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Laboratory tests

Common laboratory tests to evaluate erectile dysfunction include:

  • Complete blood counts
  • Urinalysis: An abnormal urinalysis may be a sign of diabetes mellitus and kidney damage
  • Lipid profile: High levels of LDL cholesterol (bad cholesterol) in the blood promotes atherosclerosis.
  • Blood glucose levels: Abnormally high blood glucose levels may be a sign of diabetes mellitus.
  • Blood Hemoglobin A 1c: Abnormally high levels of blood hemoglobin A 1c in patients with diabetes mellitus establish that there is poor control of blood glucose levels.
  • Serum creatinine: An abnormal serum creatinine may be the result of kidney damage due to diabetes.
  • Total testosterone levels: Blood samples for total testosterone levels should be obtained in the early morning (before 8 am) because of wide fluctuations in the testosterone levels throughout the day. A low total testosterone level suggests hypogonadism. Measurement of bio-available testosterone may be a better measurement than total testosterone, especially in obese men and men with liver disease, but measurement of bio-available testosterone is not widely available.
  • PSA levels: PSA (prostate specific antigen) blood levels and prostate examination to exclude prostate cancer is important before starting testosterone treatment since testosterone can aggravate prostate cancer

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