psychological problem most

[Jimakos]

Hi to everyone here and a lot of congratulations to this forum for help and support...I think i have depression because of ed last year..My days most times is the same and same...I am an anxius generally but also very athletic.. Swimming running lifting up weights..I take pills in overdose sometimes Viagra or Cialis but most times never work...i visited a doctor yesterday and he told be i have psychological problem and not organic..He did an injection to me minimum dose he said and then Doppler..My penis didn't become hard..I told him i believe i have venous leak probably in low condition..But he consists that my problem is organic and told me take 5 mg cialis every day and phone him again after some days..I have a very beautiful girl and i think i am going to loose her..My ed is growing up..Before some days to have a good erection we tried a lot to become hard after i had take 100 mg viagra and 5 cialis.. Do you think i have to visit another doctor?

[ElbowRoom]

Hi to everyone here and a lot of congratulations to this forum for help and support...I think i have depression because of ed last year..My days most times is the same and same...I am an anxius generally but also very athletic.. Swimming running lifting up weights..I take pills in overdose sometimes Viagra or Cialis but most times never work...i visited a doctor yesterday and he told be i have psychological problem and not organic..He did an injection to me minimum dose he said and then Doppler..My penis didn't become hard..I told him i believe i have venous leak probably in low condition..But he consists that my problem is organic and told me take 5 mg cialis every day and phone him again after some days..I have a very beautiful girl and i think i am going to loose her..My ed is growing up..Before some days to have a good erection we tried a lot to become hard after i had take 100 mg viagra and 5 cialis.. Do you think i have to visit another doctor?

If you didn't become hard from an injection and the doc still insists this is psychological, a second opinion is warranted.

[GoodWood]

I would pursue this further. I would do as the doctor said and take the 5mg daily cialis and see what improvement you get. It takes a few days for the medication level to build up in your system so be patient. But after taking it for a week you should see some difference. If you see some effect but not enough I would ask the doctor if they would prescribe 10mg daily.

If that doesn’t work and you are willing to try injections I would go down that path with increasing doses/strengths until I got satisfactory erections or it became clear that injections are not sufficient.

If you aren’t interested in using injections or you try them and they don’t work then I would pursues an implant. Thats what I did. I used pills for a few years. When they weren’t effective I switched to injections. When injections became less effective I got an implant.



You said you suspected you have venous leak but your doctor said the problem is organic. I might not understand what you mean but venous leak IS an organic problem. So it doesn’t sound like you disagree.

When a man has ED the doppler is most likely to find venous leak (too much blood flowing OUT of the penis) the most common cause of ED. It might find arterial insufficiency (too little blood flowing IN to the penis). It might find a combination of the two.

No matter if it finds venous leak or arterial insufficiency (or both) the treatment is the same. Pills/shots/implant.

If your doctor was suggesting the problem was psychological (all in your head, nothing wrong with your penis) I would look for another doctor. You had an injection and did not get an erection. That seems to confirm there is a physical problem and the dose was not sufficient to overcome it.

There can be more than one cause. Certainly there CAN be a psychological component when a man has physiological ED. Anyone would be anxious or worried about their erection when they have ED. That might contribute to the problem. But injection medication works locally on the tissue. It is not dependent on your mood. Anxiety can make the problem worse but the injection medication can be VERY powerful and should be able to overcome any anxiety. If it can’t you HAVE a physiological problem.

Keep advocating for yourself. Keep pushing to make progress. Try what your doc suggests but keep going back to them until you get satisfactory erections.

[Jimakos]

I would pursue this further. I would do as the doctor said and take the 5mg daily cialis and see what improvement you get. It takes a few days for the medication level to build up in your system so be patient. But after taking it for a week you should see some difference. If you see some effect but not enough I would ask the doctor if they would prescribe 10mg daily.

If that doesn’t work and you are willing to try injections I would go down that path with increasing doses/strengths until I got satisfactory erections or it became clear that injections are not sufficient.

If you aren’t interested in using injections or you try them and they don’t work then I would pursues an implant. Thats what I did. I used pills for a few years. When they weren’t effective I switched to injections. When injections became less effective I got an implant.



You said you suspected you have venous leak but your doctor said the problem is organic. I might not understand what you mean but venous leak IS an organic problem. So it doesn’t sound like you disagree.

When a man has ED the doppler is most likely to find venous leak (too much blood flowing OUT of the penis) the most common cause of ED. It might find arterial insufficiency (too little blood flowing IN to the penis). It might find a combination of the two.

No matter if it finds venous leak or arterial insufficiency (or both) the treatment is the same. Pills/shots/implant.

If your doctor was suggesting the problem was psychological (all in your head, nothing wrong with your penis) I would look for another doctor. You had an injection and did not get an erection. That seems to confirm there is a physical problem and the dose was not sufficient to overcome it.

There can be more than one cause. Certainly there CAN be a psychological component when a man has physiological ED. Anyone would be anxious or worried about their erection when they have ED. That might contribute to the problem. But injection medication works locally on the tissue. It is not dependent on your mood. Anxiety can make the problem worse but the injection medication can be VERY powerful and should be able to overcome any anxiety. If it can’t you HAVE a physiological problem.

Keep advocating for yourself. Keep pushing to make progress. Try what your doc suggests but keep going back to them until you get satisfactory erections.

Thanks a lot for the answer, it is so hopeful..He told me that my problem is only psychological and not organic..When he did injection minimum dose my penis never became hard..Only just some blood at the area but not hard..Then he told me that psychological problem anxius obviously dont let injection work..so he insist there is no organic problem olny psychological

[Martin6469]

ED and depression is a sign of low testosterone. Get your testosterone measured - a simple blood test.

[Jimakos]

Screenshot_2025-05-20-23-15-39-788_com.mi.globalbrowser.jpg (171.07 KiB) Viewed 860 times

ED and depression is a sign of low testosterone. Get your testosterone measured - a simple blood test.

Screenshot_2025-05-20-23-15-39-788_com.mi.globalbrowser.jpg (171.07 KiB) Viewed 860 times

[Martin6469]

I see that your total testosterone is good. Now as GoodWood says, your next step is penis injections. I have used these for eight years with excellent results. Try these before considering an implant.

[Jimakos]

I see that your total testosterone is good. Now as GoodWood says, your next step is penis injections. I have used these for eight years with excellent results. Try these before considering an implant.

How many times per week i could do injections?

[Martin6469]

Doctors usually say two times per week. Some Frank Talk guys inject three times per week, but that is not recommended.

What is your age?

[Jimakos]

Doctors usually say two times per week. Some Frank Talk guys inject three times per week, but that is not recommended.

What is your age?

37 years old