30 year old

[HeavyMetalFan]

30 years old. I’ve had ED since my mid teens. I can almost always get erections, but they last anywhere from 5 seconds to 5 minutes. Nocturnal erections come in waves; usually dependant on the drugs I’m on. All of my relationships have failed because of this.

I have tried moving on with my life and accepting that it will be sex-free, but I am not able to do so. Any attempt I make at enjoying my hobbies doesn’t last long when I realise I’d rather be working on a relationship and sex.

I’ve tried, in no particular order:
-sildenafil up to 300mg
-tadalafil up to 120mg
-cabergoline up to 1.2mg per week
-pramipexole
-mt2 up to 3mg on demand
-pt141 up to 3mg on demand
-testosterone
-DHT
-proviron
-Masteron
-primobolan
-letrozole, anastrozole, and exemestane
-HCG
-2 hours of exercise per day (split between HIIT and resistance)
-getting better sleep (with the aid of melatonin)
-a whole-foods vegan diet
-all sorts of supplements
-doxazosin
-losartan and telmisartan
-12 sessions of shockwave therapy
-at-home EMS on the glans, perineum, and lower back
-intraurethral alprostadil
-VED

I have tried the above in isolation, and in combination. I have regular blood tests for my testosterone, lipids, estradiol, hba1c, thyroid, and RBCs.

I am very physically fit. I have even broken a fitness-related world record (unofficially).

I have spent 9000 hours (mostly in the form of exercise and preparing healthy meals) across 6 years trying to sort my ED. And at least £20,000. I am no closer to getting fixed.

Going forwards, this is what I plan to do:
-experiment with my estradiol at different levels
-consider a Vertica if the US study is promising
-get a Doppler. Consider revascularisation if applicable

I am cautious about ICC injections and an implant due to long-term complications. Neither option seems worthwhile if I plan on living another 60 years. Implants sound great, but complications arise from revisions, and if/when I get my ED sorted, I don’t think I could psychologically deal with it ever again.

[otter17]

You are 30 and it sounds like the unreliable erections have kept you from achieving successful relationships with women. How important is it for you to move past this hurdle in your life? It sounds like you have already invested a lot of time, money, and effort into this issue. I used to be in the same boat. It sounds like you have what I have, venous leak. I did not realize how psychologically tortured I was by my inability to have stress-free sex until I finally could.

If you want, try a cheap silicone cock ring with the viagra and see how things go.
Do not be afraid to move to the next step if needed. A penile implant is a good solution, but it is not a minor procedure and it is irreversible. Injections were tough to wrap my mind around at a relatively young age, but I promise you, if you have a normal sex drive, they are infinitely better than not being able to have sexual relationships.