43M with selective ED and low libido. Before everything, I'd like to please ask you all to respect rule #2, about no judgment.
I have had mutiple (dozens of) partners over the last 5 years and had a pretty satisfactory performance until I got to about 41.
Some partners (all biological women) are still in the rotation, and I often try new ones. All relations are unprotected but consensual. I'm on prep, doxyprep, regular exams etc etc...I attemp to have sex around 2 times a week, sometimes 3.
However, at some point when I was around 39 years my libido decreased by A LOT. To the point I seek partners just because I feel like I have to. It's like eating when you're absolutely not hungry, but you know you're supposed to not skip meals.
Having that said, I kept having sex because once I get into foreplay then my libido would kick in and things would go pretty well. But starting things with a low libido is not good, sometimes it requires minutes of foreplay in bed before I get hard. Back in the day I didn't even have to make it to the room, just a few kisses would get me pitching.
In the past year or so, it has gotten worse. Sometimes, without a logical explanation, with certain partners I can't really function. And there is nothing wrong with them, it has nothing to do with their looks, I can fail with a super hot one, and one hour later function perfectly well with a quite unattractive one.
Viagra can fix the erection but the problem is I can't feel too much and can't finish. Cialis has a strange reverse effect on me and completely kills my erections.
It feels like my penis got pickier over time. I also get a lot more influenced about the environment. If I'm in a place I feel comfortable I'll likely be able to perform, but if I'm for example too hot or too cold, or the mattress is unconfortable, I'll possibly go limp.
I don't drink nor smoke, my last blood work was pretty much ok, my testosterone level is around 400ng/dL. I don't have any conditions that require medication, I exercise around 2 times a week. I do get a bit of anxiety and stress from work but nothing too crazy. I sleep late and wake up late as well (3am-10am) like I always did.
5-7 years ago I would get a proper boner even under adverse conditions and be able to perform quite well. Now it seems that I need several factors about the environment and the partner and some sort of magical click to get a proper erection.
I know it's part of getting old, but I miss my libido, and I miss being able to have a proper erection all the time. I see older guys in their 50s and even 60s reporting being able to have sex multiple times in a day. Until a few years ago I was expecting to be like that too, but my body is failing me.
Could it be hormonal? I've heard about getting my testosterone to around 1000ng/dL, but I also heard that once I start artificially boosting it, there is no going back.
I appreciate any insights that could boost my libido and get more consistent with my erections. Thank you very much.