In continuation of last week’s essay, Type 2 is the most common type of ED in men under 45. It is also the only type that has absolutely no mainstream treatment options. No pill targets it. No supplement addresses it. No standard medical check-up even screens for it.

You can go to five doctors, and none of them will press on your pelvic floor, test your bulbocavernosus reflex, or ask you how many hours you sit per day. They will check your blood, check your hormones, hand you a prescription, and send you home, but nothing changes for the better.

The penis gets hard, but it fails to stay that way. The first minute feels normal, then it slowly weakens. You may find that you need constant, direct stimulation to maintain firmness. The second that stimulation stops, even for 10 seconds just to get a condom, for instance, you feel the penis weakening.

Changes in position lead to unreliable erections afterwards. Morning wood has become inconsistent or disappeared entirely. You urinate right after sex because the same muscle that cannot hold blood also cannot fully clear your urethra.

Muscle failure usually comes about from one of two possible causes. Either there is atrophy because you have simply never trained these muscles, and they are now weakened from years of sitting and inactivity, or years of frequent sustained stress, bad posture, and unconscious clenching of the pelvic floor muscles have put those muscles into a state of chronic spasm.