Severe ED at 70: What His Blood Work Revealed #ErectileDysfunction #MensHealth #shorts

23 Oct 2026 · 1 min

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In this short clinical vignette, Dr. Anne Truong reviews the work‑up of a 70‑year‑old male patient presenting with severe erectile dysfunction (ED). The patient scored 7/25 on an ED questionnaire, indicating severe impairment. Dr. Truong outlines the key laboratory results: elevated cholesterol (managed with medication), an enlarged prostate with a PSA of ~3.4 ng/mL, nocturia occurring three times per night that disrupts sleep, a hemoglobin A1c of 5.9% (borderline pre‑diabetic but not medicated), and evidence of anemia despite no current anemia treatment. The narrative links these findings to possible contributors to the patient’s ED, emphasizing the multifactorial nature of sexual dysfunction in older men.

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So he came to my office and we did blood work. But before blood work, we did questionnaires. And according to the ED questionnaire, he has severe ED. He scored 7 out of 25. We looked at his blood work and his blood work shows that he has high cholesterol, which he's on cholesterol medicine for. He also has an enlarged prostate. His PSA is about 3.4, which is not too bad. But he's urinating about 3 times at nighttime and it's affecting his sleep. His hemoglobin A1C is 5.9, not too bad. He's not on medication, though blood work shows that he is anemic.