Title: Erectile Dysfunction and Testosterone Deficiency in Young Men
Authors: Dr Satyanarayana Reddy Alla, MD, FECSM., Dr Ambujam G. MS.
DOI: https://dx.doi.org/10.18535/jmscr/v8i7.22
Abstract
Erectile Dysfunction (ED) is a common sexual problem, the prevalence increasing with age; severe ED seen in 5% of men at 40, tripling to 15% in men at 70 years of age. The prevalence rates of ED in young men in 20-40 years age group varies from 1.7% to 13% in various studies. Low testosterone is a well known but uncommon cause of ED.
This study aims at identifying hypogonadism in young men with ED. This is a retrospective clinic based study from South India done on young men of 20-40 years. One group of 142 men with Premature Ejaculation (PME), no ED; and another group of 269 men with ED with or without PME, demographically similar, attended the clinic during the same time were compared.
3% of men in PME group and 17% of men in ED group had total testosterone less than 240 ng/dl. 22% of men in PME group and 49% of men in ED group had total testosterone less than 360 ng/dl. The mean Total Testosterone (TT) value in PME group was 520 and the mean TT in ED group was 406.ng/dl. All of these are statistically significant. Hence it can be inferred that, even in young men, testosterone deficiency is not a rare cause, but a significant cause of ED.
Keywords: Erectile Dysfunction; Testosterone: Hypogonadism
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