No morning wood but blood tests came back fine

Iā€™m a 39 year old male who eats well and exercises regularly.
Iā€™ve been suffering from ED for years, mostly hiding it from partners using viagra.
However Iā€™m trying to stop this habit and Iā€™m wondering if my ED is physical or psychological.
My penis works fine on viagra and Iā€™m very comfortable in sexual situations. I rarely almost ever have morning wood or night time erections. However Iā€™ve been to the doctors and all my blood tests came back normal. Also when I masterbate my erection is very weak at best.
Do you believe my problems are physical or psychological? Iā€™m really struggling as the doctors do not want to know as my bloods are normal. Also all the advice about eat well, exercise etc I do anyway. Is it possible that stress and anxiety can prevent night time and morning wood? As I thought that was a physical problem. Any response would be really helpful. Thanks.

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Anyone??? :joy:

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You say ā€œmy penis works fine on Viagraā€. If the the apparatus is working in that situation then I would think that the problems you are having in other circumstances are purely psychological. If you were physically broken you wouldnā€™t be able to get it up under ANY circumstances. Stay hopeful!

Thank you for your reply. With it working with viagra I thought maybe that pointed more towards physiological, especially with me not getting morning erections. I suspected potentially narrowing of the blood vessels in the penis. But my bloods came back fine and what with all the demands on the NHS with covid, the doctors donā€™t seem to want to look into it further.

Your situation is very similar to mine, in almost every detail. I ruled out every other possible cause and realised it must be psychological, and now Iā€™m trying to deal with that by seeing a sex therapist. Are you taking any steps to deal with your issue?

Mine was caused by my (ex)wife cheating on me many years ago, which utterly broke me, and although Iā€™m heading in the right direction Iā€™ve been a bit lost ever since. Iā€™m hoping I can get my shit together in my life, find some calm, and as a result my ED and lack of libido will both disappear.

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Both your situations sound similar to mine, although Iā€™d say that Viagra/Cialis donā€™t necessarily make that much of a difference to me. All my blood tests were fine so my doctor has referred me to a urologist to see if the issue is physical. Iā€™m surprised your doctor didnā€™t do the same, but perhaps this is because you can actually achieve decent erections in some circumstances, albeit limited ones(?).

Fwiw, my current approach is that working on my psychology canā€™t harm either way. I definitely have the loud ā€˜inner criticā€™, with all that entails, whether or not my problem is ultimately physical. Iā€™d like to get rid of that unhelpful voice inside me regardless.

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I guess itā€™s good for all of us to know there are men in very similar situations! I donā€™t discuss these things with men in my personal life, so I feel a bit alone and unusual quite oftenā€¦

Where you mention your inner critic - I definitely have that, and heā€™s a bit too loud. But that was always the case, including when I could have sex a few times a night without too much trouble! (This is when I was youngā€¦those days are long gone!)

If I canā€™t make something work with working on my psychology, I donā€™t know where I can go next. Iā€™ll have covered everything off, and Iā€™ll be out of ideas. And I can have sex with the aid of Viagra, etc, but I really miss feeling proper lust. Thatā€™s becoming a distant memory.