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Does testosterone booster help in bed?

Testosterone treatment has not been shown to improve erections in men with normal testosterone levels. And studies show that it does not help men with low testosterone levels if ED is their only symptom.

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Testosterone for Erection Problems When you need testosterone treatment—and when you don’t

Most men have problems with erections from time to time. But some men have erectile dysfunction, or ED. This is when it is difficult to get or keep an erection that’s firm enough for sexual intercourse. If you have ED, you may think that testosterone treatment will help. Testosterone is a male sex hormone. After age 50, men’s levels of testosterone slowly go down and ED becomes more common. But unless you have other symptoms of low testosterone, you should think twice about the treatment. Here’s why:

Testosterone treatment usually isn’t helpful for ED.

Testosterone treatment has not been shown to improve erections in men with normal testosterone levels. And studies show that it does not help men with low testosterone levels if ED is their only symptom.

ED usually has other causes.

ED is almost always caused by low blood flow to the penis. This is a result of other conditions, such as hardening of the arteries, high blood pressure, and high cholesterol. These conditions narrow the blood vessels and reduce blood flow to the penis. Low testosterone may affect the desire for sex, but it rarely causes ED.

Testosterone replacement therapy has many risks.

Testosterone treatment can cause the body to retain too much fluid. It can also cause acne, an enlarged prostate, and enlarged breasts. Other side effects include lower fertility; an increase in red blood cells; and an increase in sleep apnea symptoms. Women and children should avoid touching unwashed or unclothed areas of skin where a man has applied testosterone gel. The gel can be transferred through skin contact. Although available data is conflicting, the Food and Drug Administration (FDA) has concluded that increased cardiovascular risk (problems with the heart and blood vessels) associated with testosterone use is a possibility. The AUA recommends that only FDA-approved medications should be used and a physical evaluation and follow up are important.

Testosterone replacement therapy can be costly.

Testosterone treatment can be an injection, a gel, or a patch that is put on the skin. All of these are costly. They may cost hundreds of dollars a month, depending on the treatment. Men who use a testosterone treatment must use it indefinitely to get and keep the full effect.

When should you consider testosterone treatment for ED?

If you’ve had trouble having erections for three months, talk to your doctor. He or she will ask about all your symptoms and give you a physical exam. Symptoms of low testosterone can include less of a sex drive, loss of body hair, breast growth, needing to shave less often, a drop in muscle size and strength, and bones that break more easily. If you have some of these symptoms, your doctor may have you get a blood test to measure your testosterone levels. The blood test should be done more than once. It is best to do it in the morning when testosterone levels are highest. If the tests show that you have low testosterone levels, your doctor should look for possible causes. For example, the low levels might be caused by a problem in the pituitary glands.

If no other cause is found, you can try testosterone treatment.

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Does weight lifting increase testosterone?

All Types of Exercise Count. Endurance training and resistance training (such as weight lifting) both boost testosterone levels briefly, Schroeder says. Lifting weights or doing other strength-training workouts has a bigger effect on your testosterone, Schroeder says.

If you’re a man with low testosterone, exercise may help.

Doctors and fitness professionals still have a lot to learn about exercise and its effects on testosterone. Several factors besides your workout are involved. But one thing is clear: You need to make exercise a habit in order to get the benefits.

After exercise, testosterone levels rise -- but not for long.

"Sometimes it’s 15 minutes after exercise that testosterone is elevated. Sometimes it can be up to an hour,” says Todd Schroeder, PhD, who studies exercise and hormones in older men at the University of Southern California. It's not yet clear what health effects, if any, these temporary boosts may have. Of course, exercise has many other well-known health perks. For men who have low testosterone, exercise alone probably won’t raise their levels enough to make a difference in how they feel, says endocrinologist Scott Isaacs, MD, of Emory University. But he says for men whose testosterone level is on the borderline between normal and low, “I think it’s going to have a much more potent effect.”

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