HAPPY MORNING CLINIC
Symptoms and causes of erectile dysfunction (ED), and treatment for ED and low testosterone (male menopause, andropause).
Treatment for ED and low testosterone
Could it be erectile dysfunction?
The most common symptom is erections that do not last as long.
In more severe cases, the psychological pressure to finish quickly can lead to secondary premature ejaculation.
Causes of erectile dysfunction
- Arterial problems:
- Atherosclerosis, high blood pressure, obesity, diabetes
- Erectile tissue problems:
- Damage to the lining of the erectile tissue, diabetes, damage to the tunica albuginea
- Hormonal problems:
- Testes, pituitary gland, thyroid, aging
- Psychological causes:
- Stress, depression
- Nerve problems:
- Diabetes, herniated disc, stroke, injury
- Systemic conditions:
- Atherosclerosis, high blood pressure, obesity, diabetes, high cholesterol
- Medications:
- Blood pressure and psychiatric medications
Treating erectile dysfunction
Symptoms of low testosterone
Checking your symptoms is the first step toward treatment.
Sexual symptoms
- Lower sex drive
- Fewer morning erections
- Erectile dysfunction
Weight-related symptoms
- Abdominal (visceral) fat
Metabolic symptoms
- Metabolic syndrome
- Type 2 diabetes
Psychological symptoms
- Mood changes (such as fatigue and anger)
Testosterone injections
Treatment for low testosterone replaces the male hormone the body is lacking.
Testosterone therapy can cause serious unwanted reactions in patients with prostate cancer or cardiovascular disease, or with generalized swelling (edema), sleep apnea or severe urinary symptoms. Treatment must always begin after a consultation.
Jenasteron injection (testosterone enanthate)
Dosing: intramuscular injection every 2–3 weeks
Nebido injection (testosterone undecanoate)
Dosing: intramuscular injection every 3 months