Decision to get an implant is so difficult if your dick somewhat works

[Gadsiee]

I have a few thoughts on your dilemma.

First, did a doctor prescribe that cocktail of meds? I would be cautious of going beyond what a doctor prescribes.

Second, my ED is from nerve damage at 32 years old. After its onset, I never was able to get hard without using meds. I never got hard while asleep.

Third, I haven't seen you address whether or not you get a good hard on while jerking off. That might be a good indicator of whether or not this is a physical or psychological problem.

My doctor only prescribed the cialis. pt141 is not registered in the netherlands so he couldn't prescribe it even if he wanted to.
I have stopped masturbating because I want to be as horny as possible when with a girl, but I used to go soft when i wasn't stroking my penis. As long as I'm physically stimulated (handjob or PIV) I will usually stay hard. The problem is that the process of taking off my pants, putting on the condom, and finding the "entry" is more than enough time for me to go soft. At thatpoint I will be in my head and getting hard again requires another 20 minutes or so. With pt141 i'm not immune to going soft, but it will usually keep me erect until penetration, at which point i'm golden

So, am I right in saying you don't have a diagnosed physical problem causing your ED?

I'm just pushing more because of your age. At 51, my doctor considered me a young man to be getting an implant.

If you get an implant now, you are looking at 3 or 4 revisions over the course of your life.

I get that the implant is a concrete, effective treatment for ED.

But if counseling could have cured my ED, I would have much preferred that route.

No i don’t have a severe physical problem. I know this because when I look at specific porn that I like (which I quit) I get rock hard. My dick probably still drains blood a bit faster than average, but I don’t believe thats my main problem.

I’m too ashamed to name them specifically but I have some pretty deviant fetishes involving femdom type stuff and other things. I watched weird stuff during my formative years and think that I have induced some permanent damage this way. When I just atarted watching porn (i must have been 12 or so), I got perfectly turned on by vanilla porn. This is how I know I wasn’t born with these weird conditions to get aroused. I quit all porn months ago in hopes of perhaps inducing some neuroplastic changes but it is unlikely to work. This is not to say I don’t get turned on at all from vanilla stuff, it is just much harder. People online have told me I should try to find girls IRL that are into this. However, apart from the fact that these girls hardly exist, I don’t want these kind of relationships. I’m also aroused by for example older women, or sex workers, that are not otherwise attractive to me. As a matter of fact, I think that often the “uglier” a woman is, the more turned on I sometimes get. This may perhaps sound a bit offensive or something, but it is the way it is for me and I can’t do anything about it. For some reason these things generate immediate horniness in me.

I want to have normal spontaneous sex as normal people have. I really really really want that. I want everyday, normal, girls to enjoy having sex with me.
These are also the girls i get romantic feelings for. My romantic/sexual interests seem to be incongruent.

I don’t know if this will be possible without an implant.

[frank66665]

My doctor only prescribed the cialis. pt141 is not registered in the netherlands so he couldn't prescribe it even if he wanted to.
I have stopped masturbating because I want to be as horny as possible when with a girl, but I used to go soft when i wasn't stroking my penis. As long as I'm physically stimulated (handjob or PIV) I will usually stay hard. The problem is that the process of taking off my pants, putting on the condom, and finding the "entry" is more than enough time for me to go soft. At thatpoint I will be in my head and getting hard again requires another 20 minutes or so. With pt141 i'm not immune to going soft, but it will usually keep me erect until penetration, at which point i'm golden

So, am I right in saying you don't have a diagnosed physical problem causing your ED?

I'm just pushing more because of your age. At 51, my doctor considered me a young man to be getting an implant.

If you get an implant now, you are looking at 3 or 4 revisions over the course of your life.

I get that the implant is a concrete, effective treatment for ED.

But if counseling could have cured my ED, I would have much preferred that route.

No i don’t have a severe physical problem. I know this because when I look at specific porn that I like (which I quit) I get rock hard. My dick probably still drains blood a bit faster than average, but I don’t believe thats my main problem.

I’m too ashamed to name them specifically but I have some pretty deviant fetishes involving femdom type stuff and other things. I watched weird stuff during my formative years and think that I have induced some permanent damage this way. When I just atarted watching porn (i must have been 12 or so), I got perfectly turned on by vanilla porn. This is how I know I wasn’t born with these weird conditions to get aroused. I quit all porn months ago in hopes of perhaps inducing some neuroplastic changes but it is unlikely to work. This is not to say I don’t get turned on at all from vanilla stuff, it is just much harder. People online have told me I should try to find girls IRL that are into this. However, apart from the fact that these girls hardly exist, I don’t want these kind of relationships. I’m also aroused by for example older women, or sex workers, that are not otherwise attractive to me. As a matter of fact, I think that often the “uglier” a woman is, the more turned on I sometimes get. This may perhaps sound a bit offensive or something, but it is the way it is for me and I can’t do anything about it. For some reason these things generate immediate horniness in me.

I want to have normal spontaneous sex as normal people have. I really really really want that. I want everyday, normal, girls to enjoy having sex with me.
These are also the girls i get romantic feelings for. My romantic/sexual interests seem to be incongruent.

I don’t know if this will be possible without an implant.

Gadsiee if you get rock hard without pills watching porn we're talking about nothing, you don't need an implant, you need an andrologist to investigate what's wrong at certain times

[seekonk]

If you find "ugly" girls arousing, by definition they aren't ugly. Nonconventionally attractive people are people too, deserving of love, and often some of the best people. If you fear being judged by your shallow friends or a shallow society for not dating someone conventional then your problem isn't sexual.

There is nothing wrong with you for not being aroused by models. Models are on average some of the most boring people in the sack, in my experience.

There is also nothing wrong with being kinky or watching kinky porn.

You have to relax and live your own life, not what's expected of you by others. You'll be much happier.

[Sakabato]

We have pretty much the same dilemma right now Gadsiee.

I go from 1-2 week periods of a very solid working dick (with viagra of course) and a good sex life to the point im thinking "what an idiot i was for considering an implant, im perfectly fine!", and then suddenly i go trough 1-2 week periods of being completely numb down there and being absolutely 0% interested in sex.

Nothing really changes, stress level, work, exercise, you name it, it almost seems random, some weeks i see my girl and i absolutely want to destroy her in the sack, and other weeks i see her and dont think absolutely anything sexual, and actually feel a bit turned off at the fact that i most likely will have to find a way to fuk her so she doesnt realize theres something wrong with me.


Some days i just get rock hard by her laying her legs on top of me, and then other days i simply wont get it up after masturbating furiously while shes laying down using her vibrator. Its just crazy how diff i feel from day to day.

I blame propecia, it fuked up my libido real bad, and also blood from cock goes away pretty damn fast too, the usual VL symptoms. Pills work good to solve my VL problem, but if my libido is dead that particular day, there is no pill in this world that is going to give me an erection.

The way i see it, the implant solves both problems. I dont have to worry about either the drugs or my libido failing me, since i dont need either.

But then somedays im looking at my perfectly natural blood filled cock, standing strong while my girlfriend is getting ready in the bathroom doing her thing, and im thinking id be an absolute idiot to take that away from me with an implant.

Im a bit lost too, i know the struggle.

[Fourtytwo00]

Sounds weird. Maybe Propecia related issues. These cyclical ups and downs may be due to an androgen disregulation, sort of. Btw you have something to lose and a relatively limited gain atm. I mean an erection without libido yes it's better than frustrating attemps but if you're completely turned off I don't know. Have you ever tried something for post finasteride? Or PSSD which is not your case but share some similarities.

[Sakabato]

Sounds weird. Maybe Propecia related issues. These cyclical ups and downs may be due to an androgen disregulation, sort of. Btw you have something to lose and a relatively limited gain atm. I mean an erection without libido yes it's better than frustrating attemps but if you're completely turned off I don't know. Have you ever tried something for post finasteride? Or PSSD which is not your case but share some similarities.

Im assuming you are responding to me? Ive been suffering from PFS for the last 10 years, and ive tried pretty much everything. Its been more or less the same since i quit taking it , i go from periods of feeling great and then from periods of feeling completely numb. Im otherwise a pretty damn happy person and very privileged in many ways, so im not buying anymore the stress/depression theory.


And yeah, if i had normal libido id be fine, pills still work. The problem is those periods of me going trough a complete disinterest in sex.

[Time2Change]

My doctor only prescribed the cialis. pt141 is not registered in the netherlands so he couldn't prescribe it even if he wanted to.
I have stopped masturbating because I want to be as horny as possible when with a girl, but I used to go soft when i wasn't stroking my penis. As long as I'm physically stimulated (handjob or PIV) I will usually stay hard. The problem is that the process of taking off my pants, putting on the condom, and finding the "entry" is more than enough time for me to go soft. At thatpoint I will be in my head and getting hard again requires another 20 minutes or so. With pt141 i'm not immune to going soft, but it will usually keep me erect until penetration, at which point i'm golden

So, am I right in saying you don't have a diagnosed physical problem causing your ED?

I'm just pushing more because of your age. At 51, my doctor considered me a young man to be getting an implant.

If you get an implant now, you are looking at 3 or 4 revisions over the course of your life.

I get that the implant is a concrete, effective treatment for ED.

But if counseling could have cured my ED, I would have much preferred that route.

No i don’t have a severe physical problem. I know this because when I look at specific porn that I like (which I quit) I get rock hard. My dick probably still drains blood a bit faster than average, but I don’t believe thats my main problem.

I’m too ashamed to name them specifically but I have some pretty deviant fetishes involving femdom type stuff and other things. I watched weird stuff during my formative years and think that I have induced some permanent damage this way. When I just atarted watching porn (i must have been 12 or so), I got perfectly turned on by vanilla porn. This is how I know I wasn’t born with these weird conditions to get aroused. I quit all porn months ago in hopes of perhaps inducing some neuroplastic changes but it is unlikely to work. This is not to say I don’t get turned on at all from vanilla stuff, it is just much harder. People online have told me I should try to find girls IRL that are into this. However, apart from the fact that these girls hardly exist, I don’t want these kind of relationships. I’m also aroused by for example older women, or sex workers, that are not otherwise attractive to me. As a matter of fact, I think that often the “uglier” a woman is, the more turned on I sometimes get. This may perhaps sound a bit offensive or something, but it is the way it is for me and I can’t do anything about it. For some reason these things generate immediate horniness in me.

I want to have normal spontaneous sex as normal people have. I really really really want that. I want everyday, normal, girls to enjoy having sex with me.
These are also the girls i get romantic feelings for. My romantic/sexual interests seem to be incongruent.

I don’t know if this will be possible without an implant.

I really appreciate your candor.

And I also appreciate the complexities of your dilemma. For years, multiple medical professionals and myself assumed my ED was psychologically based. I tried a variety of approaches to addressing my ED based on that assumption. A few of the things I tried were just taking Viagra with the purpose of having success that would break through whatever barriers I had put up to traditional counseling to sessions with a healer who would unblock my chakras.

Have you seen a counselor, preferably one with experience in this problem?

You're a young man with, most likely, decades of fucking women ahead of you. Once you get the implant, there's no going back. You may want to make sure you've given yourself a fair chance at other options before choosing to get an implant.

[Gadsiee]

We have pretty much the same dilemma right now Gadsiee.

I go from 1-2 week periods of a very solid working dick (with viagra of course) and a good sex life to the point im thinking "what an idiot i was for considering an implant, im perfectly fine!", and then suddenly i go trough 1-2 week periods of being completely numb down there and being absolutely 0% interested in sex.

Nothing really changes, stress level, work, exercise, you name it, it almost seems random, some weeks i see my girl and i absolutely want to destroy her in the sack, and other weeks i see her and dont think absolutely anything sexual, and actually feel a bit turned off at the fact that i most likely will have to find a way to fuk her so she doesnt realize theres something wrong with me.


Some days i just get rock hard by her laying her legs on top of me, and then other days i simply wont get it up after masturbating furiously while shes laying down using her vibrator. Its just crazy how diff i feel from day to day.

I blame propecia, it fuked up my libido real bad, and also blood from cock goes away pretty damn fast too, the usual VL symptoms. Pills work good to solve my VL problem, but if my libido is dead that particular day, there is no pill in this world that is going to give me an erection.

The way i see it, the implant solves both problems. I dont have to worry about either the drugs or my libido failing me, since i dont need either.

But then somedays im looking at my perfectly natural blood filled cock, standing strong while my girlfriend is getting ready in the bathroom doing her thing, and im thinking id be an absolute idiot to take that away from me with an implant.

Im a bit lost too, i know the struggle.

I feel you. I feel like my problem is a bit of both physical and mental. If my dick was perfectly normal I could probably do with my libido. If my libido was normal I could probably do with my suboptimal dick. Unfortunately both come together to fail me.

I really appreciate your candor.

And I also appreciate the complexities of your dilemma. For years, multiple medical professionals and myself assumed my ED was psychologically based. I tried a variety of approaches to addressing my ED based on that assumption. A few of the things I tried were just taking Viagra with the purpose of having success that would break through whatever barriers I had put up to traditional counseling to sessions with a healer who would unblock my chakras.

Have you seen a counselor, preferably one with experience in this problem?

You're a young man with, most likely, decades of fucking women ahead of you. Once you get the implant, there's no going back. You may want to make sure you've given yourself a fair chance at other options before choosing to get an implant.

Thank you. Do you think your ED was not psychological after all? I saw a sexuologist monday actually, but it’s honestly not helpful.


So just a quick update. My (somewhat) girlfriend came over yesterday night. I had PDE5is and PT141 in my system. When i greeted her I was rock hard. Then when we were naked in bed together I was completely soft again. After probably an hour of foreplay (and hating myself, and taking some ghb) I finally got hard and we had good sex. We only did missionary so far and today we tried cowgirl but of course I went soft upon changing positions. After many tries i finally managed to penetrate. Once I’m inside I have no real problems staying hard (given I have pt141 and viagra in me).

Unfortunately this PT141 makes nocturnal erections pretty much constant so I worry of priapism. So again i was doing pushups and squats all night to get my erection down, and even then I only get it down to like 70%. But of course, in the morning when I wanted to have sex again it went soft. This has to be god’s cruel joke. How in the world can I hardly get my dick down doing PUSHUPS AND SQUATS, but as soon as i want to penetrate it goes soft. The fact that we have to use a condom is not helpful either. But then again normal guys have no issues using condoms

Anyway. I can have succesful sex, but it’s very stressful overall and I’m dead the next day because I’m scared to fall asleep due to priapism fears. It’s not how sex is supposed to be enjoyed

[Fourtytwo00]

Physically speaking your penis is respondent to medical treatments.
I'm not saying everything is ok. I'm just saying likely you're even overdosing for your body (you need push ups..) but your mind sucks.

[Sakabato]

We have pretty much the same dilemma right now Gadsiee.

I go from 1-2 week periods of a very solid working dick (with viagra of course) and a good sex life to the point im thinking "what an idiot i was for considering an implant, im perfectly fine!", and then suddenly i go trough 1-2 week periods of being completely numb down there and being absolutely 0% interested in sex.

Nothing really changes, stress level, work, exercise, you name it, it almost seems random, some weeks i see my girl and i absolutely want to destroy her in the sack, and other weeks i see her and dont think absolutely anything sexual, and actually feel a bit turned off at the fact that i most likely will have to find a way to fuk her so she doesnt realize theres something wrong with me.


Some days i just get rock hard by her laying her legs on top of me, and then other days i simply wont get it up after masturbating furiously while shes laying down using her vibrator. Its just crazy how diff i feel from day to day.

I blame propecia, it fuked up my libido real bad, and also blood from cock goes away pretty damn fast too, the usual VL symptoms. Pills work good to solve my VL problem, but if my libido is dead that particular day, there is no pill in this world that is going to give me an erection.

The way i see it, the implant solves both problems. I dont have to worry about either the drugs or my libido failing me, since i dont need either.

But then somedays im looking at my perfectly natural blood filled cock, standing strong while my girlfriend is getting ready in the bathroom doing her thing, and im thinking id be an absolute idiot to take that away from me with an implant.

Im a bit lost too, i know the struggle.

I feel you. I feel like my problem is a bit of both physical and mental. If my dick was perfectly normal I could probably do with my libido. If my libido was normal I could probably do with my suboptimal dick. Unfortunately both come together to fail me.

I really appreciate your candor.

And I also appreciate the complexities of your dilemma. For years, multiple medical professionals and myself assumed my ED was psychologically based. I tried a variety of approaches to addressing my ED based on that assumption. A few of the things I tried were just taking Viagra with the purpose of having success that would break through whatever barriers I had put up to traditional counseling to sessions with a healer who would unblock my chakras.

Have you seen a counselor, preferably one with experience in this problem?

You're a young man with, most likely, decades of fucking women ahead of you. Once you get the implant, there's no going back. You may want to make sure you've given yourself a fair chance at other options before choosing to get an implant.

Thank you. Do you think your ED was not psychological after all? I saw a sexuologist monday actually, but it’s honestly not helpful.


So just a quick update. My (somewhat) girlfriend came over yesterday night. I had PDE5is and PT141 in my system. When i greeted her I was rock hard. Then when we were naked in bed together I was completely soft again. After probably an hour of foreplay (and hating myself, and taking some ghb) I finally got hard and we had good sex. We only did missionary so far and today we tried cowgirl but of course I went soft upon changing positions. After many tries i finally managed to penetrate. Once I’m inside I have no real problems staying hard (given I have pt141 and viagra in me).

Unfortunately this PT141 makes nocturnal erections pretty much constant so I worry of priapism. So again i was doing pushups and squats all night to get my erection down, and even then I only get it down to like 70%. But of course, in the morning when I wanted to have sex again it went soft. This has to be god’s cruel joke. How in the world can I hardly get my dick down doing PUSHUPS AND SQUATS, but as soon as i want to penetrate it goes soft. The fact that we have to use a condom is not helpful either. But then again normal guys have no issues using condoms

Anyway. I can have succesful sex, but it’s very stressful overall and I’m dead the next day because I’m scared to fall asleep due to priapism fears. It’s not how sex is supposed to be enjoyed

Have you talked to your GF about this?


Btw, i dont even attempt morning sex anymore, i too wake up with a rock hard erection, and half the time when i try to use it i would lose it before penetration or even while already inside, its like my body would say "calm down i was just trying to see if your dick worked, we aint gonna use it right now"


Nowadays i just stay away from morning sex which used to be my favorite, as im actually kind of running on low energy at evenings/nights.