Let's preface this with the following, bkbcoach,
I AM NOT A PHYSICIAN. Hence, I cannot give you any medical advice. But I believe your results come from "all of the above." I am clueless as to why anyone administering Cialis would also take Viagra. That would seem completely unnecessary.
As to the "old Cialis," check the expiration date. I have no idea how old these pills were, so I can't say.
Anyone with nerve damage will always have difficulty with ED. That is the phyisiological hallmark of ED and medication does not always help.
Does ED occur more with providers than SOs? Depends. It's VERY individual. Certainly, situational ED due to anxiety over performance does happen. But then again, some men get so energized over meeting a new person that the penis goes into the air almost immediately.
Yes, please lay off masturbating at least a couple of weeks prior to seeing a provider. Porno itself may not affect you that much, but yep, Rosy Palm will. The brain quickly gets habituated to that type of manual stimulation coming from YOU.
If you like bj's, then please ask for bj's. Certainly more intimate than handjobs, and yes, that could have something to do with it. The brain can get very anxious if you depart from something rather habitual. Then again, some brains love that and get all hot and bothered! Although that's generally in the category of doing something MORE intense, i.e. going from handjob to bj, not the other way around.
But the biggest thing in all this is going into something "WORRIED," which is what you did, unfortunately. That's HUGE! That will put a damper on almost any encounter. Which is why a lot of men go to providers who may not be "prestigious" or rock their boat visually so much, but still manage to provide a helluva good time, just because of their enthusiasm, and the fact that the guy isn't feeling so awed and subjected to 'stunner vibes.'
Also, in relation to your last comment about getting caught, money, lack of familiarity, etc: yep, all those issues are anxiety provokers and will contribute to situational ED. My final advice: try to pick a provider who isn't so...high profile, if all these things play a part. There are plenty of girls out there with a more "casual" image. They can still be pretty and very exciting, but their m.o. is not necessarily to be so high-flying.
Good luck,
the Love Goddess
Yeah, isn't it wonderful when you have both physical ED, due to age, and mental ED due to anxiety. It's a real bitch, I'll tell you! That's where I'm at now. Meds work fantastic while masturbating, but not with real sex. I have no answers, so I just enjoy what I can.
