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It is the most common sexual problem in males and can cause psychological distress due to its impact on self-image and sexual relationships. The majority of ED cases are attributed to physical risk factors and predictive factors. These factors can be categorized as vascular, neurological, local penile, hormonal, and drug-induced.
Additional signs and symptoms vary and can depend on the specific cause of the testicle shrinkage. Some causes include age, [ 1 ] alcohol use, [ 3 ] anabolic steroid use, [ 4 ] testosterone replacement therapy, [ 2 ] [ 5 ] direct damage to the testicles, [ 6 ] [ 7 ] and infection.
Drugs are also a cause of erectile dysfunction. Individuals who take drugs that lower blood pressure, antipsychotics, antidepressants, sedatives, narcotics, antacids, or alcohol can have problems with sexual function and loss of libido. [13] Hormone deficiency is a relatively rare cause of
Finasteride can cause side effects just like any other drug. But changes in testosterone levels are probably not to blame for any changes in function you might experience from the use of finasteride.
Late-onset hypogonadism (LOH) or testosterone deficiency syndrome (TDS) [1] [2] is a term for a condition in older men characterized by measurably low testosterone levels and clinical symptoms mostly of a sexual nature, including decreased desire for mating, fewer spontaneous erections, and erectile dysfunction. [3]
Testosterone is the primary male sex hormone and androgen in males. [3] In humans, testosterone plays a key role in the development of male reproductive tissues such as testicles and prostate, as well as promoting secondary sexual characteristics such as increased muscle and bone mass, and the growth of body hair.
In men, it causes impaired muscle and body hair development, gynecomastia, decreased height, erectile dysfunction, and sexual difficulties. If hypogonadism is caused by a disorder of the central nervous system (e.g., a brain tumor ), then this is known as central hypogonadism .
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