Patient Note — 221904

4/15/26, 5:16 AM Print Preview [PATIENT_NAME] DOB: [DOB] (59 yo M) Acc No. [ACCOUNT_ID] DOS: 03/31/2026 [PATIENT_NAME] 59 Y old Male, DOB: [DOB] Account: [ACCOUNT_ID]: 137062 [ADDRESS] Home: [PHONE] Guarantor: [GUARANTOR_NAME] Insurance: CareFirst BCBS PCP: [PROVIDER_NAME] Referring: [PROVIDER_NAME] Appointment Facility: POTOMAC UROLOGY CENTER - Woodbridge Structured Data: How did you hear about us? : Other; Patient's temperature : 0; : 07/25/2022 03/31/2026 Progress Notes: [PROVIDER_NAME], MD Reason for Appointment 1. Erectile Dysfunction History of Present Illness Erectile Dysfunction: 59 year old male with history of erectile dysfunction presents today for reassessment as he continues tadalafil 5 mg qd+ sildenafil 100 mg prn. He found no improvement with medications. +++++++++++ Testo: 300 [12/16/2025] Treatment: Tadalafil 5 mg QD + Sildenafil 100 mg PRN IIEF: 7 (7/22), diabetes. HgbA1c: "6.1" (7/22) HP2: Testo 292, FSH 2.1, LH 4.7, Prolactin 5.3, Estradiol 16.4, ALB 4.6, SHBG 25.8 (June 2025). Low Testosterone: Also, with history of low testosterone. ----------------- Systemic complaints: Low libido, low energy levels, fatigue Erection complaints: ED +++++++++++++ Testosterone: 300 [12/16/2025], 292 (June 2025); 326 (April 2024). BPH: Also, with history of BPH. Currently stabilized on tamsulosin 0.4 mg bid. ++++++++++++++ PSA: 0.6 [12/16/2025] Treatment: Tamsulosin 0.4 mg bid. D/c trospium due to lack of effectivness. IPSS: 6, QoL 1 [07/05/2022] Cysto: Minimal lateral lobe enlargement. [01/10/2022] TRUS: 45 mL [01/10/2022] IPSS: 5, QOL: 1 (9/21) Uro cuff: Unobstructed, flow 24.8 ml/s, pressure 125 cmH2O, volume 216 ml, and PVR: 61cc. (9/21). Current Medications Taking Tamsulosin HCl 0.4 MG Capsule 1 cap(s) orally twice a day Simvastatin CeleBREX Olmesartan Medoxomil Multivitamin Progress Note: [PROVIDER_NAME], MD 03/31/2026 Note generated by eClinicalWorks EMR/PM Software (www.eClinicalWorks.com) Generated for Printing/Faxing/eTransmitting on: 04/15/2026 08:16 AM EDT 1/3 4/15/26, 5:16 AM Print Preview [PATIENT_NAME] DOB: [DOB] (59 yo M) Acc No. [ACCOUNT_ID] DOS: 03/31/2026 Fish Oil ZyrTEC metFORMIN HCl 1000 MG Tablet TAKE 1 TABLET BY MOUTH TWICE A DAY WITH A MEAL FOR 90 DAYS Oral , Notes to Pharmacist: 500 mg Tadalafil 5 MG Tablet 1 tablet Orally Once a day Clotrimazole-Betamethasone 1-0.05 % Cream APPLY TOPICALLY TWICE A DAY FOR 14 DAYS Trospium Chloride ER 60 MG Capsule Extended Release 24 Hour 1 capsule in the morning on an empty stomach or 1 hour before a meal Orally Once a day Mounjaro(Tirzepatide) 5 MG/0.5ML Solution Auto-injector Subcutaneous Tadalafil 20 MG Tablet 1 tablet as needed orally for sexual activity Not-Taking Potassium 99 MG Tablet 1 tablet Orally Once a day Ozempic (0.25 or 0.5 MG/DOSE) Medication List reviewed and reconciled with the patient Past Medical History HYPERLIPIDEMIA. Hypertension. DM. BPH. ED. Surgical History Gallbladder removal Family History Father: deceased Mother: deceased, diagnosed with Type 2 diabetes