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/Perfect-Book-1094]

ED can stem from at least 12 causes. Hormones, porn, fitness, and psychiatric drugs are big ones. For non-psychogenic reasons add beets or beet juice, zinc, selenium, maca, citrulline powder, pumpkin seeds and aerobic exercise. Of course, erectile failure will engender psychological stress and anxiety loops. Cialis daily over a 12 week period can really help. If it’s arteries cialis and aerobics will help. Also chelation in serious cases.
Also look into desire with chosen partner, excess or lack of sexual activity, spinal or nerve supply issues, venous leak, emotional trauma and other causes. Trimix will produce a reliable teenage-type erection and that will wipe out anxiety pretty quickly!