Hello, would really appreciate any feedback and advice on this because it's been going on for way too long. I've posted in the ED community as well but starting to think this could be a bigger problem.
About 8 years ago, I took, on suggestion of my trainer, a mix of ephedrine/caffeine/aspirin to help me workout. I was 25 at the time. That night, I felt the blood in my entire body puming harder than ever, my heart was pumping fast and I had a very hard erection that just wouldn't go away. Before that point, my erections were always very hard. I slept on it (was a bit of pain and discomfort but at the time I didn't know what a priapism was).
The next morning, I did not have my usual morning erection, and since that day, my hard erections never came back and were replaced by a rather soft erection less than half the size. This is how it's been since. At first, I let it go thinking things would come back to normal on their own. Libido was not affected, but the difference in blood flow was clear. Before, I'd take a deep breath and feel the blood rush through my lower body and penis. After that night, things changed, I don't feel it. A few month later I decided to see a urologist. When I first met the urologist, he discounted it saying that it's a mere coincidence that my ED started the next morning and that at my age it must be psychological. He gave me viagra to try. I'm in Canada, so the way it works here, there's a big gap of a couple of months between doctor followups. Went back to see him a few times, each time he'd give me a new drug (cialis, etc). None worked. Finally, he said let's do some blood tests. FSH, LH, Estrogen and Testosterone all came back normal. All other tests came back good, including blood sugar, cholestrol, kidney function, etc. T3 was on the lower side but doctor said it's normal. The way the process dragged on, I started getting very demotivated and even depressed over this, and I decided to let it go. 6 years later, after it was clear that it wasn't going away and wasn't psychological, I went back to see the same doctor and another one. They both recommended now that I do a penile duplex. I did one, the results were 26-30 in the right artery, 30 in the left, no leakage, using caverjet injection. From my research, I found this to be very low for someone my age (32 at the time). When I was given the injection though, my erection was very weak, nothing compared to my old erections, and that weak erection was painful and lasted hours. I also did a new set of bloodtests, again, no problems, testosterone was a little weak this time (still well above normal lower limit) and prolactin was on the higher end (was very stressed out and had put on weight at the time). Today (33 yrs old now), I saw a new urologist. He made me redo the duplex with trimax, so this morning I redid the duplex with trimax, and the results were 34.1 right peak 44.5 left peak. Again no leakage, but this time he found thickening of the right artery wall. Same weak erection. The doctor thought this was normal (the way he saw it it's above 35) but for someone my age, this is low and regardless, doesn't change the fact that although yes, technically, it could be said this is enough for penetration, the way this doctor judged it, the reality is, overnight one day my erection went to under half it's size and strength, which must mean something went wrong somewhere, and the 2 dopplers show it's not psychological. I'm getting to a point where I'm extremely demotivated by all of this and don't know where to go. From my experience, some doctors these days are so convinced that anyone under 40 suffers merely from psychological ED that it seems to bias their judgement. The reality is I know myself and my body, I've seen the change, and I feel that the duplex results prove this. I would appreciate any advice or guidance you may have on this. Thanks in advance for your help.
