Long term ED and dependence on pills

I’m 38 and have struggled for as long as I can remember. I defo do get too uptight, not just in the bedroom, but in life in general. Have had counselling in the past, specifically for ED, however, this turned into more general counselling due to my other social anxieties at the time, and also due to the fact I was single and therefore could not really talk about specific sexual encounters. When I masturbate I am fine but have probably developed a death grip, I sometimes get erections during the night but hardly ever wake up with morning wood. I use pills in every sexual encounter these days and am now fully dependent on them. In new situations I usually am unable to perform even with the pills. If sex with a partner becomes more permanent and I start seeing someone more regualarly the problem usually gets better, albeit with me still being reliant on pills. Does anyone have any advice for what seems a mixture of psychological and physical issues. For example, a urologist or a specific sexual counsellor. I am midlands based.

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I’m the same age as you with the same problem. I went to a urologist and he put me on Clomid 50mg. This helps your nuts boost it’s testosterone production naturally. I also went on Ashwanganda and Shilajit. It really helped give strong morning wood, and boost my training in the gym. I’m pre-diabetic and overweight, so making lifestyle adjustments was an important first step. I’m now trying to focus on the psychological aspect, hence this app… but at 38 I’ve left this for 20 years with yoyo erections… so I’m expecting it to take a while, and the body re-sensitization and visualizations to be key to overcome. Look into psychedelic therapy as well. It increases the neuroplasticity of the brain, which allows for new neuron pathways to develop to break old ways of thinking.

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