What is hormonal therapy for impotence?A severe deficiency of the male hormone, testosterone, can cause impotence. The nature of the treatment is to give the man either oral testosterone or an injection in the arm or buttocks to raise the hormone to acceptable levels. In these cases, the treatment can be an effective one. Only about 4% of the male population, however, have the problem and can benefit from the treatment. Side effects of testosterone replacement therapy can be serious, and patients with a medical history that includes liver disease, heart disease, kidney problems, or prostate cancer should probably avoid supplemental testosterone. This chemical can lead to the retention of fluids, enlargement of the prostate, and damage to the liver.
Men with low sex drive and erectile dysfunction may have low levels of testosterone (the male hormone). As a general guideline, a testosterone level of 300 ng/dL or less is considered low, but this varies depending on the laboratory that does the testing and the time of day the sample is taken. Hormone replacement may be beneficial, especially when used in combination with other therapies for erectile dysfunction; however, testosterone supplementation alone is not particularly effective in treating erectile dysfunction.
Sexual desire (libido) and an overall sense of well-being are likely to improve when serum testosterone levels (the level of the male hormone in the blood) are restored.
Replacement testosterone is available in the following forms:
- Injections: Injections are the most reliable way to restore testosterone levels, but this therapy requires periodic injections (usually every 2 weeks) to sustain an effective level. It also causes high hormone levels right after the injection and low hormone levels just before the next shot. This is thought to be slightly more risky than other methods that maintain a moderate hormone level throughout the treatment period.
- Skin patches and gels: Skin patches and gels that are rubbed into the skin deliver a sustained dose and are generally well accepted. A strip that is placed in the mouth on the gums is also available. With the patches and the gels, skin rashes and irritation are the most common problems.
- Oral therapy (pills): This is the least effective therapy. Pills are also associated with a small risk of liver problems. Testosterone pills are not recommended.
If your doctor prescribes long-term testosterone replacement therapy, you will have follow-up visits to assess your testosterone levels, to periodically monitor your blood counts, and to undergo regular prostate checks, including digital rectal examinations and prostate specific antigen (PSA) blood tests.
More information on impotence (erectile dysfunction)What is impotence or erectile dysfunction? - Impotence is the inability of the male to have an erection. Some men may become impotent after having diabetes for a long time because the nerves or blood vessels have become damaged. Impotence may have a physiological or psychological basis.
How does erection occur? - Erection begins with sensory and mental stimulation. Impulses from the brain and local nerves cause the muscles of the corpora cavernosa to relax, allowing blood to flow in and fill the open spaces.
What causes impotence? - A common cause of impotence is a high level of atherosclerosis in the arteries feeding the penis. Damage to arteries, smooth muscles, and fibrous tissues, often as a result of disease, is the most common cause of impotence.
What are the physical causes of impotence? - Physical impotence occurs when there is a problem with any of the systems needed to get or maintain an erection. Hardening of the arteries can affect the artery leading to the penis so that it cannot dilate enough to deliver all the blood necessary for an erection.
What are the psychological causes of impotence? - Psychological causes of impotence often include work pressures, financial worries, fear of aging, or frustration with relationships. Depression and anxiety disorders are cited as the most common causes of psychological impotence.
How is impotence (erectile dysfunction) treated? - Treatment depends on the cause. Testosterone supplements may be used for cases with hormonal deficiency. Drugs for treating impotence can be taken orally or injected directly into the penis.
What're non-prescription treatments for impotence? - Among the herbs used for erectile dysfunction are yohimbine, gingko biloba (to increase blood flow), ginseng, pygeum, and muira puama. A penile sheath is a rigid or semi-rigid support put over the penis to support it for intercourse.
What is MUSE? - MUSE is short for "medicated urethral system for erection." This treatment is based on the discovery that the urethra can absorb certain medications, which can then pass into the surrounding erectile tissue creating an erection.
What is Viagra (sildenafil citrate)? - Viagra (sildenafil citrate), a prescription medication for the treatment of erectile dysfunction, is the first pill available that's been proven to improve erections in most men with impotence.
What is Levitra (vardenafil)? - Levitra (vardenafil HCl) is a PDE inhibitor drug. This medication helps improve erection during sexual arousal and activity but erection should end after sexual activity is complete.
What is Cialis (tadalafil)? - Tadalafil (Cialis?) is a drug used to treat male erectile dysfunction (impotence). The generic name for this compound is tadalafil.
What about penile injection therapy? - Penile injection therapy is non surgical technique used to treat impotence. Penile injections have the advantage of not involving surgery. They are also effective in many dialysis patients.
What are penile implants for impotence? - Penile implants (often called "internal penile pumps") are one of several erectile dysfunction treatment options. The inflatable penile prosthesis is a pump system surgically placed in the penis.
What is hormonal therapy for impotence? - Sexual desire (libido) and an overall sense of well-being are likely to improve when serum testosterone levels (the level of the male hormone in the blood) are restored.