Is this a blood flow issue or all mental/an arousal difficulty issue ? Please help , super lost

TRIGGER WARNING ⚠️⛔️‼️

Hello, guys . I am 37 years old . Let me give you a little background - I got into a relationship nearly 3 years ago and realized I had some type of ED possibly from two decades of porn use and masturbation . I used to take between 10-20 mg of tadalafil most of the time for sex with my girl at the time . I decided to cut out all porn , self stimulation , and did 2 long streaks of hardmode of nearly 4 months and 9 months . By the time I saw my girl again who was livinglong distance at the time , I realized I couldget away with just using half of a 5-mg pill (2.5 mg) and I’d get a good erection . Fast forward to the beginning of this year Idecided to eliminate the 2.5 mg tadalafil and go without anything . I achieved erections quite well most of the time through oralstimulation and was able to have sex with decently hard erections from Januarythrough around mid-May . In May I started to occasionally lose my erection andperformance anxiety set in so I was having problems . After months of not being ontadalafil , I once again took low dose pills and once again my erection was back . Atthat point , I decided enough is enough andfigured maybe my problem is a mental issue or an arousal issue because I have ALWAYS had nocturnal erections that are very rigidmost nights . I have had hormone panel testing and blood work done and everything checks out . So I decided to try out a libidosupplement by the name of “boost “ male libido and it contains the following ingredients- 50 mg zinc, 400 mg tongkat ali,125 mg ginseng blend (with Panax ginseng ), 250 mg maca, and 250 mg l-Arginine . The rest is a “proprietary formula “containing other ingredients such as catuaba etc in undisclosed amounts . Directions were to take 2 tablets daily . Well, gusss what ?With that supplement , my erections came super easily , sometimes with just my woman’s touch (no oral required) and I alsofelt ready , more confident , etc . So what is wrong with me ? Why is it such low doses oftadalafil work for me and some libido supplement ? Is this truly physical ED eventhough I get night time erections ? Or all psychological ? 2 days ago I stopped taking the supplement because I ran out aftertaking it daily for 3 months . I admit I was somewhat concerned about performing without the supplement and I struggled toget it up . When I have taken tadalafil or the supplement , I stop thinking about my penis and if it will work or not. If I’m not on something , suddenly my penis looks smaller and it is much harder to get up even withstimulation . On the supplement, my penis even looked bigger/more girth and theslightest touch would make me hard but now it even looks smaller and not sensitive What the hell is going on ? I eat right, workout , get hard most nights . I also notice times i have gotten hard at random without tadalafil or any libido supplement are times I amcaught by surprise by my girl and don’t even have time to think about an erection etc .Help !

 

Anybody ?

 

I get it . I really do . In terms of screen time , it wasn’t sexual by any means . We would talk , chat, etc . But nothing erotic on screen the entire time I was in hard mode . Yes, total abstinence may be necessary for complete recovery . But let me ask you a question - the fact that very low dose of pills (2.5 mg tadalafil ) or even some libido supplement actually seem to work …isn’t that a sign of significant improvement ? Like you said, for many with PIED, even pills don’t work . In my case, I take the slightest dose of anything and everything works as it should . Also, for months, I wasn’t taking anything at all, probably 4 to 5 months and I was getting erections with stimulation . Additionally, I’ve certainly had signs of recovery earlier this year - some times I’d have a random hard on at night while in bed next to my girl for no particular reason , also some of her touches would result in my penis suddenly getting fuller or just enlarged , one time from just breast play with her I got an erection as well - AND- no pills , not even a tiny dose . Aren’t those some signs of recovery ? I ended up with doubts again one night after I had a hard time getting up after months of no pills at all and then I slid down a path of typical performance anxiety . I may not be 100% recovered but I would say maybe 65%. I understand abstinence may be required for faster recovery but how can you be abstinent if married ? I think I may have some PIED for sure with some performance anxiety thrown in .

 

Update : I had sex earlier this afternoon , no libido supplement nothing in a week now . I just stopped caring and I got a good erection . I can see some of my occasional issues are definitely anxiety based .

 

I would say about 85% .

 

TRIGGER WARNING ⛔️‼️⚠️

I had sex again with my wife today . 100% hard with a “horse dick” like she described lmao . A week or 8 days now with no libido supplement and zero tadalafil in a few months . So I am in much better shape than I thought . I think my issue is sometimes performance anxiety . If I am having a bad day or focused too much on my penis, then I have a problem . The moment I focus on the actual sexual experience I am enjoying and sharing with my wife and see and appreciate her beautiful body and forget about my dick is when I get even harder . If I’m not getting hard and then start looking or focus my mind on what is going on , i don’t get an erection . I have to “give in”, be “vulnerable “ and relax my entire body for me to get erect . If there is any tension in my body , my muscles seem tense , etc , no lift off . So, yesterday I was at 85% and today rock hard 100% with zero in my system . My issue seems to be nerves/anxiety .