"I'm a gay man in my late 50s, and I've dealt with erectile dysfunction for years. I am versatile, but I've been bottom more than top, especially over the last few years due to the ED. I'm on multiple medications (ADHD, blood pressure, antidepressant) that can impact erections, and have tried different medications to reduce this problem with little success. My testosterone levels are fine on supplementation."
"I've taken Viagra and Cialis for years with diminishing effectiveness, so I saw a urologist, and he proposed an inflatable penile prosthesis. This was a shock to me because I did not think I would qualify or that my insurance would cover it, but he assured me that it did. Insurance initially rejected it, but I did try a vacuum pump and injections in the interim, both of which work, but neither is conducive to spontaneous sex."
"I'm currently scheduled for surgery in a couple of months, but I keep wondering if I am rushing things and should wait until it is the only alternative. I also don't want to spend the next 10 years sticking myself in the dick with a needle every time I want to have sex, when I could be having awesome "on demand" sex."
Male in his late 50s has long-standing erectile dysfunction influenced by multiple medications despite normal testosterone on supplementation. Oral erectile medications (Viagra, Cialis) have lost effectiveness. A urologist recommended an inflatable penile prosthesis; insurance initially rejected but was later engaged. Vacuum pump and intracavernosal injections produce erections but undermine spontaneity and often fail to sustain sufficient rigidity for receptive anal sex or climax. Surgery is scheduled in a few months, and the patient is weighing irreversibility and hesitancy against avoiding years of injectable therapy and regaining reliable, on-demand sexual function.
Read at Slate Magazine
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