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.