Low Testosterone Levels in Men is a Common Cause of ED in Men: Specialized Treatment in NYC

by Alex Shteynshlyuger MD


If you have any questions, to schedule a consultation or if you need a second opinion, please contact us or call 1-(646) 663-5211.


Low Testosterone Levels is a Significant Problem for Many Men

Low Testosterone Levels in MenLow testosterone is a common problem in men. It may occur in younger men who are in their 30’s and 40’s but is more common in men over 50 years of age.

Some men develop low testosterone because of an underlying problem, such as a pituitary tumor, called pituitary adenoma, or diabetes.

Most men have age-related loss of testosterone levels. Testosterone levels tend to decrease as men age, with most noticeable drop in men aged 60+.

What is Testosterone?

Testosterone is a naturally occurring hormone that is produced mostly in the testis; small amounts are also produced by the adrenal gland in men.  Testosterone is a required hormone for penis growth during puberty. Testosterone is also involved in sex drive.  Testosterone is important for erections as well as it appears to increase responsiveness of blood vessels of the penis to stimulation and helps men obtain better erections.  In addition, testosterone is very important for production of sperm in men.  Men with low testosterone levels often suffer from male infertility.

Testosterone is also important in maintaining high energy levels and strength.  Men with low testosterone often complain of decreased energy levels and endurance.

Low Testosterone Levels can Cause a Number of Symptoms:

  • Difficulty obtaining and maintaining erections
  • Erections that are not sufficiently rigid.
  • Poor erection quality / hardness
  • Low energy levels
  • Decrease in height.

How Can Men Raise their Testosterone Levels Naturally?

Regular exercise and healthy (low-fat, low-cholesterol “Mediterranean) diet can help men maintain high testosterone levels.  For men who are obese, weight loss can reliably lead to increased testosterone levels and better erections.

In men with scrotal varicoceles, treatment of varicocele with microscopic varicocelectomy can raise testosterone levels.

It is not clear if and which nutritional supplements can reliably increase testosterone levels as few high quality studies are available.

What Treatment Options are Available to Raise Testosterone Levels in Men with Low T.

For men with scrotal varicoceles, microscopic varicocelectomy can provide an effective treatment option for low testosterone levels.

For obese men, weight loss is important part of treatment.  Testosterone supplementation can help men both lose weight and increase their testosterone levels.

For men who plan to have children, special care is required when it comes to testosterone replacement as typical treatment can lead to infertility. Supplementation with HCG injections or use of oral medications such as Clomid should be considered.

For most men with Low T (low testosterone) levels, treatment options include:

Testosterone Gels – these are usually applied to the skin, for example Axiron (armpit), Testim (shoulder), AndroGel (shoulder).  Generic testosterone gels are also available.

Testosterone injections – these are injected intramuscularly. Various injections can be injected weekly, every other week, once every 2 months.  Generic testosterone injections are also available.

Testosterone pellets – these are inserted just below the skin and are good for 4-6 months. TestoPel is one example of such testosterone implants.

Other treatment options are available such as oral and sublingual testosterone are rarely used.  At New York Urology Specialists we most often use testosterone gels, injections and TestoPel testosterone implants.

The choice of treatment depends on patient preferences and treatment effectiveness. Some treatments are more effective in some patients than in others.

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What You Need to Know:


If you have any questions, to schedule a consultation or if you need a second opinion, please contact us or call 1-(646) 663-5211.

We treat men with low testosterone levels and erection problems in Manhattan. Our offices are easily accessible to men who live and work in Brooklyn, Queens, Bronx, New Jersey, Westchester and Long Island. Trains from


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