Brief Answer: Get the test to rule out organicity first Detailed Answer: Hello and welcome to HCM! I have gone through your query and medical history and can see that there is a problem of ED. The duration of ED is not mentioned anywhere which would have been very helpful in treatment. If ED is due to age related issue ( testosterone deficiency) then testosterone supplement is the correct treatment option. But it is always wise to rule out organicity of local penile blood vessels before proceeding for any treatment modality ( as this is also a common factor behind ED). many time ED is due to blockage or narrowing of penile blood vessels ( confirmed by penile Doppler study), and it is treated in a different way. You have mentioned high cholesterol problem , this can also be one of the cause for ED ( and here testosterone is not deficient). So, finding the correct cause is the first requirement in managing ED- get Doppler study and rule out any thinking/ blockage of blood vessels, and then proceed safely. Hope the reply is useful for you please feel free to ask more questions for clarifictaion Dr. Manisha Gopal MD psychiatry

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