Yes their is hope if you get your reg check up,in my case in the past 3yrs i had 2 spine surgeries,lumbar wich left me with ed,cervical. During a routine blood work for prostate exam.My t-levels were at 218 1yr ago my endocronoligist put me on androgel 1%2pumps daily, t-levels went back up to normal range 580.But still no erections so he started me on cyalis 20mg all good,and yes since my injuries were job related workers comp is paying for the cyalis,wich alot of people told me they would not.Of course with the help of the surgeon that treated me.I also get complete blood work every 4 months just because iam on androgel endo wants to make sure heart,liver,kidneys are fine.So please get checked out it will make a difference in your life!During my prostate exam i thought it would be a lady,no it was man with long thick fingers what a deadly surprise but it was over very quick. Good LUCK TO ALL