Plasticman,
Thanks for being so open about sharing your situation. I’ll try to give you more info as best I can in the areas where you provided more details. Before I do that however, let me say that I truly relate to your situation (or as Bill Clinton would say, “I can feel your pain”).
First I want to again strongly encourage you to be tested for diabetes. The reason is because if you are diabetic and don’t know it then there are lots of other parts of your body that are getting as screwed up as your penis, you just don’t know it yet.
There are two simple tests for diabetes. The first is to take your blood sugar first thing in the morning when you haven’t eaten for at least eight hours (and twelve would be even better). A doctor’s office can test it for you, or if you have a diabetic friend who has a glucometer then they can also help you test it. This should be viewed as a screening test. (These numbers I give are approximate ranges. There is some disagreement about the exact numbers, but if you use the ones that I give you then you won’t be far off.) If your fasting blood sugar is below 110 mg/dl then you are not diabetic. If your fasting blood sugar is between 110 mg/dl and 125 mg/dl then you have what is called reduced insulin sensitivity (also called pre-diabetic). If it is over 125 mg/dl then you are considered a diabetic.
If your blood sugar shows up over 110 mg/dl then there is a second test that you should have. It’s called glycosylated hemoglobin (or HGbA1c for short) and it measures sort of an average blood sugar level over the past two or three months. If you are diabetic there are lots of simple dietary and lifestyle things you can do to help control it, and if necessary, there’s also medicine that’s very effective for most people. Getting your diabetes under control won’t automatically resolve your venous leakage, but it will provide the best environment for the other things you do (e.g. pumping) to be successful.
One thing to keep in mind about your self-diagnosis is that it is very difficult to differentially diagnose insufficient inflow from venous leakage without the test that I mentioned. Regardless of the actual situation, you would do well to attempt to increase the inflow. Like I said before, I believe that kegels can help that some, but I don’t really know too much about that.
Was there ever a time in your life when you did get rock-hard erections? If so, how long ago? Also, you mentioned that you don’t really get many nocturnal erections. Do you perhaps get them, but they aren’t really very erect. In my case, I have them, but I only get about half hard during the night.
Have you been diagnosed as bipolar, or is that a self diagnosis as well? If it’s a self diagnosis do you know enough about bipolar disorder to be confident that’s what you have as opposed to unipolar depression? Are you on any medications for your bipolar disorder, or any other types of prescription medications or supplements? Do you have health insurance?
There are some tips that I could give you about your sexual encounters, but that’s probably better suited for another post. Let me just say that you need to work on your oral sex skills, and you need to minimize the situations where your partners might be unkind. I personally have nothing against a one-night stand, but you are correct that you are more likely to encounter a woman who might be impatient or unkind on a one-night stand.
You’ll probably have less anxiety and less disappointment if you change your expectations about your sexual encounters. I suggest that you not even concern yourself with trying to be very hard, but set a realistic goal such as being able to achieve some type of penetration. If you’ve already given your woman several orgasms prior to attempting penetration then she’ll probably be more laid back about everything. Also remember that some women are insecure and when you can’t get it up for them they feel rejected because they think it’s their fault, so they might be likely to lash out. If you have a longer-term girlfriend then she’ll be much more understanding about things. You might also consider an older woman as she will probably be much more patient about things.
How old were you when you had your first sexual encounter? Have you ever had a long-term girlfriend?
I think that there are several advantages that PE can bring to you when you have ED. The first is that when you add length you help boost your sexual self-confidence. The second is that if you can achieve something like 5” or 6” flaccid then you have a fairly impressive tool even without an erection. The third is that some techniques (such as pumping) can actually improve erectile function.
I believe that avocet8 has mentioned in previous posts that he also is involved in some ED forums as well. I want to encourage you to check them out also. He can also give you good advice on the best techniques for pumping to help overcome ED.