My pelvic floor feels much more open after working the hip abductors at the gym, which has noticeably improved my erections.

I want to have a trial of trimix, i am in Malaysia. Can u tell me what to say in Malaysia if i need to by trimix? Also with the antidote

Any tips for getting the most out of my Rugiet for maximum effectiveness while minimizing side effects?

I’m thinking of following these four steps, but please feel free to correct my approach or suggest additional tips.

1. Hydration: Drink plenty of water before and on the day of sexual activity.

2. Pomegranate juice: Drink some pomegranate juice 1–2 hours before intimacy to potentially support blood flow.

3. Timing: Take Rugiet 30–45 minutes before intimacy, following the specific instructions for placing it under my tongue.

4. Post-activity hydration: After intimacy, drink about 8 oz of water with electrolytes to help maintain hydration.

My goal is to improve erection quality (EQ), maximize effectiveness, and minimize side effects, especially the next morning.

I’d appreciate any advice on improving these steps, correcting anything that might not be helpful, and adding other strategies that could make a difference.

Thanks in advance!

So im 23 year old male, in the past 2 years I've been struggling to stay hard during intimacy, mind you never had problems beforehand. I've had problems with a partner who I was very in love wi5h but to no success now I have even tried brothels thinking maybe that'll work but no.

I will say I've been going to the gym and trying to stay active so I have been loosing weight as thats always been a problem for me.

I do smoke vapes/ cigarettes alot but I also rarely drink. I do also watch alot of pien since sex isn't working for me and theres no problem there so could that be a potential reason?

I have a doctors appointment booked for tomorrow because at this point it sucks and is making me feel horrible about myself.

Anything to help or suggest would be deeply appreciated thankyou

Hi ,

Can someone recommend a urologist who is passionate about ED and men sexual health preferable in Maryland in or around PG county or close by counties ?

39 years old

Moderate to severe social anxiety since age 12

8 weeks sober after 17 years of 8-10 drinks every single night

On n' off SSRI use, stopped 6 months ago

Stopped taking buspirone 1 month ago

Currently taking 0.25 mg trazodone 3-4x / week

Currently quitting my ~0.5 mg lorazepam/day use (last dose a week ago)

------

I feel like I've had enough time away from all my drugs, except the small amount of lorazepam, that my last chance is abstaining from lorazepam (unless the small amount of trazodone is doing something too).

Or do I need more time before declaring anything?

Anybody been on Cialis for five or more years? Noticed any long-term side effects? Good or bad.

If I take a Honey Pack, I get extremely hard. Ingredients say Maca, Ginseng, and something else I can’t remember. Tadalafil gets me hard but I don’t have nearly as big or hard of an erection. It’s mostly good for keeping my meat from becoming a 🍤 when soft. Doctor said I don’t have venous leakage; I have arterial insufficiency. Is there anything I can do to have a normal super hard erection naturally?

I have had struggles with keeping erections since I was 14 and for some reason havent dealt with it and now Im realizing my youth is slipping me by and I havent had sex or a real relationship because of it.
I have used masturbation as a mental help for stress since I was 12 and I quickly got hooked. Since then I have almsot never missed a day. I think a large part of my ed might just be desenitiziation from doing it too much so Im really gonna try to heavily decrease my frequency. I can get an erection but it goes down quickly without stimuli especially if im standing.
Any advice?

Hi everyone,

I'm looking for some advice and shared experiences from the community.

Quick background on my situation:

I'm in my late 50s and have essentially struggled with erectile dysfunction (ED) since my youth. Unfortunately, having to take beta-blockers over the last few years has made things even worse.

Because of this, a urologist prescribed me 5 mg of Tadalafil daily. While that brought a slight improvement, it’s unfortunately not enough for fulfilling penetrative sex. The erection often wouldn't last long enough, which just kept the vicious cycle of performance anxiety going.

Current status:

After doing my own research, I independently increased the dose to 10 mg daily about a year ago. The results for me have been fantastic:

Good, lasting erections and finally enjoying sex again.

No noticeable side effects.

My cardiovascular system is stable (I feel great all around with it).

My questions for you:

Since my primary care physician and cardiologist only know about the 5 mg dose so far, I want to finally address this transparently at my next appointment.

Are there any other men here who also take 10 mg of Tadalafil daily long-term? What are your long-term experiences?

How did your doctors (urologist/cardiologist/GP) react to this dose, or did they prescribe it themselves?

Do you have any tips on how to bring this up objectively and best with a doctor so the conversation stays constructive?

Tadalafil has given me my zest for life and self-acceptance back, and I'm terrified of having that taken away again.

I'm looking forward to your advice and experiences!

I stopped taking the Cialis for a week or two and I think I noticed improved sensitivity.

Still feeling like I better at least take something, I tried 10mg Viagra and my sensitivity was normal which was a relief.

I remember noticing less sensitivity / delayed orgasms on higher doses of Viagra, too. so I am wondering if a lower dose of Cialis would help just like the lower dose of Viagra seemed to help.

For context, im 21 and I work out pretty much daily. This is a very new thing im experiencing and im a little worried why this is happening. I dont do drugs, I drink rarely and I dont masterbate.

But basically, I recently started dating this girl about 2 months ago. We both had never had sex so we were each other's first time. Initially the sex was amazing. When I would see her all it would take is a slight touch on my body and I was already getting hard. My erections lasted a long time and I could last for a quite a while.

However recently, I've noticed that when we are together even if she is naked and we are making out my penis is still soft. It just doesnt get hard. My partner has said that its ok and to try and not dwell on it, but its a problem because how is it at this young age and me being healthy I cant get a boner. One thing I did notice was last night I looked at photos that she sent me and my penis did go hard. I am attracted to this women its just im not sure why I cant get hard just before im about to have sex.

Is this something that other guys have dealt with and how did u deal with it. Ive got a feeling its a mental block and its psychological but how do I even deal with that?

Hey guys! I just wanted to let you know that I am here in support of anyone who needs it.

I remember how empty I felt when I couldn't get it up in bed for a gorgeous woman...the awkward conversation at the doctor...telling your girlfriend.

I take Cialis and thankfully am now having amazing orgasmic bed shaking sex again...not bragging but my point is if you need help...get it! You deserve the best and will get it with whatever treatment you choose!

To sum it up for my health. I came in contact with a girl with chlamydia in December, didn’t get treated until this September because I was stupid. I’ve been with a new girl for 7 months with condoms. The first 5 months I was going strong. Morning wood, lasting 2 rounds with a great erection. I’m active in the gym. Now recently since August or near, I couldn’t stay hard and no morning wood or any desire to want to have sex. It would stay up for 3 mintues but go soft instantly. Me and the new girl have recently been stressed out due to different schools so do you think it’s my mental health effecting my libido? Please I need answers

Hey guys, this is taking a lot from me to reach out since I’ve been trying to avoid subreddits like this one due to the high number of negativity and hopelessness.

I am 22, and have been dealing with weak erections for about 10 months now. I have taken SSRI’s in the past for a 4 year period with no problems at all, when the issue started that was the first thing to go, but after a 6 month break I am now back on it. I have tried Cialis and Viagra which don’t seem to do much of anything to me. My Testosterone levels are normal as well as Prolactin. I exercise quite frequently as well. Every professional I have seen since it started has ruled it out as psychological, although I am sure that’s not the case.

Has anyone been in similar shoes and have any advice or suggestions for me ?

44

I haven’t had morning erections for at least two years. However, when having sex with my wife—which happens once or twice a month—I do get an erection, and I’m able to maintain a good one for 10–20 minutes. My libido and sex drive are also very low; even when I see an attractive woman I’m physically drawn to, I don’t get an erection—it only happens on rare occasions. I want to boost my libido and sex drive. Is anyone familiar with this, or has anyone had experience with these kinds of issues? Should I seek professional treatment? I would appreciate any advice or help on the matter.

Hi! This is my first post. I am seeing a girl that I really like and we have tried to have sex 4 times and I can’t get/ stay hard. Sometimes at the very beginning before attempting penetration I am sort of hard but I can’t penetrate yet because she isn’t wet/ relaxed enough yet. I did get it to go in sort of soft in missionary once but when we switch positions I got really soft. I feel really embarrassed and I feel bad because she wants it so bad and so do I. This has been a problem that has slowly crept up over time but hasn’t been an issue because my ex and I we going through it and has stopped having sex. The thing I don’t understand is that I had sex like 3 weeks ago and it worked well enough. Im diabetic, have a thyroid condition, and I use tobacco and I know that can’t be helping. A doctors appointment is in my future at some point but im looking for help with an immediate suction so I can be with this girl that I really like a care about. Thx!

Hi

I am reading a lot about Citrulline benefits for ED and am based in the UK and unsure which brand or pill/powder form to use? There are very few options and amazon has pills that require about 6 capsules a day to hit the desired dose

Does the powder work as well? Or can anyone recommend any other brand?

I am struggling with the best supplements to take

Thanks

Looking to see how people have managed the switch from tadalafil to sildenafil. I want to do the as needed since it’s out of my system quicker and the build up of tadalafil leads to spikes in my heart rate. It’ll be about 34 hours since my last tadalafil dose if I took a 25mg sildenafil tonight. Any input here?

m20 i’ve never failed to penetrate or went soft during sex, but still almost every time im about to have sex i have this worry in the back of my mind that i have just had a mild venous leak that’s gonna gradually get worse to the point where i can’t have sex anymore, it happens any time my penis softens even just a little while putting a condom on or something?

if you guys don’t think this fits a venous leak, then are there any tips to get out of this mental loop? it’s been causing me a lot of stress

Ok lots of stuff going on here. Maybe over thinking it (haha). Here’s what I got and probably gunna add as we go.
Always definitely had some form of performance anxiety going back pretty much to the beginning (19 maybe?). 35 now. Putting on condoms was not happening unless I held off for a week or two. Going soft before putting it in even without condoms. Then throw in substance abuse with weed and alcohol both of which I am sober from now going on several years as well as nicotine and caffeine. Heavy porn user too. Quit that a year ago. Experienced flatline. Did no fap. Oh and years of celibacy before that esp during Covid. I’m worried I wrecked my dopamine circuit because now I have like no libido, desire to masturbate etc. No erections during the day. Got a tracker and I definitely get them at night and in the morning but they go away when I wake up. When I masturbate now like once a week I go soft as soon as I let go. And even then it’s not compulsory it’s like meh let’s see if the plumbing still works although the orgasms are great- started using a flesh light to re-sensitize myself. And then the refractory period can take days. Like it actually depresses me. I eat healthy, pumpkin seeds blueberries wheatgrass juice powder beets hemp hearts quinoa for zinc and magnesium and foods for nitric oxide and testosterone (878 btw). I exercise and and am very fit- jogging swimming yoga pushups. Now I’m thinking of cutting out phone use in general as the steady dopamine is crashing my system? Like how much does it take? I want more practice fucking but want a higher libido to want to want to- you know? At what point do I give in and start daily dosing cialis/tadalafil so I can just get hard without having to worry about it. Is it worth it to keep trying naturally- less easy stimulus like Instagram reels and more high intensity fitness like pumping iron/ lunges etc. I don’t want to become dependent on chemicals but also if it’s a quick fix to get my mind right and put me at ease with no defects that’s pretty alluring. So what do you think? Pretty average story? Any insight/ questions help big time! Thanks! Let’s get to the bottom of this. (Or not and just relax) 👌 👍 ✌️ 🙏
Oh and if anyone knows about foreskin restoration, I’ve been wearing a device to pull on my shaft skin however you can’t really get hard while wearing it. And at one point I was even watching porn and I think training myself to get aroused but not hard. Oh and also I started frequenting Korean bath houses and nude social events so I am desensitized to nudity in general. Like I said lots going on here. Basically I’m going to continue eating well and exercising, laying of blasting my dopamine receptors, waiting a week between sexual encounters, anxiety reducing behaviors, sleeping well and thennnnn after all that if I still go flat then I am going to try 2.5 mg tadalafil unless someone convinces me otherwise.

Hi boys I have a hell lot of questions regarding this topic cause currently im having problems with erections and I think its because of hash/weed, so the story is like im heavily smoking hash or weed from the past 2 years and also last time I had sex was also 2 years ago, last night I got a chance to hit a girl we smoked some joints first I became numb and here we go no erections I mean it got hard for a few seconds then gone, later at night I tried to get hard again by kissing her and stuff it got hard and I lasted maximum I think 20 secs same for the second round Idk if its because of cannabis, or I had 2 monsters no sleep is it because of that, performance anxiety or am I finished from inside, I mean I go to the gym and eat healthy and stuff still it happens if anyone please suggest me what to do it would be of great help im going to see her again in a few days so brother to brother, help meeeeee

I’m 21, based in the UK, and I’ve had erectile dysfunction since early 2023. Before that I had no problems. It felt like it just stopped. I get no erections at all, not even in the morning, even when aroused. Libido is normal. I’ve never been sexually active, so I haven’t been able to test anything with a partner. I lift weights, don’t smoke or drink, and have no injury or trauma down there. I’ve been raising it with doctors for about 4 years, and my urology consultant and GP have both said they haven’t seen a case like mine.

What’s been done so far:

• Genital exam by multiple doctors, at least 3 times, all normal
• Testosterone four times between 2024 and 2026: 10.9, 13.4, 14.2 and 12.2 nmol/L (lab range 9.2 to 55.8), so low normal but in range. I don’t know what time of day they were taken
• Prolactin, FSH, TSH, HbA1c, cholesterol, kidney and liver function all normal
• Overnight Rigiscan in July 2026: 3 erections in the night, about 17% of the session. Tip rigidity averaged 30%, 62% and 73%, base rigidity 77%, 64% and 76%. The longest events lasted around 30 minutes. As I understand it, that’s roughly normal, but I’m questioning it because the timings didn’t seem to match when I was awake or asleep, and one of my notes quotes figures that don’t match the report
• Sildenafil 50mg, tried once, no effect
• Tadalafil 5mg daily for 28 days, no effect

Now UCLH want me to try taladafil 20mg 3 times a week before considering penile doppler

My original pharmacy used Northstar for generic cialis which was very effective for me. I switched pharmacies and they used Ajanta which felt like a placebo. I called to switch back to Northstar but now they are using Solco. Anyone familiar with this?

My urologist recommended me to him. This sexual medicine doctor doesn’t take any insurance, charge everything upfront, and need deposit for every appointment.

I don’t know if this is the normal thing for this type of doctors but it seems extremely expensive. I already spent 1000 dollars for 1 visit and one check.

I’m starting to worry about the potential treatments this doctor mentioned, such as some shock wave and P shot