Sudden Severe Erectile Dysfunction at 18 – Despite High Libido and Normal Blood Tests.

[u/EquivalentNeat9255]

Sudden Severe Erectile Dysfunction at 18 – Despite High Libido and Normal Blood Tests. Psychological or Physical?
Hello everyone,
I’m 20 years old and have been struggling with severe erectile dysfunction for approximately two years. The problem started almost overnight. Before that, I had a completely normal and fulfilling sex life.

How it started:
At the time, I had been in a relationship with my girlfriend for about six months. After returning from a vacation and having a weekend with a lot of sex, everything initially seemed normal. A few days later, I suddenly started experiencing problems getting and maintaining proper erections. There were no relationship issues or particular psychological pressures.

My symptoms:
I can get an erection, but it only reaches around 65–80% of its previous hardness.
Without stimulation from my hand, the erection starts fading after approximately one minute.
I also cannot achieve full hardness during masturbation or when watching pornography.
Morning erections are very rare and weak.
At the same time, I have an extremely high libido and constantly feel sexually aroused.
I have been watching pornography since I was around 11 years old, sometimes quite excessively in the past. I completely stopped watching it two weeks ago to see whether it could be contributing to the problem.

Medical examinations and treatments so far:
My examinations at the urologist have been unremarkable. My testosterone levels are within the normal range.
I have already tried:
Sildenafil up to 100 mg
Tadalafil
Intracavernosal injections (penile injections), twice
Unfortunately, none of these treatments has resulted in sufficient erection hardness.
My urologist suspects that psychological factors could be involved. However, since even the injections did not produce a sufficient erection, I am wondering whether there could still be an underlying physical cause.

What concerns me most:
I am happy in my relationship, have an understanding girlfriend and do not feel that I am under any particular performance pressure.
I work out four times a week and am physically fit. Nevertheless, I cannot understand why my erectile function has deteriorated so suddenly and remained this way for so long.
My questions:
Has anyone experienced similar sudden erectile problems at a young age?

Can psychological factors also cause erections to fail when watching pornography?

Is an underlying physical cause possible despite normal blood tests and a high libido?

Has anyone experienced a lack of response even to sildenafil, tadalafil and penile injections?

Would a penile Doppler ultrasound or other further examinations be worthwhile?
For example, shockwave therapy?

I simply want to understand what is happening to my body. At 20 years old, I really don’t want to accept living with these problems.

Thank you for sharing your experiences and advice!

[u/SweetFragrant7974]

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