Paul outlines two simple diagnostic questions—do erections soften during sex, and do you wake with firm morning erections—to distinguish venous leak, physical, or psychological causes of ED.

He explains practical solutions: a snug, easy-to-remove penis ring for venous leak, ED medications like Cialis or generics, and the importance of medical evaluation for cardiovascular risk factors.

Married Dance has a number of rings. This set is a good starting place.