If you get hard with porn and it lasts more than 10 mins, your ED is mostly psychological.

[Rufian]

Ruffian, good post. I agree. Some have reported hypnosis can help with performance anxiety. I also read a medical study wherein Trimix was used to treat performance anxiety.

In my case, even trimix is affected by anxiety, where I only see the result when I relax and about to have sex, but not before that. Between injection and the actual deed, is a bit engorged soft but not hard

Last time I used 20 units

Its not dose either, as the erection lasted for almost 3 hours

but between the actual injection and the deed, i wasn't hard even tho 10+ minutes had passed, this tells it still requires arousal and it still depends on the mind, is not unaffected by anxiety as so many people claim

[Franklin22]

I had extreme performance anxiety also. You try to get it out of your head and relax and you can’t. There’s always that little voice in the back of your head “ what if you can’t stay hard “. I’ve tried meditations, injections, therapy and I came to the conclusion that you have stated it doesn’t how you got there, but of your dick isn’t working it just ain’t working.
I wanted to know what it was like to enjoy sex just one time without anxiety and have sex with multiple new partners without being scared.
I’m living that life right now.
It sucks to have to hide the implant or your friends possibly finding out. But at the end of the day I’d rather this than people talking behind my back saying my dick doesn’t work.

[dtwarren1942]

Probably a venous leak in combination with diabetic neuropathy. In any case, I have been unable to achieve an erection for over five years even combining 70 units of Trimix with 200 mgs of Viagra. However, a can achieve and maintain an erection with the use of a VED and two Osbon tension bands, though lack of sensitivity becomes an issue after ten minutes. All things considered, I highly recommend the use of a quality VED before contemplating an implant

[Martin6469]

Rufian: I had performance anxiety in my young single days if I wasn't with a woman of my exact body type: thin and trim. But I found that I could much reduce it by running a mile every day and getting in good shape. The muscular exertion burns up the anxiety hormones and releases a feel-good hormone.

Earlier, in my childhood, I discovered that daily walking in the woods helped the stress of being in a dysfunctional family. Now it's called "Forest Bathing" in Japan where it's used to treat general anxiety. You could Google it.

[Bambino09]

Mpmo estas? Has tenido sexo?
Tus síntomas son muy parecidos a los míos

[Hardonrescue]

I think a major variable that isn't mentioned is "with physical stimulation."

I can get hard with or without porn, but the catch is there needs to be constant stimulation. Just sitting and fantasizing about sex, or watching porn, if I'm not playing with myself, it doesn't happen. But if I play with myself I can get 10+ min erections with or without porn. Withdraw stimulation, things go south pretty quickly. With pills, I get rebar erections doing this, without pills, much less but still passable for piv.

But I still have a problem in that laboratory called real sex with a real woman - so I have ED. Good enough for PIV but lacking. The difference I see is when with a woman, there are pauses, lulls, position changes, condom placement. And that's where the problem arises. Or should I say, deflates

I'm fine if we get to the issue quickly, one position and that's it. Quickies in mish, basically. Operationally , I'm fine with those and put the rebar to use. But it's pretty fragile rebar that can wilt if things are prolonged or if there are interruptions or distractions. Overall it' guarantees a pretty lackluster sex life.

[qcswral]

Never had performance anxiety until my late 40's early 50's when this whole ED thing started....and it was a precursor to cardiac problems. ( Younger people take note...research has shown men who develop ED in their 30's,40's and 50's are at a higher risk for heart disease..so get checked out) Pills worked for about 5 years then I had to move on to injections. I hated the anxiety during this period because when I had "misfires" I would get extremely anxious. I found semi-planned sex with my GF, scented candles, soft music, giving her a massage or vice versa relaxed me and minimized the anxiety. But Trimix was a game changer...I went long periods with only minimal performance anxiety. At times it raises its ugly head and I have to do the relax thing....The other thing that diminished my anxiety was accepting that I could give pleasure and receive pleasure with a semi-hard dick....and that's ok..

[rjnsingh98@gmail.com]

Very well said ! While there is no doubt that some young men have congenital issues, I find that “venous leak” are way overdiagnosed as you said. I see alot of men here with what we call secondary or functionnal venous leaks (not caused by congenital issues) and I often see that they refuse to take action and work on themselves. They don’t want to work on their anxiety, they don’t want to lose the 150 lb extra weight they are carrying, they don’t want to stop smoking, just tell them they have a “venous leak” and they’ll be over the moon. I recently saw a post about a guy who was severly overweight, like he was 250lb and 5’8, his “doctor” recommanded injections then an implant, in a matter if weeks. That’s crazy madness, he didn’t even try to lose weight, straight to the artifical pump. I have very little respect for this kind of people.