PIED or venous leak?

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Hanai

Guest
ojacek said:
Dude, you just dwell on negatives too much. What I don't understand is your porn consumption. I guess if I had such issues for so long I wouldn't watch any porn anymore.
Have you looked into T levels again, you said you were in 300's? Seems real low to me. I am on medication-boosting my T right now and the improvement is IMMENSE.
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I was following a very healthy lifestyle/diet to perform better as an athlete and my T levels were in the top 1% for my age group and still had ED. The problem is porn. If you're young the chances of having ED from physical causes is extremely slim. I do not know why people always look for secondary causes and never want to accept porn as a problem.
 
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goldpeak93

Member
Hey guys.

Sorry to reboot this thread, but I have a new question. I have not had much improvements with my erections. Andrologist prescribed daily Viagra which sometimes helps, but not always. Penile sensations is improving.

Something strange I recently started noticing... Sometimes when I go to urinate, my flaccid penis narrows in the middle, somewhat resembling an hourglass. After I'm done, the narrowing goes away and my flaccid penis looks normal. Searched this issue online, and Peyronies Disease came up. In PD, narrowing/hourglassing seems to manifest more in the erect penis with pain. My penis is perfectly straight and "filled" when erect, and there is no pain.

Any ideas what this could be? I've had the penis "squeeze" test 3 times in the past year to check for PD, and no plaques were felt. Doppler also showed no calcifications. Any help appreciated, thanks!
 
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goldpeak93

Member
Hey guys.

Sorry to reboot this topic again... I am still experiencing the same erectile issues that I have had for the past 4 years. :( Sensation has improved significant, but I am still unable to maintain an erection without constant stimulation and morning wood is very unfrequent and weak. I understand that maintaining my erection is at the forefront of my mind whenever I jerk off, but I really don't think the issue is just psychogenic.

My urologists are adament that my dopplers rule out a venous leak, but the research online still scares me. Jelqing 4 years ago was the stupidest choice I ever made and I just want my old life back. Any words of advice are appreciated.
 
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scorpion1386

Well-Known Member
goldpeak93 said:
Hey guys.

Sorry to reboot this topic again... I am still experiencing the same erectile issues that I have had for the past 4 years. :( Sensation has improved significant, but I am still unable to maintain an erection without constant stimulation and morning wood is very unfrequent and weak. I understand that maintaining my erection is at the forefront of my mind whenever I jerk off, but I really don't think the issue is just psychogenic.

My urologists are adament that my dopplers rule out a venous leak, but the research online still scares me. Jelqing 4 years ago was the stupidest choice I ever made and I just want my old life back. Any words of advice are appreciated.
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Do you have a libido?
 
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goldpeak93

Member
I do. If I build it up over a couple days, I can stay rock hard for a few seconds longer and my penis looks noticeable larger, but my erection will still fail. I can get ~60% erections wihtout porn and maintain them for some time, but once I start touching it, it becomes harder to maintain. Kegels are needed whenever I have an erection otherwise it will go down faster.

There is definitely a psychological compontent of my ED since assuring my hard erection with stimulation in a mirror or camera is something I have to do whenever I jerk off, but it is becoming more aware to me that an organic component is likely...

While my outlook on this is grim, I am going to attempt a hard reset and do whatever I can to alter this. I have deleted all porn from my phone and am going to block all porn sites and dating apps. I am also going to start a kegel routine since there is some research showing that pelvic floor strengthening is more effective than surgery in treatment of a leak.
 
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scorpion1386

Well-Known Member
goldpeak93 said:
I do. If I build it up over a couple days, I can stay rock hard for a few seconds longer and my penis looks noticeable larger, but my erection will still fail. I can get ~60% erections wihtout porn and maintain them for some time, but once I start touching it, it becomes harder to maintain.

There is definitely a psychological compontent of my ED since assuring my hard erection with stimulation in a mirror or camera is something I have to do whenever I jerk off, but it is becoming more aware to me that an organic component is likely...
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Hmm. Do you get brain fog and all of those symptoms where you feel like nothing interests you anymore?
 
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scorpion1386

Well-Known Member
goldpeak93 said:
I do, but I attribute that to my depression, anxiety, and stress with grad school.
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Hmm. I?d try a hard mode reboot first and if that doesn?t work, then idk. :-(

What?s your longest streak?
 
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goldpeak93

Member
Not long honestly... maybe 1 week. I'm definitely addicted to PMO.

Something else I should mention... I have been taking 1 Viagra per night as prescribed by my doctor. He instructed me to start taking 2 as of last night.. Woke up in the middle of the night with a 70% boner. While that doesn't seem like much, it was refreshing to see and feel. I know it sounds corny, but it's moments like those that make me feel like everything could turn out alright in the end.
 
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goldpeak93

Member
Strangest thing happened last night... I started taking 2 Viagra before bed a couple nights ago after consulting with my doctor. With 1 pill, I found myself getting semi-boners throughout the night, but nothing significant. Before I fell asleep last night, I got an erection unlike any other I have had in the past 4 years. Lately, my erections with stimulation were very difficult to maintain and the head would only become engorged with a kegel. Last night's erection required no stimulation and the head was engorged without a kegel. My shaft also looked a lot more "full" than it has in years. I wouldn't say it was painful, but I got so hard that the base of my penis began to ache a little. That feeling subsided after I caved in and masturbated.

Even though I was only able to get this erection with 2 Viagra, is this still a good sign? I am under the assumption that a guy with venous leak wouldn't be able to maintain a stable erection even with Viagra. I've never considered an arterial issue for my ED since I have no problem getting sufficient blood to my penis to initiate an erection. Like I mentioned in previous posts, my Dopplers have come back normal and only showed minimal venous outflow with normal arterial inflow.
 
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Redfire03

Active Member
See i was orginally told i had the venous leak by a urologist.... but i never knew about pied.... had no clue at the time. Viagra worked very well for me and i always go confused on if i had a leak why did the viagra work so well. 8 months no pmo i get morning wood occasionally thats hard... and will stay up as long as i lay down. But if i get up it goes down... i still do not think its a venous leak. But only time will tell. Porn is bad....
 
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goldpeak93

Member
Redfire03 said:
See i was orginally told i had the venous leak by a urologist.... but i never knew about pied.... had no clue at the time. Viagra worked very well for me and i always go confused on if i had a leak why did the viagra work so well. 8 months no pmo i get morning wood occasionally thats hard... and will stay up as long as i lay down. But if i get up it goes down... i still do not think its a venous leak. But only time will tell. Porn is bad....
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Your situation sounds very similar to mine. I attributed my ED to a jelqing injury I had 4 years ago, but all my urologists say my penis is structurally intact and blood flow is sufficient. Besides the erection I mentioned above, maintaining erections has been very difficult and frustrating. I sometimes wake up with weak morning wood but I also noticed that it disappears soon after standing up. I need to go on a no PMO streak but I'm finding it very difficult to break this addiction. I am considering seeing a therapist to help me overcome this addiction.

Just curious, how many mg of Viagra do you take? My urologist told me to take 2 20mg pills before bed, but I'm considering taking them earlier on in the day due to the success I had last time. I am nervous to do that though in the event that I do take the pills and my erection is still weak...
 
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Redfire03

Active Member
They always gave me the big ones.. but i do not takr them anymore in fear they hurt my recovery. So far 240+days no pmo.
 
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Redfire03

Active Member
They did the injection and ultrasound on my penis or whatever.  Then i took the results to my doctor and they broke the news to me. I was 23 at the time. I had a normal sex life untill i was 19 and got heavy into porn... but never knew it could do this damage till i did research 8 months ago. That's when i said i am done.... this morning i woke up with morning wood. It stayed for a good while i was in bed. I just let it stay and didnt bother it. I deff think pied is 90% of my problems since it was impossible for me to get turned on.
 
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goldpeak93

Member
Gotcha, PIED could very well be the main component in your case.

My urologist is calling me tomorrow and I am going to see if he suggests any different testing for me. My last doppler was last February and I haven't seen much improvement since then in my ED. They keep telling me that 2 "clean" dopplers rule out venous leak, but a hard reboot would be useless if my condition was actually physical...
 
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