Guess if there is recreations sex, why not recreation ED?
Unless you have very good insurance, Caverject and MUSE are prohibitively expensive. Look for
alprostadil (generic Caverject) online. BTW, you have to fail
alprostadil before they will even consider an implant. Trimix compounds are much more prone to causing scare tissue and
alprostadil alone.
BP meds are notorious for ED. Same with depression meds. You mention a fall and they X rayed you back - looking at the fine nerves in your lower back with an X ray is like reading tea leaves and use a dowsing stick. Get a MRI of lumbar and sacrial area. However, since you have had good erections at times, it is unlikely to be your peripheral nerves.
Do yourself a favor and see a psychologist. This isn't a put down. You seek advice at this weird place. Why not professional advice from experts in sexual dysfunction, depression and anxiety? Here is what you can expect:
- You might get lucky and find and resolve a psychological cause.
- Anxiety and depression aggravate ED and ED aggravates anxiety and depression. ED is never one thing.
- Statistically, 10 sessions with a counselor is more affective than any SSRI.
- If after weeding out 'issues' and you still have a problem, they will declare that you have a medical problem, not psychogenic. Then you have that in writing and push it in front of your doctor's nose. Then they will work harder for you.
Its win-win across the board. They are less likely to give you help or an implant without doing so.
Do you have ADD, Parkinson's, or other 'dopamine' disorders in your family history?
You mention Viagra doesn't work. That indicates problem from the brain (emotional or neurological). Viagra doesn't cause erection, it facilitates it. Alprostadil can cause erection even if you don't care (according to my doc). The Liquid Cialis from Columbia working ... sounds like something else was in it.
Since you hadworking erections while blasting, it sounds either hormonal or emotional as main issues.
Have your Urologist do cavernosogram to check for venous leaks. They often are found in young people. Whereas, vascular 'clogging' is what is often found in older people.