Is my ED physical, psychological or hormonal?

This is something overlooked by many men suffering from ED!

Many young men can suffer from this.

*ED due to caverno-venous leakage (CVL), whether isolated or accompanying other causes of erectile dysfunction, is frequent specially among young adults


Will read this.
 
Hey TB, I feel badly for you, but I think you've found your way to some very bright people here on the board - hopefully they can help out.

I have shades of the same concerns as you. I'm older, 69, but am in good physical shape; also on TRT. I have only a limited response to Viagra so I tried Trimix, with the same less than ideal erection quality. My urologist is also thinking venous leak. I tried the rings but they don't make much of a difference.

The kicker, to me, is that I often wake up with a super rigid erection. Hard to believe that I can't get an adequate erection during waking hours, even if I use Viagra or Trimix, but then in the morning I'd wake up with a 10/10 erection. Maybe many things are psychological in nature . . .
Thank you for your kindness friend, I really appreciate it.

Regarding your situation, the fact that you wake up with 10/10 erections leads me to believe that your penis works fine. I would assume that your issues during the day may be more related to some medication you are taking or maybe some mental block.

In my case, I only wake up with soft erections, that's why I was very suprirsed when the NPT test stated that I had 3 episodes lasting 1 hour at 85% rigidity.

I know what it means to get a very good erection when waking up, as I used to get them almost every day for those 2 years where everything was functioning well. I never experienced that again in the past 4 years unfortunately :(
 

hCG Mixing Calculator

HCG Mixing Protocol Calculator

TRT Hormone Predictor Widget

TRT Hormone Predictor

Predict estradiol, DHT, and free testosterone levels based on total testosterone

⚠️ Medical Disclaimer

This tool provides predictions based on statistical models and should NOT replace professional medical advice. Always consult with your healthcare provider before making any changes to your TRT protocol.

ℹ️ Input Parameters

Normal range: 300-1000 ng/dL

Predicted Hormone Levels

Enter your total testosterone value to see predictions

Results will appear here after calculation

Understanding Your Hormones

Estradiol (E2)

A form of estrogen produced from testosterone. Important for bone health, mood, and libido. Too high can cause side effects; too low can affect well-being.

DHT

Dihydrotestosterone is a potent androgen derived from testosterone. Affects hair growth, prostate health, and masculinization effects.

Free Testosterone

The biologically active form of testosterone not bound to proteins. Directly available for cellular uptake and biological effects.

Scientific Reference

Lakshman KM, Kaplan B, Travison TG, Basaria S, Knapp PE, Singh AB, LaValley MP, Mazer NA, Bhasin S. The effects of injected testosterone dose and age on the conversion of testosterone to estradiol and dihydrotestosterone in young and older men. J Clin Endocrinol Metab. 2010 Aug;95(8):3955-64.

DOI: 10.1210/jc.2010-0102 | PMID: 20534765 | PMCID: PMC2913038

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