Markc2008 wrote:I also had my first full failure last night with levitra. Now I did have two beers with dinner and I took it about a half hour after eating so maybe that is why but it is a he first time they have not helped enough to atleast penetrate. For time being I’ll chalk it up to a fluke but if it keeps happening everything will be expedited.
Yes, many things could have caused you to fail in that situation. A stomach full of food could have made absorption much slower. If one PDE5 inhibitor stops working after time, a different one may work as many here have discovered. Alcohol can definitely be a problem too.
Don’t jump to extreme decisions if you fail now and again.
For myself, when the times comes, I will be exhausting the injection route before ever considering an implant, even my partner has said he would prefer for me to have my natural penis for as long as possible, which I feel the same about. He is actually encouraging me to try the injections at some point in the future and has no problem with the thought of me having to do this before sex.
There is a great amount of research going on at the moment in regard to how the different pathways in the penis can cause ED issues, especially the Rho-kinase pathway .Given all this research, I do not think it will be that long before a very good selective rho-kinase inhibitor will be developed. This will possibly be a good solution for men that do not respond well to Pde5 inhibitors. It appears that many young men with what looks to be severe psychogenic ED may actually have a dysfunction with the above inhibitory pathway in the penis. This pathway may have a stronger influence in maintaining the penis in a flaccid state than the adrenergic pathway. It is the pathway that takes over after the adrenergic pathway is triggered. Your issue could be related to the above in that the anti-depressants have upregulated this inhibitory mechanism in the penis, which could also affect local sexual sensation. When you do have success with a Pde5 inhibitor, does some of your sexual sensation return?
At your age you may get 10-15 or even more years of sex with injections after PDE5 inhibitors have stopped working, if they do. By then there could be a whole new gamut of treatment options available.
The following is how I think about injections versus an implant; an injection will give you a full throbbing hard erection full of blood just like its meant to feel. An implant will artificially enlarge the outer skin of your penis without any of this feeling as that part of the penis has been removed. Some do not get glans enlargement as well after the surgery. If you are also suffering from sexual desensitisation in the penis, the possible lack of blood flow due to the surgery and loss of nitric oxide could make this worse not better. Consider this.
The implant is a wonderful alternative once injections have stopped working, because at least then there is one last option to try. But IMO it should be the very last.
You are accustomed to giving yourself an injection a number of times a week for testosterone. Apparently, injecting into the penis is even easier as there is not much sensitivity in the shaft (other guys on the forum who do this regularly can advise). There are finer needles available than 27g which could make it even less of an issue. Doctors in my clinic use these for Botox and the patient feels very little even when using these on the face where there are many more nerves.
Age 57, ED issues for 15-20 years. Testosterone replacement with Enanthate and Ovidrel. Currently using generic Tadalafil 2.5mgs and Resveratrol daily.
