Low libido / ED issues
Mid 40s male. Lately I am having problems getting and maintaing an erection, even when masturbating (actually easier to get an erection with my partner, but still difficult to maintain) We can have sex maybe 25% of the time we try. I am getting pretty strong sleep erections though.
I went to the doctor and these are the sex hormone results (also no diabetes or high cholesterol)
Testosteron 775 SHBG 46 Estradiol 41 LH 4.6
They said the results look normal. They gave me Cialis which only marginally improved things.
Overall I am pretty healthy and active, and don't suffer from any obvious conditions like depression, anxiety, stress, etc. (that I'm aware of) Also, I haven't watched porn in several months now.
What could be the problem? I'm thinking not physical since Cialis didn't help / night erections seem strong, and not anxiety / nervousness related either since it seems worse when masturbating.
The best way I can describe it: currently my desire for sex seems more mental (it feels good being close to my partner) than a physical urge (I need it NOW!) For a food analogy, it's more like a bowl of hot soup feels great on a cold day, rather than I'm so starved that I need food now. WTF is going on?