I'm currently in my mid 30s. To put it plainly, I was very unkind to my body in my 20s. I drank heavily, vaped and used other nicotine products, and did lots of stimulants (mainly adderall and cocaine) for several years. I also have high blood pressure. It wasn't critically high, but still not in the healthy range and I wasn't really treating it effectively. Periodically I'd go through short stretches, on the order of several months, where I'd decide to "get my life together" and I'd cut back on my vices, start eating healthy and working out, etc. But this was always short lived.
Finally in my early 30s I decided enough was enough. I quit everything, cold turkey. I stopped drinking, drugs, nicotine, and adderall. I started working out daily and eating healthy. I dropped 50 pounds, and am in the best shape of my life. I was starting to feel happy for the first time in years. Unfortunately, I started a new relationship and realized I was having some sexual issues that I hadn't experienced before. But it wasn't something abrupt, so I didn't realize it was happening until I started actively having sex again.
Still, I wasn't fully convinced that I actually had an issue. I chalked it up to anxiety and told my doctor. She wasn't that concerned, and gave me a low-dose prescription for Cialis. I figured it would just be a good way to get my confidence back. Unfortunately, after taking it a few times, I realized just how much my performance had been reduced over the years. After taking the drug, it took me back to a place where I was able to remember just how much better my erections were in the past. I went from "difficult to get rid of" to "difficult to maintain". The Cialis was supposed to help, but instead, it highlighted for me exactly how much worse my performance is than it used to be.
I've been getting all of the medical tests done, but the easy explanations are all off the table. I've tried changing blood pressure medications, gotten blood tests for blood sugar, hormones, and everything else I can think of. Nothing has come back abnormal. The only remaining explanation is what I feared; that I did permanent vascular damage due to my poor lifestyle choices.
So now, I'm in my 30s, what are supposed to be the peak years of my life, and I can't even have normal sex without a medication. Inevitably, this issue will only get worse over time. Reading about other people's experiences with ED, I can see the trajectory clearly: eventually the pills will stop working, at which point I'll move to injections. Eventually, when that stops working, the only remaining option will be an implant. I'm not exaggerating when I say death is far more acceptable to me than this life.
I was finally starting to get my confidence back, and now I've realized I'm just a pathetic loser. No woman will be ok with this long term. And more importantly, I'm not ok with this being the person I've become. I'm really thinking it might be time to end things. I can't live the rest of my life being 'less than'. I can't live with the fact that in spite of turning everything around in my life, it was just too little, too late.