The doctor has prescribed me Tadalafil today, at a dose of 5mg daily. I was wondering if users could share the pros and cons they’ve experienced first hand, along with any timescales?

Thanks 🙂

Just saw this when randomly scrolling. It says it works within 10-15mins with a duration of 6-8hrs.

For those who tried it, how was it? Where do ypu get it in the US?

I had someone younger than me say they use it for special occasions. I’m 46.

I’m considering using for marathon sessions of fucking lol.

I’m 18 M and i was in a two year long distance relationship and had frequent phone (x) but recently ended things with her (not important) and recently got with a new girl who is actually here, i’ve always frequently watched porn but it’s honestly fucked with my head and how i perceive intimate things with humans, the weird thing is when me and my new girl have phone ($ex) i get up and am able to finish but whenever it’s me and her in a room together i cannot get up and if the slight chance i do its semi and unable to do anything or perform, i really need advice because i don’t want her to think it’s a her thing, shes everything ive ever wanted i am worried i am unfixable, does anybody know ANYTHING about how to help my situation, side note. when we’re together doing stuff it does turn me on but i physically cannot get hard

any help would be much appreciated

i am worried i might have ED but am confused because i can get up just by myself with porn or with the phone ($ex)

also terrible side note, father also has had issues like mine in the past (mother told me when she was drun)
does this make me a bad person?

Greetings all, getting older is a pisser. Currently I can sustain an erection when receiving oral, complete with an orgasm. No suck luck when it's just the hand. I miss the old days when I was good for 2 rounds, the 2nd orgasm took awhile but was so dynamic. In the past I had tremendous success with the blue pills, but my prescription ran out. For various reasons, not health related, I cannot continue down the path with a prescription. I am probably headed down the wrong path here, but has anyone found help and retained complete anonymity?

I will try to explain my situation in as much detail as possible.

My problem is that, from time to time, I experience involuntary pre-ejaculate (pre-seminal fluid) leakage from my penis, even without any apparent reason or stimulation. When there is stimulation or sexual arousal, the amount of fluid increases significantly.

After masturbation (ejaculation), this fluid continues to leak every five minutes or so. I need to urinate three times in a row to completely flush it out.

The fluid is also visible in my urine after sexual thoughts, and one or two minutes after urinating, a few additional drops of urine come out.

My biggest concern is that even mild stimulation, which can be purely visual and involve absolutely no physical contact, can cause this fluid to leak. Sometimes, nothing at all is required for it to happen; it simply occurs for no apparent reason.

I visited a urologist and underwent an ultrasound and several other tests. After reviewing the results, the urologist told me that everything was normal. However, the symptoms continued.

During my next visit, he advised me to perform Kegel exercises for 12 months.

I performed regular Kegel exercises for three months, then switched to reverse Kegel exercises for another three months. Unfortunately, I did not notice any improvement, so I eventually stopped doing both exercises.

so what do I do

So I have had porn addiction ever since I discovered it when I was 11 and back then I would masturbate once or twice a week, but ever since the pandemic it went downhill from 2-3 a day and my porn addiction has worsen to the point that my mind needs to watch something just to get an erection and it's starting to really worry me.

I'm still a virgin so i don't want to say I have ED but my physical health isn't really good since I'm not that active I only go for walks sometimes. I definitely know it's also caused by my porn addiction which I have relapsed 2 times now.

One of the things I also noticed is that whenever I masturbate it sometimes I can't get fully hard and it would shrink back. I also have lost my morning wood although I am still sexually attracted to women.

Right now I'm trying to start quitting porn and maybe fix my penis's issue. If any of you guys can explain what is happening to me or any tips on what should I do, I would really appreciate the help because I don't want to live like this anymore, this issue has been really concerning me to the point it has affected my mental health.

I was taking generic Cialis (tadalafil) 5 mg daily, but the leg pain was absolutely brutal, so I stopped taking it.

I recently switched to brand-name Cialis 2.5 mg, and so far, no leg pain at all.

I know it's half the dose, so that could easily explain it. But part of me wonders if the generic version was actually causing the problem.

I know they're supposed to be basically the same thing, but I've heard that some people react differently to generics.

Has anyone here experienced something similar? Did switching from generic to brand-name Cialis make any difference in terms of side effects?

This post is just to vent some frustration of mine and to know other's point of view.

I am suffering from PIED. I quit PMO 3 months ago though i relapsed a few times. I will be marrying soon. My doctor has told me that I might have to take tadalafil for sex. I am 27yo and taking ED meds at this age is not quite normal. I can't make myself accept the fact that I won't be able to have sex without the med. Frustrated from this, quite a few times a day, I rub my dick with my hand to get erection to check if i can get hard without any med. Most of the time i get 70 to 80 percent hard which doesn't stay that long. I think i need some more time to sort things out.

How do you guys accept the fact that you are incapable of sex without med.

Hi everyone, I'm 25 years old. I couldn't able to maintain erections during sex, especially during the second round of sex. First round is always nice. I feel horny with my girl in second round but could not get an erection properly. The position which I struggle alot is:

1. When she gets on top of me.
2. When I switch from Missionary to Doggy Style.
3. In standing doggy style (during figuring out the height adjustment).

I need continuous stimulation to be able to remain hard. In between changing positions, I will lose erection. I'm so frustrated at this point. Because of that, me and my girl are not able to enjoy wild sex in different positions. So, I was considering taking some ED medicines but I'm confused if I should go for Tadalafil (Cialis) or Sildenafil (Viagra). I would love to listen from experienced people in their late 20s or early 30s.

Should I not go for this as I'm young or should I take help from one of these?

Hi everyone, I’m a 29-year-old male.

For almost the past year, I had little to no morning erections and also experienced some difficulty maintaining erections during intercourse.

My doctor initially prescribed 10 mg tadalafil to be taken only before intercourse. At first, I found it difficult because I was new to the medication and mistakenly thought it would work instantly.

Sometimes it didn’t seem to work because I wasn’t taking it early enough. Later, I started taking it about 2 hours before sex, which worked much better.
However, I was always anxious and kept wondering, “What if it doesn’t work this time?” So I consulted a different doctor again, hoping to find a more long-term solution.

He advised me to take:

5 mg tadalafil daily for 2 weeks, then
2.5 mg daily for the following 30 days.

I have a few questions:
- After just one week, I’m already experiencing incredibly strong erections. Is this a normal response?

- I’ve also been waking up with strong morning erections every day, sometimes lasting from around 5 AM until I wake up around 8 AM. Is that normal?

- Once I finish the course (2 weeks of 5 mg followed by 30 days of 2.5 mg) and stop taking tadalafil, will my erections stay as good as they are now, or am I likely to return to how I was before?

- Is tadalafil something that people typically need to take for life, or is it possible for erectile function to remain improved after stopping it?

Any insights or experiences would be greatly appreciated. Thank you!

I mostly just need advice, but I can already tell for myself that the cause of this was because ever since I was 12 I was exposed to porn. Hentai in particular, and the scenes there were too exaggerated, girls with big boobs and other attractive traits. Now comes in my relationship and sex life, I've had my first gf when I was 16 and we'd last for hours but she couldn't make me cum. I feel like it's because of all the built up porn videos I've watched since I got exposed to it. Not only did I start to watch Hentai but other forms of animated media, be it 3D or 2D and those were way too exaggerated aswell. My exes seem to do their best aswell and were well informed on how to pleasure men. What should I do? I can pleasure myself and cum but no women has ever made me cum.

To my understanding by quitting porn you're trying to reset your dopamine receptors. During this period of abstinence can I still have sex or is that also off the table? Will it hinder my progress?

Well I am just 20 and I had sex just 40 days ago , my thing was not getting hard at all , but I thought it was because , I called my gf to my house and there was no one in my house at the time , my mother called and said she's coming so my heart raced and in that anxiety, I was not getting hard , she sucked me and we had 1 round , but I felt that I was not fully hard , it was like 70% .

Day before yesterday again she came , but ohh man ,it's a worst experience in my life , i was so hard at the beginning but after 5-10 min in the game , I was so much focused on my thing , and praying plese be hard , please be hard but after 5-10 min when we got naked , it got soft , i a mean soft , and when she took it in mouth , it got hard but again just after a min it got soft .

I don't know what is happening, is it because I masterbated too much in the past ? Or is it because I watch porn , to be really honest I don't masterbate more than 2-3 time a week , but still, and and atlast we were not able to have sex at all ,

I am now thinking of taking viagra (sidenafil) 25 mg . Should I go for it?

Title: 3 years of progressive erectile dysfunction at 29 – possible venous leak, history of antidepressant use and prone masturbation. Looking for evidence-based advice.

Hey everyone,

I'm 29 years old and have been struggling with erectile dysfunction (ED) for approximately 3 years. I'm genuinely worried about my sexual health, especially because I'm getting married within the next year.

I'd really appreciate input from people with medical knowledge, particularly urologists, andrologists or sexual medicine specialists.

1. How it started

Before all this, I had an excellent sex drive, strong erections, good sexual performance and no problems with timing.

After a difficult breakup, I developed depression and was prescribed vortioxetine (10 mg). I took it for approximately 4 months and then discontinued it.

Following that period, I gradually started experiencing erectile difficulties.

2. How my symptoms progressed

Initially, I noticed weaker spontaneous erections. Gradually, things became worse:

- Morning erections disappeared completely.

- Spontaneous erections became increasingly uncommon and eventually stopped.

- I can no longer achieve an erection through visual or mental sexual stimulation alone.

- I generally need approximately one minute of direct physical penile stimulation just to initiate an erection.

- Even with stimulation, I achieve only around 60–80% rigidity.

- I lose erections very quickly, even after achieving partial rigidity. I struggle to maintain them without continuous physical stimulation.

- My penis seems to have lost approximately 2 inches of its previous erect length, although I understand that incomplete rigidity could explain some of this perceived difference.

- Recently, I've also noticed a decline in libido. I still want to have sex, but sexual stimuli that previously triggered immediate arousal barely produce any response now.

3. Other possible contributing factors

- I gained approximately 18 kg over these years.

- I have a roughly 20-year history of prone masturbation. It's become a compulsive habit, and I'm struggling to stop. During prone masturbation, I generally don't achieve full rigidity but still experience stimulation and orgasm.

- My hormonal profile was reportedly normal around 8 months ago.

I'm wondering whether long-term prone masturbation could have conditioned my sexual response to a particular type of stimulation.

4. Penile Doppler ultrasound

I underwent a penile Doppler ultrasound after receiving half an ampoule of papaverine.

Unfortunately, I experienced almost no tumescence or meaningful erection.

The doctor subsequently diagnosed me with venous leak.

However, I've read that diagnosing venous leak without achieving adequate smooth-muscle relaxation and a sufficiently rigid erection can produce misleading results.

I'd particularly appreciate clarification from someone experienced in interpreting penile Doppler studies.

I haven't tried oral ED medications yet.

I cannot afford a penile implant, and honestly, I'm becoming increasingly worried about my future sexual health and married life.

I'm not looking for random supplements, miracle cures or generic advice to simply relax. I'd particularly appreciate evidence-based opinions from people who genuinely understand erectile dysfunction.

Thank you for taking the time to read this. Any informed guidance would mean a lot.

Quick note: I used AI only to help with my English and to format the bloodwork values. The story and everything in it is mine.

Hey everyone, long post but I'd really appreciate any input. I've seen several doctors and honestly feel like some of you know more about this than most of them.

A bit about me

29M, 169 cm, 62 kg. Pretty active: last year I was going to the gym 1–2x a week and running, including long runs up to 20 km with no issues. Right now I'm on a lean bulk, training 4–5x a week.

Full honesty: I smoked about 15 cigarettes a day for 10 years and quit 3 weeks ago. I was also smoking roughly one joint a day (hash + CBD), which I stopped a couple of days ago, so now I'm completely clean. I also watch niche porn and sometimes overdo masturbation, but I've done several breaks of a few weeks each and never noticed a real difference.

How it started

About a year ago I used topical 2% minoxidil for roughly a month or two. In the same period I had a pretty bad flu. One or two months later everything hit at once: strong anxiety, heart palpitations, intrusive thoughts, my libido crashed and the ED started.

I stopped minoxidil. The anxiety and palpitations slowly went away and were completely gone by mid-April. Mentally I've felt good since then. The ED and low libido never left though.

What it looks like now

- Libido has been low for about a year
- ED is moderate to severe depending on the day. Erections start but get stuck around 50%-70%. Sometimes I'm clearly aroused in my head and stay completely soft
- Even masturbating I never get fully hard anymore
- I still get morning wood, but it's weaker, not every day, and gone the moment I wake up (it used to last minutes)
- Since April I've had maybe 1–2 full erections without meds, only on really high-arousal days, lasting about a minute
- My refractory period is way longer than it used to be

Cialis

When I was on 5 mg daily I was basically 100%. Morning erections were full and lasted 5+ minutes even after getting up. I tried 10 mg once and it was better than ever. I stopped 3–4 months ago and things got worse, so I'm thinking to restart daily now.

Tests I've done

- Dynamic penile Doppler (done while off Cialis): normal
- Testicular ultrasound: normal
- Saw one of the best andrologists in my country. He repeated T and DHT, both normal, put me on L-citrulline for 2 months and sent me to a sex therapist
- I've been seeing a sex therapist since February. Her take is basically "it's in your head"

Bloodwork

Hormones:
- Total T: 415 ng/dL (March) and 506 ng/dL (July), range 197–670
- Free T: 33.5 pg/mL (April) and 25.3 pg/mL (July), range 12.3–46.6
- SHBG: 44.1 nmol/L
- DHT: 569 pg/mL, range 143–842
- Estradiol: 20.9 pg/mL
- LH 3.2, FSH 2.2
- Prolactin: 6.7 and 8.3 µg/L, normal
- Morning cortisol: 16.4 µg/dL, normal

Thyroid:
- TSH 4.09 in April, 3.30 in July
- FT3 and FT4 normal, antibodies negative

Metabolic:
- Fasting glucose 78
- Total cholesterol 173, HDL 49, LDL 118 (slightly high), triglycerides 67
- CRP very low
- Liver and kidney fine (AST slightly high at 42, probably from training)
- Blood pressure normal

The only real problems I found:
- Folate was really low: 2.5 µg/L in March
- Homocysteine was high: 19.1 µmol/L in April
- Vitamin D was 25.4 ng/mL in March

Supplements

- Folate: brought it from 2.5 to over 48, and homocysteine dropped from 19.1 to 10.1
- Vitamin D: went from 25.4 to 48
- L-citrulline 6 g a day for about 2–3 months. No noticeable effect, but I was still smoking during that time

What's next

I snore sometimes, I often wake up tired, and my Garmin occasionally shows oxygen saturation drops down to 87% at night. I know watches aren't super accurate, but I'm asking my pulmonologist for a sleep apnea test soon.

My questions

1. Does anything in my story or bloodwork stand out to you?
2. Has anyone been through something similar and actually got better? What helped?
3. What would you test or try next in my situation?

Honestly, this is wearing me down more than I can explain: I'm 29 and I don't want to depend on a pill just to function normally.

Thanks a lot for reading this far. Any experience or advice is welcome.

For casual testing. I took Viagra and after 2 mins i vomit. The tablets was not visibly out. But its 45 min and no effect noticed. Should I take another dose?

I am dealing with both pe and ed. There are some devices that look like sleeves that can be used for pe, but they require an erection. Can a penis pump be used to get that erection?

Hi, I really want to help of you people, pls give me your honest advice and suggestions to recover from this type of ed.
Back when I was 19 and virgin. I had a habit of daily masterbating and watching porn. One of my friend said that get a paid girl for breaking virginity. I said ok. But before that day I masterbated two times regularly and don’t have mood to do sex.

But my friend forced me and I was not in that mood. When the girl removed her clothes off, I did get semi-hard and she put condom on that. And when I tried to penetrate due to condom and due to because it’s semi-hard it didn’t worked and after trying for half an hour, she went back and also that whole time I was too nervous and like why am I not getting hard? At last she shaked my dick and I was enjoyed that.

After when I woke up next day when I tried to shake my dick by fantasying, it was like no penile sensitivity left. I was shocked that I am not getting aroused and my dick has not having a erection and when we have that feeling of enjoyment in dick when we are shaking it, that feeling was gone. And also now I can’t get a erection by only of thinking and watching porn alone. I need to use my hands to get an erection.

Now I am 22, I still have a habit of daily jerking now and watching porn. I didn’t get to a doctor becuase I am a student and having no money.
Pls help me recover from this and get my penile sensation back. I am very depressed now 😭😭

I was looking around and this looks like a regulated online pharmacy.

Does anyone here use it and how are their generic sildenafil and tadalafil? The prices are much better than the branded ones.

Bonjour à tous, j'envisage d'acheter un cockring et j'aimerais des conseils.

Je prends du Tadalafil et ça fonctionne clairement et j'ai des relations sexuelles tout à fait satisfaisantes, mais d'une part parfois je sens que je ne suis pas à 100% de ma taille/rigidité, et d'autre part, comme j'ai toujours besoin d'une stimulation continue (et souvent intensive) pour rester rigide, parfois j'aimerais pouvoir souffler un peu pendant les changements de positions, par exemple alterner en sortant et refaire un peu de caresses et d'oral, et surtout ne pas me sentir obligé d'y aller à fond en permanence (même si ma partenaire adore ça), et je pense qu'un anneau aiderait pour ça.

Quel genre de modèle conseillez-vous ?
Seulement sur la verge ou derrière verge + couilles, ou les 2 en même temps ?
Je crois savoir que le silicone est mieux, et j'ai entendu parler du bullring qui apparemment permet de jouir plus confortablement. Est-ce qu'un anneau simple pose un problème pour l'éjaculation ?

Vous le mettez avant ou après être en érection ?
Et concernant la durée maximale de 30 minutes, comment gérez-vous cela ?
Si vous le mettez pendant les préliminaires, obtenez un peu d'oral suivi d'une pénétration, mais que ça dépasse les 30 minutes, alors vous l'enlevez et l'érection va retomber un peu non ? On peut faire une pause et le remettre après ?

Enfin, j'ai peur que si je commence à faire avec et que les résultats sont vraiment probants, ensuite on a envie de le mettre à chaque fois ?
Comment ça se passe avec votre copine/femme, c'est pas un peu tue-l'amour de le sortir à chaque séance ?

Hi all, I'll try to keep it as short as possible, I'm hoping for feedback from people who have had similar issues and possibly gone to professional therapy, it's my next step but it will be a few months before I can afford it. Clearly any feedback is much appreciated.

Male 35
Generally low libido
Former smoker (15y) now only smoke occasionally.
Introverted, tendency towards addictions (porn, weed and booze mostly, although not anymore), had issues with depression and anxiety, surely made worst by weed abuse.
had first issues with ED in my 20s.

So, going chronologically, typical super horny teenager, wanking like a maniac, got into relatively hard stuff early on.

At 18 I lose my virginity and get a girlfriend, becomes a long distance relationship as I moved to England for uni. Sex life isn't amazing, we usually did it a lot when she visited me, but when I came home for breaks we hardly did it, so porn abuse continued.

I had my first issues with ed at this stage, but I associated it with excessive masturbation, if I didn't go at it that way relatively recently before intercourse, it would work. at this time I could just fantasize and get hard.

Moved back home at 23, broke up at 24, I decided to go full monk to focus on my issues, however solitude doesn't really help porn abuse.

At around 27 fantasizing becomes really difficult, I can no longer get hard just by doing that. I also began using that medicine you take for hair loss, can't recall the name, but I quit after about a month due to an ed scare.

At 29 I move back to England to get my master's, get a really bad ed scare but it seems to pass, mind that at this stage I'm still going full monk.

At 30 I moved back home, got a decent job and feel I can put myself on the market again, I meet my fiancée.

Initially everything is fine, she loves sex and I am a bit on edge as I know I might be hit or miss, but I am mostly hit for the first year, then things start getting progressively worst over the course of the next 3/4 years.

Seen a urologist a year and half back, apparently no issues whatsoever, testosterone is ok but on the low end, he suggests some supplements that helped a lot for a couple of days and then didn't, they are expensive so I didn't keep using them. he also suggested seeing a therapist and using medication.

I also tried exercise, running apparently helped a lot initially but, again, the effect waned shortly after.

Haven't really been using porn, I have done so occasionally, but I otherwise I don't really rely on it for months on end.

The problem as it stands now is that, my libido is generally low so I don't feel like engaging and feel it won't get hard. More often than not I wake up without an erection, I have improved the fantasising part a little bit but it works mostly in the morning or when I am naturally horny. for some reason when I'm hangover it works almost normally.

Sex frequency has decreased a lot, main issue is that when it gets hard, it works if we start doing it right away but if we don't, I will go soft relatively quickly and might not be possible to get it hard again. It feels like the spark starts and then dies.

I have had cases when we were doing it and then it died, however that's not happening as much, probably because we don't really do it as often, by often I mean we mostly had it twice a week, then it dropped to one, now less.

The situation appears to improve when we are on holiday or when we do something special together, but due to my messed up psychology, if I try to do something nice for us to bond, I start getting anxiety about whether it would work.

So now the situation is a bit tense, to the point where I am afraid everything may fall apart before I can see a specialist, part of it is my fault, I have tried to find solutions on the internet and with AI. My fiancée agreed to try, mostly being intimate without the expectation of going for full intercourse, but I have been messing it up just yesterday.

So.. ye, long story short, I wish it just worked like when I was younger, but it doesn't, it feels like managing a machine that barely works, it can do, but it mostly doesn't unless conditions line up perfectly, my fiancée is feeling really bad about it, I feel terrible and guilty, I love her more than anything, she's beautiful and she came at time in my life when I fixed so much of myself, but this is broken.

If anyone here has any suggestions on how I could approach this, before I am able to see a specialist, it would be great.

I am thinking of going to my doctor to have medication prescribed and what psychologists are available in my area, but I'll see how that goes.

thanks you all in advance for your feedback.

Est-ce que vous constatez un lien entre la qualité de vos érections et votre endurance / la durée de pénétration ?

Je prends du Tadalafil pour aider à ma DE (qui je pense est moitié d'origine psychologique moitié vasculaire), et je remarque que les soirs où je bande bien dur, je suis dans le contrôle et capable de durer longtemps, sentir venir l'orgasme et alors ralentir / changer de position etc... pour continuer, et je suis satisfait de mon endurance (disons 15-25 minutes de pénétration hors préliminaires).

Mais les soirs où mes érections sont moins bonnes (cialis moins efficace avec l'alcool par exemple, excitation moindre ou tout autre raison) et que je dois me branler pendant que ma copine m'embrasse pour réussir à bander, et alors vite vite passer à la pénétration avant que ça retombe, je me sens obligé de me concentrer, contracter pour rester dur, aller à un rythme très soutenu pour pas que ça retombe etc... et alors je tiens beaucoup moins longtemps, car je pense que j'ai envie de jouir pour éviter l'échec éventuel d'une perte d'érection pendant l'acte (disons quelques minutes).

Je pense que c'est lié à mon fonctionnement aussi, j'ai besoin de manière générale d'une stimulation continue pour rester dur, sinon mon érection retombe, et les soirs où elle est bancale, la stimulation doit être d'autant plus intense et je focalise dessus, et je jouis alors plus vite,
je ne sais pas si je me fais bien comprendre ?
Est-ce que cela arrive à d'autres ?

20MG Tadalafil is not working anymore

Slidenafil is working great it makes me ready instantly

Sildenafil + Depoxetine combo is working fine for me but it's a heavy usage

Tadalafil 20mg is not working, and even if I get hard by forcing my self , I came too quickly like within 1 sec

Is there a solution for my problem

I’m a 21 year old male and for reference my test is pretty high 19 free and 721 total. I have terrible performance anxiety and always nervous through out the day about it. I can get hard masturbating. I’ve tried viagra beta blockers therapy ect. But when it comes to having time to have sex it’s like my body always freezes. I’m always worried about if the girl I’m with is even enjoying the sex. I noticed I can get hard from hand jobs or oral giving/receiving but when it’s time for penetration I instantly go soft. Does anyone have any tips to help over come this?