mr.skin wrote:I am really struggling with the decision for an implant, as a lot of things might go wrong, and a botched implant is certainly worse than what i have now.
Can I have an erection for penetration without pills. - no
Can I have an erection for penetration with pills - yes.
Can I maintain the erection with pills ? Sometimes, but even putting a condom on is sometimes difficult as it subsides early.
How do the injections work ? 10 ug work as I get an E4-E5 erection, good enough for sex but not a raging hard one. 3 o clock, usually it was 1.30 just to clarify nthe
But being 25 and single, injections are nothing I consider.
Do I struggle to date with this condition? Yes. The last two times i could not get an erction hard enough for penetration, being nervous aggravates the
I guess an implant might be a good solution, if it all turns out to be good (length, sensibility, no auto inflation and pain)
Give me some input.
Your answers/solution depend on the cause of your E.D. A specialist is male sexual function can help sort that out.
Do you get regularly occurring nighttime erections? Morning erections? If not, I suggest you get them by any means necessary. A Vacuum Erection Device (VED) can keep your penis' size, maintain tissue elasticity and flush blood through those tissues to keep atrophy minimized.
Exercise, diet, nutrition general health makes a big difference in all your bodily functions, erections included. Mental acuity, heart health, endocrine health. Etc.
You have maybe another 50 years during which better treatments (Implant is not a cure for e.d. but currently the most radical - and effective - treatment for INTRACTABLE ED). Your ED seems to be still treatable (albeit marginally) with oral medications. Waiting for a better treatment or a better implant is an option.
Dating is a minefield. A reliably working penis is one tool that makes it easier, but there are drawbacks. Women of quality date the MAN, not the penis. This becomes truer as the women become wiser. I understand the hormonal drive to get a good fucking that would make a woman appreciate an implanted man, but would you want to marry her? A man who is skilled in bed may have some nice encounters, but a man who is skilled on the dance floor will have a lot more invitations to dinner (and ultimately a wider choice of girlfriends). A man who can dance will have hordes of women gravitating towards him. He has a lot more women to choose from. Same for other talents, like music or the ability to converse intelligently about issues important to women.
As my ED progressed, I tried all the different oral medications available. Each worked for a time and lost effectiveness. I rejected injections and penile suppositories (the alpostrodil suppository -brand name, MUSE - is something you might find satisfactory). A VED worked, but required a degree of cooperation I would not ask of a woman in a casual dating/casual sex relationship. The VED was not something I wanted to deal with, though. I researched and finally consulted a Urologist who also does implants. Ultimately I got an implant from a urological surgeon who told me that if he was in private practice, he would specialize in sexual function. After meeting with him, I immediately trusted him.
So, I strongly suggest you find a urologist specializing in sexual function and establish a relationship with him so you can be fully informed of your options. Even if he (or she) is not a surgeon, a referral after extensive clinical diagnosis will put you in touch with a good surgeon with a reliable track record, not a random choice.
You can count on an implant destroying all erectile capacity, even under the best of circumstances (retention of size, sensation, appearance, etc, but spontaneous erection, no).
I could have had an implant (authorized by by my health care provider) 14 months before I found and was satisfied with my choice of surgeon. I spent that time productively educating myself. I recommend such groundwork to you.
p.s. I repeat the suggestion that you consider alpostrodil suppository (MUSE). Not popularly considered but is not an irreversible step, simpler and less scary than injections and similarly effective and only marginally less convenient than using a condom.
p.p.s
Once you have determined that you want to give up what you have working (however marginally) and that no substitute sexual activity will be satisfactory (oral, sex toys, pleasuring in non-coital ways, etc) then and only then get implanted. But bend EVERY EFFORT to get a HIGHLY EXPERIENCED surgeon performing or supervising the operation and who will put your satisfaction above all other considerations. Get him (or her) to understand how you want to be measured and the parameters of what you consider to be "satisfactory". Most men are satisfied, but some surgeons are satisfied with "good enough" for sex but not anywhere near optimal for the patient (rigidity, size or comfort). Vet your surgeon thoroughly and ensure understanding and total subscription to your expectations.
My signature block says it succinctly: There is no second chance with your first.
And echoing the others who have posted both before and after this post; you are definitely a good candidate for (if not an implant today or next week), clinical examination by a good urologist who specializes in male sexual dysfunction. One who can first-hand give a qualified medical evaluation. It seems to me a surgeon who does implants would be a good idea, but not one who is the least bit inclined to recommend it unless it is actually necessary. It does seem to
this layperson that you are or will be in need of an implant sooner or later, but treatments not available today may become available before you NEED to take that irreversible step.
I interviewed one surgeon who, implanted a young man a couple months before Viagra became available. His patient would have been MUCH MORE benefitted by Viagra than by the implant. This many years later, this medical misstep still haunts this surgeon, though there was nothing wrong with what he did at the time because Viagra was not even in the medical news until afterwards.