Treatment and safety

Does testosterone therapy treat erectile dysfunction?

Not usually on its own. In men with confirmed low testosterone it may modestly help erectile function, but PDE5 medicines remain the usual first treatment for ED.

The AUA guideline recommends evaluating testosterone in men with ED and low desire, but not using testosterone as ED treatment when levels are normal.

Some men benefit from addressing both issues together under one plan.

Risks and limitations

Testosterone therapy carries its own risks, including effects on fertility.

Sources

American Urological Association — Erectile Dysfunction Guideline
Snyder PJ, et al. Effects of Testosterone Treatment in Older Men (T Trials). N Engl J Med. 2016

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