Last Updated on August 1, 2020 by Dr. Philip Schein MD

Erectile dysfunction is actually a multifactorial disorder that can be caused by many factors. One of the reasons is insufficient testosterone levels. When impotence is caused by this cause, Viagra and similar drugs to treat impotence may sometimes not work.

Low Testosterone Level and its Effects on Sex Life

Low testosterone is a condition when the organism does not produce enough level of this anabolic sex hormone to support its natural physiological and sexual processes. In men, hypogonadism (diminished functional activity of the gonads) is manifested by low levels of testosterone, the male sex hormone. The condition can also occur due to an imbalance in testosterone-estrogen ratio. Hypogonadism can cause developmental delays, male infertility, and a variety of other symptoms.

With low testosterone levels, a man may experience a lack of sex drive (libido) and impaired erectile function that is difficult to treat.

Treatment of Erectile Dysfunction Associated with Hypogonadism or Lowered T-Levels

To treat erectile dysfunction caused by low testosterone levels, it is necessary to treat the underlying cause, i.e. hypogonadism. Additionally, you can start treating erectile dysfunction with PDE5i drugs such as Viagra, Levitra, Cialis and Stendra. Often, treating low testosterone levels can help reduce or eliminate symptoms of erection disorder. In other cases, men require treatment for both erectile dysfunction and low testosterone levels. That is, in addition to hormone replacement therapy (HRT), men are prescribed type 5 phosphodiesterase inhibitors noted above. They have a symptomatic effect.

Congenital hypogonadism, that is, testosterone-related hormonal disorder acquired during the prenatal period, is not treated (this is a very rare disease).

If Viagra or other ED medicine does not work amid low T-levels, this may mean the following: (1) you may try some Viagra alternative like oral Levitra pills or intracavernous Caverject shots; (2) your testosterone condition is too severe and you need to improve it first.

Important to Know

Testosterone levels in the male body peak around the age of 25-30, then slowly begin to decline. However, low testosterone levels can also be a sign of serious illnesses, including cardiovascular ones and diabetes. Therefore, if you are experiencing problems in your sexual life, you should tell your doctor about this. Perhaps he will recommend performing a series of medical tests and carrying out a comprehensive diagnosis of your body.

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I’m an Oncologist and Hematology Specialist primary located in Bryn Mawr, Pennsylvania. I have over 55 years of experience in the medical field and more than 20 years of practice. I’m skilled at the treatment & diagnosis of a large array of ailments & diseases in adults.

Board certifications

  • American Board of Internal Medicine Certification in Internal Medicine
  • American Board of Hematology Certification in Hematology
  • American Board of Medical Oncology Certification in Medical Oncology