I am 26, I started experiencing erection issues when I was 22, when I was going through a quarter-life crisis. At the time, I was watching porn and masturbating daily. One morning, I woke up without morning wood. I initially didn’t think much of it, assuming it was normal, but it persisted for months. At the time, I was living with a toxic family member. After moving out 9 months later, I gained some morning wood again, though I am only about 75% firm on a good morning. I am not depressed anymore, although I've been diagnosed with mild general anxiety.

I haven't had a penile ultrasound, but I did get a scrotal ultrasound because of a pulling sensation and was diagnosed with varicoceles. My primary doctor prescribed 20 mg of Tadalafil, which seemed high for a first dose. The first time I took it, I was 100% hard. It worked again the second time but only while watching porn. Since then, it hasn’t worked, regardless of whether I take it with or without food.

My testosterone level is 386 ng/dl, and other bloodwork came back healthy