At 70, He Wants Intimacy Back—Without ED Medication

23 Oct 2026 · 1 min

Watch on YouTube

0:36

In this brief clinical vignette, Dr. Anne Truong presents the case of Joe, a 70‑year‑old married man who is generally healthy, standing 5'9" and weighing 165 lb, and exercising four days per week. He has borderline diabetes and has experienced erectile dysfunction (ED) for approximately six years. While he can achieve an erection, maintaining it is difficult. Joe explicitly declines pharmacologic treatments (e.g., PDE‑5 inhibitors) and mechanical options such as a vacuum pump, preferring instead to understand the underlying cause of his ED and restore sexual intimacy with his wife.

Chapters

Joe, 70 years old. He's fairly healthy. He's 5'9. He weighs 165 pounds. He exercises 4 days a week. He tried to eat well, though he's borderline diabetic. He's been having ED for about 6 years, and he's able to get an erection, but it's hard for him to maintain it. He's married. He doesn't want to take ED medication, never used a pump before, and he wants to find out why he has this ED. And really want to get back to having a— and having a sexual relation with his wife again.