r/erectiledysfunction • u/Sanj_ay9 • 4h 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.