I can’t believe I’m considering an implant at 25

The final frontier. Deciding when, if and how.
snowerhood
Posts: 40
Joined: Wed Aug 17, 2022 1:49 pm
Location: Russia

Re: I can’t believe I’m considering an implant at 25

Postby snowerhood » Tue Sep 06, 2022 12:00 pm

Gadsiee wrote:
snowerhood wrote:
Gadsiee wrote:
Thanks im seeing a doc this week. I’ll go have all the tests but the unfortunate truth is that unless I have some very specific problem which can be helped, implant is probably in the future.


Does your erection depend on your position? Is it harder when you sit or stand rather than when you're in your back?


Yes very much. Back is easiest. Sitting is alright standing I lose it immediately


I'm just trying to figure out about my situation and compare to other cases of VL, which I suspect for myself. Interesting that for me back is much harder to get rigid erection, while sitting or standing makes it easier.

When your erection gets soft, does it start from your glans? Or it becomes soft all along? Cause I see that my penis body is pretty hard while glans becomes soft
22 y.o. Chronic pelvic pain i guess and VL after COVID. May-Thurner syndrome? Venous insufficiency? idk...

frank66665
Posts: 1466
Joined: Wed Mar 25, 2020 11:18 am

Re: I can’t believe I’m considering an implant at 25

Postby frank66665 » Tue Sep 06, 2022 12:04 pm

Gadsiee wrote:
Old Guy wrote:
Gadsiee wrote:
What tests? I went to a doctor a long time ago and he just said if you get morning erections it’s not physical


A urologist can test for venous leak. That means blood moves out faster than it comes in. Morning erections are not a sign you don't have ED. I still had occasional morning erections just before my implant. Viagra did nothing, injections were hit or miss. However, my morning erections would fade as soon as I woke up enough to do anything about it.
If a doctor tells you morning erections mean it's not physical it's time to see a new doc. That is an excuse to not look into your problem deeper.


Thanks im seeing a doc this week. I’ll go have all the tests but the unfortunate truth is that unless I have some very specific problem which can be helped, implant is probably in the future.

it is not the time for an implant for you, you have to deepen and follow the oral therapies available that a good andrologist will prescribe
56, ED since 2010, pills work but not always and well, trt in progress improved but not so much, myocardial infarction january 2016, new stent september 2016, hypertension, venous on 1/23/23 titan one touch 22, no rte dottor Gabriele Antonini Italia

Tmansdorfer
Posts: 193
Joined: Wed Sep 14, 2016 2:36 pm

Re: I can’t believe I’m considering an implant at 25

Postby Tmansdorfer » Tue Sep 06, 2022 12:21 pm

I agree with everyone else’s comments sounds like you might have venous leak . Mine started out similar to yours in my late teens and progressed rapidly . I would suggest consulting with a urologist and see if they will do a penile Doppler test to confirm the venous leak.
39 01/24/19 USC Dr Doumanian LGX 15cm 3, lGX 18 +2, revision 6-20 18+3 pump failure, revision 8-20 left cylinder in scrotum, 1-21 removed infection switched to dr Doyle, Boyd 10.05.21 a 15+3 cx,revision 01,23,24 with switch to LGX 15+6 fat pad removal.

snowerhood
Posts: 40
Joined: Wed Aug 17, 2022 1:49 pm
Location: Russia

Re: I can’t believe I’m considering an implant at 25

Postby snowerhood » Tue Sep 06, 2022 12:26 pm

Tmansdorfer wrote:I agree with everyone else’s comments sounds like you might have venous leak . Mine started out similar to yours in my late teens and progressed rapidly . I would suggest consulting with a urologist and see if they will do a penile Doppler test to confirm the venous leak.


Can I ask you how fast did it progress specifically? I think I have similar symptoms and wonder how many years will pass till I have to take an implant. Did pills work for you btw?
22 y.o. Chronic pelvic pain i guess and VL after COVID. May-Thurner syndrome? Venous insufficiency? idk...

Fourtytwo00
Posts: 289
Joined: Thu Jun 24, 2021 6:14 pm

Re: I can’t believe I’m considering an implant at 25

Postby Fourtytwo00 » Tue Sep 06, 2022 4:15 pm

If you are 25yo, healthy and have morning woods chances are it's psychological faaaar outweights congenital VL hypothesis.

Tmansdorfer
Posts: 193
Joined: Wed Sep 14, 2016 2:36 pm

Re: I can’t believe I’m considering an implant at 25

Postby Tmansdorfer » Tue Sep 06, 2022 4:25 pm

snowerhood wrote:
Tmansdorfer wrote:I agree with everyone else’s comments sounds like you might have venous leak . Mine started out similar to yours in my late teens and progressed rapidly . I would suggest consulting with a urologist and see if they will do a penile Doppler test to confirm the venous leak.


Can I ask you how fast did it progress specifically? I think I have similar symptoms and wonder how many years will pass till I have to take an implant. Did pills work for you btw?



For me the oral meds helped a little but didn’t work great it was off and on depending on dosage. Trimix injections worked great for the first year but then I had to use a super high dose and mixture. At this time my wife left me and it was hard to inject and date. That is when I decided to get the implant. I started having erection issues since my late teens I knew something wasn’t right. I would say it was a good 10 years between going from oral meds to injections to the final step of an implant.
39 01/24/19 USC Dr Doumanian LGX 15cm 3, lGX 18 +2, revision 6-20 18+3 pump failure, revision 8-20 left cylinder in scrotum, 1-21 removed infection switched to dr Doyle, Boyd 10.05.21 a 15+3 cx,revision 01,23,24 with switch to LGX 15+6 fat pad removal.

snowerhood
Posts: 40
Joined: Wed Aug 17, 2022 1:49 pm
Location: Russia

Re: I can’t believe I’m considering an implant at 25

Postby snowerhood » Tue Sep 06, 2022 4:45 pm

Tmansdorfer wrote:
snowerhood wrote:
Tmansdorfer wrote:I agree with everyone else’s comments sounds like you might have venous leak . Mine started out similar to yours in my late teens and progressed rapidly . I would suggest consulting with a urologist and see if they will do a penile Doppler test to confirm the venous leak.


Can I ask you how fast did it progress specifically? I think I have similar symptoms and wonder how many years will pass till I have to take an implant. Did pills work for you btw?



For me the oral meds helped a little but didn’t work great it was off and on depending on dosage. Trimix injections worked great for the first year but then I had to use a super high dose and mixture. At this time my wife left me and it was hard to inject and date. That is when I decided to get the implant. I started having erection issues since my late teens I knew something wasn’t right. I would say it was a good 10 years between going from oral meds to injections to the final step of an implant.


Oh, that sounds better than I thought, 10 years isn't that bad for me. Hope my situation won't deteriorate faster than that. Although, I don't think I want to use injections so perhaps it will be less years for me. Currently I'm on 2.5 - 5 mg Tadalafil every day but I can't say specifically is it working for me or not. I had an ok erections in sitting and standing positions before them, but it was significantly worse while I'm on my back. After I started use them, vertical/sitting positions became better, but I can't say the same about horizontal one... Confused and full of hope
22 y.o. Chronic pelvic pain i guess and VL after COVID. May-Thurner syndrome? Venous insufficiency? idk...

nuance
Posts: 303
Joined: Wed Feb 24, 2021 8:14 pm

Re: I can’t believe I’m considering an implant at 25

Postby nuance » Tue Sep 06, 2022 5:21 pm

Gadsiee wrote:
I think it’s an arousal issue, because I often lose a bit of arousal during sex. Then again, I hear stories from other people about how they “think of their grandmother” to delay ejaculation, and they stay hard. So apparantly a healthy man is able to maintain an erection even when not being super aroused.


In men with a normal functioning penis, once they get hard, they can stay hard for a while. Remember how things were when you were younger, you didn't know why you got random (no sexual thoughts) erections sometimes and they were annoying as they wouldn't go away quickly. When we did engage in sexual thoughts, erections were easy and could stay erect until masturbation (even when our focus wandered). I remember masturbating just to get rid of the hard on, not even cause I wanted to. That's how easy it's supposed to be so I don't understand when someone says it's all in you head. I got the same diagnosis from my urologist given T and DHEA levels where high and he wouldn't hear me out. I believe once you get aroused and blood flows in, it needs to stay trapped for a while but in our case it flows out quickly and so can't stay erect. I'm not sure how fixing psychological issues is supposed to help with losing an erection quickly.

Gadsiee
Posts: 52
Joined: Fri Nov 12, 2021 3:33 am

Re: I can’t believe I’m considering an implant at 25

Postby Gadsiee » Tue Sep 06, 2022 6:01 pm

nuance wrote:
Gadsiee wrote:
I think it’s an arousal issue, because I often lose a bit of arousal during sex. Then again, I hear stories from other people about how they “think of their grandmother” to delay ejaculation, and they stay hard. So apparantly a healthy man is able to maintain an erection even when not being super aroused.


In men with a normal functioning penis, once they get hard, they can stay hard for a while. Remember how things were when you were younger, you didn't know why you got random (no sexual thoughts) erections sometimes and they were annoying as they wouldn't go away quickly. When we did engage in sexual thoughts, erections were easy and could stay erect until masturbation (even when our focus wandered). I remember masturbating just to get rid of the hard on, not even cause I wanted to. That's how easy it's supposed to be so I don't understand when someone says it's all in you head. I got the same diagnosis from my urologist given T and DHEA levels where high and he wouldn't hear me out. I believe once you get aroused and blood flows in, it needs to stay trapped for a while but in our case it flows out quickly and so can't stay erect. I'm not sure how fixing psychological issues is supposed to help with losing an erection quickly.


Well nothing has really worsened for me, it’s just always been like this. I still get random erections, and those erections will typically stay for quite a while. However those erections are just that - random - and not arousal related. All my arousal erections, whether it be porn or sex, disappear very quickly.

I’m going to try going to a sexworker while on GHB to see if it does anything. I’ve heard it can make you very horny and not mess with erections. It’s also very non-toxic if not overdosed. If it works I may still not be able to keep a relationship going (can’t be taking GHB all the time), but I could at least have a one night stand every now and then
25 years old. Lifelong (psychogenic?) ED. Can attain erections with viagra+cialis+PT141 but lose arousal randomly during sex with subsequent loss of erection.

Erections are like private jets. I don't have them

Fourtytwo00
Posts: 289
Joined: Thu Jun 24, 2021 6:14 pm

Re: I can’t believe I’m considering an implant at 25

Postby Fourtytwo00 » Tue Sep 06, 2022 7:20 pm

Facing a psy problem with a drug like GHB could be a recipe for disaster.

Better trying dhea and eventually viagra + cabergoline or other dopamine agonist under the supervision of an andrologist / endocrinologist.

Sexworker could be a good idea if you feel comfortable. By the way it's not mandatory banging tinder girls like nuts or buying women like shoes. It may happen that in this moment of your life you're not that kind of guy and there's nothing wrong with it.


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