I posted about some ED problems a while ago. I am slowly seeing improvements but I am still not 100% and I just got an ultrasound of my testicles. I am 20 years old. So far I got my blood pressure under control (it was quite high but a few changes brought it down easily. I am off meds now and it is still ~120/70) I had epididymytis pain on my left testicle two episodes (both went away with nsaids and antibiotics) and haven't had any pain in over a month. My blood work was phenomenal a couple weeks ago but testosterone was kinda low (289 ng/dl total serum (250-827 normal) 11 ng/dl free test (10-30 normal). My ultrasound said that I had slight swelling in both testicles and epididymal ducts ( the right one never hurt me) and that I have a small hydrocele on the left. Is it possible that this inflammation is messing up my testosterone production or is something else the matter? I can get hard now pretty much whenever I want but I have a hard time staying hard without stimulation, it goes limp instantly. Also, it takes physical stimulation to get hard (i can't do it anymore just thinking sexual thoughts). I am 100% sure there is something physical going on and its not just in my head (however thinking about it certainly does make things worse). I am seeing a urologist but its takin 2 weeks to get an appointment due to stupid insurance setup. I have had acceptable results with viagra but I don't think I should have to depend on it from 20 years of age.