Lately I've been having trouble maintaining erections during intercourse.

I had my annual physical where they measured total but not free testosterone. It was on the low side, but still "within range" so my doctor didn't want to pursue further, but did suggest if I want to pursue further, to go to a urologist.

I went to the urologist, who grilled me on some questions, and while he said he ordered that blood test for free testosterone, he actually thought my issues may be more psychological than physical, and assumed performance anxiety, and recommended my next course of action was to see a sex therapist.

The main reason being, he asked whether I had morning erections, which he said was a key sign that my free testosterone levels are normal.. I said I yes, but actually that was incorrect.... Bottom line, I wasn't paying attention, in part because I typically have sex with my wife upon waking... call us weird, but in our household, with 3 active teenagers, we have a very small window during the day to have sex, which is in the early morning, after they leave for school, so if I did have an erection, it was more due to arousal in anticipation for it, rather than desire or high test levels.

I paid more attention following the visit and sure enough, I wasn't having them much at all.

The results of the blood work came back, and in fact my free test is low... I was actually relieved... The fact of low free test is much easier to deal with than having to deal with some mental issues I need to go to a therapist for and spill my guts.... that's not to say a therapist may not be helpful, if not now, than in the future.... for both me and my wife.... but I'd rather start HRT first and see what happens.