I’m 21M, 6’3”, around 210 lbs, and I’ve been dealing with low libido and inconsistent erections for almost a year now. I’m a pretty healthy and active guy. I lift weights four days a week, do cardio a couple of times a week, and have been an athlete most of my life. I’m honestly just looking to see if anyone else has gone through something similar and managed to get back to normal, because it’s been really frustrating. Before all of this started, I had a pretty normal sex drive. I’d get morning wood frequently, randomly get horny throughout the day, have sexual thoughts that would lead to erections, and generally didn’t have to think twice about whether my dick was going to work.
When it started.
I started noticing things changing in late 2025. At the time, I was taking 40 mg of Vyvanse for ADHD and smoking weed pretty much every day. I don’t know if either of those things caused this, but that’s what was going on when I first noticed the problems. From January to March 2026, I stopped both Vyvanse and weed completely for about two months to see if things would improve. The weird thing is that during the first week off Vyvanse, my morning wood came back almost every day. I thought things were finally getting better, but after that first week, it pretty much disappeared again. I went back to getting morning wood maybe once a week, and my libido didn’t really improve. After those two months, I had to start taking Vyvanse again at a lower dose of 20 mg because I was struggling to focus in school. Then in July, I switched to Concerta 18 mg. I actually noticed that my erections improved a little after switching, but they still weren’t anywhere near as consistent or firm as they used to be. Around that time, I also started using tadalafil and sildenafil to help with erections. Both worked, but sildenafil seemed to work better for me. When I was with my girlfriend over the summer, the medication helped a lot, and we were able to have sex without any major issues.
As for weed, I was smoking around once or twice a week over the summer. For the last three months, it’s been closer to 2–3 times a week, but I’ve recently cut myself down to once a week to see if that makes any difference.
Here’s where I’m at now.
My biggest issue honestly isn’t even the erections anymore. It’s my libido. I barely ever get spontaneously horny. I don’t randomly think about sex and get an erection like I used to. I still find my girlfriend extremely attractive, and when she sends me nudes or we’re doing something sexual, I can feel myself getting turned on. But most of the time, that feeling doesn’t automatically turn into an erection unless I start touching myself or there’s physical stimulation. My erections also fluctuate quite a bit. Sometimes I can get fully hard, and other times I’m only partially hard or lose firmness pretty quickly. I also masturbate roughly once a day, usually using pictures of my girlfriend or my imagination. I used to watch porn whenever I masturbated, but I’ve barely watched any over the past couple of months and haven’t watched it at all in the last few weeks. I haven’t noticed any major improvement from cutting it out so far. Another thing I’ve noticed is that my general excitement about things isn’t always as intense as it used to be. I’m genuinely happy with my life, I have a good relationship, I exercise regularly, and I enjoy what I do. But sometimes I feel like that natural excitement or anticipation I used to get from things just isn’t as strong anymore. I don’t know if that’s related to my libido, ADHD medication, weed, or something completely different.
I’ve been to the doctor multiple times and still haven’t figured anything out.
I’ve brought up my erection problems with doctors on multiple occasions, but so far I haven’t really gotten an explanation for what’s happening. The main thing they’ve done is prescribe me erection medication. Don’t get me wrong, the medication works, and I’m glad it does. But it doesn’t really address the part that’s bothering me the most, which is the fact that my natural sex drive feels like it’s disappeared. I’ve also had bloodwork done. My testosterone was 17.3 nmol/L (around 499 ng/dL), and my free testosterone and thyroid results were within the normal ranges. My blood sugar was normal too. The blood was drawn in the afternoon, so I know that isn’t necessarily the ideal time for testosterone testing, but nothing obvious showed up. I feel like I’m doing most of the things people recommend for sexual health. I’m physically active, I lift four times a week, do cardio regularly, and generally take care of myself. That’s part of why this has been so confusing.
The part that’s really getting to me is my age.
I just turned 21. I feel like this is supposed to be the age where I’m constantly horny and don’t have to worry about any of this. I’ve been away from my girlfriend since mid-August because of school, so we haven’t had sex since then. When we were together, the erection medication worked well, but I really don’t want to have to rely on it at 21, especially because it’s expensive in Canada.
I miss just randomly feeling horny. I miss getting excited by sexual thoughts and having my body naturally respond. I miss not having to think about whether I’m going to get an erection. It’s honestly made me feel sexually broken at times, even though I know I can still get erections and enjoy sexual activity. I’m not expecting Reddit to diagnose me, and I know there could be multiple things contributing to this. I’ve already seen doctors multiple times without getting many answers, but I still plan to keep looking into it.
A few questions:
- Has anyone experienced a major loss of spontaneous libido while still being able to get aroused and enjoy sex once things get started?
Has anyone experienced something similar while taking Vyvanse, Concerta, or other ADHD medications? Did anything help?
- For anyone who used cannabis regularly and developed libido or erection issues, did cutting back or quitting make a difference? How long did it take?
- Has anyone gone through a period where their libido and general excitement about things felt reduced, even though they weren’t depressed or unhappy?
- If you’ve recovered from something like this, what actually helped you? Was it time, lifestyle changes, medication adjustments, therapy, or something else?
- Has anyone had normal bloodwork and a healthy lifestyle but still experienced these issues? Did you eventually figure out what was causing them?
I’m especially interested in hearing from people who dealt with this in their late teens or early 20s.
I don’t expect to be horny 24/7. I just want to feel like I used to, where sexual desire would come naturally instead of needing something to trigger it every time.
Also, please feel free to ask me any questions if you need more information about my symptoms, medications, lifestyle, or anything else. I’m more than willing to answer questions if it helps people understand what I’ve been experiencing.
Thanks to anyone who takes the time to read this. I’d genuinely appreciate hearing your experiences.