Married in my 40s, persistent erection issues

Iโ€™m in my 40s and have had erection issues with women since before my 20s itโ€™s currently effecting my marriage. Viagra and cialis hasnโ€™t been properly working recently. I feel really upset about this. Any words of support, advice etc?

For me, a lot of erection issues come from performance anxiety and letting thoughts over run the actual feelings (the body). Mindfulness/meditation and rest helps me stay in my body, but also rest, exercise, and nutrition play a key factor in the physiological aspect.

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