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Low libido and ED
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Low libido and ED

I have been experiencing low libido and having erectile dysfunction for a while. Viagra works when it works, but with low libido, it doesn't always work. Taking Yohimbe with the Viagra made the situation more consistent, but caused increased blood pressure and upset stomach. I am being treated for high blood bressure with Micardis 40mg. Recent blood test was:

Age 43

FSH 7.59 miu/ml
Luteinizing hormone 4.33 miu/ml
prolactin 9.96 ng/ml
total testosterone 360 ng/dl
free testosterone 78 pg/ml
psa 0.92 ng/ml

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Typically normal testosterone ranges from 300-1100.  Typically, I would like to see the total testosterone above 500.  

The normal value for the free testosterone ranges from 80-300.  

I think that with these values, you may benefit from testosterone therapy, which can certainly improve the libido.  You may want to discuss with your physician the possibility of AndroGel or a similar testosterone replacement product.  

Followup with your personal physician is essential.

This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.

Thanks,
Kevin, M.D.
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