Erectile dysfunction is the inability to achieve or maintain an erection. And this problem is quite common. According to an article in the New England Journal of Medicine, published on Dec 13, 2007, about 5 percent of men from 40 to 49 have severe erectile dysfunction and 17 percent have moderate. So what can be done about it?
As per the same article the first line of therapy are phosphdiesterase type 5 inhibitors (Viagra, etc.). The second line is injection therapy. Testosterone replacement is in third place. But we all know that testosterone levels start declining at age about 35 — 40. Therefore wouldn’t it be logical to assume, that erectile dysfunction is because of low testosterone levels?
The same article says testosterone replacement therapy should be given only if a patient has low testosterone level. At the same time the same article says that the threshold is not known. Therefore how we can determine by numbers only what level is sufficient and what level is low.
The solution I suggest is to rely more on what patient’s complaints are. If a middle-aged man is complaining of erectile dysfunction, his testosterone level is likely not high and if there are no other explanations, then he might be a candidate for hormone replacement therapy.
According to my experience testosterone replacement works very well.
Patients say that testosterone gives them more natural sex, as opposed to that offered with Viagra. And of course testosterone is natural treatment, not chemicals invented in the labs. Therefore I’m for testosterone replacement first.
Another interesting thing about testosterone is that testosterone levels were linked to money making. Stockbrokers were tested and it was found that the higher the morning levels of testosterone were, the more money they earned. So would you choose testosterone or Viagra? The choice is yours.
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