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Bad Testosterone Level and Erectile Dysfunction

Half of men at the age of from 50 to 70 are attacked by erectile dysfunction, or ED. A great interest has been expressed after implementing “PDE5i” medications such as Sildenafil (Viagra). Men have been actively looking for a medical help within the past ten years, due to the fact that the sexual disorder symptoms have been noticed. Nevertheless, none of the PDE5 medications are considered to be healing, they just deal with the ED manifestations.

Bad habits such as smoking, sedentary lifestyle, overweight, and other medical conditions such as diabetes mellitus, hypertension, and neurological issues may lead to erectile dysfunction. The amount of testosterone is mainly lower in men with obesity, type 2 diabetes mellitus, anorexia, apnea, chronic kidney diseases, or depression. Moreover, this level may be dropped due to an application of opioids, and cortisone-base medicines (morphine, methadone, and oxycodone belong to this group). But there are other hormones that directly influence on the sexual health of a man, and these are TSH, luteinizing hormone, and cortisol. And all of them should be considered during the poor potency. Stress is not excluded.

As to the women, estradiol level is dropped during the menopause, but men’s testosterone level goes lower by 0.5-2.0% per year, and this tendency is kept starting from the early adulthood.

Testosterone substitution may be suggested by a physician to treat the dropped testosterone level only after prior medical examination, and after having the results of the tests. These patients have a rather good tolerance of the testosterone replacement and record a significant improvement in energy level, general potency functions, and good secondary sexual characteristics support.

A sperm production may be suppressed by the testosterone therapy. If the man’s fertility is threatened, the following steps may be offered:
• Avoid bad habits and overweight
• Follow a healthy diet
• Lower the alcohol consumption
• Usage of aromatase inhibitors may lower the testosterone conversion to estradiol and the activity of aromatase (these are the main causes of the infertility). Resveratrol, anastrazole, zinc, and chrysin belong to this group.
• Saw palmetto, progesterone and other 5-alpha-reductase inhibitors may be used.

Last Edit - 19 Jun 2020, write by David Kahan

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