Hey,
I am 24 years old and for the past 6 years I have been suffering from ED. I don't recall anything that could have caused this. I just remember a sudden loss of morning wood accompanied by a sudden loss of libido and spontaneous erections. Before I had no issues with erections at all, but after developing symptoms I struggle to achieve or maintain an erection for any meaningful period of time.

Since developing symptoms, I can't seem to achieve a 'rock hard' erection anymore and max out at about 90% on a good day.

I also believe I don't consistently get nocturnal erections because I have tried the 'tissue paper' test and some days I can wake up with the tissue paper still intact.

I have been to the GP where my blood test was completely normal and my testosterone was actually high, so the GP said that symptoms are likely psychological.

He asked me to try sildenafil or tadalafil. I have tried tadalafil which does help with maintaining an erection but I still can't seem to get a full erection. Erections typically fluctuate around 80% in terms of erectile quality and I can still easily loose the erection.

Could the lack of complete engorgement be due to corporal fibrosis? If there is corporal fibrosis present, can this be palpated? I have tried palpating but don't really feel anything unusual. Can anyone with corporal fibrosis share their experience please? What does it feel like?

What else could there be that could prevent complete engorgement?

Hello,

I've noticed that the psychological aspect is really underestimated among men suffering from ED.
Personally, the psychological side accounts for more than 50% of my Peyronie's problems (plus a bit of ED). I've been seeing a psychologist since December 2024, and I've also had several sessions with a sex therapist together with my girlfriend. All of that has helped me tremendously.

I consider myself to have good perspective on my own situation — I've traveled a lot, studied, and lead a healthy lifestyle — but through therapy sessions I've learned so much more about myself than I ever thought possible.

Even with tadalafil, there are stressful days when I can't maintain an erection properly. But in the summer, on vacation, there are no problems at all.

This summer, a friend confided in me: for a whole year, he couldn't maintain an erection. After a year of medical wandering, he realized it was psychological and decided to see a therapist. Now he's ok.

You might be caught in a vicious circle — an accumulation of adrenaline in your blood (which lowers erection quality) at the very thought of having an erection. There could be a social, family, or work/study-related blockage. We live in a very complex society where our daily lives are no longer limited to hunting mammoths, gathering berries, and interacting with the same 15 clan members. I encourage you to clear away the mental clutter of everyday life with the help of a psychological therapist.

Wishing you lots of strength and courage.

Thank you very much for your thoughtful reply. I do appreciate it.

I absolutely do agree that there is a major psychological aspect to ED and I know that it is affecting me as well.

It's just that there has been some non-psychological experiences that I have had as well.

For example, a sudden loss of morning wood. I used to wake up with a rock hard morning erection everyday. Then all of a sudden, this became extremely infrequent and the last time I woke up with morning wood must have been quite a few years ago. The loss of regular morning wood was then accompanied by ED, which makes me believe that there is a connection there.

I have had times where I may awake in the middle of the night with a nocturnal erection and I can tell that it is not fully erect.

I've also noticed that when I have wet dreams, my erections are also around 70-80% then as well.

I've noticed that I can get an hourglass type shape when I am flaccid or semi erect.

These factors lead me to believe that there is a physiological aspect to this but the psychological aspect then compounds the issue.

I'm just trying to understand if my issue is purely psychological or if there could be a physiological factor as well.


Is it because of poor blood flow? I am still young and otherwise healthy and I am quite lean so I doubt there are any blockages in blood vessels.

Is it because there is damage to erectile tissue? I recently watched a video on YouTube by a urologist called Dr Stefan Buntrock where he mentions corporal fibrosis being an overlooked reason for ED.

Even on good days where I am not stressed and my libido is strong, I still can't seem to achieve ideal performance.

Perhaps it is purely psychological. Although, before I developed symptoms, I had no issues whatsoever, both physically and mentally. These symptoms kind of appeared out of nowhere which is the strange thing. And then it went on to have a knock on psychological impact on me.

I think the next step for me would be to have a Doppler ultrasound. Perhaps that would clear things up for me.

Hello,
Ok I understand. Maybe there was a psychological experience linked to the loss of morning wood and ED, that you don't think about ? Like a sudden event ? I wish it was that, more than physiological.
I think your next step right now is going to see the best urologist in your country, specialized in ED/Peyronie + seeing a psych-therapist. Don't forget to come with some pictures of your penis in erection + your blood test at your urologist.
Good luck and keep us updated