[DESPERATE] Do I have PIED or ED (venous leak,...)? Can nofap help me?

I used to be a quite fit, successful 27 yo male. But my life has completely changed over the last four months because of ED. Every waking minute I am thinking about ED!

I need some advice on what could be my problem and how I could solve it. I want to be frank: I fear that I have underlying organic issues, which drives me crazy -- because if it is organic, then nofap probably doesn't help, right?

Here is what happened:

1. Love of my life broke up with me in Fall 2019. It left me depressed. Also, due to a new job with long hours I developed a burnout.
2. When she left me, I started PMO, i.e. excessive edging. Mornings for about 1 hour, then at night for another hour. To porn clips and hot instagram models. On weekends like 3-4 hours each day. Just edged while watching TV or when I couldn't get out of bed.
3. Often I was not horny. I PMO'd just out of boredom and because I was depressed. I had - and still have - low libido, I also gained some weight. I remember that sometimes I PMO'd while only semi-erect.
4. After a year or so, I met a woman. When we first got intimate, I only got semi-hard. After heavy stimulation I briefly got hard (80-90%), but could *not maintain* my erection. I tried, but couldn't penetrate. WTF.
5. Not being able to maintain an erection hasn't really happened to me before. Immediately stopped porn. The next time we met, it was a little bit better: I got like 90% hard when we made out naked. But again I could not maintain my erection. The moment manual stimulation stops, I get flaccid after about 10 secs.
6. Went to an urologist, said everything's fine, it's in my head (except for one thing, see below). Gave me ED pills. Next time I met that woman, I took the pills and I was able to maintain my erection easily (like before I had ED) and we had some decent sex - 3 times a night.

I stopped porn last December, but continued to edge (but only for about 1 hour a day).

I have developed several ideas of what could be going on. I do have a number of questions and will be grateful for some help:

• I still can't maintain my erection if I stop stimulating - even when masturbating. It will deflate in seconds once I stop touching it. I can still only maintain it with ED pills. --> I read about venous leak, which is consistent with my symptoms. Is PIED also consistent with getting hard, but losing it quickly? I didn't get a doppler with an injection to rule out VL. It worries me.
• Why are the ED pills exactly working for maintaining erections? --> I recently read that those ED pills not only relax the smooth muscles in the penis, but could also relax the pelvic floor. Could pelvic floor relaxation also be an issue?
  • I realized that when fapping or having sex in the past, I would always flex my pelvic muscles (as if lifting a towel on my dick). Is that normal? Could I have overworked my pelvic muscles due to excessive fapping?
• My dick always had a slight bend to the left. I now noticed that this bend has sometimes become more pronounced. The urologist spotted a very small, 2 milimetre plaque on the left side when using the ultrasound. He said I shouldn't care too much. I noticed though that when I'm fully erect (e.g., through pills) the bend is it has always been, i.e. NOT more pronounced. --> A few times when I tried having sex with the above lady I wasn't fully erect. Do you think that I might have hurt my penis, now creating the more pronounced bend (at times)?
• Morning wood: I have stopped all fapping 3 weeks ago. I now get nocturnal erections more often, i.e. about every other night. I wake up at 3 or 4am and notice a 80% erection. Once or twice a week I also get an erection in the morning. But as opposed to my teens, once I stand up and walk to the bathroom the erection fades fairly quickly. --> Can morning wood return during nofap? It should have nothing to do with PMO, right (since PMO is mental)?

I am quite desperate and grateful for any comments. Thank you!

 

So there have been people overcoming the issue of not maintaining erection by nofap?

 

Thanks, Phallosopher! So did you fully overcome your ED?

 

Thanks guys.

Arousal is definitely a thing. I am perhaps 50% horny as compared to when erections were fine, could maintain them forever (about 15 months ago).

But given that ED pills work (can maintain 90% erection). Do you think these pills make up for under-arousal, i.e. give me a harder dick at the same level of low arousal I am facing right now?

Also, keeping erection works easily with ED pills. If my problem is due to the pelvic floor, do ED pills kinda relax pelvic muscles, too, restricting blood flow out of my dick?