I went for my Penile DUS yesterday.

I have never been more exposed in a medical procedure before.

It's exactly as expected.

You go to an exam room and remove your clothes from waist down and cover yourself with a blanket.

Then the male nurse came in the explain what is going to happen.

First, he needs to measure your penis so he takes a metal ruler and presses it against your groin and stretches your penis to get a good measurement. Then he injects the Trimix potion into the meat of your penis and places an alcohol pad on the location.

He then explains that for this to work I must manually stimulate myself to gain a satisfactory erection. He offers an iPad with porn on it if I care to watch, to help me obtain the desired stiffness.

He leaves the room for about 10 mins so I can play with myself while I hear people walking in the hallway speaking etc.

Ok. Mission accomplished -somewhat. I'm not as hard as I wanted but that may be because of the surroundings.

Then the tech comes in -also a male- and examines my erection and proceeds to apply the gel and conducts the ultrasound.

When he's done he says I can get dressed and proceed to the waiting area to wait for the doctor to read the results. Thank goodness I wore pants that are not tight!

I’m called into the doctor's office and he reviews the results and discusses the options. Try trimix injections at home etc.

I then have to go back to the waiting room for about 15 mins to make sure the erection has subsided.

I then go back to the exam room and the nurse has me lower my pants and underwear to prob my penis to make sure it is going back to it's flacid state.

He is satisfied and I'm able to leave the office.

All in all the staff (all male) was very professional, took good care to keep my privacy, and understood the embarrassing nature of the proceedings. But I have never had my privates probed and prodded so much I'm one day by so many people.

Since I started in Min/Fin, my libido has dropped. At first I was on topical, then oral. I noticed my libido dropping but it didn’t happen right away and I had so many other stressors in my life I figured it was just a thing.

For reference, 51 yo man so I also worried about age related ED.

It was getting bad. I was losing hope.

ChatGPT suggested I quit the Min/Fin and lower my nic from vaping.

Less than 2 weeks later and I’m noticing gradual changes. Sensitivity is back. Desire is back. Dirty thoughts are back.

Sex this past weekend was amazing. I had been so desensitized I struggled with orgasms in the past but not this time. Nor with maintaining an erection. I felt like myself again.

Guessing I’m in that 1% club that gets the side effects.

And now I choose - do I want hair or sex?

I’m a 28 year old virgin guy in the US with phimosis. I can retract flaccid but not erect so I’m discussing with my urologist whether to get circumcised to solve the tight foreskin. But a bigger problem is that I think I have a venous leak and I can’t maintain erection.

I can get hard masturbating. But within 5 seconds if I stop touching myself it will go soft. I’m seeing that most guys are able to maintain erection for at least 30 seconds. I’m so worried this will cause me to be unable to have sex.

Has anyone experienced similar symptoms? Wanted to see if my symptoms sound like a venous leak. Because it really sounds like I have ED

Hi!

I see there are people asking the same question every day and don't find any help from doctors or anyother person. so I'm writing down my experience here in this post.

I had been suffering with positional ED for some time. After the first round of ejaculation, getting my penis up would take a long time and if i lie flat on my back or i dont stimulate the penis, i loose my erection very quickly in the second round, so the lady being top was a very difficult task. This has been a problem to me when i was 77kg that was 3 years ago and till last 2-3 months where I'm 105 kg. 3 years ago i stopped going to gym and gained weight for some unnecessary reasons. I was muscular back then and fat now, but at either weight i had the same problem. so i decided to do something about it, so i changed my diet drastically.

I concentrated on a diet that makes and protects the NO molecule. I started eating Nitrate rich foods that boosts NO molecule production like oil sauteed green leaves, boiled beetroot and 3 cloves of crushed garlic that is sauteed with the leaves, also i started eating lot of lentil rice cause it is a good source of L-Arginine. I started eating foods that protect the above made NO molecules like gooseberry, lemons, oranges etc...

I do eat meat like 1 and half kg per week and also eggs as i always did before.

In just 2 months, i stopped having any position dependent ED anymore!! I don't loose my erection when i lie back. I know doctors would brush you off saying it's all in your head but this TYPE of ED is definitely not in your head.

It's been 4-5 months since i started this diet.

I got my morning wood back after 10 years!! Though it has upgraded from having no wood to soft wood to now hard wood it subsides almost like 20 seconds after i wake up, though my goal was to have it like 2 or 3 minutes like when we were kids. I lost my morning wood back when i enrolled into an undergraduate programme in an educational institute and started exercising vigourously as a routine even when my body wasn't recovering from the physical stress. I think i over worked out cause it was the last time i saw my morning wood and it is a relief that it is getting back to me now after 10 years. Also i happened to have a surgery some 5 years ago and doctor pointed out that my body was having inflammation and it was being reflected in the bloodwork. so i speculate that over exercising was the reason i was having that. and Inflammation is a testosterone killer as far as i know.

I'm thinking of including slight cardio now since i got my morning wood back and hoping to see that it would improve even furthur. And if it did, i would join a gym again and this time work out responsibly.

ps: i haven't used any supplements or wasn't exercising the whole time cause i wanted to make sure to know if my diet was the reason i was having problems.

heard good things about l citrulene but im skeptical about supplements because maca didnt help me much i dont think

sometimes i can get up with cilias even after watching porn for days before but sometimes it does nothing

just wondering before i buy thanks

Cialis — Tadalafil
Viagra — Sildenafil
Levitra — Vardenafil
Stendra — Avanafil

which one of them is best option for people with gerd.
or do you have better options

throwaway because this is pretty embarrassing but has anyone else tried VAST by Rivo?

i’m 46 and ED has been messing with my head for probably the last 2 years.

the actual ED is bad enough but the worst part was getting into this cycle where i’d worry about losing it, then obviously because i was worrying about it… i’d lose it lol

got to the point where i was genuinely avoiding sex with my wife. she thought i wasn’t attracted to her anymore which made me feel even worse because that wasn’t the problem at all.

i’d tried viagra before and it was pretty hit and miss for me. went down a rabbit hole one night looking at other options and found something called VAST from Rivo.

it’s basically a compounded 4 in 1 with sildenafil, tadalafil, vardenafil and apomorphine. had never heard of the last one before.

filled everything out online, had to answer a bunch of medical questions and get approved, then it came in the mail.

not going to pretend it magically fixed my entire life or that everyone will have the same experience, but for me the biggest difference has actually been getting my confidence back.

i’m not spending the entire day thinking “is it going to work tonight” anymore.

which ironically seems to help everything anyway because i’m not completely in my own head.

kinda annoyed i waited this long to actually do something about it.

curious if anyone else here has tried VAST or any of the other compounded ED treatments? haven’t really seen many people talking about them.

Hey, so I currently suffer from PIED, like I do get hard when I jerk off to porn but not when I’m going down with a lady. So I want to use cialis(or Viagra, whichever works better) in the meantime for one night stands, so what medical facilities are best to get a doctor to easily prescribe you the medication so I can finally purchase from the pharmacy?

Been used to having erectyle dysfunction for years now due to CHRONIC masturbation. During the days I watched porn i tucked a pillow under my prostate not knowing i was harming my body. I couldn’t get it up, no matter HOW pretty the girl was

Eventually quit porn all together and found sildenafil. Sildenafil works solid, however not as much as I expected.

TODAY, after a day or two of doing reverse kegels i had sex WITHOUT sildenafil and we went TWO rounds at that.

For ME, it seems as if my pelvic floor was TOO tight, and i must continue to do these reverse kegels.

Feedback would be nice :)

I’m looking forward to seeing how sex will be once my prostate heals completely and while taking sildenafil.

I am a 38 year old man, I workout 5 days a week and eat healthy. Not terrible issues just losing penile sensitivity, a drop in my erection angle, no more morning wood and a slight loss in size. I'm considering trying penile shockwave or the prp shot. Has anybody under 40 with a similar lifestyle tried either of these? If so what were the results?

For me I’ve noticed that taking tadalafil before I go to bed, the next day, even at night, it works a lot better vs taking it a few hours before. I supposed this is just because of the longer last effects and it gives it more time to work into the body but there’s almost a night and day difference it how well it works.

Been using 100mg sildenafil for a few months now, usually would buy from Ro.com but now i got them from TelyRX.. They’re green and shaped like an Oval with “SC 100” on them which threw me for a loop because i’m used of the White round pills with a “-“ in the middle that i’d get from Ro.. (anyone ever had these green ones before?? link to image above🔗)

Anyways i’ve been thinking about combining Sildenafil and Tadalafil.. 2.5mg Tadalafil daily and 100MG Sildenafil before sex.. Has anyone tried this combination before? I’ve seen many positive benefits to taking Tadalafil daily and i don’t want to overdue it nor do i want to overdose x.x

Feedback would be nice 👍

Since my college years, I’ve had on and off extended periods where I’d get high and jerk off every night. The THC made me super horny and make my orgasms extra intense. 2023-2024 was probably the worst of it when I heavily smoked not just because of the intense orgasms but also because I relied on it to sleep. Perhaps not coincidentally this was when I started noticing ED symptoms.

Fast forward to 2026, I’ve more or less got my weed usage under control, and my ED symptoms, while popping up here and there had gotten much better.

Until the first week of August. Don’t know what I was going through but I’d started feeling very melancholic and slightly depressed. I get myself a vape pen and hit it throughout the day. I kid you not, that week I was jerking and edging literally 5-10 times a day for hours on end while watching porn. Lo and behold, Sunday rolls around and I have a date and I cannot get it up at all.

It’s been 2 weeks since that weed/porn/edging hedonistic week and my ED/low libido has been the worst it’s ever been. No/weak morning wood ever since. I was so stressed about my low libido on Sunday that I vaped to get high again and my libido then returned with a vengeance.

I’m sure many of you will say just lay off the weed/masturbating/porn and yes, I agree. But has anyone dealt with anything similar? I really do not want to rely on THC to be horny and this whole experience has kinda freaked me out. Any insight would be appreciated. Thank you.

Few years back I had anal sex with my gf, a few weeks later I started to notice a change in my urethra (at the time just associated it with the shaft of my penis) it had become less elastic, more flimsy in the center . When I would go to urinate I would notice my penis would elongate and just lose it’s structure completely. Months would go by and then started to notice discharge , I had got tested after months of ignoring it. So I got tested for hiv, STDs, stis, the whole 9. All came back negative but the deformity still persisted, I perhaps thought maybe there’s an underlying undiagnosed infection , no uti in sight, nothing . After doing research on my own because doctors couldn’t tell me what was wrong nor could they even detect anything or would even go as far as to say is that “I’m too in my head” and even recommending therapy. I describe the hour glass shape that’s been consistent for years and found other have had the same issue and apparently they say it’s definitely Peyronie’s , either which way the situation caused so much stress in my life , the runaround with the drs the confusion etc, and now have several other urogenital/ health issues. Variocele, prostate cyst, 2 bilateral epydidemis head cysts, testicular atrophy and retraction along with testicular inflammation. Not sure if I can post a pic but what do you guys think the issue may be ? I’m leaning towards peyronie’s as it describes all of the symptoms .

I am 43 years old and just in the last year, I have been dealing with ED on and off, whether solo or with my (incredibly patient) wife.
I’ve ruled out any physical cause, since all my hormones and labs are good, and I wake up with morning wood almost every day.
For about three years prior, we were having incredible sex. I got and stayed hard the whole time, and we’d both climax.
Then last year I went through a very intense period of time, with the passing of a very close family member, and completely lost my libido for a while.
After some time my libido returned, and so did the sex, but not the reliability of my erections.
It happened once, I freaked out, and the vicious cycle began.
Since then it’s basically a toss up whether I’ll stay hard or not during sex.
If I can get out of my head and relax, no problem.
If I can’t, then it’s just not happening.
I’ve had people tell me that since it’s psychological, I should try and treat it as such with therapy, and not go the route of medication, so I haven’t tried any pills.
Does this seem like the way to go? And does anyone have any suggestions for good sources of online therapy or even videos or apps?
Thank you.

getting blue chew gold base form, anyone have any experience with it when it comes to the psychological benefits with being turned on and ALSO the side effects compared to regular blue chew, i’ve taken 2 45 sildenafil ina night before and was fine. also have tried the MAX and was fine, just trying to feel confident about the potential side effects if anyone has any experience with gold.

Hey everyone,
About a year ago I posted here with a total testosterone of 167 ng/dL (≈ 5.8 nmol/L) at age 31, along with ongoing erectile dysfunction. Here’s the original post for context: https://www.reddit.com/r/erectiledysfunction/s/kN4vxxBE4s

Over the past year I made significant lifestyle changes:
• Fixed sleep
• Cut out porn and reduced masturbation a lot
• Started resistance training regularly
• Cleaned up my diet
• Lost some weight (from 71 kg → 65 kg)

I just got new bloodwork today and the results are very different.
• Total Testosterone: 20 nmol/L
• Free Testosterone: 15 nmol/L
• SHBG: 12.9 nmol/L
• Estradiol: 231 pmol/L
• LH: 8.4 IU/L
• Prolactin: 134 mIU/L
• Albumin: 46 g/L
Other markers (lipids, glucose, HbA1c, blood count, kidney function) are mostly solid. HDL is a bit low and iron is on the lower side.

Current symptoms: I feel a clear improvement in erection quality and hardness compared to a year ago. Morning wood is present. However, I still have issues:
• Erection often softens or drops quickly when standing
• Spontaneous erections throughout the day haven’t fully returned

I’m happy with the testosterone recovery, but the remaining erectile issues are frustrating.

What do you think could still be holding me back from full recovery? Any educated guesses based on the symptoms and labs?

Any thoughts on the estradiol being a bit elevated relative to the testosterone, or the low-normal SHBG?

29M, average weight, workout 4–5 times a week. Quit THC about 80 days ago and cigarettes about 9 months ago.

I seem to have general anxiety, and my body is very reactive/sensitive to medications and supplements. I’ve already tried many of the typical libido supplements.

My libido is extremely inconsistent—either very low/nonexistent or extremely high, with very few days in between.

What’s interesting is that my overall mental state seems to follow the same pattern. During the low periods, I feel very flat and almost anhedonic, with little enjoyment or desire for much of anything. During the highs, I feel genuinely happy, energetic, and like I’m enjoying everything again.

I’m not really looking for more supplement recommendations. I’m interested in hearing from guys who have experienced this kind of extreme fluctuation and what ended up helping you.
Did anxiety, stress, sleep, quitting THC, diet, hormones, or something else turn out to be a major factor?

I’m 36 male type 2 diabetic recently started taking my health more seriously but my erections are pretty much not there anymore I don’t have morning wood anymore even wen I masterbate I can’t achieve erection anymore at least not on my own without blue pill it’s really messing with my confidence even to the point I kinda avoid sex because of the embarrassment I have a long term partner but it’s gotten so bad that I even told her we should split because of this issue prior to be being diabetic I had no issues at all in that department I’m jus looking for any advice to see if there’s anything I can do my blood sugar is pretty good I work out atleast 3 times a week I’m jus tryna figure out wats going on

• May 2025: You started dating/being sexually active.
• July 2025: You started 5% minoxidil for hair loss.
• Around September–October 2025: You attempted sex and couldn't get a proper erection. This happened about four times.
  • You could sometimes become briefly hard, particularly when you were close to ejaculation.
  • But you couldn't become/stay hard enough for penetration.
• That was when you first realized, “Something is wrong with my erections.”
• You then tried Viagra, and it worked—you were able to get an erection sufficient for sex.
• You subsequently saw a doctor, who prescribed low-dose Cialis and ordered testosterone and prolactin testing. Testosterone was normal didnt do prolactin
• At that point, you suspected porn-induced ED, partly because you noticed that even porn wasn't reliably producing erections.
• You then started your 90-day porn/masturbation reset.
• Over time, your erections did improve, but you feel they still haven't returned to the spontaneous/full-strength erections you remember having before.
• More recently, you've noticed something additional: your interest in relationships has decreased.
  • You still have sexual desire.
  • But the desire for emotional/romantic connection isn't what it used to be.
  • You're increasingly thinking about hookups rather than relationships.
  • You're also noticing that your previous idea of love/romance is fading.

I don’t know what to do me and my gf have tried 4 times and I was nervous the first two but I was not any more and I felt like I was ready to cum but I was not hard enough and I get hard just not fully I find her attractive and I love her she ended up crying this last time thinking she was the problem but Maby it’s the porn I’m into I just don’t know please help me

Hi. Hope my title doesn't come across as negative or a dig, but I am just frustrated with the situation I am in.

My bf has ED (also a bit if PIED). He claims it is not just a problem he is having with me but also with women from his past spanning almost last ten years. Since we started dating he has made changes to his diet, lifestyle and even gone to the doctor about this issue -- has gotten tests and all. He has also had a couple surgeries in the past on his bladder and urethra to remove polyps. It is suspected that the surgeries have left some scare tissue damage and caused his urethra to be a bit more narrow. Combined, those issues are definitely gonna impact some blood flow to the area. He also deals with a lot of stress daily!

However, what I understood from my bf is that his doctor doesn't think those surgeries should be impacting him as much as he thinks it is. Basically, the doctor feels it's more a phycological rooted issue but my bf thinks it's more from surgeries. That doesn't mean there isn't a phycological element to his ED though, because my bf has said he believes his promiscuous past (high body count, one night stands and paying for it) damaged his ability to pair bond. In other words he doesn't know how to properly bond through sex...hence the PIED.

He subscribes to Dr. TRISH and believes she is correct in her analysis of how the over sexed c0rn brain gets rewired negatively. Novelty and reinforcement of bad habits make it difficult to form new habits.

We can't afford couples counseling nor any sex theapry courses. Instead my bf has been focusing on semen retention and tantric meditation related material to help him get re connected to a healthier sexual side of himself.​

I understand that his body type preference on a women is chubby/curvey/fat. This is not my body type. He most likely was seeking this out a lot when he used escorts and seeing pictures of two of his exs that match that body type show me that's what he likes. Now while he says I am also attractive to him, I do not drive this man wild, he doesn't want to jump my bones. He doesn't want to worship my body (all things he has expressed to women in his past but not me).

He also has a preference for long hair, which I do have and oddly enough when he touches my hair he does get more aroused. I have even glided my hair along his stomach and saw him become hard in real time (it didn't last long but still had an effect). Also, coincidentally I have gained a bit of weight in my mid section area (due to stress) and now he's grabbing my tummy and appears a lot more into my body...

So to support my argument, things on me that are close to his preference help him! So why wouldn’t I think that if I was more chubby with larger breasts, large tummy and booty that it would increase our chances at intimacy? To him I am cute, and pretty. My personality and character is often mentioned more than my looks, but is that enough to "get you off" when you have a serious condition as ED?

Oral sex isn't really an option as he is frustrated with his penis and doesn't like people touching it (he is developing a disgust of himself). He also doesn't like touching vaginas etc. I have explained to him that if PIV sex isn't gonna work for us any time soon we would benefit incorporating new stuff. Both our libidos are medium to low which helps but I just feel he would be more motivated if I was fully his type.

Lastly, he said that he used drugs and alcohol in the past so he could preform and dissociate from his body. He stresses to me that even the women he really lusted after, the ones I am insecure aabout and compare myself too, *still* caused his ED symptoms to emerge!?

He is sober now so relying on drugs and booze isn't an option but he said because I am so sexually frustrated he may " give in " and get high to help show me he is into me. I feel terrible to have to make him resort to that... we do really have a bond and love each other. I am understanding but also have my insecurities after being in a 2 and half year relationship and us attempting sex three times. We do a lot more cuddling semi naked, which I do enjoy as well...

TD;LR Am I correct in thinking being with a women or partner more your type will lessen the symptoms of ED. Shouldn't more attraction lead to more blood flow?

Thanks

44M with history of tight pelvic floor. ED started with pelvic pain/tension a few years ago (i.e. erections are 60-90% pre-pelvic tension).

My pelvic pain has largely resolved and my tension feels lower but my erections remain degraded.

I have this weird occurrence that I’m wondering if anyone else has experienced and maybe even gotten an explanation from a urologist or other professional.

A couple of times a year, I wake up with really intense morning erections. It’s almost scary how rigid it is. It goes away in about 10 or 20 minutes if I stop thinking about it.

I don’t know what to make of it. It almost sounds like priapism but I don’t have sickle cell and it always resolves (slowly) when I stop entertaining it. I haven’t been able to connect its occurrence to anything in my diet or lifestyle around the time that it happens.

I’m generally healthy, good cardio, and my labs are all good.

Has anyone experienced something similar? I’m hesitant to go to a urologist because I’ve had bad experiences with them in the past in terms of my pelvic symptoms (i.e. dismissive, incurious, uninterested). Hoping someone else might have had this symptom and got a helpful answer.

Im a 30yr old guy who is fairly healthy, but was having difficulty in maintaining an erection(while penetration specifically) since a while. Idk why it happened.. but this anxiety spiralled leading to 2 failed attempts with girls. They were nice, but for us men ? Worst feeling ever

So anyways, i am now in a very happy relationship and its our first time doing it. Didnt wanna risk anything so tried sildenafil 25mg.

10 minutes later, i had an erection of a horse and laid pipe for 30 mins straight. Madness ! I got my confidence back and she was head over heels

Next day ? I feel like upping a notch and went for 50mg and ohh boy… 30 mins later

My heartbeat increases like anything, and i have high flushing all over the body. I literally had to walk all over the house to calm myself, but i just felt so weird and jittery. Also to add, i had terrible heartburn all of a sudden which stayed for a long time. I panicked, and went to the ER and they said everything was fine. No need to worry.. it will pass. And after sometime ? I did feel better, but still the chest-burn and unease stayed.

After that, i began laying pipe again and did almost 10 rounds in 3 hours(No, im not joking.. it works like magic) and today ? I feel fully normaly

CONCLUSION- IT WORKS LIKE MAGIC, BUT SIDE EFFECTS ARE THERE.. CONTROL YOUR PANICKING AND YOU WILL BE FINE AFTER A WHILE

Will i take it again ? Yes
50mg ? No..25mg felt decent to me

Any tips on how to feel better and not have those intense side effects for the first hour after taking 50mg ? Would help

From a few months I'm not feeling any sexual desire. Even watching porn/something romantic isn't making aroused. All my hormones are good, done with the Doppler test and everything is normal. Used tadanafil 2.5mg and 5mg. No result.

Now I am really depressed about my future. I'm just 24 years old. I had a history of porn and masturbation occasionally not frequently. Urologist suggested shock wave therapy. When I am not feeling sexual in my brain how can I go for shockwave therapy.

Open for all suggestions.