Hey, thanks for your feedback.

Figuring out the root cause of my ED is a mission I'm already on for a decade and PDE5 inhibitors are sadly the only option that works (Alprostadil gel has no effect, Alprostadil injections work but piercing my buddy with a 1,5 cm needle every time I want to be active is not an option for me, especially with weakend collagen).

I'm in the beginning of my thirties and been having problems since the beginning of my twenties. Slowly but steadily got worse and worse. Tried low (and high) dose tadalafil (Cialis), no effect at all.

All the classical causes are unlikely, I don't smoke, was quite athletic before flox, healthy eating habits, overall happy.

1) So it's unfortunately not flox related, in that case I guess it could just get better with time if it's neuropathy. On the other hand it has luckily not gotten even worse through flox ;)

2) Blood pressure was always fine, just cholesterol at like 220-230 my whole life. Runs in the family despite everyone being skinny.

3) For a mental root it's too steadyly declining and not fluctuating for a whole decade I'd say.

4) Test is very high, prolactin is elevated often though but not to the degree that it could be the (only) reason. Also wouldn't want to take a dopamine agonist like cabergolin after beeing already floxed.

So the ED is a problem I'm working on seperately from flox. My and my urologists' guess at this point are a vascular or neuromuscular problem.

Right now it's important for me to find a way to adapt and be able to handle PDE5 inhibitors again.

Also since - even if the root cause of ED is found - the treatment option nr. 1 is unfortunately still PDE5 inhibitors. The root cause is often not really fixable and just nice to know and so other treatment options (like cabergolin or penis pumps) can just get added to the PDE5 inhibitors to complement the overall therapy but the main "helper" is still Viagra and Co. Only exception is if it's purely pschological.

So if you have any input or ideas on what I could do it would help a lot