Erectile Dysfunction and Testosterone

On March 21st, 2012, posted in: Blog by

It has only been in the past couple years that a replacement therapy by testosterone for treatment of erectile dysfunction has become more popular. The number of men who are receiving testosterone replacement therapy has been doubled since 2010. It should be remembered that the patients who are suffering from erectile dysfunction should be divided into two categories. One category is erectile dysfunction that is due to lower testosterone, and another category is a lack of adequate erection or premature loss of erection. This quantity could coexist or exist by its own. We should mention that there are people who are having only lower testosterone with no problem with adequate erection. People, who have testosterone levels below 300, however should be treated with replacement therapy. We are mentioning some other reasons for lower testosterone that is causing erectile dysfunction as follow:

  1. Chronic oploid use.
  2. Obesity.
  3. Diabetes.
  4. A metabolic syndrome which is combination of obesity and diabetes.
  5. AIDS and hypertension.
  6. Hyperlipidemia,
  7. Erectile dysfunction itself that can create a vicious cycle.

In recent studies, it has been shown that without treating with PDE-5 medication (Cialis, Viagra, and Levitra) they would not cure the problem of lower testosterone. However, it should be remembered that there are conditions that the people with lower testosterone, if they have a separate condition, should be cured by one of these three agents. It is also important that the level of testosterone be measured early in the morning for the most accurate number. In our Erectile Dysfunction Clinic, we see 10% of people who are referred or come for problem with erectile dysfunction, have testosterone deficiency. After we replace a testosterone level by either a gel or injection, improvement is significant without requiring any kind of PDE-5. There is a significant concern about relation of the replacement therapy by testosterone and prostate cancer. Of course, one should consider that if the patient in high-risk group such as a history of prostate cancer in the family, they should be measured for the PSA level and then if the PSA is in the high side, it should be cautiously administered in either gel or injection form. All people who are above age 60 or 70 and have history of higher PSA should not be given this replacement therapy. The majority of time, especially if seven conditions exist, the treatment by testosterone replacement or a combination of both should cure the situation. Of course, this is a controversial issue. One should consider consulting with the physician prior to using any of these testosterone triple therapy and PDE-5 treatment. Again, we stressed the fact that people who are using testosterone replacement therapy should be concerned about prostate cancer as well if they are in older age group; i.e. after age 55 and older. We will discuss this issue in future communication and I hope this information is adequately referred. If there are have any questions, please call Germantown Urology Center at 301-428-3040.

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