Older men with erectile dysfunction may find that medicines like Viagra, Cialis or Levitra do not altogether fix their problem, that they give poor or unsatisfactory results. This may be particularly so if they suffer from Type 2 diabetes or generalised arteriosclerosis or hardening of their arteries. If you fall into this category then please do not despair. There are now ways around this problem. But, you may need to work on your doctor first.
Evidence abounds that the addition of Testosterone Replacement Therapy or TRT can make a tremendous difference to the treatment of erectile dysfunction in older men. For example, in 2005 Dr. Ridwan Shabsigh from Columbia University Hospital studied 75 men with ED. Half of these were given Viagra 100 mg plus a placebo gel for one month. The other half were given Viagra 100mg plus a 5-gram testosterone gel daily. There was a significant improvement in the quality of erections achieved among the later group.
Something else should be noted here. Many doctors are still hung up on the very dubious value of doing blood tests on men before starting them on TRT. They like to check on blood testosterone levels plus a whole battery of other exotic hormones. However, the problem is that these tests do not actually tell the doctor anything useful about their patient’s need or otherwise for additional testosterone. They are very expensive and notoriously unreliable.
Recent research has shown that a better approach to deciding if an older man might benefit from TRT is the so-called ’empirical’ approach. This could equally be called the ‘commonsense’ approach. Let us say an older man is mildly depressed. He also suffers from erectile dysfunction that does not respond adequately to Viagra 100mg. His PSA (prostate specific antigen) is normal. Now what are our options?
The empirical approach. We start this man on a testosterone gel and ask him to apply this to his skin every day for a month. Then after the month is up, we apply a standard questionnaire called the ADAM test. Does he feel lees depressed and has his ability to achieve erections improved? If the answer to both of these questions is negative then maybe there is not much point in his continuing with TRT. If however, as is the more likely scenario, he is less depressed and the quality of his erections has improved them the probability that TRT is helping him is very high. Not exactly rocket science now is it?
Summery: Viagra, Cialis or Levitra alone often fail to solve older men’s erectile dysfunction. With the simple and safe adjunct treatment of additional testosterone therapy, this can greatly enhance the efficacy of these drugs in helping to overcome this problem. Provided your PSA blood test is normal this approach to curing your ED is always worth considering.