Male Menopause: Testosterone Levels and Erectile Function

Male menopause?

Recently, I have been experiencing erectile dysfunction, decreased sensitivity in the glans, and low libido.
(1) Could this be related to low testosterone levels? (My blood test result from 2 years ago was 265 ng/dl.) (2) Is testosterone supplementation covered by health insurance? (3) Once I start testosterone supplementation, will I need to continue it indefinitely? (4) Could a previous steroid injection for an S5L1 disc herniation also affect erectile function? Thank you!

Lao Xian Sheng, 40~49 year old female. Ask Date: 2018/01/16

Dr. Fu Shizhang reply Urology

1.
It is possible.
2.
If confirmed as deficient, supplementation is covered.
3.
Yes.
4.
Unless there is an impact on the nerves, it is generally unrelated to steroids.

Reply Date: 2018/01/16

More Info

Understanding male menopause and its effects on testosterone levels and erectile function is crucial for many men experiencing changes in their sexual health. Let's address your questions one by one.

1. Low Testosterone and Erectile Dysfunction: Yes, low testosterone levels can significantly impact erectile function and libido. Testosterone plays a vital role in sexual arousal, and levels below the normal range can lead to symptoms such as reduced sexual desire, erectile dysfunction, and decreased sensitivity. The testosterone level you mentioned, 265 ng/dl, is considered low for adult males, as normal levels typically range from about 300 to 1,000 ng/dl. Therefore, your symptoms of decreased erection strength and sensitivity may indeed be related to low testosterone levels.

2. Testosterone Replacement Therapy (TRT) Coverage: Whether testosterone replacement therapy is covered by health insurance can vary by location and specific insurance plans. In the United States, many insurance companies will cover TRT if it is deemed medically necessary, typically based on blood tests confirming low testosterone levels and the presence of symptoms. It’s essential to consult with your healthcare provider to determine the best course of action and to check with your insurance provider regarding coverage.

3. Long-term Use of Testosterone Replacement: Once you start testosterone replacement therapy, it is often a long-term commitment. The body may reduce its natural testosterone production in response to external supplementation, which can lead to dependency on the therapy. Regular monitoring by a healthcare provider is necessary to adjust dosages and ensure that testosterone levels remain within a safe and effective range. Stopping TRT abruptly can lead to a return of low testosterone symptoms.

4. Impact of Steroid Injections on Erectile Function: Steroid injections, such as those used for treating conditions like herniated discs, can potentially affect erectile function. Corticosteroids can influence hormone levels and may lead to side effects that include changes in libido and erectile dysfunction. Additionally, if the steroid injections are part of a broader treatment plan that includes other medications, those could also contribute to changes in sexual health.

In summary, low testosterone levels can indeed be linked to erectile dysfunction and reduced sexual desire. If you suspect that your testosterone levels are low, it is essential to consult with a healthcare provider who specializes in men's health or endocrinology. They can provide a comprehensive evaluation, including blood tests to measure hormone levels, and discuss the potential benefits and risks of testosterone replacement therapy.
Moreover, lifestyle factors such as diet, exercise, and stress management can also play a significant role in maintaining healthy testosterone levels and overall sexual health. Engaging in regular physical activity, maintaining a healthy weight, and managing stress can help improve both testosterone levels and erectile function.

If you have further concerns or questions, do not hesitate to reach out to a healthcare professional who can provide personalized advice based on your specific situation.

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