Two or three glasses of champagne give me stronger and more sensitive nocturnal erections than Tadalafil.
This means that my sexual symptoms are a weak/tight pelvic floor. My penis reaches a hardness and size like prefinasteride, but the blood takes a while to come out (variable hard flaccid) and there is slight venous leakage, also variable, which depends on the NOS/libido.
For the first time in 10 years, I have discovered that kegel can help me (never tried) and that I can strengthen and increase range of motion by combining normal and reverse kegel.
This would also explain why not everyone develops same sexual symptoms (different levels of tension in the pelvic muscles).
In theory, strengthening these muscles would reduce muscle tension, and allow a more stable and anchored erection.
We need to know all the possible forms of kegel and the best executions.