.5 mg Cialis daily, for sex I have to add 20 mg Cialis or 100 mg Viagra, but I feel sexually incapable, all the pleasure and dominance from before is gone, for almost 10 years now, and I am getting older.

Should I stretch out the time until the implant as long as possible with higher and higher doses of PDE 5 inhibitors until I can't take it anymore, or should I get a rescue implant so that I can fuck everything that comes my way in the next 10 years before I get too old for something like that?

Difficult...

My suggestion is to see a urologist. There could be underlying issues as to WHY the pills are innefective. I've seen posts on here where the position you are in can 'correct' a venous leak - but my bet is you DO have a venous leak - i.e. blood gets in fine, but comes out faster than it can be filled in some cases. There are treatments for this - but not are all effective. Ask for a doppler test to see if you have leakage occuring.

I wouldn't recomend an implant unless you've gone down the route of examining WHY you are having the issues you are having. Injections work fine for some folks - not for all.

[GoodWood]

The decision to implant yes or no is so difficult…
…Should I stretch out the time until the implant until I can't take it anymore…
Difficult...

Man, I totally get where you are at. I still have a lot of erectile function. On 10mg daily Cialis I still get decent nocturnal erections, I can still get rigidly hard, briefly, but not in a predictable or dependable way. And definitely not well enough to successfully have penetrating sex most times. And it’s crushing to fail.

But because of that I’m avoiding situations where sex might happen. A lot.

I’ve reached the point where I can’t take it anymore. I’m getting worked up for an implant and hope to get it done this spring.

I’ve reached the point where I am willing to trade in my substandard organic erections for ones that are absolutely dependable.

It sounds like you are reaching that point too.

For me the tipping point was having an in-person show and tell. The guy had a really normal looking flaccid and the inflated erection was as hard as I was when I was a teenager. I haven’t been that hard in years and years.

The next day I called for an appointment with a surgeon.

If you haven’t seen an implant in person ask some of the guys here who might live near you if they are willing to do a show and tell. It really helped me.

[Chevalier]

The decision to implant yes or no is so difficult. I am on 7.5 mg Cialis daily, for sex I have to add 20 mg Cialis or 100 mg Viagra, but I feel sexually incapable, all the pleasure and dominance from before is gone, for almost 10 years now, and I am getting older.

Should I stretch out the time until the implant as long as possible with higher and higher doses of PDE 5 inhibitors until I can't take it anymore, or should I get a rescue implant so that I can fuck everything that comes my way in the next 10 years before I get too old for something like that?

Difficult...

My suggestion is to see a urologist. There could be underlying issues as to WHY the pills are innefective. I've seen posts on here where the position you are in can 'correct' a venous leak - but my bet is you DO have a venous leak - i.e. blood gets in fine, but comes out faster than it can be filled in some cases. There are treatments for this - but not are all effective. Ask for a doppler test to see if you have leakage occuring.

I wouldn't recomend an implant unless you've gone down the route of examining WHY you are having the issues you are having. Injections work fine for some folks - not for all.

I have seen all the top urologists. My erectile function was suddenly impaired after trans-uretheral low level laser therapy against prostatitis. I think instead of the inflammation cells, the nerve bundle around the prostate was sclerosed, what nonsense back then, I know this “doctor” should burn in hell. That is the only explanation, because the MRI shows: erectile tissue intact, prostate intact, bladder has nothing. Inflow is OK, outflow is OK, T levels are OK. Most urologists say: Psychological cause, but, hey, before the laser therapy I had sex like a porn star, exactly since then... - well, what better proof of causality is there?