LetoMan wrote:little99 wrote:I have psychogenic ED as well. I have used Trimix and found that it does not work well for psychogenic ED.
It doesn’t sound like purely psychogenic ED. If trimix doesn’t work, it sounds like you have a physical problem.
Very few cases of ED are purely psychological or purely physical. On the one hand you have guys that have prostatectomies or similar that have left them without function. That’s purely physical. On the other hand there are guys that have perfect erectile function, but have *sudden onset* situational ED. That is a key diagnostic criteria for purely psychological ED. But many, many guys have something between the two. They have a physical issue that can be aggravated (or partially alleviated) by stress levels.
In other words, if you consistently can’t get or keep an erection during sex, particularly if you use pills or injections, that is because you have physical deficiencies in getting or keeping blood in your penis. It doesn’t matter if you can get erections under less stressful conditions; there is a chronic physical condition that keeps you from normal erectile function.
What I hate about this psychogenic designation is that it implies that the *cause* is psychological. There are cases where the cause is psychological, but they are acute, sudden onset cases that can be fixed with psychological changes (and certainly can be addressed with pills or injections). But chronic ED that doesn’t respond to treatment is evidence of a physical deficiency… it’s not in your head.
Wanted to also chime in here as a young guy who for his entire twenties thought his ED was primarily psychological. I had a penile ultrasound performed back in September and learned that I had a SIGNIFICANT venous leak. Don’t get me wrong Dile2709 - the mental side ABSOLUTELY plays into it. But as to the question (at least for me) of whether it its the chicken or the egg? As it turns out, it was the chicken.
I’ve had a venous leak likely my whole life which led to inconsistency in the bedroom, which messed with my head and would make my ED even worse! Long story short - you should have diagnostics run on your penis to see if you have a venous leak, if you haven’t already!
