This is due hormonal imbalance, low testosterone or low free testosterone, vitamin D or B12 deficiency, stress, anxiety, poor sleep, overtraining or inadequate recovery, thyroid issues, depression or mental stress, poor diet/protein-calorie imbalance, insulin resistance/obesity, and hormonal imbalance such as elevated prolactin levels. You should come to our clinic. We will examine you properly and repeat the necessary blood investigations to find the exact cause and then advise treatment accordingly.

To provide you with the most accurate prescription and ensure your satisfaction, I need to understand your history better. Please book a session so we can discuss this in detail and get you on the right track

Namastey From your description, this does not strongly suggest Venous leak. In true venous leak, erections are usually very difficult to achieve and cannot be maintained even with stimulation, and often even medicines like Tadalafil give limited benefit. In your case, you are able to: Get erection with thoughts and stimulation, Maintain erection with 5 mg tadalafil and Perform intercourse. This pattern more commonly points toward psychogenic erectile dysfunction (mind-related), performance anxiety, or over-focus on erection quality. The fact that your erection reduces when you stop thinking about sex suggests a mental dependency on stimulation, not a structural blood flow problem. Other contributing factors may include: Frequent masturbation or porn use, Anxiety about performance and Reduced natural arousal due to overthinking. So clinically, your symptoms are more consistent with reversible functional erectile difficulty, not permanent vascular damage.

●𝗬𝗲𝘀 𝗶𝘁  𝗰𝗮𝗻 𝗯𝗲 𝗽𝗲𝗿𝗺𝗮𝗻𝗲𝗻𝘁𝗹𝘆 𝗰𝘂𝗿𝗲𝗱 𝘄𝗶𝘁𝗵 𝗛𝗼𝗺𝗲𝗼𝗽𝗮𝘁𝗵𝘆 𝗧𝗿𝗲𝗮𝘁𝗺𝗲𝗻𝘁 . ●𝗩𝗲𝗿𝘆 𝗲𝗳𝗳𝗲𝗰𝘁𝗶𝘃𝗲 𝗺𝗲𝗱𝗶𝗰𝗶𝗻𝗲𝘀 𝗮𝗿𝗲 𝘁𝗵𝗲𝗿𝗲 𝗶𝗻 𝗛𝗼𝗺𝗲𝗼𝗽𝗮𝘁𝗵𝗶𝗰 ●𝗪𝗶𝘁𝗵 𝗺𝘆 𝘁𝗿𝗲𝗮𝘁𝗺𝗲𝗻𝘁 𝗼𝗳 1.5 𝗺𝗼𝗻𝘁𝗵 𝘆𝗼𝘂 𝘄𝗶𝗹𝗹 𝗴𝗲𝘁 𝗽𝗲𝗿𝗺𝗮𝗻𝗲𝗻𝘁 𝗿𝗲𝗹𝗶𝗲𝗳. ●𝗪𝗶𝗹𝗹 𝗽𝗿𝗲𝘀𝗰𝗿𝗶𝗯𝗲 𝘁𝗵𝗲 𝗰𝗼𝗺𝗽𝗹𝗲𝘁𝗲 𝘁𝗿𝗲𝗮𝘁𝗺𝗲𝗻𝘁. ●𝗬𝗼𝘂 𝗰𝗮𝗻 𝗰𝗼𝗻𝘀𝘂𝗹𝘁 𝗺𝗲 𝗻𝗼𝘄 𝘁𝗵𝗿𝗼𝘂𝗴𝗵 𝗼𝗻𝗹𝗶𝗻𝗲     𝗪𝗮𝗿𝗺 𝗿𝗲𝗴𝗮𝗿𝗱𝘀.

Consult personally eight four two nine six doboule seven zero eight six

Don't take tadalafil at ur age... Do u have any sleep issue or stress?? Anxiety?? Take herbal supplements.. To get rid of this problem permanently without any side effects.. To be sexually fit completely.. Erection will be hard.. To enjoy sexual activity and satisfy your partner completely..

Proper history is required for the diagnosis and further treatment Can consult me for this condition

Connect for discussion and treatment

Do color Doppler Penis then will see

No Treatment is available Consult online for proper evaluation and treatment options

May be better go for color Doppler test after injection of papaverin