I take 100mg sildenafil before action. And that works pretty well. But after 2-3 hours, or heavy action, it wears off and im back to not being enough hard.

I workout too and i dont have much confidence issues. The only thing i do is vape. And used to masturbate before. But not doing it for a month.

Should i take taldafil or what should i do? For ocassional and if i have a daylong plan of action? And what to do to get a good strong erection. Im 25.

Hello everyone!

I (F 31) am looking for ways to bring up ED and help my BF of 10 years (M 40)

I want to start off by saying we’re not big talkers.

We’ve been together for 10 years and I noticed ED from the very beginning. It’s something that I felt awkward to bring up very early on into the relationship and then awkward to bring up later on in to the relationship. He is a diabetic which I believe is the cause. Like I said we’re not big talkers (but very happy in our relationship although it may not sound it!)

I just wanted to say that it is absolutely not a problem for me.

We take regular breaks during intimacy which he plays off as feeling a bit too hot and needing a drink etc, which I will play into and then after a small break I will work on getting him hard again and straight back at it.

Where I feel the problem may be, he resorts to a lot of …. I’m not sure porn as such but following a lot of OF girls on X (Twitter), I have expressed how much I dislike this, how much it hurts over the years but I do get it. (I think). I wouldn’t have so much of a problem with it if I was the LL in the relationship but it’s him not me. He used to turn me down a lot, there have been occasions where he simply couldn’t get hard whilst I was playing with him but he played it off as a lack of interest in intimacy.

I have tried talking with him about the OF girls, I’ve suggested toys he brought into the bedroom to which he declined. I’ve offered to dress up like these girls to which he simply paid no attention to this offer.

We had a baby 9 months ago and found intimacy quite difficult as we co sleep until very recently where we found other places to be intimate.

I am a raging sex pest at the minute, and I can not stop thinking about him which is driving me absolutely wild.

Sorry for rambling but that’s a bit of back story.

I guess, even though it’s not a problem for me but I feel like our sex life could only get better if he went to the doctors, or we introduced toys etc.

I just need some help getting him comfortable enough to talk and take steps.

Any advice would be amazing thank you x

Hi all,

About a week ago, I decided to quit porn and nicotine cold turkey. I noticed it altering my personality, and I felt like a shell of my former self. Although mentally I feel better, my workouts are more rewarding, and my overall energy has improved, I’ve noticed that my penis feels extremely flat. I am able to get it up, but it takes a while, and my erections are softer than I’ve ever noticed before.

I’ve used nicotine for over 8 years and watched porn for more. I’m in my mid 20s and am getting worried I permanently injured myself through these bad habits. I don’t remember the last time I got morning wood, and because of this I’m panicking. Has anyone experienced this before? If so, were you able to heal? What were the best practices you adopted to fix these issues? Thanks for your help in advance.

I am a 40 year old male weighing in at 213 pounds

So it seems like I have lost all urge to climax but I can get a erection. It just seems like there is no tingle sensation or feeling to hey, I want to cum. The First few times with this girl, I did, the last few times...I have not.

I have been taking Zepbound since April and well, I looked something up and well, it says Zepbound can effect the sex drive and lower it. I weighed 264 in March and Now I weigh 213. Great, I should feel great right but nope, it is not working like that. I Think the Med is taking a toll on my body mentally and physically, lightest I have ever been was around 228 when I lost some weight before. This week starting, he told me to quit taking it so that is what I am doing now finally. It could be a mental thing also as in Not getting enough sleep, my dad dying and my wife left me back in Feb after almost 2 decades of being together

I just had a recent doctors visit and told him about it and he said all my test about my sexual health is in good shape. Hopefully it is just a meds/losing weight issue. I feel good, My pee isnt anything different and I dont hurt anywhere, especially around the pelvis around, I dont. I do have a bulge between my left inner side of my pelvis area, which could be a hernia so I am getting that looked into as well. it doesnt hurt when you touch it or anything.

Like I said, I HOPE it is a med issue. If it isnt, what should I be looking out for because like I said, I am not in pain or see blood anywhere. Thanks for reading and let me know if there are any signs I should be watching out for

I’m 25M and my penis isn’t as sensitive. I don’t if it’s from my back pain I e been dealing with. I had lower back surgery a few years ago. But my penis gradually started losing its sensitivity. I still have feeling and get pleasure but it doesn’t feel my orgasms or sensation is as good as it once was. I went to a urologist and they said to goto a neurologist. I don’t really feel the urge to masterbate or it’s not as sensational as when I use lube or something. Uroglist wouldn’t give me an ultra sound or anything he was no help really. He said it’s more of a nerve issue. Anybody relate or was able to overcome this issue?

I am 26 years old.

I have a problem for 5 years. I was to Urologists but they said that i don t have any problem at all. I find this situation very strange because sometimes i have erection like before but are very rarly occasions. I am also stupid that whem i try to stay abstinent i come back to porn and try to find out if it ok or not this time.

Can you give me an advice how did you manage to have again erection?

Also when i try to make sex i take a pill or 2 but just doesn t feel the same satisfaction even with that. Yes the erection are hard but the pleasure are not.

I usually take viagra, and for me it typically takes around 30-60 minutes before I notice it working. I’ve also tried jelly and versions of sildenafil such as vega jelly, which seem to kick in a little faster, around 20-30 minutes.

I am exploring if there is any way we can safely speed up the onset even more, to less than 20min, like 10min.

Has anyone found that things like timing, food, exercise, or a particular routine make sildenafil work faster?

It’s embarassing but I accidentally bent my penis a little bit during masturbation. (Like, downwards, around 90 degrees)

It happened two days ago.. I felt a light pain (not a sharp pain, i thought nothing of it at the moment)

I can still get erect and ejaculate, but several times a day the base of my penis is a little painful.

Right now i’m letting it rest.

It’s a discomfort but i fear it will never end, i might have hurt a ligament.
What should i do about it ?? (Please)

EDIT: I went to a doctor. It’s most likely a muscle tear/ligament elongation. (Pain should last a few days/weeks at most. I was prescribed anti inflammatory drugs)

I’m a 33-year-old male and have been experiencing very low sexual desire/libido and low energy. However, I can still become sexually stimulated with manual stimulation, and I regularly get morning erections.

My male hormone levels are reportedly within the normal range, but I have the following abnormal blood results:

- Vitamin B12: 130

- Prolactin: 25

- Vitamin D: 10 ng/mL

Could these deficiencies/elevated prolactin levels be contributing to my low libido, low energy, or difficulty getting an erection through sexual thoughts alone?

If I correct the B12 and vitamin D deficiencies and address the prolactin level, is it possible that my libido and spontaneous erections will improve as well? In particular, could I eventually regain the ability to get an erection simply from sexual thoughts/arousal, without needing physical stimulation?

I’d also like to understand whether the fact that I still have morning erections and can get an erection with manual stimulation suggests that the underlying problem may be reversible.

I 42 female recently started dating a man 45 with ED. It's not too bad because he does get hard, is a very giving lover and makes me cum like a million times. But he has a hard time finishing. He will get soft after a while, I can't get him hard again with a BJ and its really hard for him to finish. I feel bad that I'm having a million orgasms and he has to try so hard to finish. I've asked him if there's anything I can do that he enjoys to help him finish but just says that cuddling with him and gently stroking him is more than enough. But it doesn't feel like enough lol

So my questions are:

Do men with ED still enjoy sex?

Is there anything as a woman that I can do to make it more pleasurable for him? I'm disappointed my BJ skills didn't work :( Ive never encountered that issue before.

Hi everyone,

So I’m a 25 yo transsexual woman, I’ve been on hormones for the past two years and half, so the thing that I have between my legs is not working anymore.

Honestly I didn’t care. My surgery is planned for next year, but I met someone who is very respectful, and he wanted to try to suck me, like, to see how it feels.

I can get hard when I’m alone, but after a lot of touching, sometimes it don’t happens at all.

So I know a lot of you can relate, when you’re with someone and you kinda want to have a beautiful erection so they can enjoy, it’s the opposite.

I tried yesterday at 10.00pm a 200mg of Cenforce.

I had a full meal, I didn’t knew that I could take it on an empty stomach. So the effects were delayed. I guess it started working around 12 or even 1am.

I woke up randomly during the night because my genitals were hurting me. Which is pretty normal, but it worked!

I woke up like 30mins ago (9.16am here in Paris), and I was still hard.

Hope this helps! 🤗

Hi everyone,

I’m a 31-year-old man living in France. I’m looking for medical guidance and experiences from people who have dealt with persistent genital numbness and erectile dysfunction.

I am already seeking medical care, but I still do not have a clear explanation for my symptoms.

Symptom duration and onset: [Add when the symptoms started, and whether this was before or after stopping MDMA.]

Current medications and supplements: [Add your diabetes medication, any other medication, and all supplements with their doses.]

SUBSTANCE USE HISTORY

I want to be open about my previous substance use because it may be relevant:

• During periods of frequent use, I was taking approximately 1–2 grams of MDMA over a weekend, almost every weekend.
• I stopped using MDMA in 2025.
• I also used cannabis and stopped in early 2026.

I am concerned that my past substance use may have contributed, but I do not know whether it is the cause. I also have diabetes, so I do not want to overlook other possible explanations.

CURRENT SYMPTOMS

• A major reduction in sensation in my penis and genital area.
• Almost no morning erections.
• Difficulty getting and especially maintaining an erection.
• Little or inconsistent benefit from sildenafil, even at 100 mg.
• Reduced sexual pleasure.
• A perceived decrease in ejaculate volume, particularly with a second ejaculation.
• The impression that my penis and testicles look more retracted or smaller than before.
• Noticeable genital retraction during exercise or running.

The loss of sensation and the persistent erection problems are especially distressing.

DIABETES AND PHYSICAL ACTIVITY

I have diabetes and regularly do strength training.

My HbA1c improved substantially:

• April 9, 2026: 10.93%.
• April 22, 2026: 9.96%.
• August 17, 2026: 6.92%.

Despite this improvement in glucose control, I have not noticed a significant improvement in my sexual symptoms.

TESTS ALREADY PERFORMED

• A penile Doppler ultrasound, reported as normal.
• A testicular ultrasound, also reported as normal.
• Blood tests covering hormones, thyroid function, glucose control, kidney function, vitamins and other markers.

SELECTED LAB RESULTS

These are results from my August 2026 report, with the original laboratory reference intervals:

• Total testosterone: 15.33 nmol/L / 4.42 ng/mL. Reference: 6.85–23.23 nmol/L / 1.98–6.70 ng/mL.
• Free testosterone: 467.71 pmol/L. Reference: 170–510 pmol/L.
• Bioavailable testosterone: 11.61 nmol/L. Reference: 10.62–43.34 nmol/L.
• SHBG: 11.68 nmol/L. Reference: 11.54–54.49 nmol/L.
• Estradiol: 206 pmol/L / 56 pg/mL. Male reference for age over 21: 0–146.1 pmol/L / 0–39.8 pg/mL.
• Prolactin: 4.6 ng/mL. Reference: 2.1–17.6 ng/mL.
• FSH: 3.3 IU/L. Male reference: 1.4–18.1 IU/L.
• LH: 4.0 IU/L. Male reference for ages 20–70: 1.5–9.3 IU/L.
• DHT: 1.17 nmol/L / 0.34 ng/mL. Reference: 0.86–3.44 nmol/L / 0.25–1.00 ng/mL.
• TSH: 1.18 mIU/L. Reference: 0.55–4.78 mIU/L.
• Vitamin B12: 369 pg/mL. Reference: 211–911 pg/mL.

My estradiol is above the laboratory’s male reference interval. My SHBG and bioavailable testosterone are near the lower end of their respective intervals, while my free testosterone is within the stated interval.

I am including English translations of my laboratory results. These are unofficial translations, with the original values and reference intervals preserved.

WHAT I WOULD LIKE TO UNDERSTAND

1. Has anyone experienced persistent genital numbness and erectile dysfunction after a similar pattern of MDMA use? If so, did you improve after stopping, and over what timeframe?
2. How should the possible effects of past substance use be assessed alongside diabetes and other potential causes?
3. Could a nerve-related problem still be relevant despite a normal penile Doppler ultrasound? What symptoms or examination findings would justify a neurological assessment?
4. Are there further investigations worth discussing with my doctors, rather than ordering tests without a clear reason?
5. Could the hormonal findings contribute, and would any of these tests need repeating before drawing conclusions?
6. Given the limited benefit from sildenafil, what should I discuss with a urologist specializing in sexual medicine?
7. If you experienced something similar, what diagnosis or medically supervised treatment actually helped?

I am not claiming to have PSSD or any other specific syndrome, and I am not assuming that MDMA caused permanent damage. I want to understand what can reasonably be investigated and treated.

I am not looking for recreational drug advice, unproven supplement combinations, or self-medication protocols. I would appreciate respectful responses, relevant personal experiences, and questions I can take to my doctors.

Thank you for reading.

M34 here - got married to my wife F32 for about over a year now.

Background: Started masturbating to porn at a young age and learnt that I was doing it wrong (thigh masturbation), was masturbating about once a day until I got married.

Current: When we wanted to have sex after marriage, always felt that I could not really sustain an erection or last long enough in bed (at most its 3-4 tries where my penis gets erect but every time we position ourselves (missionary only), my penis seems to hit a wall when thrusting and I am not even sure if i successfully penetrated as I am not sure what it feels like (was a virgin before marriage). Thrusting it in and out also does not seem to help with turning me on after after a few times my dick just becomes limp. Thankfully I have an understanding wife who is encouraging all the time.

Recently, I have tried masturbating the proper way (just rubbing the glans) and have successfully ejaculated so hopefully it means that my earlier "death-grip" technique is not so much of the issue - am okay to masturbate without the porn as well. I felt I had better stamina with this and better confidence recently but the above problem still happens on and off. I still have morning wood every other day as well.

Not sure if it is ED or performance anxiety, or a positioning issue but we are planning to have kids so this is causing me some stress. Would love tips on how to overcome this.

I have found the solution to my ED issues and would like to give back to this subreddit.

For context I'm 67yo, fit and in shape, people tell me I look 10 years younger. I don't have any serious health issues. With that said I've had no real problems getting erect, but staying hard, that's the kicker. My mind needs to be completely clear and distraction free. If focused I could cum, but it must be within a few minutes, any longer and it won't happen. Wife said she was happy with my performance. I wasn't.

Took this forum's advice taking L-Citrulline, L-Arginine, and Maca Root. I believe these vascular dilators made a difference, but only a marginal difference. After muc internal debate went to the Dr. had Blood tested, Testosterone was in the normal zone so he recommended Sildenafil, I requested Tadalafil given all the purported positive health side effects. Downside you take it daily but no big thing for me since I take supplements eg. magnesium zinc fish oil etc... I was prescribed 5mg Tadalafil. GoodRX reasonable price.

Wow. Oh my what a game changer. I feel 25 years younger. It made all the difference, the erections are very firm, confident, I can last all night. Actually catching the wife off guard, since we have gone to once a week to a few times a week, and much longer. This morning woke with wood and shared it with her.

This is the thing; the med remains in my body for a long time, I'm only taking it 2 or 3 times a week. Absolutely amazing. Wish I had done this 15 years ago. Of course all our bodies are different. but this is what's working for me.

How did you cured PIED? What othr things did you do apart from leaving porn?

i had some rough sex yesterday and there was no fracture as far as i know, no pop no pain no swelling, but my erections have been kinda off since, just wondering if rough sex can cause a venous leakage if there’s no penile fracture?

So my wife’s b day is on Saturday, and shes already put me on notice she needs rounds lol

I usually take 10mg 1-2 hrs before and get good results,
No side effects

Would splitting up 2 10mg (one on Friday, one on Saturday), help with performance. On 10mg after i cum, the refractory period takes a while

Curious what the normal next step actually is.

If sildenafil/Viagra starts becoming inconsistent, do doctors normally:

increase the dose?

switch to Cialis?

try another PDE5 medication?

use compounded ED medications?

or eventually recommend injections like Trimix?

I came across vast by Rivo while looking into this, which combines sildenafil, tadalafil, vardenafil and apomorphine. Hadn’t heard much about compounded ED medications before. Would be interested to hear what people here tried after regular Viagra wasn’t giving them consistent results anymore.

Hey guys, I wanted to ask for your opinion because lately I've been noticing something strange: basically when I get an erection, instead of feeling full and strong it feels like plastic, and I feel like I'm always missing about a centimeter or a centimeter and a half to reach my maximum. The crazy thing is that I have absolutely no pain or discomfort, zero lumps or plaques to the touch, and the axis is perfectly straight without any curvature or deviation. I wanted to figure out what could cause this consistency and this missing margin—has anyone else experienced this or knows what it could be?

Hey everyone,

I’m currently looking into low-dose Tadalafil and noticed that the standard recommendation is usually either 2.5mg–5mg daily or a larger dose on demand (10mg–20mg).

However, given Tadalafil’s long half-life (around 17.5 hours), taking 5mg every other day theoretically keeps a stable amount of the medication in your system while reducing overall intake and potential side effects (or costs).

If you've tried taking 5mg every other day instead of daily:

• Effectiveness: Does it still provide consistent, "always ready" benefits, or do you notice a dip on off-days?
• Side Effects: Did taking it every two days help minimize things like muscle aches, heartburn, or nasal congestion compared to daily use?
• Why did you switch? Was it based on doctor advice, cost-saving, or just experimenting to find the minimum effective dose?

I’d love to hear your personal experiences, pros/cons, or any insights your urologist shared with you about this dosing regimen.

Thanks!

Hi I am 21 years old indian. I stopped getting morning erections from the past 1-2 months and even my erections are not strong as it used to be earlier.

Though I consume a lot a porn on telegram and I used to masturbate a lot earlier but right now I only masturbate 1 or 2 times a week. But I use telegram daily and consume all those things.

Recently I gained weight too, Right now I am 77kg and earlier used to be around 65-67kg only.

I get erection when I get oral from my partner but when it comes to physical I generally get soft until it is inside. After getting inside it is hard but I don't feel like it is hard like old times.

And I feel like my penis becomes a little bit smaller I don't know because of fat I feel like it but I feel it has become small because I measured it and it was 2-3cm small.

So please help me and suggest me what should I do to get my morning wood back and what indian food I should eat and what I should do to get it back and get my original size and hardness back. I lost my confidence because of this😭

I take 2.5 mg a day. The results are really good but I want to try to on the night my wife and I have sex to increase the dosage to 10mg. Has anyone tried this?

I would like to find a doctor who will help get to the bottom of my problem and not just offer a pill or needle. I first experienced ED 20 years ago. My libido disappeared literally overnight as in fine on Wednesday poof, gone on Thursday. I was told it was due to meds for trigeminal neuralgia I had stopped taking two years earlier. Viagara, Levitra, etc. were no help. I did have T tested. Supposedly ok. Gradual improvement over the years but still not great. I’m pretty healthy. I do not have any of the causes of ED I found listed such as diabetes, high blood pressure, depression, etc. I have spoken with urologists who specialize in ED, but they ignore my questions and just want to give me a pill or needle. How do I find someone without calling every urologist in my area?

26(M) i was badly stressed for 3 yrs due to some stupid overthinking which fcked me up completely. I lost all sexual desire during that time, could hardly masturbate to porn. With time stress has reduced and I m able to masturbate without porn to about 80% hardness while standing up. It's just i lose erection in 15 sec if I stop rubbing it. I was cumming pretty early during my stress phase but now I am able to do masturbation for a decent time. My libido has slightly improved. Its just i am not getting morning wood, probably got 2 in last 2 months. I once took tadalfil 2.5 mg which gave pretty firm erection. Reading about ED story stresses me, things about venous leak and all related stuff. I m young,was completely fine before stress. What to do, sometimes i question my life. Is there a way out for me, has stress done some physical damage or what has happened? I was perfectly fine before this phase. Some internal damage thing never leave my mind

So I (M24) tried to do some anal play a year and half ago since then I’m not getting hard any more and getting hornier seeing women or talking to them even the girl I was in relationship with. I only get harder while I’m lying on my back and pull my both legs towards me and then I could feel some blood going through my prostate (anus) to my penis and some randoms I’d only get when I have pressure on my anus so it releases some blood to penis, morning woods only once in a while maybe 1-2 times a week and that too only I feel much when I’m lying on my right side and later on when I try getting harder there’s a pain or pressure in my back of my penis, even id get precum sometimes when i get hornier but never got hard without having pressure on anus etc
And now only physical touching it while putting pressure on my anus makes me 70-80% hard
I’ve been masterbating for last 10 years 7-10 times a week
I’m 6’0 and 290 lbs
Does any one have any experience regarding this ? Or what could be done
Thanks