Excerpt from a YouTube video by Dr. Charles Mok discussing testosterone replacement therapy and its effects on male genitourinary and sexual health. Key points: testosterone can improve sex drive and some urinary symptoms associated with aging; prostate volume may increase on MRI despite symptom improvement; erectile dysfunction may improve if low testosterone is treated but results are variable and vascular circulation is often an important factor.
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Last thing is sex drive. So erectile dysfunction, urinary let's say not just sex drive, say genital urinary health. So studies with testosterone replacement in men that had minor urologic symptoms like frequent urination at night, things that happen with age, they typically get better over time. With testosterone replacement sometimes the volume of the prostate will go up on mri but the symptoms get better. It's not clear why that is. That's been shown in numerous studies. Sex drive usually gets a little better. So if a man has lost some sex drive it usually gets better. A man has erectile dysfunction, not, not a sure thing. You know there's other drugs that we use for erectile dysfunction and even techniques but if your testosterone is low the likelihood of erectile function goes up. If you treat it, good chance it'll get better. But it's not the end all for rectal dysfunction. A lot of times it's circulation problems that affect that.