Patient's question:
Medical history and symptoms: Difficulty in achieving erection, weak erection, inability to engage in sexual activity during erection period, occasional morning erections but poor hardness and very short duration.Previous treatment and effectiveness: TCM diagnosis indicated kidney Yang deficiency. Medication was taken for about 2 years with no significant improvement. Recently had a sex hormone test. Please help identify the cause for targeted treatment.
Follicle-stimulating hormone (FSH): 0.35 (Reference range: 3-31 IU/L)
Luteinizing hormone (LH): 1.425-28 (Reference range: 1.425-28 IU/L)
Estradiol: 64.880-257 pmol/L (Reference range: 64.880-257 pmol/L)
Progesterone:
Doctor's answer:
Analysis of the condition: Based on your description, this situation indicates poor sexual function, which has led to this issue with erection.Advice: According to your test results, the only abnormal finding is the slightly elevated progesterone level, while the rest are normal. Male estradiol levels should be relatively low, which is normal. In my opinion, this condition is still likely due to kidney deficiency. Additionally, I recommend undergoing a color Doppler ultrasound of the penis to assess local blood flow. Poor blood flow can also affect erection. If the vascular function is impaired, surgery or the use of blood-activating medications may be necessary to achieve better results.