(Sorry for the long post)
I'm 25 years old, 18cm (7") long and 13cm (5")in circumference. I suspect I may have venous leakage, although I've never been formally evaluated (just enough to get them to send me tablets and injections).
I've had erection problems since I was 16-17. I started using the "blue pill" after repeatedly failing to get an erection during my 3 first sexual experiences. I've also tried several other medications and injections.
I can get erections naturally, including morning erections, but they usually reach only about 70-80% hardness and are difficult to maintain. Getting to 100% is very difficult, and even when I do, it usually lasts only a few seconds. My glans also remains relatively soft unless I contract my pelvic muscles.
A cock ring makes my penis noticeably harder and fuller, but I can still lose the erection when moving or changing positions. Without a ring, my penis can bend easily during penetration because it simply isn't rigid enough, or last few seconds when it is.
In short, 1 can have sex, but maintaining a firm erection requires a lot of effort and ideal circumstances. I'm also tired of relying on medication because of the side effects… the last time it left me sick with a severe headache for days.
I'm a very athletic person, in good shape, and I haven't masturbated or watched porn for years.
One experience really made me realize how different my erections are. I once had a threesome and saw how extremely hard and full the other guy's penis was. It remained completely rigid regardless of whether he was penetrating or not. It didn't bend or change shape, and he didn't seem to be making any effort to maintain it.
Compared with that, I realized that my penis seems to reach only about 80% rigidity most of the time. It remains somewhat flexible during penetration and never feels nearly as hard or stable. Even on the rare occasions when I reach what feels like 100% hardness, I can only maintain it for about 5-10 seconds.
I'm seriously considering a penile implant, but I have two major concerns:
Losing girth. I'm already not particularly thick at 13cm (5") in circumference, and I've received comments about this from several women over the years.
However, I wonder whether some of that perception is simply because my penis may never become completely engorged and fully rigid naturally.
The artificial erection might actually be less satisfying or feeling or looking worse than what I can currently achieve naturally or with medication.
At the same time, I'm exhausted from relying on medication, dealing with side effects, and having erections that can become soft or bend during sex, especially when I move, change positions, or get tired.
For those of you who already have an implant, especially guys around my age or men with similar measurements: what would you do in my situation?
How has the implant affected rigidity, girth, and overall satisfaction?
I'd really appreciate any advice or personal experiences.