Some guidance would be appreciated in my case

[Splitlivez]

Hi folks

My doppler diagnosed me with an insane leak, EDV 15. My arterial is fantastic at 75 PSV. I was asked by the surgeon to pursue an implant ideally since I'm 40 and these will be my best years to have proper sex for 15 years. Thing is I don't have sex too much, I'm married and I do it once or maximum twice a month. Would trimix be a wider decision than an implant if you were me? And given my frequency of sex how long would you estimate it to last. I know that no one is the same. I'm extremely healthy, extremely athletic, non smoker, got this leak due to genetic causes since my father developed it around the same age. What would you advise me according to your experience.

Thanks in advance

[Txagq8]

Those are some great questions! Just keep in mind the info you’re getting is opinion not necessarily an answer.

Only you know the answer to this: is your frequency of sex due to influence from ED or is sex just not that big of a deal?

If erections were more convenient and reliable would you have more sex?

Your age, level of fitness means your arterial flow is no surprise. I would think injections would work ok for a while despite a bad leak.

I think I’d try to get a few more years out of shots. Then get an implant. I had mine done at age 63 after 32 years of injections. In retrospect, I should have gotten one ten years sooner.

The surgery (for me) was a piece of cake with a totally uneventful recovery. But we know the younger a guy is, typically the quicker he heals up.

I haven’t charted or kept a diary but I can testify that my sexual frequency with implant continues to increase. I guess I need to discuss the idea of a sister wife with Mrs. TxAg (just kidding).

You’re in a pretty good position. You’re young & healthy. You know what the problem is and what will fix it.

If you’re satisfied with current sex life then keep doing what you’re doing.

If you think reliable erection on demand would affect frequency or quality of sex, have one installed.

You hear a lot about how long an implant lasts. Ten years has been the conventional wisdom.

The recent data from scholarly papers suggests that the median lifespan of an AMS device is over 20 yrs. 53% of the group studied had a functioning implant at 20 years.

[Splitlivez]

No the frequency of sex isn't related to ED, I'm not just crazy about sex, so is my partner. I felt that an implant for that frequency of sex would be a waste. Maybe I could pull ten years of injections. Who knows if I'd be still wanting to have sex then

[Budward]

Have you had your testosterone levels checked. My TRT is making me on horny bastard, want sex constantly. Trimix got me back to a sex life.

[Splitlivez]

My testosterone, estrogen, prolactin, tsh, fsh, lh are optimal

[Bambino09]

speed of 4.4 and 3.7, do you think it's a venous leak? I'm thinking of starting with injections.
If the injections work for you, I would continue with them. An implant is a bit more invasive.

[Splitlivez]

If you are talking about venous speed 4.4, it's slightly higher normal which is four. It's an extremely mild leak which would respond well to pills

[Bambino09]

I'm not doing well with cialis. I'm also a sex addict, I want to start with injections.
I wouldn't get an implant, I'm still 32 years old.
I respect those who get it, I had an operation in an accident and I'm afraid to go through the operating room again.

[Splitlivez]

I hate to break it to you, but in my journey with this shitty condition, I met a lot of really young people with implants, once I met a 28 years old guy. If pills are not doing it for you, try 100mg viagra. If still you can't get an eighty percent performance, then injections it is. But bear in mind that injections will fail one day, and implant will always be your end point or being celibate.

[Bambino09]

I have to try a ring and Viagra. I don't really feel like trying either for fear of failing.