I ve been struggling with ed since 2018 after stopping a testosterone cycle. I am on trt for a year (tried for a long time to recover with serms) and except for the honeymoon period i always struggled with ed. I ve tried many doses with different injection frequencies. With ai and without. With hcg and without. Right now i am on 200mg M/W/F and my t is 1050ng/dl with shbg 40. For a couple of months i have started daily cialis and to my surprise it brought back something i hadnt felt since all this started. Morning erections (not full erections, more like semi erect). My Libido is good but even on daily cialis my erections are not full. Cant take more than 5mg daily cause my blood pressure drops too much. I am 33 years old
I am wandering if the lack of morning wood and in general erections for all this time (since 2018) has caused some damage to the penis (like fibrosis) and thats why even with cialis (or viagra) i cant get a full erection (even though my libido is ok).
My testosterone levels or any hormone for that matter are definitely not the issue (i ve done more than 15 bloodworks and i've seen the all over). I did a penis ultrasound about a year ago and while even with the injection i only reached like 60% erection, the doctor said that my bloodflow is fine. does fibrosis appear on that test?. Could my issue be caused by lack of erections for a long time or should i look elsewhere?
Thanks in advance