Venous Leak vs PIED

MOTM1989

Member
I?m posting this in a few places because I?m a pretty extreme example of someone who may have PIED, but I?ve always been concerned about venous leak. I?ll include my story below, but is venous leak a complete inability to get an erection? Or is it more of a consistency issue? And if you care to read my story below, please tell me if this sounds more like PIED or something else like venous leak or hard flaccid/pelvic floor issues. These conditions seem to have similar symptoms to mine, such as: no morning wood, poor and inconsistent erection quality,  sometimes cold/shriveled penis and cold glans.

I?m in my early 30s , very inexperienced, and began using porn probably around 13, maybe even younger. I began noticing weaker erections as early as high school (maybe only 3 or 4 o clock at times and morning wood began to decline). I?ve always been a very anxious person so once I noticed and began worrying about this the problem became worse. In my early 20s I went to the doctor and had blood work done, which checked out fine. I was then sent to a urologist who only did a physical examination and said everything looked good. He gave me some off brand ED meds and since I was single at the time, he said go home and masturbate and come back if they don?t work. (Which I did, using porn since I was still clueless about PIED). They worked okay and I carried on with my bad PMO habits, despite having pretty weak erections at times and a lack of morning wood (almost never now and pretty weak). I obviously had insecurities about this which caused me to avoid relationships most of my 20s. At the same time I was almost in a state of denial and told myself things would work when they needed to.

This past summer I finally began looking for answers again and discovered the nofap and PIED communities, which gave me hope but also amped up my anxiety quite a bit with the realization I may have been doing this to myself. I made it about 40 days before relapsing due to some depressing life events. After relapsing, I did notice two days where I had weak morning wood and felt optimistic that nofap had been working, but got discouraged when it didn?t continue. I have since learned that progress isn?t always linear. I can also say that while my erection was pretty weak when I relapsed, I noticed some improvement when I relapsed a few more times in the following weeks, although this wasn?t consistent either. There were even a few select times where I felt like my erection was stronger than I had seen it in years.

I was also finally dating someone who I was VERY in to and my biggest fear was losing her due to not being able to perform. Being inexperienced obviously made this problem worse and created some bad performance anxiety. When the time finally came that we ended up in bed together, I was almost in a panic about not being able to perform, which shut everything down regardless of what my condition is. Luckily she was pretty drunk and I was able to use that as an excuse. We ended up breaking up shortly after though and I?ve really been beating myself up about that missed opportunity and how she may have felt about my putting off sex. I should add that while my dick was completely dead in this situation, I did have times where I got to about 40% when kissing or touching.

I?ve been pretty down since losing her and I?ve finally gotten myself back on track with nofap. I?m currently on 27 days and I?m being much more strict on myself this time (no peaking, looking at sexy pictures on Instagram, and avoiding any fantasizing as best I can). I have even had a few weak morning woods, which I suppose is some progress for what I?m used to. However I?m constantly second guessing and worrying that I may not have PIED and may have something else. It?s hard for me to tell if I?ve gone into the ?flatline? since my erection quality has sucked for so long. I will also find myself getting a weak erection here and there if I drift off thinking about a previous experience or something, which may suggest I?m not in the flatline since most guys in flatline seem to report to life at all.

Venous leak seems to be what a ton of guys look into when assuming the worst, and although I went to a urologist when I was younger I never received the ultrasound shot test everyone talks about. I?ve also looked into hard flaccid and feel I do have some of those symptoms at times, so I started stretching and exercising that area a bit, but I can probably add in a more complete routine. As you can see I?m almost becoming a hypochondriac over this. I?d appreciate any help and feedback.
 

MOTM1989

Member
Correction: I now know after talking with a few people who have venous leak that they can sometimes get hard depending on how bad it has progressed, the issue seems to be more with maintaining an erection. but still very similar symptoms to PIED.
 

Jeks

Well-Known Member
Hey man,
its a tough story, pretty similar to mine.
So first things first. If you are able to get an erection (or better erection) with porn, than you can be as good as certain, that you have got PIED.
If not, it still can be PIED, but there is no real telling, besides doing a reboot and ruling things out by going to the doctors.
PIED and VL often can act out pretty similarly. However you can make a good guess by examining your past porn habits and porn use. But even if you feel like you are not addicted andyou did not escalate into heavier material and so on, it still can be PIED.
From what i have read, it is far more likely to have PIED than VL. But of course, even some combinations of both might be possible.
I myself had the diagnosis of VL and a surgery, whixh did not help. After the surgery the doctor told me everything looks fine. So for myself, i am pretty sure, that i have got PIED or a combination of both.
Only a reboot and regular examinations will tell in my case. However, before getting pretty sick half a year ago, i exoerienced quite some progress with rebooting.
So in conclusion, i would advise you to getting VL ruled out by examination and rebooting at the same time. If you have got a severe case of PIED, rebooting may take a long time for you. But there is definitely a cause behind you ED and you are able to overcome it. The fact that you already felt like a short period of time into your reboot has had some positive effects might be a good sign.

Best of luck, dont give up, find the cause of your ED, whatever it might be and you will find a way to live a fulfilling sex life.

Edit: reading your story again, your positive effects after the reboot seem to be a really good sign, that it is PIED. During my first relapse phase i made similar observation witj improved erections quality.
 

MOTM1989

Member
Thanks for responding. I never did a full reboot, only about 30 days of no looking at porn but I did fantasize during that time. Much more strict this time around. I actually had a wet dream last night and only had that happen like one other time in my life. Erection quality was still not great. Maybe 50 or 60 percent. About 4 o clock angle when I stood up. But I guess that is an improvement?

When the doctor told you everything looked good after surgery, did he perform a second ultrasound test to confirm that? That?s how I?ve been told VL is diagnosed. I?ve also heard some of those surgeries can be ineffective, so that?s why I asked about the second test after surgery. I probably had some improper masturbation technoiques when I was younger and gave myself premature ejaculation as well. I?m hoping this reboot helps and I?m prepared for it to take awhile. I just hope I continue to see progress and improved quality to remain optimistic. When I mentioned the progress, I had already gone back into porn and the good erections weren?t consistent, but when I got them (only with porn) I did reach a point where I got to 2:30 or 3 o clock which is the best I?d seen in a long time. My erections have never really pointed up, but I?ve read that can be related to ligaments and has nothing to do with erection function. I do also tend to lose them quickly, which also made me concerned about VL. But that also seems to be a PIED symptom. I?m already an extremely anxious person which doesn?t help the situation, but I?m so eager to see some progress to put my mind at ease.
 

MOTM1989

Member
Also, I did visit a urologist when I was younger, but I didn?t get the ultrasound test. He just looked and said things looked good.
 

Jeks

Well-Known Member
MOTM1989 said:
Thanks for responding. I never did a full reboot, only about 30 days of no looking at porn but I did fantasize during that time. Much more strict this time around. I actually had a wet dream last night and only had that happen like one other time in my life. Erection quality was still not great. Maybe 50 or 60 percent. About 4 o clock angle when I stood up. But I guess that is an improvement?

When the doctor told you everything looked good after surgery, did he perform a second ultrasound test to confirm that? That?s how I?ve been told VL is diagnosed. I?ve also heard some of those surgeries can be ineffective, so that?s why I asked about the second test after surgery. I probably had some improper masturbation technoiques when I was younger and gave myself premature ejaculation as well. I?m hoping this reboot helps and I?m prepared for it to take awhile. I just hope I continue to see progress and improved quality to remain optimistic. When I mentioned the progress, I had already gone back into porn and the good erections weren?t consistent, but when I got them (only with porn) I did reach a point where I got to 2:30 or 3 o clock which is the best I?d seen in a long time. My erections have never really pointed up, but I?ve read that can be related to ligaments and has nothing to do with erection function. I do also tend to lose them quickly, which also made me concerned about VL. But that also seems to be a PIED symptom. I?m already an extremely anxious person which doesn?t help the situation, but I?m so eager to see some progress to put my mind at ease.

Yes he did an ultrasound. But he also said some guys still show problems even after successful surgery. Also for some quys the big veins are growing back again.
Your observations and experiences are very similar to mine, with the exception, that it took much longer in my case. Also had my first wet dreams during reboot. Also had never had one before in my life. Its supposed to be a sign of improvement. Loosing erections quickly is a symptom a lot of guys on these forum experience.
So keep it up :)
 
D

Deleted member 17609

Guest
Do the ultrasound test. It's not a big deal: it's not that expensive (depending where you live) and it will give you the answer. I don't think it's a good idea to speculate on wether you have venous leak or not, especially since it's so easy to find out, through a medical test.

Jeks happens to have it, but it's still pretty rare. Many of us thought we had venous leak, but for most of us porn is what caused ED. So get checked as soon as you can, so you can move on.
 

MOTM1989

Member
Jeks said:
MOTM1989 said:
Thanks for responding. I never did a full reboot, only about 30 days of no looking at porn but I did fantasize during that time. Much more strict this time around. I actually had a wet dream last night and only had that happen like one other time in my life. Erection quality was still not great. Maybe 50 or 60 percent. About 4 o clock angle when I stood up. But I guess that is an improvement?

When the doctor told you everything looked good after surgery, did he perform a second ultrasound test to confirm that? That?s how I?ve been told VL is diagnosed. I?ve also heard some of those surgeries can be ineffective, so that?s why I asked about the second test after surgery. I probably had some improper masturbation technoiques when I was younger and gave myself premature ejaculation as well. I?m hoping this reboot helps and I?m prepared for it to take awhile. I just hope I continue to see progress and improved quality to remain optimistic. When I mentioned the progress, I had already gone back into porn and the good erections weren?t consistent, but when I got them (only with porn) I did reach a point where I got to 2:30 or 3 o clock which is the best I?d seen in a long time. My erections have never really pointed up, but I?ve read that can be related to ligaments and has nothing to do with erection function. I do also tend to lose them quickly, which also made me concerned about VL. But that also seems to be a PIED symptom. I?m already an extremely anxious person which doesn?t help the situation, but I?m so eager to see some progress to put my mind at ease.

Yes he did an ultrasound. But he also said some guys still show problems even after successful surgery. Also for some quys the big veins are growing back again.
Your observations and experiences are very similar to mine, with the exception, that it took much longer in my case. Also had my first wet dreams during reboot. Also had never had one before in my life. Its supposed to be a sign of improvement. Loosing erections quickly is a symptom a lot of guys on these forum experience.
So keep it up :)

Thanks for sharing your experience. It?s encouraging that you feel I?ve made progress pretty quickly. Most of the time I feel like I haven?t made as much as I should have. Also a bit worrying that you feel I have some of the same symptoms and ended up having VL, but I suppose PIED and VL share many common symptoms. I?ve just had this issue for so long (as early as high school like I said) so I do get concerned that recovering is unlikely. I?ll stick to it though and share any progress I make. Thanks again for your help.
 

MOTM1989

Member
Bilbo Baggins said:
Do the ultrasound test. It's not a big deal: it's not that expensive (depending where you live) and it will give you the answer. I don't think it's a good idea to speculate on wether you have venous leak or not, especially since it's so easy to find out, through a medical test.

Jeks happens to have it, but it's still pretty rare. Many of us thought we had venous leak, but for most of us porn is what caused ED. So get checked as soon as you can, so you can move on.

You?re right, and I do have some hypochondria so it doesn?t help. Anxiety will only make this problem worse. It will take some time to see a doctor and then fight to see a urologist and request the test. At my age it was tough to convince them I had an issue the first time around. He literally just looked at it, asked about morning wood (pretty weak at the time and now pretty rare and still weak). Then gave me some ED meds and said try this and come back if it doesn?t work. It helped a little but as I mentioned above it was just with porn. I suppose I have seen some inconsistent signs progress after relapsing the first time and I should take that as an encouraging sign. A lot of people I?ve talked with seem to feel I?m better than I actually think I am. Throughout the years I?ve definitely had times where I was pretty soft even with porn. I?ll stick to nofap for awhile and pursue the test if I don?t see progress, although I?m told in a case my extreme in may take awhile. I talked with another guy on Reddit who has VL and said we do have many of the same symptoms which is what escalated my worries.

I know it?s important to give your mind a rest during this recovery period but I find myself constantly stressing and feeling anxious or depressed, reflecting on my last relationship. Maybe this is part of the flatline as well. I haven?t had a completely dead dick (sometimes My mind wanders but I stop myself if I begin to fantasize about anything) like some report so I get confused as to what the flatline is sometimes and that makes me worry about not having PIED and having something else instead.

I appreciate you taking the time to read and respond. I hope your recovery is going well too.
 

Jeks

Well-Known Member
That can definitely be part of the recovery process. I stressed (sometimes still do) myself out a lot about whether i have VL, or PIED or maybe a combination of both. It can be tough to get an emtional grip on that. For me what really helped is time, seeing progress through abstaining from porn and ruling out/ getting rid of other organic causes.

When talking with the doctors, make sure to clarify, that you also have the same problems while masturbating. That rules out performance anxiety, which is the first respond you will get normally.
 
D

Deleted member 17609

Guest
Jeks said:
That can definitely be part of the recovery process. I stressed (sometimes still do) myself out a lot about whether i have VL, or PIED or maybe a combination of both. It can be tough to get an emtional grip on that. For me what really helped is time, seeing progress through abstaining from porn and ruling out/ getting rid of other organic causes.

When talking with the doctors, make sure to clarify, that you also have the same problems while masturbating. That rules out performance anxiety, which is the first respond you will get normally.
You can also mention the chronic absence of morning wood. Old timers used to say that if you have morning wood, then your ED is psychological... And believe me, there are a lot of old timers out there, even if they are only 40 years old... Anyway, good luck with this.
 

MOTM1989

Member
Morning wood gradually declined. I never felt it was very strong but that may be from how long I?ve had this issue and my memory may be off. This is also common with PIED isn?t it?

I may give this more time and put off going to the doctor. It?s tough to get in right now and then I?d have to wait to see a urologist. The process is pretty mentally exhausting. I do feel performance anxiety is a factor, but only because I?ve noticed these issues earlier on and became so insecure about them. I?m pretty ashamed that it took me this long to finally try looking for answers again. 

Once I relapsed and fell back into porn after my first attempt at reboot this past summer, I did occasionally get better and stronger erections with porn. So I feel that points to PIED.

Regarding the flatline, can anyone speak to their experience? I feel like at 29 days now I should be in a flatline, but I will occasionally get excited about something during the day and as a I mentioned yesterday, I had a wet dream. Would this suggest I?m not in a flatline? Everyone else seems to report a completely lifeless dick in flatline. I have noticed more even anxiety and feel sometimes depressed, which I?ve seen some people report. But that may be a result of me obsession over this. For having this problem most of my life now, I really should at least wait the full 90 days before freaking out.
 

Jeks

Well-Known Member
Yes it is.

About the flatline, everyone is different. Some get it after a few days, some after weeks or months. Some do not get any flatline or are not aware of it.
I myself maybe had one, but i could not really tell.

For infos about PIED and Porn Addiction, i recommend reading the FAQs on ybop.

https://www.yourbrainonporn.com/rebooting-porn-use-faqs/
 

MOTM1989

Member
I think that may be where I am - unable to tell. I do occasionally have to stop myself from getting aroused by certain things if my mind is idle for too long. But I can?t say the erections I?ve had since starting this reboot are any better or worse. It would be really nice to see some significant progress to put my mind at ease, but it may be awhile before that happens.

I have seen that link before and browsed a bit. I should probably use that resource more often since I?m constantly worrying about having a more serious medical issue. Really appreciate you sharing and giving your input man.
 

MOTM1989

Member
Ended up relapsing on day 31. Put myself in a bad situation. Entirely my fault. Pretty discouraged since 30 days seemed to take forever despite not having any urges until yesterday. Erections were just slightly better which I guess makes me hopeful that?s it?s PIED.
 
Hi, there has been no response from you for a while. I will be interested in your story, and I hope that you overcame your problems. I read today about venous leak and I am afraid that it is something that I might have as well. I was putting off sex so many times with my gfs, and it is a problem that I cannot share with many people because I feel vulnerable when talking about that.
It is also difficult for me to identify what the real cause of my problem is, and I would like to clarify it with a doctor, because otherwise my anxiety and stress will kill me.
I do hope to hear positive news from you and to hear that it was not VL.
 
Top