I don't think I've said otherwise. But if that isn't what we want to do (and it isn't what OP asked about in the first place), we might want to know (a) why someone is behaving so strangely and won't seek help and (b) what we can actually do about it.
The wider issue here is that ED is a very common problem (despite claims to the contrary) and can have a range of quite serious, common but apparently unexciting to talk about somatic causes. ED is not caused by age, it is caused by conditions associated with age (e.g., diabetes, hypertension, hormonal disorders) which increasingly affect younger people.
So the idea an erection is a judgement on anything or anyone is a bit questionable and should be put away somewhere its not going to harm anyone. And leaping to one of the few suspected causes for which there is there is no reliable evidence is similarly a bit unwise if only because it isn't where our attention should lie. What he blames, especially with a guilty conscience, is not particularly relevant unless he has done his own blood work first.
Now we can choose to believe that people are horrid because they enjoy hurting people or we could experiment with the view that people are typically most horrid when they feel threatened, scared, embarrassed or shamed. This is not an excuse, and people who behave poorly because of any of these reasons should not necessarily be indulged or pitied, in fact a certain proportion of them are rightly locked up every year. But what is described in the actual post are some fairly typical ritual/bargaining type behaviours and being a bit of an ass to others and won't seek help. He is digging in essentially, of course its ridiculous and bizarre sounding and obviously neither acceptable or sustainable so ask yourself why someone would ever try to claim otherwise! It makes no sense, right? What these aren't are the actions of someone who is striding around on top of the world and in moments of repose laughing uproariously and twiddling his cad moustache about getting everything he wants. The only real way out of this, apart from giving up, is to take the shame out of it and try to explain ED is nothing to be ashamed about and for god's sake get yourself checked out and stop being a fool. My friends say you are a "nobber" with a "madonna/whore complex" is not really part of that discussion.
Or you could just give up, you don't have to fix everyone you meet.
Anyhow, I seem to have attracted the ire of the forum queen and we all know this won't end well so I'm off to deregister my account now.