As a student of somatic sexology, I was taught that premature ejaculation (PE) was the most common issue younger men would seek help for. At the older end of the spectrum, I was told to expect more clients experiencing erectile difficulty (ED). That was over a decade ago, and at the time, it felt accurate. More recently, though, I’ve noticed an uptick in men presenting with difficulty either maintaining an erection or ejaculating, and at the more extreme end, an inability to