Causes of ED in Younger Men

The potential end of my relationship has me wondering. What are some reasons a man in his early twenties would have ED? In the meantime, he tries to give me excuses as to why he has consistently turned me down for sex in favor of masturbation and/or porn. He doesn't have issues rising to the occasion every time, but maybe 2 out of 10. Maybe. I asked if he has the same issue with porn, he says That yes, he does. I think it's a mix of intimacy issues and a medical problem when I'm involved. I believe he runs straight to the porn as soon as he can because he doesn't have performance anxiety and can indeed perform without a problem. I've always known there was some sort of ED issue...he got hospitalized for dehydration once and the doctor ran bloodwork. His prostrate level (forget what it's called, driving me nuts!!!) were on the high end of average for his age. He followed up with his PCP, he did a prostate check, and said it was slightly enlarged; another "high end of average" diagnosis. He said not to worry, but referred to a urologist to ease our minds. Insurance was lost before the appointment, and he never got to go. So for those of you who are familiar with such things (I'm aware you're not doctors) if like to hear your thoughts and / or opinions.

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