Blood testing for erectile problems
Not every man with erectile problems needs blood testing. But when your symptoms call for it, it can provide valuable information. Below you can read when the physician orders it and what the results mean.
When is blood testing worthwhile?
Erectile problems do not always have a vascular cause. In some men, a hormonal component plays a role: low testosterone, disrupted thyroid function, or abnormal cortisol levels. This affects not only erectile function, but also libido, energy, sleep, and mood.
The physician assesses during the intake whether additional blood testing is worthwhile. This is based on your symptoms, age, medical history, and physical examination. Not as standard, but when indicated.
Which markers are measured?
When the physician orders blood testing, it may include the markers below. Which markers are relevant varies per situation.
Testosterone (total and free)
Including SHBG and albumin for an accurate calculation of the biologically available portion. Low testosterone can affect libido, energy, and erectile function.
LH, FSH, prolactin
To distinguish where in the hormonal axis a deficiency arises. Important for determining any follow-up treatment.
Estradiol, DHT, and thyroid
For a complete picture of hormonal balance and conversion. A disrupted thyroid can worsen erectile problems.
Metabolic markers
Fasting glucose, HbA1c, lipid profile, and vitamin D. Diabetes and cardiovascular risk factors are closely intertwined with erectile dysfunction.
What the results tell you
Blood testing does not provide a diagnosis on its own, but it does provide important puzzle pieces. The physician discusses the results with you personally and explains what they mean for your situation.
If a hormonal imbalance emerges, the physician discusses the options. That may be a referral to an endocrinologist or a hormone optimisation programme. Not a mandatory step, but a logical follow-up when your situation calls for it.
Costs and reimbursement
Blood testing ordered by our physician is not covered by basic health insurance. Costs vary depending on the number of markers tested. The physician discusses this with you in advance, so you know what to expect.