
← Sexual Health For Men15 sep · 12 min
78 Years Old, Perfect Bloodwork, Still Had ED (Real Case)
Dr. Truong breaks down a real patient case. A 78-year-old man in excellent overall health, with high-normal testosterone and clean blood work, who still struggled with moderate ED for five years.
She walks through the diagnostic process, what the labs missed, what the Doppler ultrasound and CT scan revealed, and the exact treatment plan that got him back to full function without prescription ED medication.
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Key Takeaways
Do not assume normal blood work rules out a physical cause. Ask your doctor about a Doppler ultrasound to check actual blood flow to the penis.Complete a validated symptom screening tool, such as the ADAM questionnaire, even if your lab numbers look strong.Start with foundational lifestyle changes: an antioxidant-rich diet and, if appropriate for your cardiovascular health, a daily aspirin.Discuss whether low-dose testosterone therapy, nitric oxide support, or mechanical aids like a pump or ring make sense for your specific case.If you do not see progress within about six weeks, ask your provider about advanced options like PRP, shockwave, or electromagnetic therapy.
Erectile dysfunction is reversible far more often than most men realize. You are not alone, and you do not have to live with it in silence.
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Resources mentioned:
Modern Man CribMediterranean DietGood Morning Wood SmoothieRenew with Dr. Anne
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