Pill Give 75% Erection & Sex is Stressful = Cause for Implant?

[dsafsadfi]

Guys,

My mind is 85% made up that I need and want an implant. I've got a lingering thing in my head that I'm hoping some guys can help me clear up. I think I already know the "answer" (as if there's one right answer), but honestly sometimes you just need a little affirmation/courage from guys who've been there.

I see some implanted guys who say that pills did nothing and injections eventually didn't either, so the implant truly was their only option to having any sex at all.

I'm a little different. I don't have Peyronie's (but I believe this is an ED sub-forum, not just Peyronies Disease). I can get an erection with pills and have sex with my wife. But there are a few problems:

1) The erection isn't satisfying to me. I'd call it 75%, maybe slightly less. I can't change positions with it; can't have sex standing up; and just don't feel great about what I'm giving my wife.
2) It takes a lot of pills to get that 75% erection. To get it this morning, I took 160mg Sildenafil (8 x 20mg pills) ... and that's only because my daily 5mg Tadalafil did not work for me last night.
3) Sex for me in this state is entirely centered around stress, doubt ("will it work?") and focusing on my penis instead of my wife.
4) My shaky erections are having an impact on my partner, I believe. She hasn't said this, but I know they are. I can tell that as we do foreplay there's hesitancy in her demeanor (is this going to work?).
5) My mental state and quality of life are significantly affected by my ED. Yes, I know that I'm responsible for my own happiness independent of ED, but I think every guy on here understands what I mean when I say that ED is hell mentally/emotionally.

A cause for my ED has not been found. I know it's a physical cause, since I cannot get hard via masturbation and get no NTE's without pills.

My question boils down to this: Can I move forward to the implant with peace knowing that pills really have "failed"? (Note: I won't consider injections.) Is all of the above "enough" to just get an implant? Were any of you guys in a similar position?

Thank you.

[Hawk]

I apologize in advance.  I am not going to do what you want me to do.  I will, however, think it through with you.  There are still a lot of "If's"

Knowing what I know now, I am certain I would get an implant with the set of circumstances you described IF:

I were 50 yrs old or older (fewer revisions if you live to be a senior)
If I had thoroughly tried a VED and/or a cockring and was very unsatisfied.

Maybe I would carefully try injections (monitoring and changes in my penis very closely) if I could be satisfied to have sex once or twice a week because I would not inject more than that.  Injections can be amazing if they work.  Tri mix is virtually painless.

If I were very unsatisfied with VED, Cockring, and injections, then I think it begins to become a no-brainer IF you go to a GREAT surgeon.  

On the downside, if you get zero response without pills, your glans and spongiosum will not engorge.  This does not restrict sexual activity, but it might slightly decrease girth and give the shaft a more oval profile rather than a more round profile.  You would likely have to point it out for a partner to even notice it.  That would not be an issue if you got some natural erection once serious foreplay and sex began.

You need to consider that about every 7 years you delay an implant, that is one less revision you will need assuming you live that long.  However, there is some chance that poor erections over 7 years could cause some size loss.

Have you discussed this in-depth with your wife?

I know my response dumps several if's on you but that is the nature of the decision.   We are here with you through that decision process and any course you take.  If you need to talk, send me a PM with your phone number and a good time to call.

[Stepone]

I understand your concerns and I feel for you. Sex isn't supposed to be difficult. It's supposed to be easy and spontaneous....or at least this is what I think.
I tried pills, and tried shots, but after a while, even the shots seemed not effective and I was worried about the damage all those injections into my penis were causing.
I don't think anyone can say exactly how long an implant will last, but no one can tell us how long we will live either.
I guess what it boils down to is, how bad is your sex life? Is it bad only every time or maybe just once out of 4 times? We all have different expectations. Also, are you not even trying to have sex, because it's not working or are you having sex several times a day?
I made the choice because no matter what I did, I was unable to reach satisfaction, nor was my spouse.
It is a difficult decision and even after I made mine of having the implant, I questioned whether it was the right choice.
Let me be clear, it's almost 3 years since my implant, and I can confidently say, it was the right choice. My sex life is better than anything to been in twenty years. My spouse is very happy as if needed, I stay hard for hours.
Sure I have a different penis now, but it's a good thing. I actually have a thicker penis then what I started out with. I feel fortunate and blessed.
I hope this helps in your decision making, but if you want to pm me, I can give you my number and you can ask more personal questions if you would prefer that.
I wish you well and yes this forum is very supportive. They have helped me tremendously.
StepOne  

[JustAGuy2020]

I have Peyronies Disease with some ED so I am not an expert on all of the aspects of ED, but I would suggest (if you haven't already) to see a high quality urologist and get a doppler ultrasound, they can help you determine the cause of your ED (venous leak or other) and provide guidance.  Based on what you are saying, an implant MAY be appropriate but there are a lot of considerations.

[RichardWilson99]

Everyone here has given you great advice.

The best thing I can reiterate is communicating with your wife.  If you can explain to your wife your circumstances, maybe you can hold off a few years. Hawk is right, every year you wait, is one less year you'll need an implant and thus revisions.  Please talk to your spouse about it first.  But also, be careful with taking 160mg of sildenafil.  That's a lot, I was doing that at one point and it can lead to issues (I swear I hurt my back because of it).

But once again, talk to your spouse. You never know.