I (24M) visited Dr Goldstein and SDSM: they found physical abnormalities.
If one goes back into my history, they'll see I've sought treatment for PSSD for a few years now. Unfortunately none of it was specific for PSSD, just ED or sexual problems.
Now I (24M) flew across the country from Philadelphia to San Diego to see Dr Irwin Goldstein. Although he is rather expensive, he is very passionate and knowledgeable about PSSD. I could tell when I first met him and in the consultation period. In the most important test, they ran multiple intensive ultrasounds on me and found fibrosis and scarring in my penis. This was surprising because I didn't think this was possible at my young age and because I actually had some erections prior even on the drugs.
Unfortunately the only treatment they recommended was shockwave. I tried one and it was not comfortable. There was a nurse who spent 10-15 minutes applying around 1000 heavy shocks up and down my genital area. She then told me I should get more and it would take periods of months.
These discoveries are important. They show that it is not "just in my head" like another Doctor told me. The worst part is that the only likely treatment is shockwave and that is expensive, uncomfortable, and rare. I should not require these treatments to regain my natural health but this is the life we are forced to live. I am also uncertain that the shockwaves would even eliminate the problem.
If any male members tried shockwave, I would greatly appreciate their insights. I will keep this sub updated for as long as I am able.