No Venous Leak

[defiant]

I have just returned from my appointment with one of the team at the London Andrology Clinic, having sought a third opinion.

As a backstory, in short, in my early 20s I noticed a decline in EQ following on from some bad experiences in the bedroom. This turned me into an observer rather than a willing and relaxed participant. Fast forward to my late 20s and the National Health Service gave me a diagnosis of venous leak with some particularly poor PSV and EDV numbers. This was all the negative reinforcement my 'condition' needed.

I had had no injury, no clear cause, no clear leak point. Yet here was this diagnosis of venous leak. It made it 'real'. With hindsight I can see now that the urological team there had carried out the ultrasound poorly. I was not relaxed suitably, informed well enough nor was I told to stimulate myself for maximal stimulation during the test.

And so my result was bad. Oh no! I have something! Whatever will I do?! I must use Cialis forever if I even want to keep it up. And thus my psychological dependence on pills was formed.

Fast forward some more. Keen to get a second opinion from a specialist, someone who deals only with these issues, I saw the team at St Peter's Andrology London. More information was given and the test carried out appropriately. Bloods were taken. Everything was normal and my erection had negative outflow. Hence, no venous leak. Well, despite being happy with this, I was confused. How can two diagnoses be so different? Reassured, I carried on with life but have always been wondering, which test is right.

Well today I sought a third opinion at the London Andrology Clinic and was seen by an excellent physician who explained to me that though this condition is still not understood fully, a clear leak or veno occlusive disorder is straight forward enough to detect. He assured me he would scan me and put this to bed. He did the ultrasound and again, I was told to stimulate myself, think sexy thoughts (as much as is possible in such a awkward situation) and let go. The results showed a perfectly normal erectile response. And though I am finding this hard to believe, such is the default setting of my brain, I do believe this is a problem that has been deeply entrenched in my psyche for many years now, accumulating as the years passed.

I will still need to take the pills just to be sure, find an understanding partner, work with them, perhaps go for psychosexual counselling but the road ahead seems better and clearer now.

My point? Venous Leak is a term thrown around way too much. We all have bad episodes; we all fear performance from time to time. As one doctor put it, venous leakage is merely a descriptor of the normal detumescence of a penis. It is completely a mind-body process and if your mind is thinking about performance and the act instead of the positive aspects, well, say goodbye to good EQ.

Barring severe injury or congenital defects and certain disorders which can be identified by bloods, most of the time, men like me get carried away with the nightmare that is 'venous leak'. General urological doctors should be much more careful when using this term and more careful when performing ultrasound tests. They must be done correctly.

I am now willing to believe this really has been all in my head. So I don't get many morning erections, well, I'm tense, my sleep is usually light. Of course I won't notice morning hard ons if they're even able to occur in such a tightly-wound state. I had no precipitating injury, I used to be able to perform excellently then when I started to assess myself more and more and at every encounter or even masturbation, so too did my EQ decrease.

I am not doubting the reality of venous leaks but in many cases, like my own, it really can be....

all in the head.

Although even with two specialist Andrology teams telling me in no uncertain terms I have no venous leak and no veno-occlusive disorders, my brain still can't accept it fully.

[Anonymous2]

Hi Defiant, this is from your post.
I am now willing to believe this really has been all in my head. So I don't get many morning erections, well, I'm tense, my sleep is usually light. Of course I won't notice morning hard ons if they're even able to occur in such a tightly-wound state. I had no precipitating injury, I used to be able to perform excellently then when I started to assess myself more and more and at every encounter or even masturbation, so too did my EQ decrease.

I am not doubting the reality of venous leaks but in many cases, like my own, it really can be....

all in the head.

Although even with two specialist Andrology teams telling me in no uncertain terms I have no venous leak and no veno-occlusive disorders, my brain still can't accept it fully.

This adds up to performance anxiety.
A link that may help you, https://www.pegym.com/forums/erectile-d ... xiety.html
Within this link your find this, Understanding Performance Anxiety click on this even more to read, but one thing for that stands out is you really need to shut all this out of your brain, and this is where meditation comes in, getting your brain retrained to be able to relax and shut things out, and this for you is performance anxiety, some women says some thing to you, like your no good in bed, for her you may not have been, but for the next 50 or a 100 your great, so from this one women see what she has done, she shut your sexual side down.

But do read and see what you think.

NOWHARD