I am a 46 year old man experiencing erectile dysfunction for the past 3 months. My blood tests show low free testosterone, high estradiol, and high FSH levels. The endocrinologist initially prescribed Modula for 10 days, but I did not experience any improvement. He then suggested testosterone replacement therapy. I have not started TRT and instead opted for Ayurvedic treatment recommended by a well known sexologist in Delhi. However, after 2 months, there has been little improvement. I no longer have morning erections and have been unable to have sexual intercourse due to poor erections for 3 months. I have a few questions: Should I consider starting testosterone replacement therapy? Is TRT the only effective option for me? What are the potential long term complications of TRT?

Answered by 1 Apollo Doctors

Dr Shaik Kalam

General Practitioner

MD (Physician)
3+ Yrs

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Low testosterone with high FSH may suggest primary testicular failure. TRT can help, but long term use needs monitoring.

Dr. Shaik Suggests...

Take a Testosterone Test Test or Take a FSH,LH & Prolactin, Serum Test

Book Testosterone Test Test Book FSH,LH & Prolactin, Serum Test

Answered 01/09/2025

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Hi, I am 25 years old and have a long history of habitual masturbation. Recently, I have been experiencing some erection problems: either difficulty getting an erection or inability to sustain it. I have done hormone tests, and the results are: Testosterone: 452 ng/dL Free Testosterone: 16.60 pg/mL LH: 6.09 mIU/mL Estradiol (E2): 61.9 pg/mL FSH: 7.33 mIU/mL My doctor has suggested a penile Doppler test. Based on my hormone test results, is this test necessary, or can it be skipped? Please advise

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