1 doctor weighed in:

My penis not so hard?

1 doctor weighed in
Dr. Craig Smith
Urology

In brief: psych or ven. leak

Performance anxiety would be the most likely cause in the early 40s.
However venus leak may also be the cause. The erectile cylinders or corporal bodies relax to allow bloodflow in but may leak out in certain individuals not allowing the penis to remain erect. With any erectile performance concerns one should always assess cardiovascular risk which goes in line with small vessel disease, such as the coronary arteries in the heart.

In brief: psych or ven. leak

Performance anxiety would be the most likely cause in the early 40s.
However venus leak may also be the cause. The erectile cylinders or corporal bodies relax to allow bloodflow in but may leak out in certain individuals not allowing the penis to remain erect. With any erectile performance concerns one should always assess cardiovascular risk which goes in line with small vessel disease, such as the coronary arteries in the heart.
Dr. Craig Smith
Dr. Craig Smith
Thank
Read more answers from doctors