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Testosterone, BPH and Erectile Dysfunction Medications: The Ultimate Guide

Do you have questions about testosterone, BPH or erectile dysfunction medications? Check out this article on the pharmacology of these drugs.

Testosterone, BPH and Erectile Dysfunction Medications – Pharmacology (Pharm) – Reproductive System

Testosterone is the principle androgen (male hormone) and is necessary for the normal development and maintenance of the male reproductive system and secondary sex characteristics. Testosterone is necessary for the development of sperm and is produced by the testes. It is also necessary for the development of the male reproductive organs. Testosterone is produced in smaller amounts by the adrenal glands in both males and females. In females, testosterone is necessary for the development of the ovaries and Fallopian tubes. Testosterone is also necessary for the development of the female reproductive organs. Testosterone is necessary for the development of the male sex organs and for the development of secondary sex characteristics. These include the deepening of the voice, growth of facial and body hair, and the enlargement of the penis and testes. Testosterone is also necessary for the production of sperm. Testosterone is produced by the testes in males and by the ovaries in females. In both sexes, testosterone is also produced by the adrenal glands. Testosterone is a steroid hormone from the androgen group. Testosterone is necessary for the development and maintenance of male reproductive tissue such as the testis and prostate, as well as promoting secondary sexual characteristics such as increased muscle mass, facial hair growth, and deepening of the voice. Testosterone also has important effects on bone density, fat distribution, and red blood cell production. Testosterone is necessary for the development of male reproductive tissue such as the testis and prostate, as well as promoting secondary sexual characteristics such as increased muscle mass, facial hair growth, and deepening of the voice. Testosterone also has important effects on bone density, fat distribution, and red blood cell production. Testosterone is produced by the testes in males and by the ovaries in females. In both sexes, testosterone is also produced by the adrenal glands.

BPH Medications

There are several medications that are used to treat BPH. These include:

  • Alpha blockers – These medications relax the muscles in the prostate and bladder neck, making it easier to urinate. Alpha blockers include:
  1. Tamsulosin (Flomax)
  2. Terazosin (Hytrin)
  3. Alfuzosin (Uroxatral)
  4. Doxazosin (Cardura)

5-alpha reductase inhibitors – These medications shrink the prostate by blocking the production of testosterone. 5-alpha reductase inhibitors include:

  • Finasteride (Proscar)
  • Dutasteride (Avodart)

Combination therapy – Some men may be treated with a combination of an alpha blocker and a 5-alpha reductase inhibitor. The combination of an alpha blocker and a 5-alpha reductase inhibitor is more effective than either medication alone.

Erectile Dysfunction Medications

There are several medications that are used to treat erectile dysfunction. These include:

  • Sildenafil (Viagra)
  • Tadalafil (Cialis)
  • Vardenafil (Levitra)
  • Avanafil (Stendra)

These medications work by relaxing the muscles in the penis, allowing blood

Cathy Parkes BSN, RN, CWCN, PHN covers Testosterone, BPH and Erectile Dysfunction Medications. The Pharmacology (Pharm) – Reproductive System video tutorial series is intended to help RN and PN nursing students study for your nursing school exams, including the ATI, HESI and NCLEX.



In this video, Cathy covers the following drug classes and medications: androgens (testosterone), androgen inhibitors (finasteride), peripherally acting antiadrenergics (tamsulosin, doxazosin), and phospodiesterase 5 inhibitors (sildenafil, tadalafil). At the end of the video, Cathy provides a quiz to test your understanding of some of the key points she covers in this video.



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#Reproductive #BPH #Testosterone

00:00 Intro

00:33 Androgens

1:31 BPH Medications

4:16 Erectile Dysfunction Medications

5:39 Quiz time!

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Video transcription:

Hi, I am Cathy, with Level Up RN. In, this
video, I’m going to continue my coverage of reproductive system, medications. Specifically,
I’ll be covering androgens, BPH, medications, and medications for erectile dysfunction. If, you
have our pharmacology. Second edition flashcards, be sure to pull those out, so you can follow
along with me. At the end of the video, I’m going to provide you guys a little quiz,, a little
knowledge check to test your understanding of some of the key points I’ll be covering in this video.
So. Definitely stay tuned for that. First up, we have testosterone,, which is an androgen. It, is
used in the treatment of delayed puberty in boys, as well as hypogonadism.. It could also be used.
For postmenopausal breast cancer. Testosterone is contraindicated in a patient with prostate
cancer. And. We also need to keep in mind that this medication has a high abuse potential. As well. In
terms of side. Effects, testosterone has a lot of side effects with use. So. This includes edema,
acne,, liver, dysfunction, polycythemia,, which is where your body produces too many red blood,
cells, premature, epiphyseal, closure., In women,. It can cause deepening of the voice, baldness, and
unusual hair growth,, which is something hirsutism. So with hirsutism,. The female may have
hair growth on the face, or chest, or back. Next,. Let’s talk about some medications that are
used for benign, prosthetic, hyperplasia or BPH. If you recall, BPH, is where we have an enlarged
prostate, which puts pressure on the urethra which runs through the prostate,, so it causes
urinary symptoms. So. There are two different classes of medications: I’m going to cover that are
used to treat BPH. One is an androgen inhibitor,, which is finasteride.. So finasteride is used,
to treat not only BPH, but baldness as well. The mode of action of this medication is that it
inhibits five alpha reductase,, which is an enzyme,, and this prevents conversion of testosterone.
And. Then this in turn reduces the size of the prostate and also increases hair, growth.
So side effects of finasteride can include erectile dysfunction as well as gynecomastia,
which is the development of breast tissue in men. So our little cool chicken hint here for
remembering. This medication is finasteride,, think of checking out a guy in a sports car.
So you’re, checking out his fine ride and you’re thinking to yourself,
“Yeah,. He has
a fine ride,, but he is also bald with BPH.
” So got away those things. Again,. This
hint is just to help. You remember the name of this medication and what it’s for.
I totally don’t have a thing against guys with baldness or BPH for that matter. I’m, just looking
for anything to help you guys remember all of these medications. So. Hopefully that was helpful.
Another medication. Class used in the treatment of BPH are peripherally. Acting antiadrenergics, and
medications that fall within this class include tamsulosin and doxazosin, and they’re both in that
osin. We would use these medications to treat BPH as well as baldness, and doxazosin is also
used in the treatment of hypertension. The mode of action of this medication class is that
it antagonizes alpha one receptors,, which results in relaxation of the smooth muscles in the
prostate,, which helps to improve urine flow. It also causes vasodilation. So. A key
side effect with this medication class is hypotension. So. We’re definitely going to
want to monitor our patients. Blood pressure during therapy. Other side effects include
dizziness, headache, and issues with ejaculation. The last medication class that I’m going to cover
in. This video are phosphodiesterase type. Five inhibitors, and medications that fall within
this class include sildenafil and tadalafil. So. These both end in fil. We would use
these medications for erectile dysfunction, and they work by enhancing the effect of nitric
oxide that is released during sexual stimulation.. And this, in turn, increases blood flow
to. The corpus cavernos in the penis. Side effects include priapism,, which is a
prolonged erection. In addition,. This medication can cause an increased risk for myocardial
infarctions. So. A key teaching you need to provide your patient is that they should not take
this medication with any other nitrates,, including nitroglycerin,, as this can increase their risk for
having an MI. Also,. We want to use this medication cautiously in men with cardiovascular disease.
So, our cool chicken hint. For remembering these medications is that sildenafil will help you fill
out down. There. So I, probably should have warned you that this was a PG-13 hint ahead of time,, but
it’s out there, now, and I hope it was helpful. All right, time for quiz. I
have. Three questions for you. First question, finasteride is
used to treat what disorder? If you said: BPH, you’re, correct. It’s also
used to treat baldness, but primarily BPH., Second question,. What erectile dysfunction
medication causes an increased risk for an MI?, Answer,, sildenafil or tadalafil. So any of the
phosphodiesterase type five inhibitors. Question number three,. What key teaching do you need?
To provide a patient who is taking sildenafil? The answer? Is you need to advise your patient to
not? Take any other nitrates at the same time. So. This includes nitroglycerin, as this could
increase their risk for having an MI., Okay. I hope this video has been helpful,.
And I hope you like these quiz questions. If. This has helped you,. Definitely leave me
a comment., I love to hear from students and nurses who watch my videos. Also,. If you have
another little trick or mnemonic. For remembering some of these drugs, definitely share those in
the comments as well. So everyone can benefit from your ideas. Thank you so much for watching.
I. Invite you to subscribe to our channel and share a link with your classmates and friends in nursing,
school. If. You found value in this video, be sure and hit the like button, and leave a comment and
let us know what you found particularly helpful..

What users commented:

Good vodeo…just a note or two. I hope you are aware that less than 1/4 of men with an issue such as this show up at a clinic with an issue such as this. Most men will never go, in this life or the next, to talk to a woman about such intimate issues. Also, please do not smile like the topic excites you when you say erectile dysfunction and ejaculation. Likely the wrong image you would like to project. Please, please think about your audience. You will lose the audience from whom you are trying to make money

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I will never forget what Finasteride is now , so thank you!

How to cure spermathorhia?^

How to cure spermathorhia?^

Very helpful video, especially with easy to remember mnemonics and key points.

Yes very helpful. Thanks Cathy.

For finasteride I always remember “ass to ride” and picture a guy riding a bike, and his balls hurt. I’ve never forgotten that it is for BPH! Hahah

love from nepal

thank you so much. The trick to remember really work and it has helped me recognize the drugs even If I dont know them. You are the best. Thanks to your son as well for giving awsome tricks.

I love the quizzes and the flash cards to follow. They were definitely a game changer in pharm, taking my final next week

PG-13 warning–I remember tadalafil by imagining a man saying
“Tada!
” and showing off his erection. :)

I never taught there is a cure for ED until I meet dr gboya on YouTube he helped me get back on my fit by curing my erectile dysfunction after years of suffering I dont ever know how to thank him enough all I can say is thank you doc. Am forever greatful …

I’m writing a pharmacology exam tomorrow, I was so stressed but luckily I came across your videos…they were really helpful and I love your ways of remembering things

Love your little
“ways to remember
” so helpful!!

The bird is hilarious

Taking Pharmacology. Helpful, thank you! Liked the little quiz at the end!

I appreciate this video and all your videos so much. I’m am LVN student and just wanted to say thank you

Thank you very much for the quizzes they are very helpful.