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My question is for boys with venous outflow.
Please answer me, because I'm already crazy ...
I will try to describe everything very easily and briefly:

I do not take oral medications (viagra, cialis, etc.)
I get an erection, sometimes 80%, sometimes almost 95%
When masturbating, the erection is weaker, with a partner - stronger.
From 10 attempts, with a partner 7 times my erection decreases with penetration almost immediately. After cessation of penetration it can return again. 3 times out of these 10 I managed to keep my erection stable after penetrating ejaculation, but I feel premature ejaculation. These 3 times I changed 2 positions and the erection lasted, but the act was not more than 5 minutes.Besides, I've always had a strong ejaculation, at the moment it just leaks and I don't feel the contractions so much.
Is this possible with a venous outflow?

Venous leak is almost certainly not the cause.
First thought - get testosterone checked. Also, anxiety sounds high. Are you in good general health?
It sounds like an arousal issue - can be caused by medical and mental issues. Have you sought medical help?
Only a million more questions to help direct you, but take a breath...you probably don't have a venous leak

You need to see a urologist and have them do a penile doppler. He/she will be able to determine the health of your penis including if there's any venous leak...

Frank Talk Admin wrote:Venous leak is almost certainly not the cause.
First thought - get testosterone checked. Also, anxiety sounds high. Are you in good general health?
It sounds like an arousal issue - can be caused by medical and mental issues. Have you sought medical help?
Only a million more questions to help direct you, but take a breath...you probably don't have a venous leak

Can you explain more why you say that? In my opinion, it sounds exactly like VL

OP, have you had a doppler ultrasound?

Arterial Insufficiency = hard to get an erection
Venous Leak = hard to keep it

Frank Talk Admin wrote:Venous leak is almost certainly not the cause.
First thought - get testosterone checked. Also, anxiety sounds high. Are you in good general health?
It sounds like an arousal issue - can be caused by medical and mental issues. Have you sought medical help?
Only a million more questions to help direct you, but take a breath...you probably don't have a venous leak

Thanks for the reply !
My testosterone is between 190 and 250. I know this is extremely low, but unfortunately I have no idea what it was like before and whether it was not with the same values. He may have been tall, but he may have been the same. I definitely don't think about sex and I have no interest, unlike a year ago. My perception of sex has changed so much that at the moment I feel uncomfortable thinking that a woman can make oral love to me. Compared to before - a year ago, just seeing beautiful female lips and thinking only that. I don't know if this is caused by my erectile dysfunction and not the other way around. My health is satisfactory, I am very slightly overweight. 180 cm - 94 kg. I was on a Doppler test where I couldn't get a full erection, but Doc said there was no leakage. He told me that I did not get a full erection because he used only 2.5 micrograms of Alprostadil.

ViaSwiss - Isn't venous leakage a consequence of something and not a first cause? As far as I know there are many options to get a venous outflow, which is a normal function when you are not aroused, when there is not enough smooth muscle relaxation, etc. As far as I know, the venous outflow itself is caused by a problem with the veins, which is very easy to recognize. Any other venous outflow should be a consequence of something and not a cause.