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Looking for a boost in the bedroom? Try testosterone therapy!

Testosterone therapy can help treat erectile dysfunction. If you're interested in learning more about this treatment option, read our article on the subject.

Testosterone Therapy and Erectile Dysfunction

Erectile dysfunction (ED) is the inability to develop or maintain an erection of the penis during sexual performance. Symptoms may also include reduced sexual desire or libido. Your doctor is likely to diagnose you with ED if the condition lasts for more than a few weeks or months. ED affects as many as 30 million men in the United States.

Testosterone therapy can improve sexual function in some men with low testosterone levels. However, it does not work for all men and can have serious side effects, such as heart problems, sleep apnea, and an increased risk of heart attack and stroke. Testosterone therapy can also lead to enlarged breasts, shrunken testicles, and decreased sperm count. These side effects usually go away after treatment ends.

Causes

ED may occur because of damaged nerves, arteries, smooth muscles, and fibrous tissues. These structures work together to fill the erectile tissue with blood. Nerves release chemicals that increase blood flow into the penis. Blood flows into two erection chambers in the penis, made of spongy muscle tissue (the corpus cavernosum).

An erection occurs when sexual stimulation triggers the nervous system to release chemicals that relax muscles in the penis. This allows blood to flow into the corpus cavernosum and fill the spaces in the penis. As the penis fills with blood, it becomes erect. The veins that normally drain blood from the penis become compressed. This limits the amount of blood that drains from the penis. As a result, the penis becomes larger and firmer. The erection ends when the muscles contract and the accumulated blood can flow out through the penile veins.

ED can occur if any of these structures are damaged or if blood flow to the penis is reduced. Reduced blood flow can be caused by conditions that affect the heart and blood vessels, such as atherosclerosis (hardening of the arteries), coronary artery disease, and heart failure. In addition, diabetes, obesity, smoking, and certain medications can damage nerves and arteries.

Risk Factors

Certain lifestyle choices can contribute to ED, including:

  • Smoking
  • Excessive drinking
  • Illegal drug use
  • Obesity
  • Certain medical conditions, such as high blood pressure, diabetes, and heart disease

In addition, certain medications, such as antidepressants, can cause ED. Stress, anxiety, and relationship problems can also contribute to ED. Surgery, such as surgery to remove the prostate gland or surgery for colorectal cancer, can also lead to ED.

Diagnosis

Your doctor will ask about your symptoms and medical history. A physical exam will be done to check for signs of ED. Your doctor may also order blood tests to check for low testosterone levels.

In some cases, your doctor may refer you to a urologist or a mental health counselor.

Treatment

Treatment for ED depends on the cause. In some cases, medications or surgery may be needed.

Medications that can be used to treat ED include:

  • Phosphodiesterase type 5 inhibitors, such as sildenafil (Viagra), tadalafil (Cialis), and vardenafil (Levitra
It might be thought testosterone therapy can help men with erectile dysfunction. Manuel Torres, Family Medicine Physician at Baptist Health Primary Care, explains those are separate issues which commonly get grouped into the same complaint.

He says erectile dysfunction has to do with the circulation, which has to be proper so the problem can be improved. The desire is not the same as the performance; the desire may still be there, but the circulation could be occluded.

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Video transcription:

So, how can testosterone therapy help
doctor, or would this be considered what is known as ED erectile dysfunction
so-called impotence? So? Those are two separate issues which commonly
get grouped into the same complaint. If you will and patients come in, saying, hey
I have challenges with erectile function, but don’t really have challenges. With
Libido and libido is one thing: erectile dysfunction is the other. What I tell
patients is look ED has to do with plumbing ED has to do with. To do with. Can the circulation be proper
so that your situation can be improved? There is a difference between someone’s
desire to perform and then there’s a difference between someone’s low
performance sure. Those are two different things that are treated differently: I’m
heraring. It’s, the difference between I can and I want. To. So I want you to walk over
if, you don’t mind now to the bio, digital human, because, obviously we’re talking
about circulation here, doctor exactly and that circulation happens inside
vessels. So, let’s pretend just for the magic of
pretending. This is a vessel inside the male body, part So. This is a blood vessel in anybody. To be quite honest, so but
this is just an animation that can simply explain what can happen to an
artery so arteries, a structural. This is like, for example, a hose where
it’s been cut open for the animation purposes, and you can see here how the
yellow part is plaque and plaque buildup. So, of course we have micro
vascular small blood vessel circulation and we have macro vascular, circulation
so, macro vascular circulation are the big arteries in your heart and your neck
and, your brain whatever, but micro, vascular circulation, like commonly
referred to in diabetes, is in the kidney in the retina and, of course, in the
penile circulation as well. So imagine if the arteries are really really really
thin. Now we have issues with circulation in really really thin arteries and as
they start to get occluded. Then we have a circulation issues, so popular
medications like the little blue pill and etc attack these blood vessels not
to get rid of the plaque by the way, but to improve the Vasil, dilatation and open
these arteries up so therefore circulate you can solve the erectile dysfunction
but again, that’s a different from having the desire desire may still be. There
The circulation may be occluded.

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