The mental side of it and performance anxiety seem to be more common in ED than anything. Finding a way to clear your mind and be present in the moment is the key.
Even if it doesn’t get past the fat wouldn’t it still end up being subQ? Might absorb at a little slower rate, but should still get used. Might have a couple lumps for a bit.
Honestly at 53, I’d look into going to the doctor and just getting on TRT. Especially if you don’t plan to have anymore kids. If you do get some sperm frozen and still look into TRT. No since I’m having a bunch of drab days when you could be feeling good. You can stay on TRT 90% of the time then...