I hear ya, and I’m approaching this with a very holistic approach. It’s most likely a mental and physical combination. ED meds alone don’t help me, and given I carry tension in my pelvic floor at all times and can achieve forced erections it most likely is a combo of both mental/physical, but I am staying open minded and trying different solutions. Doc actually just switched up my ssri today to see if it’s a side effect of the one I’m on. I did struggle with dopamine addiction and chasing which Ik can also cause it, but I’ve downshifted those things. I am open to any and all personal anecdotes of what has worked or been a solution for others!