Most people here have psychological ED

The fact that you are able to masturbate to porn, but have difficulty with real partners. Many believe is because of porn or dopamine. This is nonsense. No doctor or the medical community supports this.

Maybe too much masturbation caused you to lose some sensitivity.

Porn is affecting you but in an indirect way. You have ED with partners because of your mental health, which is what led you to become addicted to porn and porn made it worse. You have issues because of low self-esteem, depression, anxiety, low feelings of self-worth, inadequacy, etc.

Do you think a healthy, confident, high self-esteem man who had positive experiences and upbringing throughout his life, including with the opposite sex since adolescence, is going to become addicted to porn? No.

A lot of men watch porn and they're not addicted, nor do they have ED issues.

Porn affects the most vulnerable ones. Men who already had mental health issues before or alongside, that led them to porn as an escape from their reality. Similarly, people who get addicted to other drugs, tend to already have mental issues before the addictions.

You're able to get hard with porn, because for several reasons. You're focused on the screen, the focus is not on you, your performance, etc. When you masturbate to your thoughts alone, there are no outside distractions is just you and your negative mind.

This is why you are less likely to get hard with thoughts.

This is also why some people who quit porn see benefits, because this improves their self-esteem and depression, usually, people try to improve their lives in other areas as they quit, which results in better mental health for some. For many, though, they will need psychotherapy.

It's much easier to believe you can solve all your problems by just quitting a simple activity, than facing up to the fact that you have deeper issues that you need to address with a professional, is much easier to think is just porn rather than facing your internal demons that come since childhood

Other people may have a combination of things, such as psychological, combined with physiological, such as low testosterone or they have sleep apnea, diabetes, etc.

A lot of people have sleep apnea and do not know it. It's been shown that sleep apnea reduces nitric oxide in the body. This is why boner pills work because they make the most of nitric oxide, but if your body is not producing enough nitric oxide, then even the boner pills may not be enough.

Unless you do a sleep study, you will never know, even if you think you sleep soundly and never wake up, you can still have apnea and will need to use a CPAP. There's plenty of stories on reddit of people who cured their ED by using a CPAP machine

So, if you have ED, ideally, you want to check everything, testosterone, sleep apnea and correct those, but also, seek the help of a therapist who can help you improve your mental health

Many will refuse to accept that they need help because they live in denial

 

Yo tengo problema similares. Estoy yendo a un terapeuta, ya por unas semanas, he notado mejorad en mi salud mental, mi autoestima esta un poco mas alta y mi aceptacion tambien. Te lo recomendaria si puedes solventarlo, asi sea solo una sesion al mes, es mejor que nada. El problema es que muchos como nosotros que tenemos problemas asi, nos vemos como que no valemos ese dinero, lo vemos como una perdida de dinero y tambien el miedo, no solo abrirte ante otra persona disconocida, sino sobretodo, encarar tu propios demonios que llevas adentro que has estado evitando por muchos anos

ejercicio y meditacion es bueno, las afirmaciones tambien, pero aveces es necesario pedir ayuda, es dificil tomar el primer paso yo tenia miedo y no queria gastar el dinero, pero llegue a un punto que me harte de sentirme asi y acepte que necesito ayuda

He tenido problemas con mujeres con la que me acoste, por esa ansiedad y baja autoestima, pero ahora uso las pildoras de ereccion que ayudan porque trabajan en la mente tambien