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

[aslanglobal]

Not an MD here, but then again, half the MD's I saw about my dick problem were terrible at helping. It could be a combination of VL and psychological. But you'll need a doppler sonogram to show the blood flow and if there are problems. You need some real, physical evidence. I hope you can resolve this without an implant, but just know, an implant has been a godsend to some of us. I got normal erections in my 20s with ED psychological issues cropping up for periods of time. By 30, I really saw a problem and by 34, I truly needed it. I can report I have had no such malfunctions or similar traumatic events following surgery. I hope you can find your solution without it, but just know its there if you ever need it. I wish I had been able to get it sooner.

ED rates seem to be skyrocketing for men under 40. Again, likely for many reasons, many of them psychological. But there could be other elements. Don't be hard on yourself about it. This isn't a failing of you. We are watching this happen on a greater scale. Thank God we have solutions. I send you strength and hopeful thoughts today. I know you can find your solution.

Hello everyone.

I signed up here over a year ago. I’m 25 and have had ED my whole life. I think it’s a psychological/physiological combination. I have no diabetes or other conditions, I’m very lean and exercise moderately.

I get perfectly fine nocturnal erections, and also when initiating sex I get erect. However, I lose it without fail during penetration or blowjob. I was in a relationship from 20-23 in which I could have successfull sex about 50% of the time WITH viagra, without not a chance. I have had a few mindblowing sexual experiences on viagra where I would stay rock hard for multiple rounds but that was only very early in the relationship. My girlfriend never knew about my viagra usage. think we all know the struggle of having to anticipate “spontaneous” sex.
I was very blessed for having a gf who enjoyed sex, but never really craved it. This way there was never a lot of pressure for me and she almost never unexpectedly initiated sex (the times she did I failed).

I have since attempted a few tinder one night stands. Every time I get super hard for a very short time, but then lose it and just stay at 50% erect. It are truly traumazing experiences but I don’t have to tell you guys this.

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.

I’m seriously considering to use a bit of GHB for sex (the drug) because it’s supposed to make you horny without messing with erections.

If that doesn’t work I’m considering implant. The difficult thing for me is that I appear to have a (somewhat) functioning penis physically. However, the outcome is the same as a non functioning penis. There is still the mental struggle of destroying your healthy penis for an implant. Sometimes I wish it was the result of an accident or something, the decision would be so much easier.

[1380anthony]

I have the same symptoms and I have veno-occlusive ED due to the use of finasteride. This started when I was 26yo slightly and on my 30's it got worst. This means that my corpus cavernosum smooth muscle cells has been replaced for collagen ( fibrosis). Sucks!

I want an implant, but Im holding myself in case 2023-2024 comes with a better, durable and more natural feeling implant or maybe an implant that does not replace the corpus cavernosum but just a device that pushes blood to it and traps it .

Do an erect penile doppler measure systolic and diastolic.

[Gt1956]

I have the same symptoms and I have veno-occlusive ED due to the use of finasteride. This started when I was 26yo slightly and on my 30's it got worst. This means that my corpus cavernosum smooth muscle cells has been replaced for collagen ( fibrosis). Sucks!
I want an implant, but Im holding myself in case 2023-2024 comes with a better, durable and more natural feeling implant or maybe an implant that does not replace the corpus cavernosum but just a device that pushes blood to it and traps it .
Do an erect penile doppler measure systolic and diastolic.

I don't remember you ever saying what country you live in. So my post mainly applies to USA & maybe a few others.
I can understand waiting if there is a drug or treatment on the near horizon. But to the best of my knowledge there isn't any drugs, treatments or prosthesis in patient trials in the USA. The time between patient trials & release to market can be a long time. Then if it requires any kind of surgery, the doctors need to be trained, regional companiy representatives hired & trained. Oh, insurance companies will be slow to cover these new processes.
Before someone chimes in about something they're read online about. Those things are a very long ways off. Most of our sons or grandsons will be needing ED treatment when they're finally available. Don't be afraid of a proven treatment that is available now & has a fairly decent track record if you need it.

[1380anthony]

I have the same symptoms and I have veno-occlusive ED due to the use of finasteride. This started when I was 26yo slightly and on my 30's it got worst. This means that my corpus cavernosum smooth muscle cells has been replaced for collagen ( fibrosis). Sucks!
I want an implant, but Im holding myself in case 2023-2024 comes with a better, durable and more natural feeling implant or maybe an implant that does not replace the corpus cavernosum but just a device that pushes blood to it and traps it .
Do an erect penile doppler measure systolic and diastolic.

I don't remember you ever saying what country you live in. So my post mainly applies to USA & maybe a few others.
I can understand waiting if there is a drug or treatment on the near horizon. But to the best of my knowledge there isn't any drugs, treatments or prosthesis in patient trials in the USA. The time between patient trials & release to market can be a long time. Then if it requires any kind of surgery, the doctors need to be trained, regional companiy representatives hired & trained. Oh, insurance companies will be slow to cover these new processes.
Before someone chimes in about something they're read online about. Those things are a very long ways off. Most of our sons or grandsons will be needing ED treatment when they're finally available. Don't be afraid of a proven treatment that is available now & has a fairly decent track record if you need it.

USA

[Tomtomtom28]

Hi there

I think mine is psychological but I want to rules out physical with the tests
Could I have your advice

I’m from the uk and instead of using the nhs I’ll go and see dr Ralph in London and pay private for testing so I know it’s done by the people that he recommends

Do I see a

1 urologist
2 andrologist
3 any other specialist
4 I’m just very confused in which people to see to get contrite answers that’s all

Thank you

Tom

[Old Guy]

Hi there

I think mine is psychological but I want to rules out physical with the tests
Could I have your advice

I’m from the uk and instead of using the nhs I’ll go and see dr Ralph in London and pay private for testing so I know it’s done by the people that he recommends

Do I see a

1 urologist
2 andrologist
3 any other specialist
4 I’m just very confused in which people to see to get contrite answers that’s all

Thank you

Tom

Hi Tom,
You might get more replies if you create a new post about this. What is your issue? ED, inability to maintain, or?
Tests can rule out physical problems, a men's sexual urologist is best for that. Psychological issues are best treated by a trained sexual health therapist.

[on the road of life]

Hi there

I think mine is psychological but I want to rules out physical with the tests
Could I have your advice

I’m from the uk and instead of using the nhs I’ll go and see dr Ralph in London and pay private for testing so I know it’s done by the people that he recommends

Do I see a

1 urologist
2 andrologist
3 any other specialist
4 I’m just very confused in which people to see to get contrite answers that’s all

Thank you

Tom

Hi

An andrologist is the specialist in sexual problems, a urologist can also guide you.
It is important to know if the problem is psychological or physical, or both, to guide treatment.
In my case the doctors were discarding, according to the results that I obtained with each treatment (I suppose like many).
I had a good response with sildenafil, but the erection was quickly lost.
The response to the injections was poor, never a full erection.
A good clinical history will give you clues

my humble contribution

[Fourtytwo00]

Lots of people, expecially the younger ones, think that doctors could test your dick with an high degree of accuracy. Sorry guys but unless you have something huge or evident it doesn't work in that way. Doppler ultrasound is highly operator dependent with a significant incidence of false positive and false negative. Better than nothing for sure but not the last word expecially if you're young, healthy with psychological issues.

[Gadsiee]

Hi Gadsiee, compatriot,

Have you checked your prolactin levels? Do you use meds or did you use meds in the past?
In my observation the medical field regarding e.d. in The Netherlands is real low. Most local urogolists have really bad know how.
If you ever go for an implant, don't do it in The Netherlands! Also the insurance will only pay if you tried all other options. I.e. pills, ved and injections. If trying injections start really at a low dose. I started with .2 and that already have me a priapism and a visit to the E.R.

Good luck!

May I ask why you shoul’’t have it done in the Netherlands?

[smphead]

Hi Gadsiee, compatriot,

Have you checked your prolactin levels? Do you use meds or did you use meds in the past?
In my observation the medical field regarding e.d. in The Netherlands is real low. Most local urogolists have really bad know how.
If you ever go for an implant, don't do it in The Netherlands! Also the insurance will only pay if you tried all other options. I.e. pills, ved and injections. If trying injections start really at a low dose. I started with .2 and that already have me a priapism and a visit to the E.R.

Good luck!

May I ask why you shoul’’t have it done in the Netherlands?

Yes, only low volume doc's here, like 5 a year. That's too low for having good skills.
Have you checked your prolactin levels?