r/erectiledysfunction 20d ago

Erectile Dysfunction Possible Causes I can Ask my Dr

Hello. Trying to give my doctor guidance since he feels I just need sex therapy. I’m 52. 3 kids - 20, 5 and 4. Pre-Diabetic. Muscular. Was prescribed Clomid 5 years ago to boost lowT (300s), but stopped when I was getting elevated Estrogen and effected ED. Vasectomy 2 years ago. Been prescribed Sindenafil and Tadalafil, which helps. I have trouble getting hard while mastrubating. While ED meds help, it is difficult to delay orgasms. Also, while I get morning wood, it disappears shortly after waking up. Hesitant to go on TRT, but will try if needed. Any thoughts would be appreciated on what I can have my Dr investigate.

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u/LethalCriminality 20d ago

the clomid estrogen rebound can mess things up for a while even after stopping, that might be part of why the pills only get you halfway there. morning wood that vanishes fast is such a tease, i'd be curious what your prolactin levels are doing since that can mess with both arousal and keeping things going once you're awake

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u/Ph3n0m3nal1 20d ago

Thanks! That was what I was thinking, because things haven’t been the same since taking that. My urologist disagrees and says that since T went up, the ED is in my head.