Hi guys.
So bit of background here.
I'm 38  from UK.
I have always suffered from anxiety related  ED, right from. When younger, but  don't appear to  have had too much issue  getting a full   erection in the right circumstances.
I have two kids aged 13 and 3.
 Everything was   going along steadily until  last year when I happened to meet  a woman I completely  fell in love with.
My children's mum is a vulnerable  person mentally, having suffered from an eating  disorder in the past and has little  family support.
Our relationship  has been  low for years and we hadn't had sex in 2.5 years when I met this other woman.
 Contrasty me and the newer  relationship utterly adore  each other and have a very warm and until recently active sexual relationship. 
In August the stress  of trying to   hold down the relationship,  look after 2 kids and run a business  collapsed on me and I developed   hypertonic pelvic  floor with pain  and probable pudendal neuralgia.
The pain in  my pelvic region  can be intense and radiates up my penis causing ED and obviously lowering my libido.
The fact i cannot have a normal relationship  with the new girl causes  severe mental stress  which in turn makes the situation worse.
I am supposed to be moving in with her after Xmas  but this will mean severely reducing my support  for my kids.
 Also as a result of thr condition  my business has greatly suffered  too. I  am now losing money- again more stress factors
She has told me she doesn't care and loves me so will wait for whatever  treatment I need.
My issue is that  from reading its not exactly an easy to treat or well known condition.
I now take Cialis both to help blood flow in the pelvis and improve my chances of having sex, but it can be very hit or miss and the changes in sensation to my penis  mean it doesn't always stay hard that long even with pills.
 That said  i still get her off in other ways so its not absolutely desperate  in that sense.
I tried a low dose injection (2.5 mcg aprostadil) which did nothing but make my penis hurt and have a VED more firvexercise than anything else.
I know this may seem extreme but even at this stage I am considering  implants just  to normalise my sex life in case this  condition is permanent.
Would it be ridiculous  in someone who can actually get an erection? Should I exhaust other means first?
Thanks  look forward to talking- I need it.
			
									
									New here... in a car crash of a situation.
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- 
				Never_Enough
 - Posts: 200
 - Joined: Fri Nov 24, 2023 7:54 am
 
New here... in a car crash of a situation.
39 m UK
Psych ED since forever less problems being erect alone.
3 kids. Long term partner.
CPPS pudendal neuralgia and muscle tightness in late 2023 making ED worse.
Cialis no longer works. Sildenafil 100mg with diazepam works some of the time.
						Psych ED since forever less problems being erect alone.
3 kids. Long term partner.
CPPS pudendal neuralgia and muscle tightness in late 2023 making ED worse.
Cialis no longer works. Sildenafil 100mg with diazepam works some of the time.
- 
				bldoink
														 - Posts: 3696
 - Joined: Mon Apr 03, 2017 12:58 am
 - Location: Fl.
 
Re: New here... in a car crash of a situation.
...
			
													
					Last edited by bldoink on Sat Aug 09, 2025 11:08 pm, edited 1 time in total.
									
			
									
						- 
				Never_Enough
 - Posts: 200
 - Joined: Fri Nov 24, 2023 7:54 am
 
Re: New here... in a car crash of a situation.
bldoink wrote:Welcome to the forum.Never_Enough wrote:I am supposed to be moving in with her after Xmas but this will mean severely reducing my support for my kids.
I would find this consequence unacceptable. My kids would take precedence above all others.
I believe your ED is very treatable with the right therapist. The forum administrator appears to be very knowledgeable with your type of symptoms. Hopefully he will chime in.
Good luck.
Thank you. I know. It is an incredibly hard situation. In the end I probably will stay with my support of the kids, but I will be desperately miserable relationship wise.
39 m UK
Psych ED since forever less problems being erect alone.
3 kids. Long term partner.
CPPS pudendal neuralgia and muscle tightness in late 2023 making ED worse.
Cialis no longer works. Sildenafil 100mg with diazepam works some of the time.
						Psych ED since forever less problems being erect alone.
3 kids. Long term partner.
CPPS pudendal neuralgia and muscle tightness in late 2023 making ED worse.
Cialis no longer works. Sildenafil 100mg with diazepam works some of the time.
- 
				Martin6469
 - Posts: 747
 - Joined: Tue Feb 18, 2020 12:22 pm
 - Location: St. Louis, USA
 
Re: New here... in a car crash of a situation.
Other UK FT friends have said that it takes a long time to get NHS appointments, but it seems like you need to get to the cause of the neuralgia before thinking about an implant. 
Check the September 2022 thread "London UK Clinics" in General Discussion. A Dr. David Ralph is recommended to be seen privately and then asked to be recommended to your NHS doc.
A keyword search of the entire forum for "London" will turn up a lot of UK commentary.
			
									
									Check the September 2022 thread "London UK Clinics" in General Discussion. A Dr. David Ralph is recommended to be seen privately and then asked to be recommended to your NHS doc.
A keyword search of the entire forum for "London" will turn up a lot of UK commentary.
Age 80 in 2025.  On testosterone replacement due to hypothalamus malfunction.  (Attention depressed guys: low testosterone is a cause.)  Healthy health nut but ED due to getting old.  Like to keep enough cardiovascular ability to thrust for 30 min.
						- 
				Frank Talk Admin
 - Site Admin
 - Posts: 670
 - Joined: Mon May 18, 2009 11:06 am
 - Location: NYC
 
Re: New here... in a car crash of a situation.
Chronic Pelvic Pain Syndrome is a stress disorder. You need a physical therapist for an evaluation and treatment. When you finally get a doctor ask about a non-SSRI medication to help bridge this period of high stress in your life. Meds are a tool, not the solution. Finally, see a therapist to help sort out and manage the stress.
Here is information and some exercises for you to try.
			
						Here is information and some exercises for you to try.
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