What tests should I consider for persistent erectile dysfunction at 30 years old?

Starting off with the most straightforward assessments: getting a full physical exam, including checking blood pressure, is a good baseline since hypertension can impact erectile function. From there, consider having blood studies done to look into potential hormonal or metabolic contributors. A complete blood count and a basic metabolic panel will rule out some systemic issues, while a fasting glucose level or HbA1c can assess for diabetes, given that it can cause vascular damage affecting erections. Lipid profile testing may be worth considering to identify any cholesterol issues contributing to arteriosclerosis. Specifically, checking your hormone levels, with emphasis on testosterone, is crucial. Morning testosterone levels, when naturally highest, would provide insight into any endocrinological deficiencies that might be at play, particularly as you mentioned loss of morning erections. Depending on initial findings, further hormones like thyroid function tests or prolactin might be relevant. Neurological issues could be harder to pinpoint but evaluating your history for signs of neuropathy is a start; formal nerve testing if symptoms suggest. A duplex ultrasound can help assess penile blood flow, identifying potential vascular problems like venous leakage. Such specialized tests would require referral to a urologist, especially if the routine workup doesn’t readily explain the issue. Mental health should always be considered, too, since stress and anxiety can significantly impact erectile function, so addressing lifestyle modifications or counseling if recent stressors are present might additionally assist. Remember to follow-up with your healthcare provider to interpret the results and decide on further steps based on what’s found.