Erectile Dysfunction Cure? Top Urologist Shares the Truth

madman · Jun 30, 2025

Vascular health is critical!

In this episode, Dr. Morgentaler talks about how testosterone therapy can help treat erectile dysfunction in men with low testosterone—especially when vascular health isn’t the main issue.

Chapters

00:14 – Testosterone and Erectile Dysfunction: Expert Opinions

In this episode, Dr. Morgentaler explains why some experts say testosterone shouldn’t be used alone to treat ED—but why that’s not the whole story.

.01:19 – Personal Experience and Treatment Approach

Dr. Morgentaler shares how treating low testosterone alone has helped many of his patients improve erections without ED meds.

03:38 – Key Studies on Testosterone Therapy

He compares two major studies—Testosterone Trials and TRAVERSE—to show why results differ based on patients' heart health.

08:28 – Understanding Erectile Function and Testosterone's Role

He breaks down how erections work and the key roles testosterone, nerves, blood flow, and the brain all play.

15:03 – Practical Treatment Strategies and Conclusion

Dr. Morgentaler outlines his go-to treatment method: start with testosterone, then add ED meds if needed.

madman · Jun 30, 2025

Thread 'T and Male Sexual Function'

Feb 12, 2023

Testosterone and Male Sexual Function (2023)
Logan B. Galansky, MD, Jason A. Levy, DO, MS, Arthur L. Burnett, MD, MBA

INTRODUCTION

Male sexual function involves a complex interplay between hormonal, anatomic, and neuropsychologic functions and mediators. At the basis of any discussion surrounding normal and abnormal male sexual function is the “male sexual hormone,” testosterone (T). Hypogonadism, defined broadly as testicular failure with androgen deficiency, can disrupt the male sexual response cycle as well as normal systemic physiology. The resulting signs...

Thread 'The Impact of Testosterone on Erectile Function'

Oct 28, 2022

The Impact of Testosterone on Erectile Function (2022)
Jessica N. Schardein, and James M. Hotaling

Abstract

Erectile function is dependent on the correct balance of vasoactive substances, neurotransmitters, endocrine factors, and tissue fibroelastic properties. Erectile dysfunction (ED) is a multifactorial condition that results from an imbalance of any of the factors that contribute to maintaining proper erectile function. In animal and human studies, hypogonadism has been found to interfere with the proper synthesis and/or release of enzymes as well as the...

Thread 'Role of testosterone in male sexual function'

Aug 24, 2022

The role of testosterone in male sexual function (2022)
Giovanni Corona · Mario Maggi

Abstract

Sexual function, and testosterone (T) levels, progressively decline in aging men. Associated morbidities and metabolic disorders can accelerate the phenomenon. The specific contribution of low T to sexual function impairment in aging men has still not been completely clarified. Similarly, the role of T replacement therapy (TRT), as well as the combination of TRT with phosphodiesterase type 5 inhibitors (PDE5i) for patients with erectile dysfunction (ED), is still...

madman · Jun 30, 2025

Thread 'How An Erection Works'

Jan 14, 2023

In this video, Jonathan from the Institute of Human Anatomy discusses the mechanism behind human erections.

00:00 Erectile function is crucial for reproduction, and understanding its mechanisms is essential, especially for addressing erectile dysfunction.
01:16 Stimulation for initiating erections can be psychological or tactile, with the most sensitive area being the glans penis, which triggers a reflexive response.
03:19 Erectile function primarily involves reflexive activation of the parasympathetic...

madman · Jun 30, 2025

Thread 'The hormonal regulation of men’s sexual desire, arousal, and penile erection'

Jun 20, 2025

Briefing Document: Hormonal Regulation of Male Sexual Desire, Arousal, and Penile Erection

Source

Rastrelli, G., Antonio, L., Carrier, S., Isidori, A., & Maggi, M. (2025). The hormonal regulation of men’s sexual desire, arousal, and penile erection: recommendations from the fifth international consultation on sexual medicine (ICSM 2024). Sexual Medicine Reviews, 2025, 1–23.

Overview

This invited review from Sexual Medicine Reviews (2025) provides an extensive, evidence-based overview of the hormonal and neurochemical regulation of male sexual...

madman · Jun 30, 2025

post #3 (Go nuts!)

Post in thread 'Testosterone + Men's Sexual Health'

Nov 10, 2024

14:20-16:47 (erections/erectile dysfunction)

You need 5 things to get a good erection:

1. good blood flow
2. good nerves
3. good testosterone levels
4. neurotransmitters/arousal
5. state of mind