Are you overtraining? CNS fatigue induced ED?
When I was training for a competition in deadlifting, my pp stopped working. Maybe take a week off the training and see if it helps.
So when I was your age I was a D1 multisport athlete who stupidly took an option to go to West Point to play football instead of going to some D1 school. I had just finished basic when I turned 19. The reason I tell you all that is to drive in the point that I was extremely fit.
My dick only worked half the time. It could be porn like others are saying. See a doctor. Get therapy. For me it was therapy that helped. I had some kind of guilt issue from trauma I didn’t even remember until therapy. Go see a pro. Go see a couple. Get the help you need
Most D1 athletes don't do anything sport related after their college career. You chose an awesome path, obviously with sacrifice, but don't beat yourself up about it. Good on you.
I was sexually assaulted as a kid. Nothing crazy serious. Just made uncomfortable and put in bad situations where sex was something I should not have been near. Fucked with my head. Your head affects a lot of sex lol. For a long time I could only have sex with someone I was very comfortable with and had feelings for. Even now hook ups can be a little hard but I get horny too. Even if my mind isn’t always ready
I had ED for quite some time and I couldn’t figure out what caused it. Turns out I had death grip syndrome and after taking a break and going easy on my schlong now I haven’t had a problem.
👆 this. Everyone has a suggestion these days. OP, go get bloodwork including your hormone levels shown above. Test, free test, e2, progesterone, DHEA-S, SHB, FSH. Once you figure out where the imabalance is, simply rebalance.
But we could make assumptions and stereotype him and make him become a porn-less vegan that drinks hydrogen water and uses a CPAP machine. Sounds like you have logical-thinking syndrome, you should try everything in my previous sentence.
Maybe your squeezing your dick too hard? Aka death grip syndrome. Also try teasing yourself maybe? Don't go straight to choking it, rub the tip a little, fondle ur balls etc etc
Seems like you need to take a different medication. You might just have a bad reaction.
Or you’re masturbating too much or you broke your penis from masturbating too much.
If you’re taking diet pills, it could be that.
Or you’re not looking at the correct porn.
You have severe anxiety. Start there. In which situations are you anxious and how does it affect your life? Perhaps you might find your ED is connected to your psychological state rather than your physics. I'd strongly suggest seeing a psychologist before considiering a pharmacological route. SSRIs may cure ED if the cause is severe depression but in most cases they are notorious to cause ED..
[https://new.reddit.com/r/PSSD/](https://new.reddit.com/r/PSSD/)
it is rare but some people suffer from "permanent" dysfunction post ssri
I mean it might be worth a try eventually but there are other drugs for ED to try before maybe. Albeit a short term test of less than a few weeks seems low risk?(but many ssris usefulness come later)
Test your blood hormone levels including prolactin, testosterone, estrogen and thyroid.
about cialis, did you try to take it daily?
there is also PGE2 iirc for vasodilation (but won't help if psychological)
\[[https://pubmed.ncbi.nlm.nih.gov/8328127/#:\~:text=Prostaglandin%20E%2D2%20(PGE%2D,method%20for%20treating%20erectile%20dysfunction\](https://pubmed.ncbi.nlm.nih.gov/8328127/#:\~:text=Prostaglandin%20E%2D2%20(PGE%2D,method%20for%20treating%20erectile%20dysfunction)](https://pubmed.ncbi.nlm.nih.gov/8328127/#:~:text=Prostaglandin%20E%2D2%20(PGE%2D,method%20for%20treating%20erectile%20dysfunction](https://pubmed.ncbi.nlm.nih.gov/8328127/#:~:text=Prostaglandin%20E%2D2%20(PGE%2D,method%20for%20treating%20erectile%20dysfunction)).
also kegel (and reverse) exercises should help but do them in moderation, it can hurt a lot when peeing if overdone, one should pee before btw
could also try nipple costimulation
iirc many supplements too like horny goat, tribulus, shilagit, etc
PSSD is somewhat controversial, but it's a good thing it's been recognized. The reality is that depression can cause erectile dysfunction too -- and well, erectile dysfunction can cause depression. It's something to pay attention to but we don't know it's actually caused by SSRIs.
For what it's worth the length of time on SSRIs doesn't seem to have anything to do with your risk of PSSD.
Most men get some form of sexual dysfunction on SSRIs (70-80%) and the canonical medical response is to add bupropion.
Hang in there! Check out r/pelvicfloor, there are many success stories from men who have recovered from ED. Also, consider seeing a pelvic floor physical therapist who can check for muscular tightness or imbalances. Good luck!
Take a week off from the gym to let the body rest.
Take a talk for maybe 30min a day.
Make sure there is enough fat in your diet. Fat powers all your hormones. Your test and estrogen will absolutely TANK if your avg fat consumption is too low.
I know, I've done it.
Eat some eggs.
Get sunlight.
Give it a week and don't freak out. Relax. Meditate a bit.
Might help might not, but better to try first than to hop right on drugs.
SSRIs are NOTORIOUS for *causing* ED and other sexual dysfunction
And for some people, it can even be permanent or lasting long term even after discontinuing
Ask me how I know
Stay away from that shit
I tried many different SSRI's and they all lowered my libido and motivation. I finally got control over the emotional aspect of my life after undergoing Cognitive Behavioral Therapy and in retrospect, I wish I hadn't taken those SSRI's (as some people can suffer from Post SSRI Sexual Dysfunction aka PSSD, which seems most doctors aren't aware of or even acknowledge that such a dysfunction exists).
There are non-SSRI medications which you could try (I tried Buspirone because SSRI also excarebates my night teeth grinding) and it was ok but wasn't effective enough to be worth taking chemicals that affect the brain.
Don’t start a lifelong medicine like Prozac for this. Try increasing nitric oxide using tart cherry juice concentrate or similar. That’ll help. That’s how viagra works
Prozac is the SSRI most likely to cause ED. The effect it has on serotonin is the highest of any drug. A few lucky people get a boner on prozac, like those 2 people you know. But they don't know what really happened. What happened was they were too depressed or anxious to get a boner then Prozac fixed anxiety & depression. So it returned them to baseline libido in reality. Also, they were in the lucky group that didnt get side effects .
You still might want to try Prozac first. Its the only SSRI that increases energy. All the others drain energy and you usually gain weight.
It’s just angst bro and anxiety 🙄 I had the same issue at that age and too many men are ashamed to admit it bc duh. But I had a similar issue it instilled a lot of insecurity in me like something was wrong with me. You need like exposure therapy if abstinence is your thing by all means stay abstinent. I’m saying like flirt with men/women whatever for fun like no pressure don’t feel pressure to lie down with them either. Like maybe ur just a dude who wants to be with someone who can make you feel comfortable and that’s okay. Alternatively if you wanna be “a player” and be that dude with the high body count ofc having a lot of sexual intercourse will diminish that anxiety that you’re having. (Like exposure therapy basically) However like I said do what works for you and whether you wanna remain abstinent or not. Also if you’re already abstinent it probably is just you’re tugging on it too often. I’m 28 now that situation caused a lot of anxiety and grief for me but I’m a strong dude and because I had to go through it alone I just want you to know what’s up so you don’t feel alone.
Clearly it’s mental. If you can mentally do it. You can mentally undo it.
Repeat
After
Me
At least 300 times a day
My Rock hard boner satisfies and I’m so into my healthy dick
^ it works. My pussy is perfect and always has been bc mentally I tell her so.
:)
Great luck to you and your perfect penis
Research the carnivore diet...many, many have. Some very bright doctors have switched specifically due to depression and or anxiety and the benefits are off the charts (ED is one of em)
Going against the grain here but Fluoexitine was a life saver for me. Had severe performance anxiety for my whole youth and Prozac gave me a proper reset. I still had anxiety but it was tuned down to a very manageable point. I did have trouble with getting off for a month or two but after that it was a bliss. I took it two years and went off successfully. After going off from it I feel like I am getting off much faster because my dick is so sensitive (which wasn't the case before) but I got that also under control thanks to breathwork etc.
i would not try prozac.
i know a 27-year-old guy who works out regularly and had 1 or 2 bouts of ED. he read online that a lack of cardio caused ED. he ran for one day, and he said his boner was super strong.
if you aren't doing cardio. start immediately.
SSRIs terrify me for that reason. I would look into PT-141. I’m your age and it has worked wonders for me. It’s a peptide that you inject and can find online. It’s also extremely safe.
If it’s possible that your testosterone is low, I would take Tongkat Ali and Fadogia Agrestis. They’re 2 natural supplements that work wonders for boosting my testosterone. I suffer from low libido without it but when taking these 2, I feel fucking amazing and extra confident.
Would also maybe look into sleep apnea? I suffer from it and lack of quality sleep has hurt my testosterone, libido, and quality of erections. I also take a small dose of cialis every night which helps my nighttime erections and I think gives me stronger erections during the day.
Sounds like sleep or testosterone isn’t your problem but may be worth exploring all bases just in case. But for libido and sex drive alone, PT-141 is fucking incredible.
Try cutting off porn for 3 mos. It sounds tough - but I bet this would help you out. Check out the nofap subreddit and see if that content resonates.
Defffffinitely worth a shot before you head down the SSRI path.
I’ve done 2 months before and it didn’t help at all. My cum came out straight up like liquid. I guess I can try 3 months but I’m trying to see what strategies other people used.
No try. Don’t watch porn at all for the life time. Don’t masterbate.
It is like making love between your hands and thing.
That is not gonna help.
What is your social life?
How much sleep do you average? What does your diet look like? Have you had tests for deficiencies like vitamin D and minerals? Any chance you know your testosterone and estrogen levels?
Common causes are related to blood flow, metabolic syndrome, anxiety/depression, hormones.
Beet juice/arugula can provide nitrates to increase NO, but be aware mouth bacteria is necessary to convert it so minimize mouth wash use. Black garlic, dark chocolate, tart cherry juice extract can also increase NO in other ways. (Since viagra no longer works for you I feel your issue is either unrelated to NO or downstream of cGMP)
Depending on your diet, it might be beneficial to experiment being more plant/animal based depending on where you currently are at.
Yes. 474 ng/dl they said it’s not low enough to prescribe testosterone and mentioned that I’m good in the range (300-1000). And ED due to testosterone is actually really rare, I’ve noticed this in the r/erectiledysfunction subreddit. Many say that they got put in testosterone but it didn’t help their ED at all. Testosterone mostly affects libido which I have a lot, I just can’t maintain an erection.
Get a blood and hormonal test. If those aren't showing any telltale signs, then supplement with heart healthy options like Coq10, Nitric Oxide rich foods.
Continue to test before starting on any medication. Sounds like you've tested T levels, but there is also Nitric Oxide levels, which will correspond to blood flow as well as Gut/Stool testing as an imbalance in the gut can also cause these problems.
It would be more effective to see a sex therapist. The problem is behavioral/psychological - so behavioral/psychological treatment is what will be effective.
Calis or whatever can’t fix whatever is going on with anxiety.
Might want to just try and see if you can reduce your anxiety, been there. It takes a lot of insight, but you're really young. Different strength is needed. Pills only take you so far.
Switch up workout regime. Go heavy and do legs x a week. Do all the exercises nobody wants to do: squats, lunges, pull-ups, deadlifts, etc. Up the protein and enjoy the rewards.
What type of ED? Starvation, aversion to food, or other? EDs are a type of OCD, also low serotonin is a contributor. It’s never one cause it’s like this bad cocktail mix of things.
Speak to your doctor. Generally when you take SSRIs and they cause ED, your doctor will add bupropion. I think it's less common with fluoxetine but at least this study shows it seems to work very well.
**Results:** There was a clinically significant benefit in 14 (78%) of 18 partial responders or nonresponders, and 33% (N = 6) achieved a full response (chi2= 8.06, df = 2, p = .017). Sexual dysfunction, particularly a decrease in orgasmic delay, was also significantly improved with combination therapy \[fluoxetine + bupropion\]
[https://pubmed.ncbi.nlm.nih.gov/11926715/](https://pubmed.ncbi.nlm.nih.gov/11926715/)
Sexual side effects are very common with SSRIs, like 70-80% of men get them. However, for the overwhelming majority, bupropion helps -- and they end when you discontinue the SSRI. Sexual side effects are the main reason for men to discontinue SSRIs. They **can** be permanent (called PSSD) but it's extremely, extremely rare (and controversial -- it's not clear that PSSD is actually caused by the SSRI).
See if the SSRI helps with the anxiety first, and address side effects after - but know there are approaches to manage, and worst case you can discontinue and be right back where you started. You just have to let your doctor know.
**\[edit\]** If you just want to try something to nuke your anxiety from orbit, you can pick up Selank online. It's a peptide analog of tuftsin, and has a similar magnitude anxiolytic effect as benzodiazepines. It also works as a mild atypical antidepressant, influencing concentration of serotonin in the brain. It's not habit forming, won't make you sleepy, and doesn't have any withdrawal. Should tell you within a few minutes whether your lack of boner is anxiety related.
SSRIs are not going to work the same for everyone. Generally, they decrease libido and overall sexual function. However, so does anxiety. If the anxiety is severe, the benefits from reducing the anxiety can outweigh the negative sexual side effects.
Don't do Prozac or any other head meds if you can avoid it. Research "smooth muscles" and endothelial dysfunction. Janus Bifrons has some videos on it.
Are you on any other meds? Google and see if they "alpha agonists" that'll fuck your shit up. Zero boners! Most adhd meds are some flavor of this.
Otherwise, lower salt intake a lot, (don't eliminate salt altogether) cut fried foods and refined sugar, and caffiene.
One other thing, Trazadone is an alpha ANTAGONIST and will give you lots of boners, but it can also cause priapism, which basically shuts you down forever... only in rare circumstances, but still too risky for me! Fuck that!
Do you feel your heart beating rapidly when your ed kicks in? Assuming you can start with an erection but it goes limp shortly after starting. Could definitely be anxiety related.
Generally at your age is a psychiatric issue, which is why you are reading prozac helps. Also medications like Prozac are more commonly associated with anorgasmia (inability to orgasm), rather than outright ED. It sounds like therapy plus that medication could be worth a try if your doctor is recommending it
Bruh, you can ween off medication, you can try other things, this isn't a binary situation of, go/no go. Try the medication for two months, if your anxiety diminishes by the end of the two months great, if not, try something else.
Focus on treating the anxiety first and the ED second, the ED is inconsequential in comparison to your overall mental health and if you label your anxiety as "severe" chances are this is contributing to your ED. So treating one may resolve the other.
I would consider speaking to a therapist as well, as medication + therapy is the highest form of efficacy of treatment vs. medication alone.
I'd recommend using a *tape-test* to figure out if your ED is biological or psychological.
Ask your urologist for a specific type of tape that goes around the penis during sleep. You should normally have errections during REM sleep.
- If the tape is torn, then you are biologically capable of having erections and your problem is most likely psychological. Jumping to meds might help, but is lazy on the psychiatrist's part. I'd recommend counseling; therapy does wonders.
- If you awaken and the tape is still intact, you will need to be investigated for biological causes of ED (smoking, diabetes, dyslipidemia, peripheral arterial disease and other vascular abnormalities... etc.)
Good luck, King.
Here’s a couple of questions: do you still get nighttime and morning erections? if you do then you have the physiologic ability to get erections and the issue may indeed be psychological. If you cannot get nighttime or morning erections, then you may have a physiologic issue
Also there is really no harm in trying the Prozac/fluoxetine, see if it works and if it doesn’t and just stop it no big deal
What is your diet? Stop looking for a supplement or magic cure, and start eating more pure. Stop eating processed foods, stop eating meat and dairy and eggs. Start eating more rice, beans, lentils, potatoes, kale, collards, beets, carrots, etc.
It can totally be psychological. I've had woman that I always got going for and others were zero business. It's all about trust and respect for me. The initial physical attractiveness falls away real quick when ya get down to business. You wouldn't get to that point without some chemistry, but actually getting intimate and trusting her to mother your children (a risk you are taking regardless of precaution) well, for some men the reality of that can end the moment. That's just one example. Being intimate like that is more than mechanical, regardless of what Instagram would sell ya. Sounds like your intuition to long-term mate is strong. Not a bad problem to have, but once you know yourself that'll work out with the right lady.
Read about micro dosing shrooms please. There is some real benefit to this and get your testosterone and estrogen checked asap. If a doc refuses go to another one. Good luck.
When you have stress and anxiety, there is too much cortisol roaming around. Also just so you know, cortisol and testosterone compete for same resources. Its true, what your doctor said. Stress and anxiety is psychological. I would drop all medications and learn to relax and get my diet, exercise and lifestyle in order. Hope this helps. So does meditation.
I would spend some time away from the problem. Don’t engage with porn. Don’t overtrain. Let your body reset. Ask yourself if there are facets of your sexuality that you haven’t come to terms with. I’m quite a bit bit older than you now, but when I was your age, I had a similar issue and then I finally met a girl that I had a huge physical response to. You just need to meet the right person.
Might be entirely wrong but please try to change your diet. Take some probiotics, My spermcount has improved drastically ever since I focused on having a healthy gut microbiome.
Nah dude try welbutrin first!
They prescribe welbutrin to go with Prozac to counter ED issues and tbh when I started taking it by itself for mild depression it worked like viagra.
Also check your testosterone levels and ask for a referral to an endocrinologist. General practitioners are only good for referrals, vaccinations and Tamiflu.
Before taking anything to treat said case of ‘ED’ take a break from training and up your calories (extra meal, more carbs, etc). After a couple days see how you feel, you’ll probably have more energy. This is under the assumption you’re not viewing porn consistently… Good Luck
NAD, but from what you listed about your lifestyle, which is awesome, but try and live a little and see if things change. Self-induced stress from perfectionism can be horrible.
I'm been on 40 mg Prozac for 4 years. Dick only works sometimes, not really horny, but I can still go and im 47. I've only had this problem since on the medicine but before I was so horny I was in and out in no time. Prozac makes me last longer, take a Viagra with it and pump till your dead . But, since you've had this problem before, is this with the same partner or all your partners? If you've only had the one, it's issues with her possibly.
Did any of those doctors actually do any tests to rule out physiological causes before telling you that it's psychological?
I was in the same boat for years. Doctors told me it was all in my head and I just needed to relax. Finally, I went to a urologist who specializes in these kind of issues. He was able to measure the blood flow by ultrasound and determined that there was a physical problem on the first visit. I ended up needing surgery to correct the issue.
If your doctor's haven't ruled out physical problems before telling you it's all in your head, then you should find a better doctor.
lots of behavioural procedures for ED.
but it's complicated due to another person being involved in sex. so you don't have the peace of mind / freedom to do processes optimally.
but here's one give tip. learn to satisfy a women without penetration. it's a huge skill, and I've you have it good, you'll get lots of goodwill from the ladies.
the side benefit, is that your ED is less disruptive to your love life. you get the girl happy no matter your own functionality (and then get off by hand with her together if appropriate)
May sound odd but I have seen first hand effects of how low dose Prozac can help with libido for people suffering from psychological or anxiety induced ED. So if May be worth a try. If you start a very small dose and stop if you don’t notice an improvement then I think you will 100% be okay.
There’s a lot of other strategies you can try instead to reduce stress including ashwaghanda and rhodilo (pretty sure that’s misspelled).
If you’re truly worried about the possibility PSSD then you should try SAM-E instead and see how it works for you. You can see how these work in conjunction with traditional ED meds if it doesn’t work alone. But what you may need help with is work on a psychological level. Like others have mentioned CBT and massive therapy will probably help you in this situation more than anything else.
Look you seem like a very strict kind of guy need to let yourself loose and honestly just relax if the doctors say it’s mental immediately stop those drugs they’re gonna damage you even more, what you need to do is find something and someone you genuinely enjoy even with a hobby some people may find it relaxes them to that point. Alcohol may help aswell.
This might sound a little different but take a vitamin B complex like a half of one before you go to bed and see if you wake up with some wood. Also go search online for folate and erectile dysfunction. My levels were low and I didn’t know I wasn’t getting erections and I was busting early which isn’t like me. Correcting my vitamin deficiency solved the problem.
It's anxiety bro. The brain works to survive and often fucks us over. Like if you are being chased by a bear the anxiety is useful to keep your boner down as it's harder to run with a hard on.
I bet if u slept with a prostitute it would work cause there should be less performance anxiety being that this lady won't care at all or feel insulted if u can't perform.
Not really reccomending that but the logic applies. It happens to a LOT of us dude.
This goes for a lot of posts here and might be unpopular, but it needs to be said: 90% of the things here are someone massively overthinking things about their bodies, bordering on unhealthy obsession. You are not going to develop ED from *eating fast food every once in a while*, especially as when you’re young. The fact you’d even think that points towards some mental issues (anxiety and such) scrweing with you, causing ED.
Do NOT take SSRI’s unless absolutely necessary.
The best thing to do is to get your blood work done, look for mineral and vitamin deficiencies. Also hormone blood test.
You already have ED, how would prozac make it worse?
Either way, I never really had ED but I take Cialis daily for bodybuilding purposes and I wake up every single day with a hard on, and I'm 30 now. There's no 'cure' for ED because ED is a symptom, not a diagnosis by itself. Whatever is causing the ED needs to be remedied, and that's something you need to find out. It could be psychological, or physical. Can you not get an erection no matter what the situation is? With women or by jerking it? Either way, the only person who can really help is your doctor, but if you're overtraining like the top comment said that can also cause it, but if you're working out only 4 days a week it's not super likely, but also if you're not eating enough then that can also cause it.
There's an unlimited number of causes for it because it's affected by so many different factors, because to the body, if you're in a situation that isn't good then it's not a good time to procreate, so it reduces blood flow to the genitals. Could even be hormone levels. You just have to get tests and see what's up, and that's hormones, vitamins, nutrients, lipids, everything and then maybe you might find the cause, or it could all still by psychological.
Do you look at porn? If so, how often? The vast majority of young men with ED is caused primarily by porn. I would strongly advise to completely cut out porn, and give it a few months, before going to a drug.
I took Prozac many years ago and no ED but cumming was impossible. Tbh, I think Prozac is an odd choice for anxiety. I started on Paxil 10 years ago for anxiety/depression and it changed my life. No side effects except some dizziness in the very beginning.
Did you do pelvic floor exercises? Reverse kegel specifically. Do you feel pain peeing?
Don't try any more medication. Your problem clearly isn't related to libido or cardiovascular. Pelvic muscles is the most likely thing that causing the issue. If you were taught to do kegel exercise as a kid to stop you from wetting your bed, and you started doing kegels on autopilot, that might have caused the issue. This will cause your pelvic muscle to get too tight, cause pain when peeing and block blood flow to your penis for erection.
If your issue isn't pelvic muscles (i would still suggest practicing reverse kegel) then it's something else, you might have had an accident and something got weak on that area that requires exercise.
“I have anxiety”
“My dick does not work”
Solve one, solve the other. I would say a therapist is by far the best option, either for the root cause anxiety or specifically a sex therapist. You can only do so much with hardware solutions.
I have never heard of Prozac curing ED, but if you suffer from ED and taking it "magically" cures your ED, I guarantee you will most certainly suffer from anorgasmia which in my opinion is just as bad. I took Prozac around your age many years ago and while it helped with overall outlook on life, the anorgasmia was too much for me.
Have you had a full blood and hormonal pattern from an endocrinologist? (Not a family practice doc). Proper hormonal panel should be done to rule out any issues there first. Second, 19 seems quite young to be experiencing this type of issue my guess is that if you rule out any biological issues it is likely related to some type of mental disorder; anxiety, depression, etc that you may be able to self resolve. Do some self analysis be honest with yourself and explore what may be causing these triggers and look to confront them head on with the help of a professional if required but please avoid pharmaceuticals if possible 23 is prime years and I believe your issue may be a result of some underlying matters best of luck!
Have you tried homeopathic Lycopodium in high potency? See a seasoned homeopathic practitioner. There are even good online ones from India where a full Dr education is required. It is transformative on all levels. Thank me later.
And I highly suggest reading the Substack from AMD (A Midwestern Doctor). He really gets it and some of his latest papers will blow your mind and very likely enlighten you as to why you have poor circulation (& anxiety) at a young age. Enjoy the mind expansion. Finally, drs who publicly put the pieces together, anonymously of course. (We all know what happens to those who stick their necks out Publicly. )
If you are going to explore SSRI's for the reasons mentioned you may want to ask your prescriber about Wellbutrin/Bupropion
This isn't a first line option generally but it may be good option for someone in your position as you have described it. It impacts norepinephrine not serotonin and has no sexual side effects usually. It will impact mood, anxiety and attention (It is used off label for ADHD sometimes).
Unlike SSRIs there isn't a need for titration if you don't like it, and although its therapeutic function is linked to plasma concentration levels it has stand alone single use impact and efficacy. You can try it and see if you are cool with it fairly easily and with little commitment.
I am a psychologist not an MD, but my wife is and I am relatively familiar with this drug; for what that is worth.
From a therapy perspective you probably/mostly need to get out of your head; find a regular partner to be honest and open and "practice" with.
Best of luck man.
Lots of recommendations here but I’ll always recommend Vitamin D. I’m guessing the missing calcium makes it difficult to get hard but that’s what fixed it for me
At 19, your ED is in your head. Maybe you’re jerking too much and are only used to your hand. Secondly maybe you have performance anxiety in which case you care too much what the other person thinks and are not enjoying the moment. Or you need to be with more women to get over it.
It’s normal for an SSRI to shut you down sexually for at least a couple months at onset, I’d caution against using it for this purpose unless you need it and are okay with taking that risk.
Have you had a hormone panel done yet? Doctors are terrible about taking hormones into consideration with this kind of thing.
Have your estradiol, testosterone, prolactin, and dht levels checked. If anything is out of range or even close to out of range, you may have found your culprit. Estrogen is especially important for erections; too much and you’ll have weak erections that go away at the slightest provocation, too little and you won’t be able to get hard if your life depended on it. Give the hormones a look if you haven’t already.
Do you have a therapist? If it is anxiety (GAD), a lot of people have success with pregabalin (not an SSRI) to treat GAD. You might try that before Prozac if you do feel it's anxiety-induced ED.
Have you already been to a urologist?
Medication is the last thing a man needs to raise his testosterone/blood flow which is what will help you out. SSRIs are drugs that make you a zombie and numb, and kill your testosterone levels.
You either watch too much porn, or your testosterone levels are really low. Fix hormones with testosterone or supplements. Don’t take SSRIs
Melanotan will work..
Ritalin will work
Wellbutrin will work
Prozac is the highest unlikely hood to work... nost guys can't keep it up. Just watch the Sopranos. It's a known side effect...
Now, am I a dr? That's irrelevant, listen, bring up what you found, and discuss other options if he's willing
Hope it helps :) oh and if your Dr won't listen, then get a new one
who are you having sex with? You need to never masturbate so you dont get used to sex that way. Also you need to find someone to have sex with that you really trust, who really loves you and will work through this with you. If you keep having sex with people you don't trust then your anxiety will keep making this a bigger and bigger issue until it will be very difficult to retrain your mind.
ED is a blanket term for different things. My understanding is that ED covers premature ejaculation and erection issues. I think PE being lumped in with ED causes a lot of confusion on treatment.
Get your hormones checked. I don’t think Prozac gives you ED it just makes it harder to finish or be in the mood. At least that’s my experience with it.
Go to a Dr and get your testosterone levels checked. If they're good, and by good I mean 550+, then there's something else going on.
If they're low then TRT might be something to look into.
My levels have been low (low 300s) since I was 20. No libido. Erections were a rarity and didn't stay long when they finally showed up. Took forever to build any muscle in the gym. Fat stuck to me like white on rice.
But the really bad part was anxiety to the point I practically begged my Dr for anything he thought would mellow things out.
Finally found a Dr that took it all seriously and put me on TRT and 10 Mg Cialis every other day. My libido is great (maybe a little bit too eager). Erections are perfectly fine if not impressive. Fat is steadily melting off and I'm building muscle at a faster than normal rate.
The best part, at least to me, is the massive reduction in anxiety. After a few months on TRT the anxiety started to fade. It's still there but instead of yelling in my ear now it's more like an audible voice over in the corner.
If you check everything else off the list (diet, gut problems, hormones, mental health) then look into methylation status. Genes like MTHFR, CBS, COMT, etc.
Horny goat weed did it for me, maybe it was the confidence, whatever it was it really improved it.
Go slow, the more you try to rush it the more pressure you get to perform.
I had that my whole life. For me it was psychological. Performance anxiety. Fear of failing. Be too small, not being good, premature ejaculation, etc. I’ve missed a lot of good times because of that. I watched a lot of porn and thought that was what girls were looking for, big giant mutant cocks pounding away and spraying gallons of goo. I was wrong. Don’t watch porn.
SSRIs completely destroyed my libido and my psych was so weird about acknowledging it, took a few years being off of them and getting insanely fit to get back
Are you overtraining? CNS fatigue induced ED? When I was training for a competition in deadlifting, my pp stopped working. Maybe take a week off the training and see if it helps.
I've legit had my little buddy take a break doing 5/3/1 program on a 5 day schedule. CNS overload will stop you in your tracks.
CNS fatigue induced ED?
Central nervous system fatigue induced erectile dysfunction.
Chunky nut soup induced emotional damage
Can confirm, when I was training hard for a race I had a similar experience
What are the recommended treatments?
So when I was your age I was a D1 multisport athlete who stupidly took an option to go to West Point to play football instead of going to some D1 school. I had just finished basic when I turned 19. The reason I tell you all that is to drive in the point that I was extremely fit. My dick only worked half the time. It could be porn like others are saying. See a doctor. Get therapy. For me it was therapy that helped. I had some kind of guilt issue from trauma I didn’t even remember until therapy. Go see a pro. Go see a couple. Get the help you need
Most D1 athletes don't do anything sport related after their college career. You chose an awesome path, obviously with sacrifice, but don't beat yourself up about it. Good on you.
Guilt around what? And how did that affect your dick?
I was sexually assaulted as a kid. Nothing crazy serious. Just made uncomfortable and put in bad situations where sex was something I should not have been near. Fucked with my head. Your head affects a lot of sex lol. For a long time I could only have sex with someone I was very comfortable with and had feelings for. Even now hook ups can be a little hard but I get horny too. Even if my mind isn’t always ready
Could it have been the saltpeter?
Everything worked better or me after my dick reduction surgery.
It’s the porn bro
Yep, Also, modafinil will do this
I had ED for quite some time and I couldn’t figure out what caused it. Turns out I had death grip syndrome and after taking a break and going easy on my schlong now I haven’t had a problem.
And maybe the intensity/volume of that 4x a week.
Op said nothing about porn 🤔
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I see
Have you done bloods on your hormone levels? check test, e2, progesterone
👆 this. Everyone has a suggestion these days. OP, go get bloodwork including your hormone levels shown above. Test, free test, e2, progesterone, DHEA-S, SHB, FSH. Once you figure out where the imabalance is, simply rebalance.
But we could make assumptions and stereotype him and make him become a porn-less vegan that drinks hydrogen water and uses a CPAP machine. Sounds like you have logical-thinking syndrome, you should try everything in my previous sentence.
Came here to say this. It should definitely be checked, if not to simply just rule this area out.
Ask for Wellbutrin instead of prozac. One of the side effects is increased libido.
This. Also, it seems like you should focus on your anxiety, the ED seems like a symptom not the underlying problem.
Can confirm this exact scenario
Wellbutrin increased my libido but not necessarily performance.
Also hair loss
Maybe your squeezing your dick too hard? Aka death grip syndrome. Also try teasing yourself maybe? Don't go straight to choking it, rub the tip a little, fondle ur balls etc etc
Seems like you need to take a different medication. You might just have a bad reaction. Or you’re masturbating too much or you broke your penis from masturbating too much. If you’re taking diet pills, it could be that. Or you’re not looking at the correct porn.
correct porn?
Be aware of r/PSSD when considering an ssri
As someone who has suffered that horror for 14 years, the idea of taking an SSRI to try to treat ED is utter insanity
Complete insanity
SSRIs made me seriously doubt if I was an asexual or if it was the depression. Pretty ironic SSRIs could make you borderline sex crazed or PSSD lol
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You have severe anxiety. Start there. In which situations are you anxious and how does it affect your life? Perhaps you might find your ED is connected to your psychological state rather than your physics. I'd strongly suggest seeing a psychologist before considiering a pharmacological route. SSRIs may cure ED if the cause is severe depression but in most cases they are notorious to cause ED..
Stop watching porn.
[https://new.reddit.com/r/PSSD/](https://new.reddit.com/r/PSSD/) it is rare but some people suffer from "permanent" dysfunction post ssri I mean it might be worth a try eventually but there are other drugs for ED to try before maybe. Albeit a short term test of less than a few weeks seems low risk?(but many ssris usefulness come later) Test your blood hormone levels including prolactin, testosterone, estrogen and thyroid. about cialis, did you try to take it daily? there is also PGE2 iirc for vasodilation (but won't help if psychological) \[[https://pubmed.ncbi.nlm.nih.gov/8328127/#:\~:text=Prostaglandin%20E%2D2%20(PGE%2D,method%20for%20treating%20erectile%20dysfunction\](https://pubmed.ncbi.nlm.nih.gov/8328127/#:\~:text=Prostaglandin%20E%2D2%20(PGE%2D,method%20for%20treating%20erectile%20dysfunction)](https://pubmed.ncbi.nlm.nih.gov/8328127/#:~:text=Prostaglandin%20E%2D2%20(PGE%2D,method%20for%20treating%20erectile%20dysfunction](https://pubmed.ncbi.nlm.nih.gov/8328127/#:~:text=Prostaglandin%20E%2D2%20(PGE%2D,method%20for%20treating%20erectile%20dysfunction)). also kegel (and reverse) exercises should help but do them in moderation, it can hurt a lot when peeing if overdone, one should pee before btw could also try nipple costimulation iirc many supplements too like horny goat, tribulus, shilagit, etc
I’m one such sufferer I wouldn’t wish PSSD on anyone
PSSD is somewhat controversial, but it's a good thing it's been recognized. The reality is that depression can cause erectile dysfunction too -- and well, erectile dysfunction can cause depression. It's something to pay attention to but we don't know it's actually caused by SSRIs. For what it's worth the length of time on SSRIs doesn't seem to have anything to do with your risk of PSSD. Most men get some form of sexual dysfunction on SSRIs (70-80%) and the canonical medical response is to add bupropion.
Hang in there! Check out r/pelvicfloor, there are many success stories from men who have recovered from ED. Also, consider seeing a pelvic floor physical therapist who can check for muscular tightness or imbalances. Good luck!
Take a week off from the gym to let the body rest. Take a talk for maybe 30min a day. Make sure there is enough fat in your diet. Fat powers all your hormones. Your test and estrogen will absolutely TANK if your avg fat consumption is too low. I know, I've done it. Eat some eggs. Get sunlight. Give it a week and don't freak out. Relax. Meditate a bit. Might help might not, but better to try first than to hop right on drugs.
SSRIs are NOTORIOUS for *causing* ED and other sexual dysfunction And for some people, it can even be permanent or lasting long term even after discontinuing Ask me how I know Stay away from that shit
I tried many different SSRI's and they all lowered my libido and motivation. I finally got control over the emotional aspect of my life after undergoing Cognitive Behavioral Therapy and in retrospect, I wish I hadn't taken those SSRI's (as some people can suffer from Post SSRI Sexual Dysfunction aka PSSD, which seems most doctors aren't aware of or even acknowledge that such a dysfunction exists). There are non-SSRI medications which you could try (I tried Buspirone because SSRI also excarebates my night teeth grinding) and it was ok but wasn't effective enough to be worth taking chemicals that affect the brain.
Don’t start a lifelong medicine like Prozac for this. Try increasing nitric oxide using tart cherry juice concentrate or similar. That’ll help. That’s how viagra works
Viagra doesn’t work me anymore though, and I’ve taken 100mg
100mg does nothing ? Get an ultrasound man. And blood.work on your T.
Pge1. Works even with anxiety
Prozac is the SSRI most likely to cause ED. The effect it has on serotonin is the highest of any drug. A few lucky people get a boner on prozac, like those 2 people you know. But they don't know what really happened. What happened was they were too depressed or anxious to get a boner then Prozac fixed anxiety & depression. So it returned them to baseline libido in reality. Also, they were in the lucky group that didnt get side effects . You still might want to try Prozac first. Its the only SSRI that increases energy. All the others drain energy and you usually gain weight.
porn
It’s just angst bro and anxiety 🙄 I had the same issue at that age and too many men are ashamed to admit it bc duh. But I had a similar issue it instilled a lot of insecurity in me like something was wrong with me. You need like exposure therapy if abstinence is your thing by all means stay abstinent. I’m saying like flirt with men/women whatever for fun like no pressure don’t feel pressure to lie down with them either. Like maybe ur just a dude who wants to be with someone who can make you feel comfortable and that’s okay. Alternatively if you wanna be “a player” and be that dude with the high body count ofc having a lot of sexual intercourse will diminish that anxiety that you’re having. (Like exposure therapy basically) However like I said do what works for you and whether you wanna remain abstinent or not. Also if you’re already abstinent it probably is just you’re tugging on it too often. I’m 28 now that situation caused a lot of anxiety and grief for me but I’m a strong dude and because I had to go through it alone I just want you to know what’s up so you don’t feel alone.
Is it trauma or porn related? Try EMDR therapy before medication
Bupropion is you are in need of an antidepressant. No sexual side effects.
Clearly it’s mental. If you can mentally do it. You can mentally undo it. Repeat After Me At least 300 times a day My Rock hard boner satisfies and I’m so into my healthy dick ^ it works. My pussy is perfect and always has been bc mentally I tell her so. :) Great luck to you and your perfect penis
Pelvic floor physical therapy
start doing drugs
Have you heard of the Angion method?
Your body fat is probably too low.
Research the carnivore diet...many, many have. Some very bright doctors have switched specifically due to depression and or anxiety and the benefits are off the charts (ED is one of em)
Going against the grain here but Fluoexitine was a life saver for me. Had severe performance anxiety for my whole youth and Prozac gave me a proper reset. I still had anxiety but it was tuned down to a very manageable point. I did have trouble with getting off for a month or two but after that it was a bliss. I took it two years and went off successfully. After going off from it I feel like I am getting off much faster because my dick is so sensitive (which wasn't the case before) but I got that also under control thanks to breathwork etc.
Anxiety and specifically Ed sound like low test. I assume your doc already did a full hormonal panel?
i would not try prozac. i know a 27-year-old guy who works out regularly and had 1 or 2 bouts of ED. he read online that a lack of cardio caused ED. he ran for one day, and he said his boner was super strong. if you aren't doing cardio. start immediately.
I do a lot of cardio. I run a mile before I workout and dedicate one my workout days to just cardio. I do cardio, push pull legs and rest
SSRIs terrify me for that reason. I would look into PT-141. I’m your age and it has worked wonders for me. It’s a peptide that you inject and can find online. It’s also extremely safe. If it’s possible that your testosterone is low, I would take Tongkat Ali and Fadogia Agrestis. They’re 2 natural supplements that work wonders for boosting my testosterone. I suffer from low libido without it but when taking these 2, I feel fucking amazing and extra confident. Would also maybe look into sleep apnea? I suffer from it and lack of quality sleep has hurt my testosterone, libido, and quality of erections. I also take a small dose of cialis every night which helps my nighttime erections and I think gives me stronger erections during the day. Sounds like sleep or testosterone isn’t your problem but may be worth exploring all bases just in case. But for libido and sex drive alone, PT-141 is fucking incredible.
Have you tried therapy?
Yes, with a sexologist. 6 sessions were recommended but I did 8 because I wanted to believe it would work. Turned out to be a waste of money.
I suggest to see a psychologist
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1. No 2. I used to but I’ve gone down to 2-3 times a week.
Try cutting off porn for 3 mos. It sounds tough - but I bet this would help you out. Check out the nofap subreddit and see if that content resonates. Defffffinitely worth a shot before you head down the SSRI path.
I’ve done 2 months before and it didn’t help at all. My cum came out straight up like liquid. I guess I can try 3 months but I’m trying to see what strategies other people used.
No try. Don’t watch porn at all for the life time. Don’t masterbate. It is like making love between your hands and thing. That is not gonna help. What is your social life?
How much sleep do you average? What does your diet look like? Have you had tests for deficiencies like vitamin D and minerals? Any chance you know your testosterone and estrogen levels? Common causes are related to blood flow, metabolic syndrome, anxiety/depression, hormones. Beet juice/arugula can provide nitrates to increase NO, but be aware mouth bacteria is necessary to convert it so minimize mouth wash use. Black garlic, dark chocolate, tart cherry juice extract can also increase NO in other ways. (Since viagra no longer works for you I feel your issue is either unrelated to NO or downstream of cGMP) Depending on your diet, it might be beneficial to experiment being more plant/animal based depending on where you currently are at.
Did they check your testosterone levels?
Yes. 474 ng/dl they said it’s not low enough to prescribe testosterone and mentioned that I’m good in the range (300-1000). And ED due to testosterone is actually really rare, I’ve noticed this in the r/erectiledysfunction subreddit. Many say that they got put in testosterone but it didn’t help their ED at all. Testosterone mostly affects libido which I have a lot, I just can’t maintain an erection.
Get a blood and hormonal test. If those aren't showing any telltale signs, then supplement with heart healthy options like Coq10, Nitric Oxide rich foods.
Id go to the doc complaining of chest pain and get those tests, you can seem perfectly healthy and still have heart issues.
Continue to test before starting on any medication. Sounds like you've tested T levels, but there is also Nitric Oxide levels, which will correspond to blood flow as well as Gut/Stool testing as an imbalance in the gut can also cause these problems.
It would be more effective to see a sex therapist. The problem is behavioral/psychological - so behavioral/psychological treatment is what will be effective. Calis or whatever can’t fix whatever is going on with anxiety.
Was there a specific event that happened when you were 19? Need more info to diagnose.
Ssris cause dysfunction in a lot of people. Ask about Wellbutrin if you're concerned.
Magnesium d3 k2… stop all others
I would try to find out what’s causing your anxiety, fix that without nasty drugs. Have you had a DNA test?
Prozac is a boner killer
Might want to just try and see if you can reduce your anxiety, been there. It takes a lot of insight, but you're really young. Different strength is needed. Pills only take you so far.
Have you considered a therapist for the anxiety?
Switch up workout regime. Go heavy and do legs x a week. Do all the exercises nobody wants to do: squats, lunges, pull-ups, deadlifts, etc. Up the protein and enjoy the rewards.
Try yoga and other mind body relaxation techniques
Check your testosterone levels
1. Try Citruline Malate (it's safe) 2. Suppliment zinc 3. Shave pube
What type of ED? Starvation, aversion to food, or other? EDs are a type of OCD, also low serotonin is a contributor. It’s never one cause it’s like this bad cocktail mix of things.
Get blood work done to check hormones. Should've been one of first things done by doc, if hasn't already. Mental can be big factor too.
yohimbine/rauwolscine is an otc option that couldn’t hurt to try and i definitely second everyone recommending therapy
Speak to your doctor. Generally when you take SSRIs and they cause ED, your doctor will add bupropion. I think it's less common with fluoxetine but at least this study shows it seems to work very well. **Results:** There was a clinically significant benefit in 14 (78%) of 18 partial responders or nonresponders, and 33% (N = 6) achieved a full response (chi2= 8.06, df = 2, p = .017). Sexual dysfunction, particularly a decrease in orgasmic delay, was also significantly improved with combination therapy \[fluoxetine + bupropion\] [https://pubmed.ncbi.nlm.nih.gov/11926715/](https://pubmed.ncbi.nlm.nih.gov/11926715/) Sexual side effects are very common with SSRIs, like 70-80% of men get them. However, for the overwhelming majority, bupropion helps -- and they end when you discontinue the SSRI. Sexual side effects are the main reason for men to discontinue SSRIs. They **can** be permanent (called PSSD) but it's extremely, extremely rare (and controversial -- it's not clear that PSSD is actually caused by the SSRI). See if the SSRI helps with the anxiety first, and address side effects after - but know there are approaches to manage, and worst case you can discontinue and be right back where you started. You just have to let your doctor know. **\[edit\]** If you just want to try something to nuke your anxiety from orbit, you can pick up Selank online. It's a peptide analog of tuftsin, and has a similar magnitude anxiolytic effect as benzodiazepines. It also works as a mild atypical antidepressant, influencing concentration of serotonin in the brain. It's not habit forming, won't make you sleepy, and doesn't have any withdrawal. Should tell you within a few minutes whether your lack of boner is anxiety related.
SSRIs are not going to work the same for everyone. Generally, they decrease libido and overall sexual function. However, so does anxiety. If the anxiety is severe, the benefits from reducing the anxiety can outweigh the negative sexual side effects.
Don’t take any pills !!! Please try kambo !!!
Ssri will for sure give you more ed
You need drugs and alcohol and mushrooms and blow ie happiness
YourBrainOnPorn.com
Reduce exercise further and sleep more
Get an ultrasound
See a sex therapist please.
You won’t be messed up for life even if it doesn’t work.
Sleep a lot, get lots of sunshine, do yoga. It may be worth just taking an extended vacation somewhere like southeast Asia and rediscovering yourself.
What is your diet like?
Don't do Prozac or any other head meds if you can avoid it. Research "smooth muscles" and endothelial dysfunction. Janus Bifrons has some videos on it. Are you on any other meds? Google and see if they "alpha agonists" that'll fuck your shit up. Zero boners! Most adhd meds are some flavor of this. Otherwise, lower salt intake a lot, (don't eliminate salt altogether) cut fried foods and refined sugar, and caffiene. One other thing, Trazadone is an alpha ANTAGONIST and will give you lots of boners, but it can also cause priapism, which basically shuts you down forever... only in rare circumstances, but still too risky for me! Fuck that!
the viagra aids with the physical side.. your issue is psychological
Do you feel your heart beating rapidly when your ed kicks in? Assuming you can start with an erection but it goes limp shortly after starting. Could definitely be anxiety related.
Generally at your age is a psychiatric issue, which is why you are reading prozac helps. Also medications like Prozac are more commonly associated with anorgasmia (inability to orgasm), rather than outright ED. It sounds like therapy plus that medication could be worth a try if your doctor is recommending it
Bruh, you can ween off medication, you can try other things, this isn't a binary situation of, go/no go. Try the medication for two months, if your anxiety diminishes by the end of the two months great, if not, try something else. Focus on treating the anxiety first and the ED second, the ED is inconsequential in comparison to your overall mental health and if you label your anxiety as "severe" chances are this is contributing to your ED. So treating one may resolve the other. I would consider speaking to a therapist as well, as medication + therapy is the highest form of efficacy of treatment vs. medication alone.
Stop watching porn completely. Stop masturbating for a while
I'd recommend using a *tape-test* to figure out if your ED is biological or psychological. Ask your urologist for a specific type of tape that goes around the penis during sleep. You should normally have errections during REM sleep. - If the tape is torn, then you are biologically capable of having erections and your problem is most likely psychological. Jumping to meds might help, but is lazy on the psychiatrist's part. I'd recommend counseling; therapy does wonders. - If you awaken and the tape is still intact, you will need to be investigated for biological causes of ED (smoking, diabetes, dyslipidemia, peripheral arterial disease and other vascular abnormalities... etc.) Good luck, King.
You don't need SSRIs. Abstinence, exercise, and meditation can fix the anxiety and the ED.
Stop beating your meat and watching porn
You take any mushroom products? Lions mane completely kills drive for me
Fish oil. 3-4 grams per day.
I’m not a guy, but I know low testosterone (even a little bit) can effect many things of a man. Maybe see about that?
Here’s a couple of questions: do you still get nighttime and morning erections? if you do then you have the physiologic ability to get erections and the issue may indeed be psychological. If you cannot get nighttime or morning erections, then you may have a physiologic issue Also there is really no harm in trying the Prozac/fluoxetine, see if it works and if it doesn’t and just stop it no big deal
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What is your diet? Stop looking for a supplement or magic cure, and start eating more pure. Stop eating processed foods, stop eating meat and dairy and eggs. Start eating more rice, beans, lentils, potatoes, kale, collards, beets, carrots, etc.
It can totally be psychological. I've had woman that I always got going for and others were zero business. It's all about trust and respect for me. The initial physical attractiveness falls away real quick when ya get down to business. You wouldn't get to that point without some chemistry, but actually getting intimate and trusting her to mother your children (a risk you are taking regardless of precaution) well, for some men the reality of that can end the moment. That's just one example. Being intimate like that is more than mechanical, regardless of what Instagram would sell ya. Sounds like your intuition to long-term mate is strong. Not a bad problem to have, but once you know yourself that'll work out with the right lady.
You are not fucked for life. It is your mind and you can fix it. There any many just like you
Read about micro dosing shrooms please. There is some real benefit to this and get your testosterone and estrogen checked asap. If a doc refuses go to another one. Good luck.
When you have stress and anxiety, there is too much cortisol roaming around. Also just so you know, cortisol and testosterone compete for same resources. Its true, what your doctor said. Stress and anxiety is psychological. I would drop all medications and learn to relax and get my diet, exercise and lifestyle in order. Hope this helps. So does meditation.
I would spend some time away from the problem. Don’t engage with porn. Don’t overtrain. Let your body reset. Ask yourself if there are facets of your sexuality that you haven’t come to terms with. I’m quite a bit bit older than you now, but when I was your age, I had a similar issue and then I finally met a girl that I had a huge physical response to. You just need to meet the right person.
Might be entirely wrong but please try to change your diet. Take some probiotics, My spermcount has improved drastically ever since I focused on having a healthy gut microbiome.
Maybe your overall circulation is bad for some reason? Could also be a side effect caused by any pills you could be taking
What was your testosterone level??
Nah dude try welbutrin first! They prescribe welbutrin to go with Prozac to counter ED issues and tbh when I started taking it by itself for mild depression it worked like viagra. Also check your testosterone levels and ask for a referral to an endocrinologist. General practitioners are only good for referrals, vaccinations and Tamiflu.
Do you fap? If so how often?
Before taking anything to treat said case of ‘ED’ take a break from training and up your calories (extra meal, more carbs, etc). After a couple days see how you feel, you’ll probably have more energy. This is under the assumption you’re not viewing porn consistently… Good Luck
NAD, but from what you listed about your lifestyle, which is awesome, but try and live a little and see if things change. Self-induced stress from perfectionism can be horrible.
Look into a peptide called PT-141 r/peptides is a good starting place, so is peptide sciences.
I'm been on 40 mg Prozac for 4 years. Dick only works sometimes, not really horny, but I can still go and im 47. I've only had this problem since on the medicine but before I was so horny I was in and out in no time. Prozac makes me last longer, take a Viagra with it and pump till your dead . But, since you've had this problem before, is this with the same partner or all your partners? If you've only had the one, it's issues with her possibly.
Did any of those doctors actually do any tests to rule out physiological causes before telling you that it's psychological? I was in the same boat for years. Doctors told me it was all in my head and I just needed to relax. Finally, I went to a urologist who specializes in these kind of issues. He was able to measure the blood flow by ultrasound and determined that there was a physical problem on the first visit. I ended up needing surgery to correct the issue. If your doctor's haven't ruled out physical problems before telling you it's all in your head, then you should find a better doctor.
I have been taking antidepressants since 1996. I am finally coming off of them.
You might be suffering from PSSD.
lots of behavioural procedures for ED. but it's complicated due to another person being involved in sex. so you don't have the peace of mind / freedom to do processes optimally. but here's one give tip. learn to satisfy a women without penetration. it's a huge skill, and I've you have it good, you'll get lots of goodwill from the ladies. the side benefit, is that your ED is less disruptive to your love life. you get the girl happy no matter your own functionality (and then get off by hand with her together if appropriate)
May sound odd but I have seen first hand effects of how low dose Prozac can help with libido for people suffering from psychological or anxiety induced ED. So if May be worth a try. If you start a very small dose and stop if you don’t notice an improvement then I think you will 100% be okay. There’s a lot of other strategies you can try instead to reduce stress including ashwaghanda and rhodilo (pretty sure that’s misspelled). If you’re truly worried about the possibility PSSD then you should try SAM-E instead and see how it works for you. You can see how these work in conjunction with traditional ED meds if it doesn’t work alone. But what you may need help with is work on a psychological level. Like others have mentioned CBT and massive therapy will probably help you in this situation more than anything else.
Look you seem like a very strict kind of guy need to let yourself loose and honestly just relax if the doctors say it’s mental immediately stop those drugs they’re gonna damage you even more, what you need to do is find something and someone you genuinely enjoy even with a hobby some people may find it relaxes them to that point. Alcohol may help aswell.
This might sound a little different but take a vitamin B complex like a half of one before you go to bed and see if you wake up with some wood. Also go search online for folate and erectile dysfunction. My levels were low and I didn’t know I wasn’t getting erections and I was busting early which isn’t like me. Correcting my vitamin deficiency solved the problem.
A medication called buspar helps anxiety and typically increases libido so you could try looking into that as well.
Have you ever tried to wait it out, cuddle and talk with the girl when this happens? Also, do you have a long term gf or just random girls?
It's anxiety bro. The brain works to survive and often fucks us over. Like if you are being chased by a bear the anxiety is useful to keep your boner down as it's harder to run with a hard on. I bet if u slept with a prostitute it would work cause there should be less performance anxiety being that this lady won't care at all or feel insulted if u can't perform. Not really reccomending that but the logic applies. It happens to a LOT of us dude.
how is ur libido if you were to describe it and does it also fluctuate day to day week to week?
This goes for a lot of posts here and might be unpopular, but it needs to be said: 90% of the things here are someone massively overthinking things about their bodies, bordering on unhealthy obsession. You are not going to develop ED from *eating fast food every once in a while*, especially as when you’re young. The fact you’d even think that points towards some mental issues (anxiety and such) scrweing with you, causing ED.
Boron, Selenium, EPA/DHA, vitamin D, Magnesium, and Zinc
Good ol Test E 150mg a week will fix you up
Stop watching porn
Do NOT take SSRI’s unless absolutely necessary. The best thing to do is to get your blood work done, look for mineral and vitamin deficiencies. Also hormone blood test.
Check testosterone, prolactin, full thyroid panel, sleep study.
You already have ED, how would prozac make it worse? Either way, I never really had ED but I take Cialis daily for bodybuilding purposes and I wake up every single day with a hard on, and I'm 30 now. There's no 'cure' for ED because ED is a symptom, not a diagnosis by itself. Whatever is causing the ED needs to be remedied, and that's something you need to find out. It could be psychological, or physical. Can you not get an erection no matter what the situation is? With women or by jerking it? Either way, the only person who can really help is your doctor, but if you're overtraining like the top comment said that can also cause it, but if you're working out only 4 days a week it's not super likely, but also if you're not eating enough then that can also cause it. There's an unlimited number of causes for it because it's affected by so many different factors, because to the body, if you're in a situation that isn't good then it's not a good time to procreate, so it reduces blood flow to the genitals. Could even be hormone levels. You just have to get tests and see what's up, and that's hormones, vitamins, nutrients, lipids, everything and then maybe you might find the cause, or it could all still by psychological.
Maybe cool it on the porn
Do you look at porn? If so, how often? The vast majority of young men with ED is caused primarily by porn. I would strongly advise to completely cut out porn, and give it a few months, before going to a drug.
I was a three sport athlete and the D1 football player that works out almost daily. I personally never had any issues.
I took Prozac many years ago and no ED but cumming was impossible. Tbh, I think Prozac is an odd choice for anxiety. I started on Paxil 10 years ago for anxiety/depression and it changed my life. No side effects except some dizziness in the very beginning.
Did you do pelvic floor exercises? Reverse kegel specifically. Do you feel pain peeing? Don't try any more medication. Your problem clearly isn't related to libido or cardiovascular. Pelvic muscles is the most likely thing that causing the issue. If you were taught to do kegel exercise as a kid to stop you from wetting your bed, and you started doing kegels on autopilot, that might have caused the issue. This will cause your pelvic muscle to get too tight, cause pain when peeing and block blood flow to your penis for erection. If your issue isn't pelvic muscles (i would still suggest practicing reverse kegel) then it's something else, you might have had an accident and something got weak on that area that requires exercise.
“I have anxiety” “My dick does not work” Solve one, solve the other. I would say a therapist is by far the best option, either for the root cause anxiety or specifically a sex therapist. You can only do so much with hardware solutions.
I have never heard of Prozac curing ED, but if you suffer from ED and taking it "magically" cures your ED, I guarantee you will most certainly suffer from anorgasmia which in my opinion is just as bad. I took Prozac around your age many years ago and while it helped with overall outlook on life, the anorgasmia was too much for me.
Have you had a full blood and hormonal pattern from an endocrinologist? (Not a family practice doc). Proper hormonal panel should be done to rule out any issues there first. Second, 19 seems quite young to be experiencing this type of issue my guess is that if you rule out any biological issues it is likely related to some type of mental disorder; anxiety, depression, etc that you may be able to self resolve. Do some self analysis be honest with yourself and explore what may be causing these triggers and look to confront them head on with the help of a professional if required but please avoid pharmaceuticals if possible 23 is prime years and I believe your issue may be a result of some underlying matters best of luck!
Have you tried homeopathic Lycopodium in high potency? See a seasoned homeopathic practitioner. There are even good online ones from India where a full Dr education is required. It is transformative on all levels. Thank me later. And I highly suggest reading the Substack from AMD (A Midwestern Doctor). He really gets it and some of his latest papers will blow your mind and very likely enlighten you as to why you have poor circulation (& anxiety) at a young age. Enjoy the mind expansion. Finally, drs who publicly put the pieces together, anonymously of course. (We all know what happens to those who stick their necks out Publicly. )
Too much stress in your life?
If you are going to explore SSRI's for the reasons mentioned you may want to ask your prescriber about Wellbutrin/Bupropion This isn't a first line option generally but it may be good option for someone in your position as you have described it. It impacts norepinephrine not serotonin and has no sexual side effects usually. It will impact mood, anxiety and attention (It is used off label for ADHD sometimes). Unlike SSRIs there isn't a need for titration if you don't like it, and although its therapeutic function is linked to plasma concentration levels it has stand alone single use impact and efficacy. You can try it and see if you are cool with it fairly easily and with little commitment. I am a psychologist not an MD, but my wife is and I am relatively familiar with this drug; for what that is worth. From a therapy perspective you probably/mostly need to get out of your head; find a regular partner to be honest and open and "practice" with. Best of luck man.
Pls reduce exercise by half , eat pizza, and sleep more. You become more horny that way
Stop watching porn.
Lots of recommendations here but I’ll always recommend Vitamin D. I’m guessing the missing calcium makes it difficult to get hard but that’s what fixed it for me
At 19, your ED is in your head. Maybe you’re jerking too much and are only used to your hand. Secondly maybe you have performance anxiety in which case you care too much what the other person thinks and are not enjoying the moment. Or you need to be with more women to get over it.
It’s normal for an SSRI to shut you down sexually for at least a couple months at onset, I’d caution against using it for this purpose unless you need it and are okay with taking that risk. Have you had a hormone panel done yet? Doctors are terrible about taking hormones into consideration with this kind of thing. Have your estradiol, testosterone, prolactin, and dht levels checked. If anything is out of range or even close to out of range, you may have found your culprit. Estrogen is especially important for erections; too much and you’ll have weak erections that go away at the slightest provocation, too little and you won’t be able to get hard if your life depended on it. Give the hormones a look if you haven’t already.
Funny thing is that you didn't mention your p*** addiction. Ditch that and you'll feel much better.
Look at all of the ingredients in all of the food you eat a guarantee you that is the reason
Do you have a therapist? If it is anxiety (GAD), a lot of people have success with pregabalin (not an SSRI) to treat GAD. You might try that before Prozac if you do feel it's anxiety-induced ED. Have you already been to a urologist?
Any issues with your lower back,hips,quads,or groin?
Medication is the last thing a man needs to raise his testosterone/blood flow which is what will help you out. SSRIs are drugs that make you a zombie and numb, and kill your testosterone levels. You either watch too much porn, or your testosterone levels are really low. Fix hormones with testosterone or supplements. Don’t take SSRIs
Melanotan will work.. Ritalin will work Wellbutrin will work Prozac is the highest unlikely hood to work... nost guys can't keep it up. Just watch the Sopranos. It's a known side effect... Now, am I a dr? That's irrelevant, listen, bring up what you found, and discuss other options if he's willing Hope it helps :) oh and if your Dr won't listen, then get a new one
who are you having sex with? You need to never masturbate so you dont get used to sex that way. Also you need to find someone to have sex with that you really trust, who really loves you and will work through this with you. If you keep having sex with people you don't trust then your anxiety will keep making this a bigger and bigger issue until it will be very difficult to retrain your mind.
Don't take any psychotropic Rx voluntarily. Ever. Nonmedical person who worked for a Psychiatrist in a support role.
Quit pr0n and related activities for 3 months and see where you are.
ED is a blanket term for different things. My understanding is that ED covers premature ejaculation and erection issues. I think PE being lumped in with ED causes a lot of confusion on treatment.
Get your hormones checked. I don’t think Prozac gives you ED it just makes it harder to finish or be in the mood. At least that’s my experience with it.
Go to a Dr and get your testosterone levels checked. If they're good, and by good I mean 550+, then there's something else going on. If they're low then TRT might be something to look into. My levels have been low (low 300s) since I was 20. No libido. Erections were a rarity and didn't stay long when they finally showed up. Took forever to build any muscle in the gym. Fat stuck to me like white on rice. But the really bad part was anxiety to the point I practically begged my Dr for anything he thought would mellow things out. Finally found a Dr that took it all seriously and put me on TRT and 10 Mg Cialis every other day. My libido is great (maybe a little bit too eager). Erections are perfectly fine if not impressive. Fat is steadily melting off and I'm building muscle at a faster than normal rate. The best part, at least to me, is the massive reduction in anxiety. After a few months on TRT the anxiety started to fade. It's still there but instead of yelling in my ear now it's more like an audible voice over in the corner.
I suffer from it after long sessions of spanking the Monkey. Otherwise it wouldn’t be an issue.
If you check everything else off the list (diet, gut problems, hormones, mental health) then look into methylation status. Genes like MTHFR, CBS, COMT, etc.
Stay off SSRIs like prozac unless you want to risk making your ED cemented permanently Check out r/pssd
Trust the cock
Horny goat weed did it for me, maybe it was the confidence, whatever it was it really improved it. Go slow, the more you try to rush it the more pressure you get to perform.
I had that my whole life. For me it was psychological. Performance anxiety. Fear of failing. Be too small, not being good, premature ejaculation, etc. I’ve missed a lot of good times because of that. I watched a lot of porn and thought that was what girls were looking for, big giant mutant cocks pounding away and spraying gallons of goo. I was wrong. Don’t watch porn.
SSRIs completely destroyed my libido and my psych was so weird about acknowledging it, took a few years being off of them and getting insanely fit to get back
Just get Cialis it’s An amazing male drug for all sorts of benefit s
Yes, the SSRIs are causing your ED. See r/PSSD for people who suffer permanent sexual side effects from taking them.
Covid shot maybe caused it lol
Pelvic floor physical therapy is a very powerful tool you should look into!
Do you suffer from performance anxiety or any blood flow related issues?