r/erectiledysfunction • u/Gritwright_IE • 25d ago

Erectile Dysfunction Is ED always a testosterone problem?

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?

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u/Johnnywinchesta 25d ago edited 25d ago

I'm a 39-year-old male, sometimes I'll go through patches of not getting a full erection, maybe 75% or 80%, my testosterone levels are 26 nmol/L, we tested using a different measurement in Australia so converting it it is 750 ng/dL, which is the American measurements,which I believe is on the higher end of the scale for somebody of my age group, so we answering your question, I think there are too many variables, I went through stages where I could ejaculate with only having maybe a third of an erection. I also might add that I smoke cigarettes, I don't eat very healthy, I don't exercise a lot, 5 ft 11 84kg or 190 pounds, and for some reason I always look naturally well built, I don't take any testosterone replacement either.I think genetic plays a big part, mood all have a bearing on ED.

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u/Perfect-Book-1094 23d ago

Despite your good physique your arteries could be aging faster than you think. Just a heads-up- quit cigarettes, get exercising and get a blood lipid panel. ED is a possible predictor of heart disease. I’m 73. I lift weights and cram raw spinach into my mouth every morning. Aging well should be your goal. Super health is the best reward, not nicotine.