Erection with implant with arousal problems

The final frontier. Deciding when, if and how.
Markc2008
Posts: 240
Joined: Fri Jul 31, 2020 10:45 am

Erection with implant with arousal problems

Postby Markc2008 » Sun Aug 23, 2026 9:38 am

I am looking for some insight from those with implants. I’ve read for years here about how the implant can look and feel less natural without natural engorgement. I have pssd and so my largest issue is arousal and libido. I am to the point where I’m tired of fighting the battle of oral meds and injections. I want to live as normal as possible. If I decide to get the implant would you guys have any insight on if I could still keep a natural look and engorgement simply with oral meds and not having much arousal or libido? That’s my largest concern is getting the implant and regretting it because I can’t send enough blood there to have good results. Maybe I just don’t understand it enough and maybe I’m over thinking it?

Jimakos
Posts: 93
Joined: Mon Dec 02, 2024 6:16 am
Location: Greece

Re: Erection with implant with arousal problems

Postby Jimakos » Sun Aug 23, 2026 11:18 am

Markc2008 wrote:I am looking for some insight from those with implants. I’ve read for years here about how the implant can look and feel less natural without natural engorgement. I have pssd and so my largest issue is arousal and libido. I am to the point where I’m tired of fighting the battle of oral meds and injections. I want to live as normal as possible. If I decide to get the implant would you guys have any insight on if I could still keep a natural look and engorgement simply with oral meds and not having much arousal or libido? That’s my largest concern is getting the implant and regretting it because I can’t send enough blood there to have good results. Maybe I just don’t understand it enough and maybe I’m over thinking it?

I have the same question as you, my friend...I have an anxiety disorder and generally a somewhat depressed mood...I function with pills but rarely..I can't stand injections...so I'm thinking about the penile implant..I would like to know if it helps psychologically after it starts working...generally if I manage to get aroused then I finish..I believe that if with the implant even if you are not psychologically ready for sex you manage to penetrate then it helps a lot to be able to have good and complete sex
Ed one year.use ofpills.. doctor saidis is psychological problem.i can't get injections..MPP is the most near solution for me.Greece

PowerliftingDad
Posts: 148
Joined: Mon Jan 16, 2023 3:30 pm

Re: Erection with implant with arousal problems

Postby PowerliftingDad » Sun Aug 23, 2026 12:32 pm

Your arousal and libido will likely improve when you know that have can have a perfect rock hard erection on command 24/7.
That confidence is life changing.
53 yrs old - 1st implant at 24 yr old in 97 Ams 700. Failed 03
6.5" / 5.5 girth natural erection w/ failed implant
Revision done 2/20/23 done by great Dr. Levine Rush University Chgo - AMS 700 CX 21cm + 2cm/1.5 RTE - Currently 7 " / 5.75 girth

Markc2008
Posts: 240
Joined: Fri Jul 31, 2020 10:45 am

Re: Erection with implant with arousal problems

Postby Markc2008 » Sun Aug 23, 2026 1:04 pm

It might some, but this is not a confidence thing, pssd is a real condition due to ssri antidepressants so I’m not sure how much it will help. I will say I can get a plump flaccid state, I just struggle to get an erection without an injection.

Markc2008
Posts: 240
Joined: Fri Jul 31, 2020 10:45 am

Re: Erection with implant with arousal problems

Postby Markc2008 » Sun Aug 23, 2026 5:41 pm

Hoping it would still look and work the same with this condition

LGXDownunder
Posts: 928
Joined: Fri Mar 07, 2025 7:59 am
Location: Sydney, Australia

Re: Erection with implant with arousal problems

Postby LGXDownunder » Sun Aug 23, 2026 9:48 pm

Markc2008 wrote:I am looking for some insight from those with implants. I’ve read for years here about how the implant can look and feel less natural without natural engorgement. I have pssd and so my largest issue is arousal and libido. I am to the point where I’m tired of fighting the battle of oral meds and injections. I want to live as normal as possible. If I decide to get the implant would you guys have any insight on if I could still keep a natural look and engorgement simply with oral meds and not having much arousal or libido? That’s my largest concern is getting the implant and regretting it because I can’t send enough blood there to have good results. Maybe I just don’t understand it enough and maybe I’m over thinking it?

Hi Mark,
I disagree with "look and feel less natural without natural engorgement". An inflatable implant is simply a mechanical (hydraulic) device. It doesn't rely on your blood flow in order to work effectively. Pumping saline into the cylinders replaces what blood flow does in a healthy penis. The overall results can be slightly better with engorgement from sexual arousal in my experience. But little or no engorgement isn't a show stopper in my opinion. An implant can't cure your PSSD symptoms, lack of libido/arousal, but it will give you a consistently reliable erection for sexual penetration any time you want. You can still take oral meds such as Sildanefil, Tadalafil etc to improve blood flow/arousal if you wish. I find that I don't generally need them with my implant, but occasionally I take 25 mg Sildanefil for a "boost". I don't have PSSD but I do have 100% total/profound ED from a prostatectomy, so absolute zero erectile function, complete limp dick 24/7. I can get some engorgement when aroused but that's all. My implant has fixed my ED problem completely and I have never looked back.

It feels and looks natural when flaccid and just going about my business, albeit much larger than I was. It's different in that you have to pump it up to have an erection, but that process only takes around 30 to 40 seconds. For me sex still feels natural, but your body does need time to become used to everything. Depending on the implant model chosen the look can be very natural. Scroll through the "Dick of the Day" section under "Members Only" to get an idea of how different implants look in real life.
https://www.franktalk.org/phpBB3/viewtopic.php?f=16&t=13332

I posted a couple of pics of my LGX at 10 weeks post op if it helps.
https://www.franktalk.org/phpBB3/viewtopic.php?f=6&t=26571

Also "Anyone share flaccid implant photos?"
https://www.franktalk.org/phpBB3/viewtopic.php?f=6&t=11183
72, married, Sydney Oz. PC/nerve sparing RRP Mar 2022 caused 100% total ED. Tried pills, Trimix inj, focal shockwave, VED. All failed. Implanted Mar 6 2025 AMS 700 LGX 21cm x 12mm, no RTEs, MS pump, Penoscrotal. Back to 6.5" BPEL @ 9m. Loving it.

Markc2008
Posts: 240
Joined: Fri Jul 31, 2020 10:45 am

Re: Erection with implant with arousal problems

Postby Markc2008 » Mon Aug 24, 2026 7:54 am

Thank you. I just thought the glans would not feel with blood if not aroused which,again, is very difficult for me but it fills with blood now so not sure that would change?

I knew it would be functional without, just not sure how it would look. Thanks for the very detailed response!


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