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Published on: 5/6/2025

How Does Low Testosterone Contribute to Erectile Dysfunction?

Low testosterone can lead to erectile dysfunction by reducing libido and decreasing the signals that help the penis become and stay erect.

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Explanation

Testosterone is a hormone that helps the body function well, including supporting sexual desire and the ability to have an erection. When testosterone levels are low, the body might not send strong enough signals to get the blood flowing into the penis, which is needed for an erection. This means that a man’s interest in sex can decrease, and even when he is attracted and ready, the physical process of achieving an erection might not work as well. Research shows that low testosterone is linked to weaker erectile function because the hormone also helps keep the blood vessels and nerves in good working order. When testosterone drops, these systems may not work as effectively, making it harder to erect and maintain an erection during sexual activity. While many factors can cause erectile dysfunction, low testosterone is an important one. If you or someone you know is having these issues, it’s a good idea to speak with a doctor who can check hormone levels and help determine the best treatment to improve overall sexual function and quality of life.

(References)

  • Rajfer J. Relationship between testosterone and erectile dysfunction. Rev Urol. 2000 Spring;2(2):122-8. PMID: 16985751; PMCID: PMC1476110.

  • Tsujimura A. The Relationship between Testosterone Deficiency and Men's Health. World J Mens Health. 2013 Aug;31(2):126-35. doi: 10.5534/wjmh.2013.31.2.126. Epub 2013 Aug 31. PMID: 24044107; PMCID: PMC3770847.

  • Mikhail N. Does testosterone have a role in erectile function? Am J Med. 2006 May;119(5):373-82. doi: 10.1016/j.amjmed.2005.07.042. PMID: 16651047.

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