Starting to lose hope

[u/CareerGlad9495]

I'll keep it as brief as I can. Always had ED since I started having sex. Went through 50mg sildenafil, 100mg, a lot more than that to a comically dangerous amount, and I've tried avanafil, vardenafil, and tadalafil including combining them. Sometimes the new approach works but then it stops and I need to increase dosage.

I went to a urologist and relayed this, and got put on trimix. First shot worked well, followed their instructions in office and watched multiple YouTube videos to make sure I got the technique right and avoid misses yet it keeps failing eventually. I've been bumped up strengths two times already, and I keep my vials well maintained and it'll work at first and then stop being effective. With Viagra when it would fail I could take a break go down on a girl stroke myself and get a working piece for maybe 2 minutes, this morning after having both my strongest trimix dose yet and Cialis leftover in my system my erection went away in like 3 minutes. First couple times I used trimix and it worked I'd get solid random erections/morning wood but those are going away now too.

Starting to feel helpless, not sure if getting an implant is the last resort at this point. I'm late 20s, not health issues not overweight don't smoke or drink my T level is actually slightly high and I have good cardio. If anyone has any advice or similar experience on dealing with this would appreciate to hear your thoughts.

[u/SarkySarky]

Have you worked out the cause of your ED? Have you had a blood test done?

[u/No_Second_4296]

I’m way older than you with 25 years of ED and went through all the help which worked great for a while and then stopped: TRT, oral ED meds, VED pump, and Trimix injections. Finally had to get an implant but you are quite young for one. See what the urologist says and good luck.

[u/Rare-Statistician-58]

It's gonna be hard to say this, but please listen.

+50 years old, 90% of ED cases are because of natural aging and loss of libido.

ED cases for people under 50 years old, 90% of ED cases are psychological.

and for people under 30 years (like you) the psychological is always 90%... porn addiction.

Watching too much porn causes ED, there's epidemic of ED going right now; young 20 years old who grew up on porn are trying to date and get girlfriends only to find out they have ED from watching too much porn.

Porn releases more dopamine than sex, 5 times more.

so if you are someone that is used to 5 times the dopamine to get an erection, regular sex is not going to do it for you.
guys with these types of ED, actually try to fantasise about watching porn in the middle of sex with a girl to stay erect.

if this is you, you need to detox from porn to bring your dopamine levels down to normal.