Hello, i’m 40 and was diagnosed last year. I completed high dosage corticosteroid treatment last July and I can say I had pretty bad case of ED after every treatment. The first day or so I felt like Superman and erections were incredible. But towards the 3rd and 4th day desire just fell through the floor and had less intense erections. The situation got worse a week after. No erections at all. At first I thought it was the itp, but after the last treatment the pattern became quite evident. Things have returned to normal for the most part. Now i think it’s the stress of dealing with the disease that affects my libido at times. It’s a vicious circle.