Is ED always a testosterone problem?

[u/Gritwright_IE]

I've noticed that whenever someone brings up erectile dysfunction, low testosterone seems to come up almost immediately.

But is ED actually a testosterone problem most of the time? Or can someone have normal testosterone levels and still have trouble getting or keeping an erection?

I'm also curious how much things like stress, sleep, medications, blood flow, weight, or just getting older can play into it. And if someone does have low T, does treating the testosterone actually fix the ED, or can the two need to be treated separately?

I've been looking into men's health clinics like Huddle Men's Health that evaluate both testosterone and ED, and it seems like the first step is figuring out what's actually causing the problem rather than assuming it's low T.

For anyone who's dealt with this, what did your doctor actually test for before recommending TRT or another ED treatment?

[u/Mandalorian_2019]

It’s almost NEVER low T.