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Testosterone Replacement, Low T, HCG, & Beyond
When Testosterone Is Not Enough
Practical Approaches to Treat ED in PDE5i Nonresponders
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<blockquote data-quote="madman" data-source="post: 188495" data-attributes="member: 13851"><p>[ATTACH=full]11008[/ATTACH]</p><p><strong>Figure 1. <span style="color: rgb(184, 49, 47)">Management of patients with ED and hypogonadism.</span> <span style="color: rgb(44, 130, 201)"><u>In patients with ED, more attention should be paid to testosterone supplementation after hypogonadism is confirmed by the detection of testosterone</u>. </span><span style="color: rgb(184, 49, 47)">In patients with ED and hypogonadism, some will recover from ED after treatment with PDE5is, but others will show nonresponsiveness to PDE5is; in these cases, ED can be treated by adding testosterone to the PDE5i treatment. <u>The reason for this lack of a response is that PDE5 is under the control of testosterone, and a normal testosterone level is a basis for the full effect of PDE5is</u></span><span style="color: rgb(44, 130, 201)">. Therefore, in ED patients with hypogonadism, we recommend giving priority to testosterone supplementation to treat a portion of them and using a combination of testosterone supplementation and PDE5is for the remaining patients.</span> </strong></p></blockquote><p></p>
[QUOTE="madman, post: 188495, member: 13851"] [ATTACH type="full" alt="Screenshot (2106).png"]11008[/ATTACH] [B]Figure 1. [COLOR=rgb(184, 49, 47)]Management of patients with ED and hypogonadism.[/COLOR] [COLOR=rgb(44, 130, 201)][U]In patients with ED, more attention should be paid to testosterone supplementation after hypogonadism is confirmed by the detection of testosterone[/U]. [/COLOR][COLOR=rgb(184, 49, 47)]In patients with ED and hypogonadism, some will recover from ED after treatment with PDE5is, but others will show nonresponsiveness to PDE5is; in these cases, ED can be treated by adding testosterone to the PDE5i treatment. [U]The reason for this lack of a response is that PDE5 is under the control of testosterone, and a normal testosterone level is a basis for the full effect of PDE5is[/U][/COLOR][COLOR=rgb(44, 130, 201)]. Therefore, in ED patients with hypogonadism, we recommend giving priority to testosterone supplementation to treat a portion of them and using a combination of testosterone supplementation and PDE5is for the remaining patients.[/COLOR] [/B] [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
When Testosterone Is Not Enough
Practical Approaches to Treat ED in PDE5i Nonresponders
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