Guest blog post by Doron S. Stember, MD, Urologist at Beth Israel Medical Center.
At some point in their lives, nearly half of American men experience erectile dysfunction (ED), the inability to achieve or maintain an erection. While the major male hormone, testosterone, is important for overall male health, including maintaining muscle strength, bone density and sense of well-being, the relationship between testosterone and ED is less straightforward.
ED Isn’t Always Caused by Low Testosterone
While testosterone is closely linked to libido, or sexual drive, many men who complain of ED may have normal erectile function, but decreased libido. On the other hand, a major study showed that men with low testosterone who failed to have a response to Viagra had a significantly improved response to Viagra when their testosterone levels were treated.
The Bottom Line
There is a common misconception, even among physicians, that treating low testosterone will significantly improve erections in men with ED. It’s a good idea to screen for testosterone levels if you have ED, especially if you have failed to respond to Viagra or a similar medication. Treating a low testosterone level, however, should rarely be considered as the first-line or only therapy for ED. Low testosterone may not be causing your ED and treatment for low testosterone has potential side effects and implications that should be carefully discussed.
Talk to Your Doctor
If you have problems with erectile function, libido or both, consult with your doctor. He or she can help define the cause of the problem, as well as help you understand your treatment options. The good news is that there are many ways to address erectile function and low libido and the best choices can be customized to your specific issues and goals.