What is the effective treatment for my erectile dysfunction?

Hello doctor,

I am a 25-year-old male and have been experiencing erectile dysfunction (ED) for the past year and a half. I never had any issues getting an erection previously but about a year ago, it suddenly became a problem. I can still achieve an erection, but it is much more difficult and requires physical stimulation; it does not happen spontaneously. Although I have not been sexually active since then, it continues to worry me. I have been experiencing trouble with post-micturition dribble (PMD), which is the difficulty in emptying my bladder after urination. I believe this issue is due to a weakened bulbocavernosus muscle, as I have noticed that strength training partially helps. Since I am still facing difficulties in emptying my urethra, I am concerned that inflammation or neuropathy might be the cause. Over the past year and a half, there have been two occasions where there was a sudden improvement, but then it worsened again within approximately three days. PMD is a recent development for me. I have consulted three doctors, including two urologists, and they all claim it is psychological. I have undergone blood and urine testing (excluding sexually transmitted disease tests), as well as testosterone testing (within the average to above-average range), and an ultrasound of my bladder. I have been prescribed Viagra, which provides temporary relief, but I am concerned about becoming dependent on medication. Also, I always feel like my penis is much colder than it should be, especially the tip, and it concerns me. What should I do?

Kindly help.