r/erectiledysfunction

My libido constantly fluctuates—one moment aroused, the next completely cold, causing weak erections. Total Testosterone is optimal (669.71 ng/dL).

​I also suffer from severe brain fog, poor focus, and persistent hand tremors. Propranolol didn't help the shaking.

​I take Venlafaxine 75mg, which improved my mood/sleep, but ED and tremors started before it. I’m also deficient in Vitamin D (24.4 ng/ml). Recently, I completely lost arousal to porn.

​Could chronic anxiety or ADHD-like dopamine issues cause this "fight-or-flight" vasoconstriction? Any behavioral/natural fixes? Generics are too expensive.

Long story but I will try to cut to the chase. We have been intimate three times.

First time, he was confident and we were hot, but no erection.

Second time, no erection but he was very nervous and focused and came in like 3 minutes tops. No erection, which I didn’t even know was possible.

Each of those times he shifts in energy and I can tell he is pushing me away. After that second time I called him to tell him how much I liked him and wanted to continue seeing him. He invited me over a few days after that and we had sex again and this time he was semi hard. I tried to go down on him but he stopped me. He was able to achieve penetration, and it was like we made love, very sweet. I told him how sexy he was. He asked me if I could spend the night, and I couldn’t, so after sex one more time, he kissed me goodbye and I left and went home. Even without the full erection it was a beautiful night and I felt closer to him.

Once again, he retreated. Didn’t hear from him for two weeks. My ego has taken a beating from all this, overthinking. Thinking maybe he is just avoidant, or he doesn’t really like me. Just when I thought we were over, he sends me a text saying he hopes I’m having a good week. I responded but nothing after that. Now it’s been two weeks since the text. The thing is, I know deep down he is still in to me. I also sense this is devastating to him and so he is pushing me away despite me pursuing him. But I haven’t pursued since time #2, so I’m wondering if he thinks I lost interest? I am super rusty and 3 years celibate after 20 year marriage with a dead bedroom for years. I am not used to doing the chasing. Do I reach out to talk again? I really want to but my biggest fear is that I appear desperate.

Should I try again? I really don’t care about the ED, I’m just happy to cuddle and kiss and talk. All of that is so good. How can I reassure him?

Hello everyone..

I'm having ed started in November . I have used ayurvedic medicines for 2 months but no improvement. But still getting semi hard morning wood.

Now I want to see a sexologist or urologist. Obviously the doctor would suggest tadanafil or sildinafil. I heard people saying once we take tadanafil or sildinafil our body gets addicted to that medicine, and the natural process will stop. Our body will get dependent on the medicines for erections, without them we don't get any erections . Is this true..

If yes how to get rid of this ed problem permanently.

I'm literally stressed and depressed.

I was almost instantly hard at the doctor's office but it seemed to subside. I got home and I got hard again so I jacked off. Now it's not going down. The doctor gave me Sudfed and told me to use it after an hour, which I just did, and again in a half hour. He said that if it's not down by 3pm come back into the office.

Is that common?

First of all, thanks to the warriors who said they did this. You boys encouraged me.

I'm 28 years old, 81kg (normally 70kg) and virgin (was). Been trying escorts out and first 3 times, I didn't stay hard for penetration.

Now, the escorts were all sweet with me and understood the situation. They all said it probably was anxiety/psychologic. The third one had that fucking testosterone voice. Let me say boys, I fucking freezed right there, but she was 100% woman. I was 99.9% sure boys. I was instantly flaccid. So with this, I discovered I'm not one who likes big titties/big ass/big everything kinda women. Later found out she has 16 million followers. Crazy shit.

Now, for the real part boys, today, 4th try, I go with this girlfriend looking escort, 26y old, great smile, all natural, fucking great convo man. And I finally, KINDA, did it. It's not rock hard, but it's getting there.

So, results so far of my lab-ratness

- 1 Sildenafil 50mg 2h before, doesn't work. 1st time to ever use it, head-splitting headache, swore to myself never to use it again.

- 1 Sildenafil 50mg 1h before, doesn't work. 2nd time to ever use it, just a mild headache.

- 1 Tadalafil 5mg, 12h before, 1 tadalafil 5mg, 2h before, doesn't work. Was the footballer-voiced escort. Made me understand what they said about "gotta get aroused first"/psychological issue.

- 2 Tadalafil 5mg 16h before, 2 Tadalafil 5h before, 1 Sildenafil 10 min before. KINDA worked. Still a little too wobbly, not ROCK-HARD, left the job half-done.

Symptons: Just that worse-than-death headache the first time I took sildenafil. Then, mild headaches some hours after the following times. Some tiredness as well.

Tomorrow, I'm getting some again. I'm thinking:

- Tonight 2 tadalafil 5mg

- Morning 2 tadalafil 5 mg

- 10 min before 2 sildenafil 50mg

What do you think boys, will I win tomorrow? Is 2 sildenafil too much? I'm willing to go the extra mile, for science.

Edit and updates:

Woke up hard so far. Mild headache. Think I should avoid the 2 tadalas this morning. Or perhaps take just 1. Update 2: Got some. I got hard just from her touching me. Deed complete. Popped 1 sildenafil 10 min before. I think it worked. I'll make a final post about it later on.

Now viagra has stopped working it was probably a bad day but got in my head badly with new partner I looked up ciails and it said Cialis maintains an erection better than Viagra because it has a significantly higher "binding affinity" (molecular grip) on the penile blood vessels so since I have stress and dreed with no partner and Viagra failed even tho I was sober timed it is ciails most likely gonna work my gp said it should just want yall advice I just need to break the cycle loop one time

Sometimes the issue is not porn addiction itself, but having too much free time, too few hobbies, too much privacy, and spending too much time in front of a computer.

A busy person, someone with responsibilities, or someone who genuinely enjoys life is not sitting in front of a PC or smartphone all day watching erotic or pornographic content. And for the newer generations, it’s even worse. Millennials grew up with porn.

Because we also have to admit that what’s happening on social media — thousands of girls constantly appearing in thongs and revealing content — is going to fry teenagers’ brains and sex drives. Back then, we only masturbated when we intentionally watched porn, but after that we went back to doing other things on the PC. Now many teenagers are online all day because TikTok is basically their main hobby.

I’m prescribed 5 mg of cialis daily and 25 of Viagra as needed. Question for people out there… some weekends my wife’s and I get away and I like to have a lot of sex. Has anyone done 10 mg of Cialis and like 25 mg of Viagra at night?

I have high normal blood pressure so I don’t think the combined effect would make me go too low. I also tried the 10 mg of Cialis the other day with a cock ring and I was quite hard in the morning.

My problem is at night I need a little more. For instance, not on Viagra and just 5 mg of Cialis the other day I was maybe 80% hard when I had sex with my wife at night.

so im 28 male and have a porn addiction. i regularly masturbate and watch porn daily sometimes 2 times a day. 3-4 years ago suddenly i lost my ability to maintain erection while at sex and masturbating. it lasted for like 2-3 weeks and i kept masturbating during that time. after 2-3 weeks i stopped watching porn and masturbation and it fixed like in 2-3 days. now 4 years later when i was having sex with my gf i suddenly lost my erection. it lasted for like 2-3 weeks again and i quit porn and masturbation again and it fixed after 3-4 days quitting porn. that was like 3 weeks ago and now it came back. and it worried me a lot to comeback again after a very short time. now i cannot get morning wood, no random erections. i can get erection if i try but its like 70% power and it goes quickly after i stopped giving stimulation. i will go to a urologist but im kind a worried. any ideas about the subject ?

As the title says i've been a porn addict since i was probably 10-11 years old(i'm about to turn 24 soon) from the very first time i've had sex i've struggled to maintain an erection and found little pleasure in sex. I honestly always thought my hand felt better and my addiction got worse as i got older.

I've still had my share of partners throughout the years but sex has never felt satisfying, i can get a decent erection for a little bit during intercourse if i stayed away from porn and jerking off for 4-6 days but thats the extent of it for me, i never cum and its stressful wondering what the girl is thinking when she sees this.

Recently my feeling of hopelessness has changed, i met a girl i genuinely can see being with, we had sex the past 2 days and although the first day i had a decent erection and was able to make her cum a few times, the second day did not go so well. I did partially admit my issue and said i've been using my hand too much and also tried to reinforce that i find her attractive. I'm at a point now where i just want to figure this out, she's the whole reason i've been able to step away from porn for as long as i have and i just don't want to loose my shot at something more with this girl because of something so stupid.

If anyone has any tips or if you've had a similar experience i'd love to hear it.

Hello! I would like to start this off by just saying, if your response isn’t actually going to help me, please just don’t respond.

I am 26M, on finasteride currently, and it seems it may have started giving me erection issues, not sure if I am just overthinking the symptoms and it’s causing me performance anxiety, or if it is actually causing it, regardless I will address that later down the line.

Met with this girl a few days ago had a great time, couldn’t get it up in the bedroom. Not the best feeling, happens though I guess, moving on.

Seeing her again tomorrow, I must be slightly charismatic or something if she still wants to see me after the bedroom encounter (sarcasm)

Went ahead and picked up some 50mg Viagras. I plan on only taking 25mg as a first time user who is relatively young. I have heard mixed things from people who drink alcohol and take it. What have your experiences been on viagra with alcohol? I am not talking shit-faced drunk, but moderate drinking, about 3-5 drinks over the course of 4 hours. I will be taking it on a somewhat empty stomach, no eating for 4 hours prior.

Just asking what I should expect, and for other people’s personal experiences like this.

No health conditions on my end.

Thank you

I've been suffering to performance anxiety for months now after a few episodes of not being able to maintain an erection (especially when wearing a condom). It's purely psychological.

It has come to a point where I'm avoiding dating altogether. A woman flirts with me and my thoughts quickly go to "Oh she'd want to have sex eventually, of course. And once she learns I'm having issues, she'll leave me and go match with someone else on the apps."

I've also heard some men talk about how the 'expectation of sex' (often an assumption) itself can give them anxiety and that just keeps spiralling. It's definitely something I've felt. The anxiety is crippling at times.

What is something that has worked for you? A thought, a new perspective, anything.

What has NOT helped me -

- Tadalafil 5mg hasn't worked
- "Sex isn't just about penetration." - Sure. I don't believe that to be very honest. Eventually we do want to get there.
- "Stay present and focus on the conversation when you're out on a date." - Sorry, but if you know an anxious person, asking them to 'stay present' is such shit advice. We're all thinking of all the ways a situation can possibly go wrong and how we can avoid it.
- Talking about it to your partner - Honestly, I think this only works with long-term partners. I can't bring this up with someone I've been seeing for only a few weeks. And no one would continue a sex-less dating life more than a few months. They'll most likely start swiping again and go with someone who can provide them that.

(I get how I'm making irrational assumptions about the way a woman might think here. But it's just a braindump of my thoughts)

This has been my experience with Bimix 15/1.

A few months ago I started using it at a dose of 10 units and everything was going well until one day it suddenly stopped working. At first I thought the medication had expired, so I ordered a new vial, tried it again, and still nothing. Then I started noticing that in the area where I injected, a small bump would form — like the liquid was staying there under the skin. It wasn’t super obvious, but you can tell when something looks different.

After trying a couple more times and getting the same result, I talked to my urologist. Based on our video call, he suggested I come back in so we could confirm I was injecting in the correct spot. Turns out I was probably injecting too low. It’s actually harder to calculate than people think because you’re looking from above and trying to estimate the middle/perpendicular angle.

Anyway, I went back home, tried again in the corrected area, and it worked perfectly. But after that, I used it again and it stopped working once more. I even switched to Bimix 15/2 and still no results. So now I’m thinking I still haven’t fully figured out the right spot.

Does anyone have any tips or personal experience that helped them consistently find the correct injection site?

Hi all, I did penile Doppler scan yesterday. Doctor injected PG1, and said he will be back in 10 mins. But after 10 mins, i did not have any hardness or erection. It was just bit bulged. I was shocked. And he concluded Vascular insufficiency and venous leakage. But I do get hard with manual stimulation or even get night time erection, whenever I get up inbetween at night, I do notice solid hardness. Only thing is, when I get Erection in day time, it won't be rock hard, and without stimulation it goes soft within 5-10 seconds. My hormones are normal/good. Is this because of low dosage? Or maybe some people don't respond to PG1?

Looks like my insurance won’t cover ED meds.

But once I get the script, where should I send it for the best prices? I need at least 10 and usually 20mg for “one time” use and would prefer to not have to use the 5mg daily.

Thanks.

Last night took 2 - 5mg tadalafil.

Today morning I'll take 1 - 5mg tadalafil

This afternoon before sex I'll take 1 - 50mg sildenafil

I am 28 years old, 80kg. Nothing's been working, been to an urologist but he recommended a 5mg tadalafil every other day and that shit is not working at all.

This will be a first for me. So far, no headaches, from last night 2 tadalafil and I'm considering taking 2 tadala + 1 sildenafil 30min before sex.

Messing a lot with my head man. Very embarassing for me, I don't give a shit about the potential risks, I want it not to be awkward.

Anyone combined these two and got good results? I haven't constructed a baseline with tadalafil, so far it's only been 2 days it's been prescribed to me.

EDIT: Got me hard, with some difficulty. I'm not feeling headache at all. But I can't finish. She tired herself lmao.

I have one question in mind from long time. Does regular use of 5 my tadalafil reduce its effectiveness in long run

Do we have to cycle the drug?

TL;DR I have always suffered from ED when being intimate with women but recently unable to get erection even to porn and it's tearing me up.

I have suffered from ED since I became sexually active. I couldn't penetrate during my first sexual experience, which was a total shock to me. That relationship ended shortly after which was devastating at the time, and with the next relationship I ended up using Viagra to lose my virginity. The doctor, who was very kind and understanding, proscribed a couple with the aim of getting my confidence up, but ED has persisted ever since. That was back when I was 17 and I'm now 38 and have recently started using sildenafil every time I have sex as over the last year my ability to get an erection has plummeted and I can't even get an erection by myself to porn sometimes.

From reading through this group, I now understand that I have overused porn my whole life and this is most likely where the problem stems from but I'm now finding my nighttime erections less firm, so I'm wondering if it's a physical.

So, I've been on a porn embargo for about a month, but I have two young kids and my wife and I have a bit of a dead bedroom. I plucked up the courage to ask her if she would help me masturbate every now and then so my needs could be met more often than our once in a blue moon sildenafil-enhanced sex. I still have strong sexual urges but my dick just doesn't follow up. She was kind about it and we've done this once, but it was pretty awkward and I lost my erection during and we've been arguing a lot so I ended up trying to masturbate to porn yesterday and found that my dick wouldn't even go a little bit hard. I found this really upsetting honestly. I can feel myself sinking back into depression.

Sex with my wife has never been not awkward. She's a very reserved person and is a bit uncomfortable around intimacy a lot of the time and I clearly need a lot of encouragement- so that's a bit of a recipe for disaster, but we love each other and have two wonderful kids. I've tried to foster a fun and safe sexual environment but I guess we've never totally clicked sexually, which is hard to write down, but I have had one relationship where I was totally comfortable with the woman and it was magical, so I can tell the difference. I was actually really surprised and grateful when she agreed to help me masturbate.

I know I can't blame my wife as this is a me-problem but I wish that after 16 years together we'd be less awkward sexually. I think it is a factor. She can't orgasm- she has never in her life, it's not just a guy-thing. I think this impacts her sex drive- for her, sex is only about love and is the result of romantic closeness, which is hard to sustain to meet what I see as a healthy amount of sex in a relationship - sometimes we all just need a fuck, right??

I've been trying really hard to not masturbate and use porn, but I just wanted to have an erection and release some tension. Pretty mortified that I just bullied my limp dick then came.

I don't even know if I'm asking for advice. I just had to write this down.

I probably sound really selfish and entitled towards my wife but I'm just a human and tbh that's probably accurate.

Anyway, I think this is psychological but have recently started to wonder if there's something physical behind it.

I'm healthy- exercise a lot and am a lean muscular 70kg. 

Hi everyone, I'm 37 years old and I have had issues with this for most of my life ever since I was 18/19. I think I've suffered from all of the major issues. Pornography use (developed some unusual fetishes in puberty), masturbation and SSRIs. All of this has developed into a major psychological breakdown that I experienced during COVID.

I remember being in my teens and early 20s and my erections were strong. I started masturbation and I could bounce back - but my gf at the time left me because I had some difficulty climaxing during sex. She left me as a result.

I had some successful experience safter, but, in about 2015 I went on an SSRI because my family thought I had a bad temper - that's it. This was when SSRIs were prescribed at an alarming rate. I continued to look at porn and couldn't get enough dates and thanks to tinder, bumble, hinge etc., women seemed to want to go on one or two dates and were not interested.

I'm not very tall, had some very poor views of myself as far as self-esteem is concerned.

I've been embarrassed with the type of wome I have been sexually attractive - plus sized/bigger women.

I stopped using porn and masturbating while on SSRIs and i was sober for 45 days and at the time, I couldn't perform. I was also ashamed of being seen with her. I had a nervous breakdown at 32 years old and am some how back into the swing of things with normality. However, I just feel very numb and no form of pleasure anymore. Porn seems to be an outlet and when I try to stop my mind dips dramatically.

I have had my testosterone checked - total t is 497 ng/dl and free t is 75 pg/ml.

I partially want to not be attracted to big women and part of me wnats to be and confident and okay with it. No matter what, I just hate myself and don't know what to do. My dick is numb from death grip. I do get morning wood but not as strong as it used to be when I was younger.

I was at a Urologue and he told me he doesn't see peyronies and it's normal, but my penis wasn't erect. ​​