Hi and thanks for the query.
You are right. Popping a pill every time at your age is a temporary solution. However, for your reassurance, if you have the occasional morning erection called Nocturnal Penile Tumescence (NPT), then your problem is not a permanent one. Having an NPT means that the mechanism responsible for causing an erection is intact, however, not being able to maintain it is the problem. This is known as inorganic erectile dysfunction and is due to performance anxiety, increased stress levels (physical or mental or both).
It attains the form of a vicious circle and the anxiety promotes to further stress and this goes on.
I would encourage that you visit a Sex therapist for counselling and some tests to rule out hormonal fluctuations, blood flow and nerve issues first. Once, these are ruled out attention can be paid to solving the inorganic ED issue. This is mostly resolved by counselling, exercises, anxiolytics and techniques that help boost the self confidence.
Let me know if you have further questions.
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Wish you good health
It can not be stated that your problem is only from performance anxiety.
You can still get morning erections with low T and from other causes. And in fact physical causes are on a spectrum, and can start with intermittent dysfunction. It is with advanced disease that complete impotence occurs and you don't want to get to that stage.
Cialis would not be indicated for psychological causes: therefore, find out what diagnosis your doctors are using.
Thyroid disease and other undiagnosed diseases.
See a medical doctor first.
I am a double board ceritified clinical doctor.
You have not stated that you have any anxiety at all, but this would be another cause of this problem.
However, anxiety can be secondary to medical causes as well.
I would suggest
A: Internal medicine doctor and urologist evaluations.
B. Then, depending on findings, psychiatric or psychological evaluations.
The progression of a loss of morning erections means that this can be a disease state.
Low testosterone is very possible as you describe this.
You should have the following tests
thyroid function tests
adrenal function tests.
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Thanks for reply,
Yes that is what i have already told you to get these hormone levels so that exact cause can be found and treated accordingly.