I get how in most of the posts i read here your dr must recommend or refer you to do a scan or a test or even to see another dr. I live in Egypt and here that is pretty simple you just reserve an appointment with whatever dr you want or book whatever test you want to get done. And after many dr visits i finally go to a pelvic floor physio who requested an emg and a PNTML.
The results show that i do have an over active pelvic floor and that the muscles are unable to relax, consequently the penis is always pulled and unable to let or hold blood in for erections.
This was always the diagnosis expected by chat gpt when i explained the symptoms to it, however it does feel rather relaxing to finally find a clinical physiological explanation.
I will start pelvic floor physiotherapy in 2 days but for now i will try to be optimistic.
Hopefully things do change