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Learn More: http://erectioniq.com/ Dr. Robert Segal joins the Erectile Dysfunction Radio Podcast to discuss Low Testosterone and Erectile Dysfunction. Dr. Segal is a urologist in Maryland who specializes in male sexual medicine. The Erectile Dysfunction Radio Podcast is dedicated to educating and empowering men to address erectile dysfunction, improve confidence, and enhance the satisfaction in their relationships. This podcast is hosted by certified sex therapist, Mark Goldberg, LCMFT, CST. Transcript of Episode 16 – Low Testosterone and Erectile Dysfunction with Dr. Robert Segal MARK: Welcome to another episode of the Erectile Dysfunction Radio podcast. Today we are joined by Dr. Robert Segal. Dr. Segal is a urologist who has completed a fellowship in male sexual medicine at Johns Hopkins. He practices general urology and male sexual medicine. Dr. Segal specializes in male sexual dysfunction, including hypogonadism, which is low testosterone, and the topic of tonight’s podcast, premature ejaculation, Peyronie’s disease and erectile dysfunction. Dr. Segal has conducted research and is an author of multiple articles on these topics. Welcome, Dr. Segal. DR. SEGAL: Thank you very much. Happy to be here. MARK: So our topic today, Dr. Segal, is going to be low testosterone and erectile dysfunction. So I’d like to get started by helping our listeners understand what it means when somebody has low testosterone. DR. SEGAL: Okay. So testosterone is the hormone that gives a man his vitality. Energy level, libido, it contributes to a sense of well-being, good mood. And it’s produced, for the most part, by the testicles, so about 95% of the testosterone in the body comes from the testicles, and so if someone has low testosterone, it means that there is insufficient production of testosterone. And typically, the clinical symptoms associated with it include low sex drive, low energy level, the inability to exercise or to perform a great deal of physical activity, it can be associated with depression, with erectile dysfunction as well. It’s diagnosed with a blood test that would be ordered on the basis of the patient having these symptoms. MARK: Okay. So testosterone goes way beyond just sexual function. It includes also mental health, other areas of general function, energy levels. Is that correct? DR. SEGAL: I would say that that’s very true. One of the difficult things associated with assessing for low testosterone and potentially managing it, is that a lot of the symptoms that I mentioned to you are relatively nonspecific, and so just because someone has one or more of these symptoms does not automatically mean that they have low testosterone. And sometimes you can have men who have low testosterone, who have these symptoms, who, when you treat them and get their testosterone levels normalized, they are still symptomatic, which implies that their symptoms are related to something else other than the low testosterone. MARK: So there’s a lot of complexity with low testosterone, the symptoms, not always a simple fix the low testosterone and everything’s going to be okay. DR. SEGAL: Exactly. The one other thing that I think is important to mention is that low testosterone is also associated with some other issues throughout the body. It can be associated with a cardiovascular disease, and men with low testosterone may be at higher risk of cardiovascular outcomes such as heart attack or stroke. It can be associated with weak bones, otherwise called osteopenia or osteoporosis. So those are two of the big ones that we hadn’t touched upon before. And so I have some patients who may not derive benefit in terms of their sexual symptoms, for example, with replenishing testosterone, but because they want to keep these other body systems healthy, they will kind of continue testosterone replacement just for the ancillary benefit, so to speak. MARK: Got it. Okay. Now, when you were talking about conditions that are associated, one of the things that I think will also be very important for our listeners to understand are what are some of the most common causes of low testosterone? DR. SEGAL: So it’s a good question, and this can sometimes, in fact, many times, be difficult to ascertain. You could make the argument that, in some cases, it may not even entirely matter what the cause is, because if the end result is having low testosterone, and the treatment, for the most part, is the same, I.e replacing testosterone with different medical options, then finding the exact cause may not be possible or may not be that important. ...transcript continued at: https://erectioniq.com/low-testosterone-and-erectile-dysfunction/

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