Performance Anxiety or Physical Issue

[Asdf1234]

[...] I followed up with another Dr recently and they said based on my questions it was performance anxiety but I am not totally convinced of that. I may call the urologist again and see if they can do the ultra sound to test but for now they seem unwilling to do this.

Thanks for any help. I appreciate it.

Why are they unwilling to do the ultra sound?

Maybe you should get a second or third opinion but don't underestimate anxiety. Most men seem to think that anxiety is not really important but it is quite the opposite. Anxiety and depression are major causes of ED and can have a drastic impact on your sex life.

Erections start in the brain, which is your #1 sex organ - it really is. If the brain isn't working properly, there is no way you can get an erection and perform.

Last week I was extremely depressed because of a conflict at work and I couldn't get erect. Manual and visual stimulation were useless, there were no nocturnal erections, my penis was completely unresponsive. Now that the conflict is solved and the weight is off my shoulders, I've regained my sexual function.

Psychogenic ED is a major theme on FT, I suggest you read those threads and do some research on this subject: read books, talk to doctors, consult FT an other good websites. The more you know about ED, the less stressful it will be.

Can anxiety and depression purely cause being unable to get erection whilst standing? Could this be in the mind? I was with a woman the other month and managed to maintain it whilst standing for some reason. But I had taken cialis 5mg about 48 hours before, surely this would have been out of my system by this point? I’m now finding I get an erection whilst masturbating but then it will go soft then hard then soft and so and and on. Then I will get to point and I’m ejaculating with about 20% hardness. It’s really fucking with my mind all this carry on. I do have ocd and I’m constantly checking it it seems every waking minute. No psychogenic or spontaneous erections throughout the day. But seems when I start kissing a woman it happens then but at no other times whatsoever. Can this actually be all in the mind as the doctors and professors are telling me? Surely there has got to be something else at play here? Please someone give some advice.

[Markc2008]

Have you taken any medication?? Not currently on it but anything for anxiety or depression prior? I have similar issues to an extent as you, but my penis is somewhat numb and my libido and arousal are super Low. The pills work sometimes and I can sometimes get an erection masterbating but for the most part it’s like I do not react to sexual stimuli anymore so nudity and the thought of sex doesn’t turn me on. Mine happened from abruptly stopping an antidepressant almost two years ago and still has not corrected itself . That’s why I ask was there any medication at all you were taking prior? Even some supplements have caused it that messes with seretonin or those receptors like saint johns wort.

[Asdf1234]

No mate, I’ve never been on anti depressants in my life or anything like that. I have suffered from bad depression and anxiety, ocd, possibly bipolar disorder all my life but always just tried to battle it myself. My psyche thinks I’ve now developed PTSD from childhood trauma that’s just surfaced after all these years.

My libido is very low too but my psych said that’s because of the depression and anxiety I’m under. I was taking something called champix to stop smoking before this happened? Don’t know if that’s anything to do with it? Anyway I can’t get erection from porn or self stimulation anymore. I get bad fear and anxiety when I try to masturbate. As soon as I start to think about Ed it happens. Only when I’m with a woman it seems to be ok. Even texting a woman it happens sometimes. But it’s as if my mind is somehow preventing something like a fear from getting a full erection. It’s very possible that the anxiety and depression has got to a stage where my body can’t handle it anymore and I need to get help with my past which I’m doing just now. I have been with a lot of women over the years with no emotional connection and possibly desensitised myself, and possibly once I find a connection with the right one these problems may disapppear I don’t know? It’s a big head fuck, but I’m sure I’ll get to the bottom of it eventually. There’s a possibility this could all be psychological as I’ve passed all the docs tests. Just had my testosterone tested again and it’s up at 800 ngdl. That’s from 500 last time but this time they done it in the morning and also the fact I’ve lost about 3 stone and been doing boxing training every day for months maybe that’s put it up?

Maybe you could try going back on the antidepressant to see if this changes anything??
Does your erectile function depend on position?