Hello, this is a bit of a long message, but I really need some advice. I’m 29 years old, very muscular, athletic, and I’ve never used any medication. I don’t have any health issues, but until about a month ago, I had never had sex, never had a girlfriend, and had never even kissed a girl. (I’ve been with my girlfriend for four months, and we started having sex last month.)

So, during our first time together, I got extremely nervous and lost my erection. Later, I told her that I had never had sex before and that’s why I was nervous. She was very understanding and still is. She constantly tells our mutual friends how happy she is in this relationship and how well I handle it. She also tells me not to overthink it and that things will get better over time.

Here’s the situation: 1. When she stays over on weekends, I take 10 mg Cialis before we get intimate. I don’t want to rely on medication, but it does help. (I haven’t told her I use Cialis.) 2. I can’t ejaculate while wearing a condom. After sex, she usually gives me a handjob to help me finish. Since I don’t lose my erection on Cialis, she’s quite satisfied. (My girlfriend has a history of HPV, so she’s not comfortable with unprotected sex. That’s why we waited three months before having sex—she said she needed to feel ready to tell me about it. It’s been a year since her treatment, and she’s currently clear.) 3. Would taking 5 mg daily under medical supervision be psychologically helpful, even if just for a short period? (I’ve also started seeing a sex therapist.)