My boyfriend, who is 23, is experiencing erectile dysfunction, and I'm unsure how to handle the situation.

My boyfriend and I have been together for over a year, and I’m seeking advice on how to handle his erectile dysfunction, which has been an issue throughout our relationship. I love him deeply and have no intention of leaving, so that’s not an option for me. He’s a fantastic partner, and it pains me to bring this up, but finding therapy has been challenging. I also want to avoid embarrassing him by discussing this with friends. He’s never had a girlfriend before, so it’s possible there are some mental blocks related to that, perhaps influenced by pornography. While our relationship has been wonderful, the only problem is in the bedroom. The sex primarily revolves around him pleasing me. Initially, I appreciated his focus on my pleasure, but I began to feel dismissed when I tried to reciprocate. I’ve made considerable efforts to help him, but overall, it hasn’t worked out, and I’ve only been able to help him climax a few times. My reactions have been quite emotional when he struggles with being erect; I’ve cried and unwittingly made it a bigger issue. I often wonder if I’m not attractive enough, which may have added stress and contributed to his erectile dysfunction. I’ve hoped that patience would help, but things haven’t improved. He wants to be with me and even acquired medication for help. However, I feel uncomfortable using those pills; even when we’ve tried, it felt unnatural, and he still couldn’t climax, which was disheartening for both of us. I do have my needs, and I’ve considered suggesting an open relationship. I know it might sound extreme, but I truly love him, and it’s just the sexual aspect that’s been missing for over a year. It’s becoming overwhelming for me. What can I do to navigate this situation without jeopardizing our relationship?