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I'm in a very confused spot right now. The common advice given on this site from current implantees to potential implantees is to "try everything before the implant", and rightly so. An implant is an irreversible and a life-changing procedure. But I want to gauge whether my penis' response to pills is something that can be considered as "yes it works" or not (mind you, I have absolutely zero erections without pills and a venous leak has been confirmed). Here's a step by step process of what happens when I take 20mg Cialis:

1. Pop a 20mg pill 2 hours before potential sexy time.
2. When things start getting hot and heavy in bed, I start getting an erection (without any physical stimulation). Rigidity varies anywhere between 60-70% based on how turned on I am. Rigidity goes up to 80-85% when physical stimulation or blowjob is involved.
3. As soon as I move around to, let's say from being on my back to getting up and trying to penetrate missionary or doggy, I start losing my erection. Within 30 secs I'm down to 40-50% rigidity. I'm never successful with penetration with this level of rigidity. Without physical stimulation it takes 50-60 to completely lose my erection when I go from my back to on my legs. If I start performing oral on a girl, my erection vanishes completely.
4. Recently, I've started dry humping my girl - grinding my penis against her vagina (or sometimes my penis rubs against the bed), and this stimulation helps my penis come back to life again. Though, even with this technique, I only come back to a peak 85% rigidity. I'm never rock hard.
5. I should also mention that points 1-4 happens only 3 out of 5 times. The remaining 2 times I'm only at a peak 80% rigidity even when receiving a blow job.

Would you guys consider this case to something that "works"? It gets very frustrating and I'm not sure if I can go through this process every time I try to have sex. Then I read comments on this website saying "nothing like a blood filled cock" and it confuses me even further. Sure, I do get erections from pills, but they're a mental headache from me, so much so that it scares me to even try to penetrate. Any advice would be appreciated!

As troublesome as it is, using a V.E.D. is satisfactory to many couples. The woman needs to be accepting (which most women in a relationship are) for this to be satisfactory.

Injections work, too, but involve more than most men want to deal with. Refrigeration. Needles.

If you simply cannot make do with non-coital sex, (at 29 you may see better treatments for E.D. or even a true cure within your lifetime), then your description appears to make you a candidate for an implant, in my opinion. Best to get an authoritative determination of your best course of action from a professional who specializes in sexual function rather than a general urologist. That will give you more concrete information on which to base your decisions.

googly3 wrote:I'm in a very confused spot right now. The common advice given on this site from current implantees to potential implantees is to "try everything before the implant", and rightly so. An implant is an irreversible and a life-changing procedure. But I want to gauge whether my penis' response to pills is something that can be considered as "yes it works" or not (mind you, I have absolutely zero erections without pills and a venous leak has been confirmed). Here's a step by step process of what happens when I take 20mg Cialis:

1. Pop a 20mg pill 2 hours before potential sexy time.
2. When things start getting hot and heavy in bed, I start getting an erection (without any physical stimulation). Rigidity varies anywhere between 60-70% based on how turned on I am. Rigidity goes up to 80-85% when physical stimulation or blowjob is involved.
3. As soon as I move around to, let's say from being on my back to getting up and trying to penetrate missionary or doggy, I start losing my erection. Within 30 secs I'm down to 40-50% rigidity. I'm never successful with penetration with this level of rigidity. Without physical stimulation it takes 50-60 to completely lose my erection when I go from my back to on my legs. If I start performing oral on a girl, my erection vanishes completely.
4. Recently, I've started dry humping my girl - grinding my penis against her vagina (or sometimes my penis rubs against the bed), and this stimulation helps my penis come back to life again. Though, even with this technique, I only come back to a peak 85% rigidity. I'm never rock hard.
5. I should also mention that points 1-4 happens only 3 out of 5 times. The remaining 2 times I'm only at a peak 80% rigidity even when receiving a blow job.

Would you guys consider this case to something that "works"? It gets very frustrating and I'm not sure if I can go through this process every time I try to have sex. Then I read comments on this website saying "nothing like a blood filled cock" and it confuses me even further. Sure, I do get erections from pills, but they're a mental headache from me, so much so that it scares me to even try to penetrate. Any advice would be appreciated!

I am in the same place you are. And I decided to go for the implant. I am 25 years old.

What we have right now (you could improve erections using a constriction ring) is a suboptimal erection, and I am not willing to have that.
If you are satisfied with your sex life, then I see no reason to get an implant. But If you do not feel satisfied I completely see you feasible for an implant.

Search for dustyknox or cndium (or similar name) they did the same, so did youngmen just recently (injections worked for him, 23 yo) and he went for the implant.

I just turned 28 and honestly at our age it seems like what is actually needed is an implant. As much as it has horrified me I'm just so done having to struggle with erections and erection quality. I too have a venous leak, seems to be no actual cure in sight in the future. It's been hell trying to date in the "hookup" culture. My thinking, well shit if you want a D that's bulletproof and top notch functioning whether impaired or not an implant would make you a god lol. (Although I don't have one yet and I hope I don't get cold feet about getting one, it just seems the most ideal given the dating dynamics, culture etc.) Feel free to PM if you wanna chat more

Have you tried experimenting with cock rings? There are quite a few different sizes and shapes.

No. The pills are not working. You could try injections or pump and ring. Next step after that would be implant.

Double post.

What the final consideration comes down to is if you are completely tired of failures with sex, the timing of pills and injections, and the discomfort of constriction rings. If you don't reasonably see the situation improving is when you consider an implant that has no timing issues, is always reliable, and gives you sex capabilities beyond what you ever had when you functioned just fine naturally.

I had my implant over 6 months ago and it has been a MIRACLE! My only regret is that I waited so long through all the pills and injections. I feel like Superman now. Anytime, any place, for as long as I want. Never an issue of worry about anything. My experience has been nothing short of a perfect miracle.

Lost Sheep wrote:As troublesome as it is, using a V.E.D. is satisfactory to many couples. The woman needs to be accepting (which most women in a relationship are) for this to be satisfactory.

Injections work, too, but involve more than most men want to deal with. Refrigeration. Needles.

If you simply cannot make do with non-coital sex, (at 29 you may see better treatments for E.D. or even a true cure within your lifetime), then your description appears to make you a candidate for an implant, in my opinion. Best to get an authoritative determination of your best course of action from a professional who specializes in sexual function rather than a general urologist. That will give you more concrete information on which to base your decisions.

I haven't given VED a try, but I think I'll give it a shot. I'm still a bit reluctant to live the rest of my life waiting to pump up a VED and have sex, it sounds a bit cumbersome. Thank you for your honest opinion about getting an implant. I'm currently under the care of a specialist who wants me to try Trimix at the next appointment. I also have an appointment with Dr. Eid next month. Let's see how it goes.

mr.skin wrote:
I am in the same place you are. And I decided to go for the implant. I am 25 years old.

What we have right now (you could improve erections using a constriction ring) is a suboptimal erection, and I am not willing to have that.
If you are satisfied with your sex life, then I see no reason to get an implant. But If you do not feel satisfied I completely see you feasible for an implant.

Search for dustyknox or cndium (or similar name) they did the same, so did youngmen just recently (injections worked for him, 23 yo) and he went for the implant.

Thanks for your opinion bro, definitely encouraging seeing other people in the same age bracket going for the implant. I have actually seen a few of your posts in the past and can fully relate. Even the one where you asked about sizing - I have the exact same issue, when engorged my glans is 1/3rd's of my overall penis and I hope I retain glans engorgement after the implant. I think I may need Cialis because that's what actually helps my glans right now. I have indeed seen their accounts - you could also add Minnesota, jackhammerdreamz to the list. Just wish they came back for some updates from time to time. That could also mean that they're fully satisfied and don't have a reason to come back to the site for issues.

Hoping wrote:I just turned 28 and honestly at our age it seems like what is actually needed is an implant. As much as it has horrified me I'm just so done having to struggle with erections and erection quality. I too have a venous leak, seems to be no actual cure in sight in the future. It's been hell trying to date in the "hookup" culture. My thinking, well shit if you want a D that's bulletproof and top notch functioning whether impaired or not an implant would make you a god lol. (Although I don't have one yet and I hope I don't get cold feet about getting one, it just seems the most ideal given the dating dynamics, culture etc.) Feel free to PM if you wanna chat more

I agree with you, I'm just tired of living life like this as well. I've lost a lot of my youth years thinking about ED and just want to resolve it. I feel like it's holding me back in other departments as well. Can't fully focus on a career, family etc. The past 5-6 years, ED has been the biggest issue on my mind. It is a bit different being young with ED - a lot of members here are older who have had a fairly successful sex life and then got ED (not trying to undermine their issues either). Not us. This has always been the normal for us. Hope it all gets better. Would definitely like to keep in touch with you bro.