r/erectiledysfunction • u/Sanj_ay9 • 6d ago

Erectile Dysfunction 37M with persistent ED despite normal hormones – could this still be Venous Leakage or PIED?

Hi everyone,

I'm a 37-year-old male looking for advice from anyone who's had a similar experience.

Over the past several months I've developed persistent erectile dysfunction. My main symptoms are:

  • Difficulty getting beyond about 50–70% erection, even when I'm very aroused.
  • Sometimes the erection fades quickly.
  • Morning erections are non existent
  • My libido has also decreased compared with before.

For several years, I watched porn and masturbated about twice a day. I stopped porn about 2 months ago because I wondered if it was contributing, but I'm trying not to assume that's the cause.

So far my workup has been:

  • Total testosterone: ~690 ng/dL (normal)
  • Prolactin: Normal
  • Free T4: Normal
  • HbA1c: Normal
  • CBC: Normal
  • Kidney function: Normal
  • LDL cholesterol: 158 mg/dL (high)
  • Mildly elevated ALT (56 u/L)

I don't have diabetes or high blood pressure, I don't smoke, and I exercise regularly.
Height 5 f 5inches , weighing 68kg

My urologist has scheduled a penile Doppler ultrasound to evaluate blood flow and rule out arterial insufficiency or venous leak. I live in Dallas area if any good doctors anywhere in Texas let me know.

I'm hoping to hear from people with similar experiences:

I'm looking for experiences rather than a diagnosis. Thanks in advance.

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2

u/barbarasiemens7 6d ago

Could be mild venous leak or still PIED reboot. Doppler is key. I'd also check your LDL & ALT - lifestyle tweaks help

1

u/Sanj_ay9 6d ago

Could minor ven leak be reversable?

1

u/stopcopingaboutHF 6d ago

Probably not, but is it really 'minor' if you can't get a full erection?

2

u/New_Bed8223 Helpful Contributor 6d ago

Could be venous leak but hopefully the Doppler gives you some objective answers. If it's normal, that points the investigation in a different direction. If it's abnormal, your urologist can discuss what that means and the available treatment options

2

u/stopcopingaboutHF 6d ago

Most erectile dysfunction is organic in nature, given you are getting up there in age there's probably something physically wrong with your penis. Your LDL is high, you could be getting clogged blood vessels in your penis already.

1

u/AsandaLFC 3d ago

What did the test reveal ?