43yo, Staright, Married 20yrs, 2 Kids Under 12

I’m 43, married, with two kids. For the past 2 months, I haven’t been able to get hard enough for sex—no erection with my wife or solo, though I still get morning wood. Viagra and Cialis haven’t helped.

I’ve struggled with depression and anxiety, and was on SSRIs that killed my erections after a dosage change. Switched to Wellbutrin, then stopped all meds 2 months ago—no improvement. Around then, my urologist found slightly low T and started me on Clomid. My levels are now in a good range, but still no change.

My wife and I want penetrative sex—we miss it. We’re being open with each other, but it’s been really hard emotionally. My inner critic’s brutal, and I’m exhausted. Anyone been through this or have advice?

I’m going through the same exact thing and man it sucks I wished I knew the root problem of the cause bc it seems as if it came outta the blue one day all of the sudden no erections n no sex my wife of 22 urs is always nagging at me how I don’t even try to have sex with her anymore or I can’t get and stay hard while naked with her but I love her to death n her the same but I’m honestly so down and depressed I feel as if she’s gonna get the urge to start looking for it elsewhere. I’m in search of any kind of treatment or therapy I can do to get it back . I wish you luck man and if ya figure something out plz post it and I’ll do the same.

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I appreciate the solidarity and disclosure. Thanks for that…for me, I get in my head about it all. I’m finding there’s a huge psychological component to it, based on my ability to wake up with erections most mornings. So I’ve been leaning into flexing some mindfulness skills most mornings…some Acceptance Commitment Therapy concepts. Also, curbing porn use, and exploring audio erotica…the ones on the Mojo app weren’t what I was looking for, but I found other audio erotica apps.

Some days I can be patient and kind with myself, other days it’s just frustrating and feels hopeless. Today is a ā€˜kind’ day. (Lots of negative, even hostile, self-talk). Thanks again for sharing and I wish you well on your journey. -M

When my issues started two different friends of mine that went on antidepressants started having
Erection issues . My guess is that’s the catalyst and then it got in your head psychologically so even after you went off of them you were still having issues. You can beat the inner critic or at least keep him that bay. Start journaling , write down all the times that you and your wife have had amazing sex . Remind yourself of all those times when you’re in the moment just try to be present and enjoy her . You will get back to where you were . I have made a ton of progress and you can too . Anything I can do to help don’t hesitate to respond on here!!

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I can relate seemed like mine came out of nowhere as well. Do some serious thinking and investigating they’re definitely is a root cause!!

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Thanks for all that…means a lot.

You said you’d tried Cialis… Have you tried the daily dose version? 2.5mg or 5mg every day. It takes the pressure off because you’re not gearing up for sex, maybe.

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Great question - that’s what I’m currently taking…continuing a 5mg daily dose of cialis. And it doesn’t produce an erection for penetrative sex. BUT, I’ve notice an increase in morning erections while on it. I’m fairly convinced that it’s psychological. Though I’m 43, I was raised in a very religious purity culture that did me dirty around all things sex. I had been exploring topics of using pornography more than I wanted to with my therapist in August 2025, really cut back my usage, and the ED really reared its head (all around the time of an SSRI dosage change, which I’m completely off of for 2 months now), so it was several things at once. My hypothesis is that in talking about the pornography, it activated some pathways of guilt and shame, which motivated me to not use pornography as much, but also shut down sexual pleasure.

Regardless…I continue my mindfulness work, kegals, daily cialis, trying to have more open conversations with spouse, manage stress…all the things. Sometimes I’m hopeful (yesterday morning), and sometimes it weighs on me.

Try not to beat yourself up too much comparing morning wood to other situations with your partner - as you’ve said, there’s a psychological element at play that doesn’t come into it with involuntary morning erections. Might be helpful to use the fact that you know there’s nothing ā€˜physically wrong’ with your ability to get one in the morning, use it as ā€˜evidence’ when pushing back against your inner critic. That’s definitely helped me when I’m doing the same. Keep at it!

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It’s so sad that society guilt-trips us over ordinary sex. None of us would exist without it!!! But if this site/app can do anything for us, it should show us that this problem of ED is FAR more common than we are led to believe. But there is no shame in it. We can’t talk about it openly because of the shame, but here you have a bunch of guys from every possible walk of life who are finally able to talk about it. And you realise it’s no different from having a sprained ankle or a bad back. It’s an injury that prevents us doing what we’d normally do, and that’s all. We’re not machines, we’re not sex gods(!), we’re human beings and we go wrong sometimes. I know it was the shame over my first bout of ED (way back when I met my wife and was too overawed to perform) that came back to haunt me recently and brought it all up again. (I had/have a minor physical issue that impedes full hardness, and the anxiety did the rest). Daily Cialis / Tadafinil has done it for me, but I know the anxiety/shame can be a lot more challenging. I hope you can break through your mental block. Just remember how many of us are on this site - it’s normal, normal, normal. It’s a bad back. It can be fixed.

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