Erectile Dysfunction and Testosterone Deficiency
People are asking...
Do you have any patients where trt has made erection quality worse? I’ve been on trt for 4 months with all bloods in range but feel like my erection q...
So, hormones are only a small part of erection quality, though an important part. As a general rule of thumb, if you get morning wood, but have ED during other times, then the cause of your ED is very... See Full Answer
Does TRT benefit erection quality?...
Yes, generally the three main reasons people start TRT are: Energy/motivation, fat loss issues/muscle loss, and libido/erectile function.... See Full Answer
Anything to try other than cabe ror P5P to lower prolactin? Since starting TRT I've had a really difficult time reaching orgasm. Erections are no prob...
Pramipexole works well to control prolactin. It has been proven to help both achieve orgasm as well as with the refractory period after orgasms.... See Full Answer
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A definitive role of testosterone in erectile function has been controversial; however, recent evidence is becoming available which substantiates a key function for this hormone. Testosterone deficiency is associated with a decline in erectile function and testosterone levels are inversely correlated with increasing severity of erectile dysfunction. Erectile dysfunction can be caused by multifactorial pathologies. In particular, erectile dysfunction may be the first symptom of cardiovascular disease. Animal studies have demonstrated that castration causes vascular smooth muscle cell atrophy, venous leakage, adipocytes in the subtunical space, loss of elastic fibers and increase in collagen deposition. Testosterone increases the expression of nitric oxide synthase and phosphodiesterase type 5, both principal enzymes involved in the erectile process. Testosterone replacement alone in hypogonadal men can restore erectile function. A significant proportion of men who fail to respond to a PDE5 inhibitor are testosterone deficient. Testosterone replacement therapy can convert over half of these men into phosphodiesterase type 5 responders. It is now recommended that testosterone levels should be assessed in all patients with erectile dysfunction.
https://pubmed.ncbi.nlm.nih.gov/19011292/
Have a question? Ask us.
At AlphaMD, we're here to help. Feel free to ask us any question you would like about TRT, medical weightloss, ED, or other topics related to men's health. Or take a moment to browse through our past questions.
People are asking...
Do you have any patients where trt has made erection quality worse? I’ve been on trt for 4 months with all bloods in range but feel like my erection q...
So, hormones are only a small part of erection quality, though an important part. As a general rule of thumb, if you get morning wood, but have ED during other times, then the cause of your ED is very... See Full Answer
Does TRT benefit erection quality?...
Yes, generally the three main reasons people start TRT are: Energy/motivation, fat loss issues/muscle loss, and libido/erectile function.... See Full Answer
Anything to try other than cabe ror P5P to lower prolactin? Since starting TRT I've had a really difficult time reaching orgasm. Erections are no prob...
Pramipexole works well to control prolactin. It has been proven to help both achieve orgasm as well as with the refractory period after orgasms.... See Full Answer
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