Hormonal Therapy for Erection Problems
Testosterone can be given as a shot in the muscle, usually every 2 to 3 weeks. This is not the same as medicines you give as a shot in the penis.
Testosterone can also be given as a patch that is placed on the skin and changed every day. Or it can be used as a gel that is applied daily to the skin.
These medicines can be used to treat men who have high prolactin levels, which can reduce the amount of testosterone produced by the body and may lead to problems such as infertility or erection problems. Bromocriptine and cabergoline are taken by mouth.
How It Works
Replacing testosterone, if it is low, may increase a man's sexual desire, or libido.
Bromocriptine and cabergoline help to lower the amount of prolactin in the body. In some men, a noncancerous tumor on the pituitary gland causes the gland to produce too much prolactin.
Why It Is Used
Testosterone may be prescribed for men who have low testosterone levels. It is not recommended for men with testosterone levels in the low part of the normal range.
Bromocriptine and cabergoline may be prescribed for men with high prolactin levels.
Blood tests are needed to determine the levels of these hormones.
How Well It Works
Bromocriptine and cabergoline may help restore sexual interest and potency when erection problems are caused by high prolactin levels.1
Side effects of testosterone may include:
Side effects of bromocriptine may include:
Side effects of cabergoline may include:
Side effects may cause some men to stop taking the medicine. Nervous system and mental side effects may linger for 2 to 6 weeks after a man stops taking the medicine.
See Drug Reference for a full list of side effects. (Drug Reference is not available in all systems.)
What To Think About
When thinking about hormonal therapy for erection problems, it is important to include your partner in your decision.
During the first year of testosterone therapy, you should receive a prostate examination, a PSA blood test, a complete blood count, and a liver function test every 3 to 6 months.
Although replacement of testosterone through injections or patches can improve a man's libido, it does not always improve a man's ability to have an erection.
Testosterone is not given as a pill.
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