[48M] Experiencing persistent erectile dysfunction

What might be happening

Based on the information you've provided, you're experiencing a condition known as erectile dysfunction (ED), which is the inability to get or keep an erection firm enough for sexual intercourse. ED can be a sign of an underlying health condition that needs treatment, such as heart disease or poorly controlled diabetes, but it can also be due to psychological issues like stress, anxiety, or depression.

Given your age, the duration of your symptoms, your high blood pressure and high cholesterol, and the lack of response to medications like Viagra and Cialis, it's possible that your ED may be due to a physical issue rather than a psychological one. Conditions like high blood pressure and high cholesterol can damage the blood vessels, including those that bring blood to the penis, which can lead to ED.

What you can do

1. Continue to maintain a healthy lifestyle: Regular exercise, a healthy diet, and maintaining a healthy weight can improve overall health and may improve ED.
2. Limit or avoid alcohol: Excessive drinking can cause ED.
3. Don't ignore stress, anxiety or other mental health concerns: Talk to your doctor or a mental health professional if these issues persist.
4. Keep up with regular check-ups and medical tests: Especially since you have high blood pressure and high cholesterol, regular check-ups can help detect any new or evolving health issues early.

What you should look out for

If your ED continues or worsens, it's important to seek medical attention. Also, if you start to experience any of the following symptoms, you should see a doctor right away:

• Chest pain
• Shortness of breath
• Dizziness
• Severe headache

These could be signs of a serious health condition that needs immediate attention.

Remember, I'm an AI and while I strive to provide accurate information, it's always best to consult with a healthcare professional for advice tailored to your specific circumstances.