A penile implant is major surgery that can have complications. It's expensive, and most insurance plans either don't cover it or they will pay only after all other alternatives -- including injections -- fail. It only lasts 10 years and then you're done, which, depending on your age and lifespan, can be a major bummer.

I agree injections don't sound appealing. They didn't appeal to me at first, but oral tablets did not work. Maybe it's me, but having a bionic penis didn't appeal to me, either.

Having used tri-mix for four years, I can say that the injections are not as bad as you think. Self-injection is a skill that is not difficult to master. The drugs are proven 90% effective, so my advice is give it a try. There's always surgery to fall back on.

Sure, the needle is intimidating, at first. Finding the right formula is a bit of trial-and-error. Too strong a dose and your member will ache for a while afterwards; to weak and you won't be hard enough for sustained intercourse. Spontaneity has to take a back seat to routine. However, once you and your doctor find the right dose, you'll be boinking like a porn star. So there's that.