I have read through this discussion and there are a lot of comments regarding taking non prescribed supplements, I have been a long time sufferer of ED and can say that in my case it just didn't work.
Then for a short amount of time I was using Kamagra Gels and that worked great but it did give me really noticeable side effects with vision and headaches, I was buying it from "sources" it was produced in India from I think it was Ajanta pharmacuticals?
They just stopped working in the end!
I then went back to the drawing board and did what the Board Moderator in this discussion has been saying, getting actual medical help, I have gone through a full range of bloods privately had all my results back and I was actually not deficient in any of the key hormones vitamins etc, from there I had a blood flow test at a Urology clinic where they inject you with a small amount of Alprostadil and then monitor the flow both in and out of the penis to ensure that you have the necessary flow to maintain an erection and to ensure that there is sufficient restriction to outflow of blood (obviously if it all goes in and out at the same rate you wont have an erection). All of that with me came up completely clear.
So in theory there was NO reason for me not to get hard pre-sex and to go soft when having sex. For context, I lost the ability to just get hard but I could with manual stimulation, but during sex I just couldn't last, this got worse over time and then the mental side gets involved too and that just exacerbated the issue.
I had to look at my lifestyle and my history, I used to be VERY overweight and this gave me high blood pressure and high cholesterol, in fact due to my genetics I am at a higher risk of both of those as well as diabetes. In order to lose weight I became a serious cyclist and weights guy, I lost 54kg in the space of 18 months, so at the time I was taking the tests I was super fit and healthy and lean. The problem was I believe the damage to my insides was already done and high cholesterol and blood pressure definitely play a role in ED. Not only that but I was reading a lot of information linking cycling and ED, the constant impacts to the underside of the penis from the racing saddle.
Basically I had a lot going on from my past life and my current lifestyle.
After doing some more research I decided to go to Harley Street for a "Miracle" treatment which had lots of serious people backing it, proper research, in fact some famous people we're openly admitting that it worked for them and saved their marriage! I spent thousands on a course of treatment which basically took blood from me then spun it down into specific parts and one of those parts was then injected at various locations on my penis, extremely uncomfortable over various sessions.
Did it work? NO!!!!!
So waste of time money and just wholly upsetting!
The cheek of the consultants were then to suggest stem cell surgery, literally talking tens of thousands for that, I told them to get lost!
I then spent about a year looking seriously at getting an implant, one of those ones where there is a reservoir and they remove one of your testes and replace it with a pump, invisible from the outside, but it means you can get hard whenever you want for as long as you want!
In fact as I was researching it, there was someone on Good Morning Britain who had had one and he came on with a sex worker to talk about it. All seemed great, yes it works!
I actually chose not to go down this route, it wasn't expensive considering what you got (around 15k at the time I think), my partner didn't want me doing this.
So currently I am on Tadalafil 5ml/day and that is enough for me to get hard when I need to but still not maintain a long erection.
However I realised the only thing that for sure worked on me was that injection I was given (in fact it took hours for the fucker to go down!)
So my next battle was how do i get that injection, spent quite some time doing research into that and while doing that I found out they were developing one for the home use market.
You probably all know it its called Caverject Dual Chamber.
I spent a lot of time trying to get this on prescription but it's really really tough, well in my case it was, but I then decided to go back to Harley Street and guilt them into admitting I was probably in need of it, so I got my prescription.
I only use it once every month at the very most, it can be used whilst on Tadalafil. If I am seeing an SP for a short time and to check her our then I rely on Tadalafil have lots of oral DFK and just fun, if I find an SP I really like then I go with the Caverject.
In conclusion explore all avenues medically you can possibly explore, do not just self diagnose or try supplements that we're not really qualified to fully understand what it may do to us, as that is setting you up for failure and more disappointment which in turn leads to deeper ED issues, not to mention any other damage we can do to ourselves.
My situation is not ideal but I accept it and I can have lots of fun with my prescribed medication. I am looking at strengthening my PC muscles, I've done this in the past and it does make a difference, but I get lazy and then just stop doing them, but I am going to try and be more consistent and do what I can.
Your causes and therefore route to an acceptable outcome maybe different from mine but please seek professional medical support, also consider counselling as I know even I had some issues there with my previous long term marriage. Longer term as I get into my 60s I may still go back to looking at getting an implant, especially if I plan to continue Punting, a small price to pay for guaranteed hardons for the next 15 years!
As men women think is so simple, we get hard, right?
The truth of it is that men are actually quite complex where it comes to sexuality and what affects it.
I looked at that boots link, I might look into that, I will also look into the evidence around switching between meds like Cialis Levitra Viagra etc for more effectiveness if indeed the body does get used to taking one med for too long.
Feel free to message me directly if that's allowed on here, still a newbie.
Thanks all
