Testosterone Supplementation and Erectile Health Issues

Further inquiry?

Hello Dr.
Hsu,
Thank you for your response.
Unfortunately, there are still some areas that need further clarification.
I greatly appreciate and agree with your closing remarks: "If there are any areas that need further explanation, please feel free to write again for further discussion."
1) You mentioned that testosterone can be supplemented.
Could you please provide me with the methods and key details? I previously made and consumed "Chinese yam and egg honey mixture" based on information I found online, but unfortunately, after taking it ten times, I felt no effects or reactions at all.
The article I read claimed that effects would be felt within 30 minutes, which seems to be misleading.
Two months ago, I was able to engage in sexual activity once a week or every two weeks, and my wife and I had a good quality in this aspect.
Recently, however, there has been a sudden complete loss of desire and sensation, which has left me quite anxious and troubled.
I firmly believe this is due to "insufficient testosterone."
2) Can penile vascular circulation issues be treated with medication? I would like to hear more about this.
I asked a cardiologist, and he said that hypertension medications do not affect male sexual function.
Is that true? My systolic blood pressure fluctuates between 120 and 150, with diastolic pressure mostly below 80.
My pulse ranges from a high of 72 to a low of 48, mostly in the 50s and 60s, which is quite low.
The doctor mentioned that this is related to taking hypertension medication.
3) I lead a normal lifestyle with no bad habits—no smoking or drinking.
I love exercising, walking about 2.5 kilometers for half an hour approximately 3 to 5 times a week, and playing table tennis for an hour and a half 3 to 4 days a week.
My exercise volume should be sufficient, right?
I am very much looking forward to your insights and guidance! Thank you!

Zong Sang, 60~69 year old female. Ask Date: 2013/10/04

Dr. Xu Weikai reply Urology

Hello,
1.
Testosterone can be supplemented through medications and foods.
Foods such as soybeans and nutritional supplements are examples.
Medications can be administered orally, topically, or via injections.
Note: To determine if there is a deficiency in testosterone, a blood test is required.
2.
To assess whether there is poor penile blood circulation, a penile Doppler ultrasound or imaging can be performed.
Medications like Viagra increase blood flow to the penis.
3.
Exercise levels should be adequate.
Note: Psychological issues can also contribute to sexual dysfunction.
If you have further questions, feel free to ask for more discussion and research.
Online responses should only serve as a reference; if necessary, it is important to seek medical attention at a healthcare facility.
This message is from Dr.
Hsu Wei-Kai, Director of Urology, Taitung Hospital, Department of Health, Executive Yuan, who cares about your health.

Reply Date: 2013/10/04

More Info

Testosterone supplementation and erectile health issues are important topics that can significantly impact a man's quality of life. Let's break down your questions and concerns regarding testosterone, erectile function, and overall health.

1. Testosterone Supplementation: Testosterone can be supplemented in several ways, including injections, transdermal patches, gels, and pellets. The method of administration can affect how quickly you feel the effects. For example, injections may provide a more immediate increase in testosterone levels, while patches and gels can offer a more gradual release. It's crucial to consult with a healthcare provider to determine the most appropriate method for you, as they can monitor your hormone levels and adjust dosages as necessary.

Regarding your experience with "淮山蛋蜜汁" (a traditional remedy), it's important to note that many home remedies lack scientific backing and may not effectively raise testosterone levels. If you suspect low testosterone, a blood test can confirm your levels, and a healthcare provider can recommend appropriate supplementation if needed.

2. Erectile Dysfunction and Circulation: Erectile dysfunction (ED) can be influenced by various factors, including blood flow issues. Medications such as phosphodiesterase type 5 inhibitors (e.g., Viagra, Cialis) are commonly prescribed to improve blood flow to the penis, facilitating erections. However, if you have underlying cardiovascular issues or are taking medications for high blood pressure, it's essential to discuss this with your doctor. They can help determine if these medications are safe for you and whether they might interact with your current medications.

You mentioned that your blood pressure is fluctuating between 120-150 systolic, which is considered elevated. While some blood pressure medications can affect erectile function, many do not. It's crucial to have an open dialogue with your healthcare provider about your concerns, as they can adjust your medications or suggest alternatives that may not impact your sexual health.

3. Lifestyle Factors: Your commitment to a healthy lifestyle, including regular exercise and avoiding smoking and alcohol, is commendable. Physical activity can improve circulation and overall cardiovascular health, which is beneficial for erectile function. However, if you're experiencing sudden changes in libido or erectile function, it may be worth exploring other factors, such as stress, anxiety, or hormonal imbalances.

Additionally, psychological factors can play a significant role in erectile health. Stress, anxiety, and relationship issues can contribute to erectile dysfunction. If you believe these factors might be affecting you, consider speaking with a mental health professional or a sex therapist who can provide support and strategies to address these concerns.

In summary, testosterone supplementation can be beneficial for those with low levels, but it should be approached under medical supervision. Erectile dysfunction can often be treated effectively with medication, but it's essential to consider the underlying causes, including circulation and psychological factors. Maintaining a healthy lifestyle is crucial, and if you notice significant changes in your sexual health, don't hesitate to seek professional advice. Your health and well-being are paramount, and addressing these issues can lead to improved quality of life.

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