Erection and ejaculation disorders practice

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Cardiovascularmiddle twist

A 52-year-old man reports a 9-month history of gradually worsening erectile difficulty and reduced sexual desire. He has obesity, hypertension and type 2 diabetes treated with metformin, and he no longer reports spontaneous morning erections. Examination is unremarkable and he takes no androgenic or opioid medicines. Which initial investigation set is most appropriate?