Just Noticed ED? Do These 3 Things First
25 Sept 2026 · 13 min
Dr. Anne Truong explains that erectile dysfunction exists on a spectrum and outlines three immediate steps: honestly assess when it started and whether it's situational, check for morning erections to confirm your vascular system works, and get blood work done to rule out diabetes, cholesterol problems, or hormone deficiencies.
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Notice your erections aren't what they used to be. Most men either panic or quietly ignore it for years. Here's the truth. Half of men over 50 deal with ED, and if you catch it early, it's often reversible. And one of the first clues is something your body does every single morning. Today, I'll walk you through the 3 things to do the The moment you notice ED.
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This podcast is for you, the modern man. I'm Dr. Anne Truong, your host. I'm an intimate health medical doctor and bestselling author of the book Erectile Dysfunction Fix. I'll do a deep dive into sexual health and performance and how it affects men of all ages and backgrounds. So let's get started and be sure to visit my website at sexualhealthformenpodcast.com for more information and resources from the show. See you on the inside.
What to do when you notice you have ED. What is defined as a medical definition of erectile dysfunction? ED is defined as inability for a man to be able to have satisfactory intercourse And be able to maintain rigidity enough for satisfaction. So that means that that's a very broad term and it encompasses desire, arousal, all the way to blood flow, nerve, hormone interaction, to all the way down to the corpus cavernosum, the penis. So it involves the brain and all the way down to your penis. So if it bothers you enough, it happens consistently over a period of time. And usually when there's something that's a problem, if it happened over like a 3-month period of time and it happens consistently. Okay. So that's really the definition of ED. ED means the inability for a man to have satisfactory intercourse and maintain rigidity. And for about a 3-month timeframe. So that's ED. So ED also means that you can still have an erection, but you're not able to maintain it. So ED does not mean no erection at all. It can still mean that you can still have erection, and ED can still mean that you can still have orgasm, ejaculation. It's just that you're not able to maintain the rigidity. So ED does not mean total nothing. It's a spectrum. ED could mean that you may finish, Too early, even take too long. And ED could mean you have good rigidity and then you lose it during. So that's the whole spectrum of ED. So when you notice, when it starts to bother you guys, meaning is it consistent? It's been going on for about 3 months. What do you do? What do you do? What's the first thing you should do? That's a very good question. What do you do? First of all, be honest with yourself. You want to ask yourself, well, did this happen every time, or did it only happen with certain person? And the onset, is it sudden, like one day it's happened, or is it kind of gradual that you kind of noticed that it's been kind of like slowly creeping up? Is it sudden? And if you're able to get a good erection on your own, but it's harder to get it with another person, or is it with one person alone? then it's more psychological. So if you're less than 40, more psychological. But if it's gradual, it slowly creeps up, and it's consistent, doesn't matter whether you're doing it yourself or with another person, the ED is there, then it's probably more physical. That's number one. That's why I said you have to be honest with yourself. Quick note before we go any further. If you're a high-income man, usually the age between 45 to 85, And you're ready to invest to fix your ED without relying on pills or surgery, I have the Get Hard Protocol, an in-office program where we treat you in Virginia. We combine stem cells, shockwave, Botox, hormones, and lifestyle to help restore natural erection. It's not for everyone. You must be able to travel to Virginia and be comfortable investing around $16,000 for your health. If that's you, Pause this video for a moment, click the link down below in the description that says Get ED Breakthrough with Dr. Anne and complete the application. If you're not in that position yet, no problem. Keep enjoying this video and check out our Modern Man Club at NoEDMan.com. Number 2 is that, are you still having morning wood? If you're still having morning wood, then it tells me that the plumbing is working. It tells me that your hormone is somewhat okay, not be normal, but it's still there. So having morning wood, it's actually a good thing. That tells me the plumbing's still there, that the mechanism is still there. We just need to boost it a little bit. So that's the second thing. It's like, are you still having morning wood? And sometimes it's hard to know because when you're having morning wood, you're either sleeping or not. Believe it or not, a man can have between 3 to 6 nighttime erections or morning erections lasting— sometimes one erection can last 5 minutes, one erection can last up to 30 minutes as well. That's Mother Nature's way of exercising your penis. So you're still getting morning erections, that your plumbing is still there. You just need to do minor tweaks. If you're not having morning erections, then that's something to consider. Number 3 is this, is get your blood work. Please. And you don't need a doctor's order to get blood work. If you have insurance, you can get blood work. You can walk in there, or if you don't have insurance, then you can go to the lab and they have self-pay prices. So what you need to get is you need to know what your blood sugar is. So you need to have what they call a chemistry panel 14. Chemistry panel 14. Chemistry panel 14 looks at your liver, your kidney, And your blood sugar. So you need to fast when you go to the lab. It's called Chemistree 14 or CMP, complete metabolic panel, CMP 14. You have to have a CBC, complete blood cell count, which looks to see if you're anemic or not. So it measures your red blood cells to evaluate whether you're anemic. Number 3, you need to know what your testosterone level is, your total testosterone, And your free testosterone level. The free testosterone level can be measured. However, you don't need to measure as long as you have your free testosterone and your albumin, you can calculate your free testosterone level. Sometimes the free testosterone level is not as accurate. It could be a little bit more expensive, but you need to know your total testosterone. And then you need to know what your SHBG is. That's the blood work, SHBG, FSH. It means sex hormone binding globulin, SHBG. That's how you use that to calculate your free testosterone. And then you need to know what your luteinizing hormone is. That's the hormone that is released in the brain here in the pituitary that controls your testosterone. So those are the basic things that you need to do because why? Because the blood work will tell you whether you're diabetic or not. Blood work will tell you whether you have high cholesterol or not. Oh yeah, another thing you need to get for blood work is A fasting lipid panel or fasting cholesterol panel that will tell you what your cholesterol level is. So you do the blood work to find out whether you have high blood sugar, whether you have high cholesterol, whether your hormones are doing, and you also need to know how your liver is doing, whether you are anemic or not, and of course your hormones level as well because when you're Testosterone level is low, it can show up as early ED or mild ED. Okay? So testosterone for a man is important for your libido and also your erection as well. To get your blood work done to evaluate, maybe you're having ED because you have high blood sugar or you have high cholesterol because all those contribute to ED. And then you need to look at your age because 50% of men over 50 have ED, 60% of men over 60 have ED as well. Well, so the older you are, likely chance you're going to get ED. And so you need to do your blood work, make sure you're not a diabetic, make sure you don't have high cholesterol, and look at your hormones level. That's how you're going to determine. Let's say you have low hormone level, that your low testosterone level, then you need to go get testosterone replacement therapy with hormone doctor. Not all urologists. Now, urologists are the kind of like the Specialty that men see for their prostate, anything related to penis. However, not all urologists do hormone replacement therapy, and not all urologists like to work with erectile dysfunction as well. So you have to look for somebody that is comfortable in doing that, treating ED naturally, approach it from a comprehensive perspective. So if your blood work shows that you have high blood sugar, then get on the Mediterranean diet. Because the Mediterranean diet will also lower your blood sugar and lower your fat as well. So you can get the Mediterranean diet at eatfornoed.com. Put that URL in and I will give you a free Mediterranean diet. I will give that to you for free. The Mediterranean diet is a diet focusing on fruit and vegetables, less carb and more lean meat like fish, chicken, and pork, and less red meat. You can eat red meat about 2 or 3 times a week, but not every day. Okay. So those are the things. So if you follow the Mediterranean diet and I'm answering What to do when you have ED. Be honest with yourself. What's your weight? If you're overweight and your waist is over 40 inches, you need to start losing weight. So what do you need to do? All you need to do is do 30 minutes of exercise every other day. That could mean walking outside. That could mean going to the gym. Do some type of activity where your heart rate increases 30 minutes every other day or 4 times a week. That's what you need to do when you have ED. Is to get blood work, evaluate whether you're having morning wood or not. If you're having morning wood, it's a good thing. If you're having morning wood, you're going to be able to reverse it by doing what I'm telling you to do, which is go on a Mediterranean diet, exercise 30 minutes a day, get 7 hours of sleep a night, and reduce your stress. But you're not having morning wood and you are diabetic or have high cholesterol and you're overweight, Then you're gonna need more intensive work. You can still do a lot of it at home. Okay, Modern Man, if you're struggling with weak erection, low energy, the food you eat could be the big part of the problem. One of the best research-backed ways to boost circulation, support healthy testosterone, and improve sexual performance is the Mediterranean diet. It's packed with food that open up your blood vessel, Lower inflammation and fuel your hormones naturally. I've seen men notice real improvement in both energy and erection within weeks when they shift to this style of eating. So check out this Mediterranean diet link right here below and get that as soon as you can. Stronger testosterone and better erection.
Thanks for listening to the Sexual Health for Men podcast. If you love this episode, then please take a screenshot on your phone and post it on Facebook, Instagram, or wherever you post. And be sure to tag me and let me know why you like this episode and what you'd like to hear in the future. That will help me know what's great for you, and I would love to give you the most incredible free gift designed to help you improve performance quickly. Go to my website at sexualhealthformenpodcast.com to get the book The 5 Common Costly Mistakes Men Make When Facing ED. I would appreciate if you subscribe, leave a review on Apple Podcasts or wherever you listen, and just know that you can have sexual vitality for life. I appreciate you. Until next time.
