Understanding Low Testosterone, Erectile Dysfunction, and the Latest Advances in Treatment
June is Men’s Health Awareness Month, a time to spotlight the often-overlooked issues that impact men’s well-being, especially those related to hormonal health and sexual function. Conditions like low testosterone (hypogonadism) and erectile dysfunction (ED) are more common than many realize, yet they’re rarely talked about openly. Understanding these concerns, along with emerging treatment options and the evolving research behind them, is key to helping men regain confidence, vitality, and quality of life.
LOW TESTOSTERONE
Testosterone is a vital hormone that supports muscle mass, bone density, fat distribution, and the production of red blood cells and sperm. When levels drop—a condition known as hypogonadism—men may experience symptoms like fatigue, low mood, decreased libido, and a noticeable decline in muscle tone. These changes can be triggered by age, underlying medical conditions, or lifestyle habits.
Causes of Low Testosterone
Beyond age-related decline—typically about one percent each year after age 30—other factors can significantly impact testosterone levels. Conditions such as obesity, diabetes, and metabolic syndrome are commonly associated with lower levels. Poor diet, lack of exercise, and chronic stress can also suppress hormone production.
ERECTILE DYSFUNCTION
Erectile dysfunction (ED) is defined as the consistent inability to achieve or maintain an erection sufficient for satisfactory sexual performance. It can stem from a variety of sources—psychological, neurological, hormonal, or vascular—and it often overlaps with other physical or emotional health concerns.
Causes of Erectile Dysfunction
Circulatory problems, such as atherosclerosis, can limit blood flow and contribute to ED. Neurological conditions like Parkinson’s disease or multiple sclerosis may disrupt the nerve signals essential for arousal. Psychological influences—stress, anxiety, and depression—also play a significant role. And in many cases, hormonal imbalances, particularly low testosterone, can further diminish sexual function.
While ED becomes more common with age, it can affect men at any stage of life. Studies show that around five percent of men in their 20s and 30s experience ED, rising to over fifty percent of men aged 40 to 70, and nearly seventy percent of those over 70.
HORMONE REPLACEMENT THERAPY
Hormone replacement therapy (HRT) uses testosterone supplementation—delivered through injections, patches, gels, or tablets—to help restore balance and relieve symptoms associated with low testosterone.
Benefits of HRT
Many men undergoing HRT report increased libido, stronger erectile function, and better mood and energy levels. HRT may also support greater muscle mass, stronger bones, and a general sense of well-being—though individual results may vary depending on underlying health, lifestyle habits, and the consistency of treatment.
EMERGING MEDICAL LITERATURE
TRAVERSE Trial and Cardiovascular Risk
One of the longstanding concerns about testosterone therapy has been its potential impact on heart health. The TRAVERSE trial, a large-scale, randomized, placebo-controlled study, explored whether testosterone replacement therapy increases cardiovascular risk in men with low testosterone and existing risk factors.
Findings from the TRAVERSE Trial
The TRAVERSE trial found no significant increase in cardiovascular events among men receiving testosterone therapy compared to those who received a placebo—helping to ease previous concerns surrounding cardiovascular complications. Participants in the testosterone group also reported improved sexual function, mood, and quality of life. Importantly, there was no increased risk of prostate cancer in those receiving treatment, aligning with other recent findings in the field.
INNOVATIVE RADIOFREQUENCY TECHNOLOGY
Apex by INMODE for Erectile Dysfunction
Alongside traditional ED treatments, newer technologies are expanding treatment options. One such device, Apex by INMODE, uses radiofrequency energy to improve blood flow and stimulate collagen production in penile tissue—offering a non-invasive approach to sexual wellness.
Benefits of Apex by INMODE
This technology aims to enhance erectile firmness and duration by strengthening the structure of penile tissue. By stimulating blood flow and collagen production, it may also increase sensitivity and satisfaction during sexual activity. Some users even report increased girth due to collagen growth within the tissue. This non-invasive treatment provides a promising alternative—or complement—to traditional ED therapies, further expanding the available tools for managing sexual health.
PRIORITIZE YOUR HEALTH
As we recognize Men’s Health Awareness Month, it’s a reminder that issues like low testosterone and erectile dysfunction deserve more open conversation and proactive care. Advances in hormone therapy and emerging technologies—such as the Apex by INMODE device—are giving men more tools than ever to take charge of their health. With clinical studies like the TRAVERSE trial offering reassurance about safety, and innovative non-invasive options expanding what’s possible, there’s real hope for those seeking solutions. A tailored, holistic approach—one that blends lifestyle changes, emotional support, and medical treatment—can make a meaningful difference. Regular exercise, a balanced diet, stress management, and honest, ongoing communication with healthcare providers can all contribute to better outcomes. Prioritizing men’s health isn’t just timely in June—it’s essential all year long.
Dr. Kendall Wagner, M.D. is a regular healthcare contributor to Do South.
Chaffee Crossing Clinic / Aspire Medical Aesthetics
479.242.5910 / 479.242.7100
