There is a basic algorithm for erectile dysfunction that will inevitably lead to a solution. It's not an easy road but doable. If you can get firm nocturnal erections the plumbing is working and gaining confidence is the goal. If that is not the case then there is a physical problem. Maybe your testosterone is low. If so, shots or gels might help. The problem is that taking testosterone on a regular basis negatively affects fertility. There are the pills, Viagra and Cialis. They work for some and not others. Some get intolerable side effects. The next step is injections into the penis. Again, that works for some and not for others and can lead to scarring. Another approach is vacuum pumps and a tight ring. Not romantic for most. Finally, there is the option of an inflatable penile prosthesis. It sounds drastic but a skilled surgeon can do it in half an hour and some will clear you for intercourse in three weeks. I went down this road and got there and can say I wish I did it ten years sooner. For a man, especially one who has struggled with ED, being able to get it up whenever and for however long is a life transformative event. Check out the videos of Edward Karpman on Youtube. He is my surgeon and a great guy!