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Hi all
trust you are well. This is a question for all guys with implant: I have noticed that a lot of implanted men still use viagra, cialis etc. which I find a little discouraging. I understand that someone likes to have that blood feeling in the penis, but:
- is the erection with the implant not enough to have satisfying sex?
- is it realistic to get the implant and stop using pde-5 inhibitors forever?
- what is the reason to still use pde-5 inhibitors: glans, warm feeling from blood, enhanced sensation in the shaft?

I kindly ask you to provide an honest answer on this because this plays a pivotal role in my decision of getting implanted.

Thank you for your time.

Pills were the start of my cycle. Pripecia for hair loss worked great but resulted in impotence. Viagra for impotence worked great but resulted in hearing loss. If I could go back, I would have bought a hat.

Hrc714 wrote:Pills were the start of my cycle. Pripecia for hair loss worked great but resulted in impotence. Viagra for impotence worked great but resulted in hearing loss. If I could go back, I would have bought a hat.

Thank you for your answer Hrc714 but I was not looking for a riddle: do you want to say that it would have been better no to get ED from propecia pills and therefore not to get an implant? Were all your words a way to say that implant is not a good solution or that pills in general are bad? I encourage other members to provide a straight and clear answer to my questions in the opening posts.

Thanks

Some use it to get there glans to engorge.

Propecia ans proscar are a same drug 1mg is for hair growth. 5mg is for your prostate. Now both can cause sexual dysfunction. It supposedly is not reversible when you stop the drug. You will also loose your hair. Ok, cialis 2.5mg is for the prostate abs taking daily. 5mg is prostate and Ed. I still take 5mg for bph. I have an implant. And it is hard as a rock when inflated without the cialis. I still have some of my own erectile ability and the cilia is actually makes it harder to deflate the implant. Cialis also delays Ejaculation. Cialis does not compare to having a ipp. Cialis fails often. Implant has not failed me yet.

Depressed. It is not an easy answer. You need to understand that the implant is used for men with many different causes of their ED. Some guys use the pills that have had their prostate removed. It is an attempt to gain back length that the prostate removal robbed from them. Some men like the glans engorgement. Some doctors use them to help with PD straightening.
Bottom line is that you should look at an implant as a treatment for ED. Not as a joint treatment along with pills for ED.
I hope that this clears it up for you.

Biker60 wrote:Cialis also delays Ejaculation.

Whaaaaaattttt!? I've been taking 5mg daily Cialis to boost glans engorgement since my IPP was implanted.

I originally started a year ago on the 20mg "As Needed" dose for ED but after headache and stuffy sinuses on the first couple of doses, I started cutting them in quarters (half lengthwise, half widthwise) and taking one 20mg dose over a four day period.

I started taking Cabergoline for DE several months ago to try to improve my 1-2 hour delay on orgasms but my doctor never told me that Cialis can cause DE. Cabergoline hasn't had stellar success (it may work to a degree), but the street-price is about $21/dose and it's taken twice a week. Fortunately with insurance I get it for $15.00 per month for 8 pills but if Cialis is part of my cause for DE, maybe Cabergoline isn't even necessary.

Incidentally, Cabergoline is in the ergot family of drugs, related to LSD (Lysergic Acid Diethylamide).

@Biker60,

Where did you hear that Cialis interferes with ability to orgasm? I just looked up case studies online and found that Eli Lilly sponsored a 12 week double-blind study where active participants that had OD (orgasmic dysfunction) or EJD (ejaculation dysfunction) were given either 5 mg daily of Cialis or 0.4mg daily of Tamsulosin as a control.

The study reported that during the 12 week trial, participants taking 5 mg daily Cialis had "significantly improved ejaculation and orgasm..." and those taking 0.4mg Tamsulosin (control) "experienced a decrease in both ejaculatory/orgasmic frequency and overall satisfaction vs. placebo..."

12 week trial: Cialis effect on orgasm

i think there isnt a "one size fits all" answer to your question. Some guys have had prostatectomy, some have had venous leak, peyronie's, etc. A guy who hasnt had a good erection in years is going to be much different than a guy who has been using trimix, for example. Sometimes I get glans engorgement, sometimes not. And yes, it is a much better experience with engorgement, in my opinion. On the plus side, the implant will give you sexual confidence and your partners will be pleased with your seemingly unending staying power. I liked my surgeon but I believe he tended to skirt the issue of glans engorgement when pressed about it. It is a thing to consider when making your decision. I have not tried a PDE 5 but would consider it, but they do cause headache and nasal congestion ( I used to pre-medicate with ibuprofen and afrin nasal spray--it works).

Depressed,
You won’t need PDE5i, because blood supply to your penis is not interrupted. Most likely, your glans engorgment will be same as before implant .
PDE5i is mostly needed for guys who had removed their prostate because of prostate Ca. When prostate is being removed, lots of surgical clips and cauterization is applied to blood vessels that are cut to prevent and minimize bleeding.
You should not have this problem. Your prostate is still intact.
MK