How common is it to skip injections and go straight for implant?

The final frontier. Deciding when, if and how.



Nocturne
Posts: 135
Joined: Fri Oct 28, 2016 11:59 pm

Re: How common is it to skip injections and go straight for implant?

Postby Nocturne » Sat May 03, 2025 12:12 pm

HikerMan wrote:1. I can keep going indefinitely. Meaning even if I get my nut -I can still pound away
relentlessly until my wife is crosseyed.
4. The state of mind this implant gives me is mind-boggling. I can fuck for hours and hours and I feel like
I have superpowers.
5. The best of all of these is the self-confidence I have.


These three right here are the most important. I had #5 on my own up until age 41, while #1 seems like a lot of fun. My wife, while she still enjoys sex a lot, is older now too and has her own issues that might get in the way of “hours and hours” of sex in one session, but I would HAPPILY step aside and let *her* be the limiting factor rather than myself. Had enough of that over the last ten years…
Genetically sky-high Lp(a) of 390 led to various heart diseases. Ultra-low testosterone of 120 (now 480 with Clomid) also contributed to ED at age 41. Managing with daily Cialis, but for me, the implant is a "when", not an "if".

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Kodixx
Posts: 253
Joined: Wed Jan 08, 2025 5:32 pm

Re: How common is it to skip injections and go straight for implant?

Postby Kodixx » Sat May 03, 2025 2:52 pm

LOL -- never thought of that one :)

- Chuck
HikerMan wrote:3. Climbing out of a cold pool and NO SHRINKAGE :D
Feb 2025 - 58 yo, 38 with greatest wife ever
AMS CX, Tenacio, Dr Broghammer (excellent) - pre-op L:7", post-op @ 3 mos L: 6.75" G: 5.5"
2 wks pain, cycling-sex-lifting @ 7 wks, only minor discomfort @ 10 wks, felt like 'new normal' @ ? mos

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AussieGuy81
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Joined: Sun Apr 13, 2025 12:28 am

Re: How common is it to skip injections and go straight for implant?

Postby AussieGuy81 » Tue May 06, 2025 7:06 am

Thank you.

I understand having trepidation regarding an implant.
And YES, there are risks.

But those risks can be mitigated largely by choosing the best high volume surgeon
in your Area.

We're not getting any younger and if I was in your shoes I wold move for the implant.
Here are some things I love about mine.

1. I can keep going indefinitely. Meaning even if I get my nut -I can still pound away
relentlessly until my wife is crosseyed.
2. My size is much larger flaccid fitting into a pair of jeans.( I do notice my package being checked out more)
3. Climbing out of a cold pool and NO SHRINKAGE :D
4. The state of mind this implant gives me is mind-boggling. I can fuck for hours and hours and I feel like
I have superpowers.
5. The best of all of these is the self-confidence I have.
I KNOW I can get the job done anytime, anywhere or anyplace.

This is PRICELESS.

Best wishes on your journey.

Hikerman[/quote]

Absolutely love this mate haha
43, ED since late 20's, Pills on and off since then increasing strengths with inconsistent results. Now 5mg Cialis daily and either 20mg Cialis or 100mg Viagra
Not sure if it's Psychological or Physiological, long-term use of SSRI's probably hasn't helped

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AussieGuy81
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Joined: Sun Apr 13, 2025 12:28 am

Re: How common is it to skip injections and go straight for implant?

Postby AussieGuy81 » Tue May 06, 2025 7:10 am

Thanks for all of the replies guys, certainly a lot to think about.

I think it's kind of confirmed what i was already thinking with injections, the implant seems like a much better option
43, ED since late 20's, Pills on and off since then increasing strengths with inconsistent results. Now 5mg Cialis daily and either 20mg Cialis or 100mg Viagra
Not sure if it's Psychological or Physiological, long-term use of SSRI's probably hasn't helped

CigareVolant
Posts: 137
Joined: Wed May 25, 2022 6:13 pm

Re: How common is it to skip injections and go straight for implant?

Postby CigareVolant » Mon May 12, 2025 3:24 pm

AussieGuy81 wrote:Thanks for all of the replies guys, certainly a lot to think about.

I think it's kind of confirmed what i was already thinking with injections, the implant seems like a much better option


I'll add my vote of support. I didn't like the idea of injections at all. It seemed like too much hassle, especially while traveling. But just in general, I value spontaneity. So when pills started becoming troublesome, I investigated implant. It's not even like pills were failing completely. I could usually have sex, and sometimes even stay hard long enough to cum. But the side effects (headache and stuffiness) were annoying, as was getting soft (half the time?) before finishing.

I was excited when I found that the current urology clinical advice didn't "require" trying injections any more before implant. After about two years, I continue to love my implant and have no regrets.
Implanted June, 2022 by Dr. Karpman. 22cm Titan with 1.5cm RTE.

Chevalier
Posts: 47
Joined: Fri Nov 01, 2024 5:39 pm

Re: How common is it to skip injections and go straight for implant?

Postby Chevalier » Tue May 13, 2025 6:32 pm

Pills work for me from time to time, I currently take 7.5 mg Cialis daily, and adding 20 mg Cialis or 100 mg Viagra is a hit and miss, more often a miss. My urologist - himself one of the few implantologists in my country - advises me against implants (“maybe when I'm 60, when nothing works anymore, because it's a serious procedure”). My wife is “fed up with the weak erections”, and she suspects that after the implant I'll be the old womanizer I was before marriage (not entirely wrongly, to be honest), and is THEREFORE against the implant.

Regardless, is my urologist right?
49, healthy, fit. Mild-moderate ED for 10 years due to nerve damage. On 5mg Cialis daily. Looking for a miracle cure.

Jimakos
Posts: 44
Joined: Mon Dec 02, 2024 6:16 am
Location: Greece

Re: How common is it to skip injections and go straight for implant?

Postby Jimakos » Wed May 14, 2025 8:25 am

Today i take 5 mg cialis and 100 mg viagra.. nothing works..i have most phycological problem.. some times pills work.i am 37 years old and very athletic man..like most men here i want on stample solution.. psychologists help but i cant find a solution for ever ..so i need like most something that work good and alaways when i want sex with my girl.. injections isn't for me either in my mind..so implant looks the best
Ed one year.use ofpills.. doctor saidis is psychological problem.i can't get injections..MPP is the most near solution for me.Greece

jmack858
Posts: 40
Joined: Thu Aug 16, 2018 9:50 am

Re: How common is it to skip injections and go straight for implant?

Postby jmack858 » Wed May 14, 2025 3:41 pm

I did the injection thing but wasted a lot of product, unless you are married injections are hard to work with. sex takes more planning than with pills. You have to keep the product refrigerated until you are ready to use it. lol taking a pill is fine but injecting your penis with a needle by hand or auto injector before sex is something else. Injections were a hit or miss for me. If had done more research on implants, I would have skipped the injections
66 years old , Mild ED since mid 30's tried all the pills, trimix, Implanted with Titan Touch 22cm + 3cm rte 11/13/18 by Dr Rayford
Memphis

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TravisHollister
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Joined: Sun Feb 03, 2019 1:54 am
Location: Sacramento, California

Re: How common is it to skip injections and go straight for implant?

Postby TravisHollister » Wed May 14, 2025 9:00 pm

I was recently implant in late February and so glad I did, despite length loss, which I'm optimistic about regaining.

I would have done the implant much sooner, but I kept getting denied by my insurance. I was only able to get it after retiring and getting Medicare.

I was prescribed and used various medicines including penile suppositories. Then we tried injections which worked well in the beginning. I tried Trimix but that has to be compounded by a pharmacy and refrigerated. It's been a while since using it, but if I recall correctly its usually shipped to you and you have to mix the compound with the sterile water they provided with it. Sometimes I picked it up from a pharmacy in a neighboring city. It was inconvenient and the efficacy was inconsistent. My insurance did cover a product called Edex and I used that for a couple of years. Edex doesn't require refrigeration, but you do have to assemble the injection, basically adding a needle and inserting a cartridge that contains sterile water and the powder. If you think pills are a hassle, injections are way worse. How long they last is an individual issue. Sometimes the injection hurt like a MF especially if you hit a nerve. It was 50/50 for me. I had nerves everywhere. Then there's the bleeding when you remove the needle. Sometimes there was very little and other times the injection site wouldn't coagulate for 10 minutes. After that, there's the lingering sting at the injection site. For me and many others there was a slight burning sensation within my penis once it went fully erect. The erections were really hard, but as the more I used the injections, the less effective they became. The burning sensation was a big distraction. Some people may not experience this. Timing for sex is more complicated and becomes more so if you have to travel to have sex. Forget random, spur of the moment interludes. It takes planning.

I had to use injections for 3-4 years while I waited to find insurance coverage. By the time I had my surgery, the scar tissue had built up and complicated the surgery. I believe that may be why I lost over and inch and a half in length. While the Dr is confident that I can regain that, it's a hit to the ego while you cycle it back (inflating to uncomfortable levels to stretch tissue). Regardless, I'm so happy I had the surgery, even if length loss is permanent. I can get a really hard erection, any time I want and keep it up for as long as I want. I'm popular at sex parties.

There are downsides that are different for everybody and I'm hoping most will resolve over time. I'm still in the healing phase and from what I've read will take about a year. Some of the downsides I'm currently experiencing are auto-inflations (where the penis becomes partially erect because fluid has flowed from the reservoir into the cylinders often caused by pressure from tight pants, physical labor or gym activity). It can be annoying. Tight fitting pouch underwear is one way of dealing with it. I hate underwear so I usually go about with a partial erection. At first the stiffness of the cylinders pointed straight out which looked weird. Now they're more flaccid. That's become a plus...I never was a shower, but I am now.

My balls are much bigger now that my boys share their space with a pump. They don't like that at first become accustomed to it. Now it's just a matter of getting comfortable when sitting. My nut sac gets squeezed all of the time. This is a personal matter, and I don't know if other guys have the same problem. That's just a couple, but I'm sure others can identify some downsides too. Nevertheless, I'd have the surgery again in a heartbeat. I think you should try injections if you have to, otherwise you may have regrets you didn't give them a try. My experience with them gave me a much greater appreciation for my implants.

Best wishes making your decisions.


AussieGuy81 wrote:Hi guys,

I'm 43, ED since late 20's. Medication is a bit hit and miss. I'm currently taking 20mg Cialis and 100mg Viagra (not at the same time), I'm getting a bit sick of timing tablets, them not working or working for a little bit.
I actually think it's screwed with my libido a fair bit.

I've been doing a heap of research on implants and all the pro and cons and the risks associated with them.
My wife wanted me to talk to a sex positive therapist before I went down that path which I didn't think was a bad idea.
I saw a therapist last week and she was totally against implants. She wants me to continue with oral medications as long as I can and spoke highly of injections, trimix etc.
I'm not super keen on injections, especially with the idea that can cause internal scarring and potentiallt make things more complicated for getting an implant.

My question is, how many of you guys went from oral medication straight to implants? Or only briefly tried injections?
Travis Hollister (a pseudonym)
Age 66, Implanted 2/20/25 by Dr Kadee Thompson
Sutter Healthcare System in Sacramento
AMS 700 LGX™, TENACIO™ Pump
12mm x 18cm
1 RTE - 1cm

Stevie Reno
Posts: 4
Joined: Thu Mar 13, 2025 7:04 pm

Re: How common is it to skip injections and go straight for implant?

Postby Stevie Reno » Thu May 15, 2025 2:37 pm

As others have commented, the pills worked for a while. I’ve had issues with ED since my 20s although it was somewhat infrequent until my 30s…I could always get an erection but would lose it if I didn’t use it and that tended to make me anxious which intensified the problem. I started using oral medications in my late thirties but was in a dead end marriage so we rarely had intercourse. I divorced in my early forties and dated a few women before meeting and marrying my wife. This pills worked fine for the most part and I was able to relax and enjoy somewhat normal sex but still had periodic episodes of losing my erection before we were finished…so my anxiety was still a factor and I still tended to be quicker that I wanted (but always gave her an orgasm before we started intercourse). Just a note, my wife had never had an orgasm during intercourse - it just didn’t rub her the right way I guess - but on a couple occasions she did which sort of surprised her…

Anyway, into my early sixties and the pills were not working more often than they were working. My doctor recommended we try injections and after I read up on them I decided to go that route. As he explained it, the injections bypass the neurological system and would result in an erection even if my neurological pathways weren’t working properly. Sounded good but unfortunately the injections never worked. I started (at his office) with the initial injection of a small volume which gave me a little more fullness but definitely not an erection for intercourse. We spent the next week increasing the injection volume until we got to the max and I still never got an erection suitable for intercourse. Went back to Dr and he said I most likely had leakage issues and there is nothing that can fix those. He said, given my history, I had probably always had leakage issues but youth can overcome the problem somewhat. But that’s why I tended to lose my erection - my vascular system wouldn’t hold it indefinitely. And as I aged, it held it even less and ultimately got to where I couldn’t get an erection.

I had my implant installed 1/15/25 and wish I had done it sooner. March was sort of a learning period but by mid April I was fully relaxed and really able to enjoy intercourse. I wish I had done this sooner because my leakage issue kept me in constant fear of losing my erection so I never could really relax and I never could go very long. My wife is no longer that interested in intercourse other than as doing something I enjoy. So now I’m actually going longer that she is really comfortable with (we’re both 67). After initially having sex everyday for the first couple of weeks we’re into two and sometimes three times a week and that is great.

But if I could go back - knowing what I know now - I would have had the implant put in during my forties when my wife was more interested in intercourse. She is much more interested In touching, rubbing and kissing now and we do this for about thirty minutes before intercourse (this was our intimacy for the last few years since I couldn’t get an erection). She has told me she doesn’t dislike intercourse but she just has no desire for it…she desires intimacy via touching but knows desire intimacy via intercourse so we both treat each other a couple times a week…sure beats worry about being able to get an erection.
Last edited by Stevie Reno on Thu May 15, 2025 3:46 pm, edited 1 time in total.


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