Hi, I'm male, 23 years old, weigh 168 lbs, and have no extraordinary medical history, except for a jaw surgery some years ago.

Approximately two years ago, I saw a urologist about possible erectile dysfunction. At the time, I was 21 and in a serious relationship with my 2nd sexual partner. Things with my first sexual partner had not gone too well. Although everything had worked during foreplay as expected, with no difficultly obtaining or maintaining an erection, when it came time to put on a condom for sex, I quickly lost my erection. It was literally as though I could feel the blood flowing out of my penis and I literally got cold feet, so I'm not sure where all the blood went. The more I worried, the more my erection left me. A similar thing happened with my 2nd partner, especially when trying to have sex more than once. If I was able to maintain the erection, the "act" was very short lived. My urologist at the time prescribed me Cialis and it worked great. I have used it when having sex with all of my partners since and it relieved my symptoms.

However, when I recently started having sex with my new partner, similar symptoms cropped up as before, even though I was still taking Cialis. Similar to before, everything goes well during foreplay, but I either could not retain an erection, or the act was very short lived. I became very worried about what could be going wrong, when I realized that the Cialis I was using had in fact expired last year.

Could this be the source of the problem? What is the best way to combat this persistent anxiety? I feel as though I can't even enjoy the sex because I am either worried about losing my erection or premature ejaculation. Appreciate any insights you could share!