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Many male patients are suffering from Erectile dysfunction as well as low libido Causes of Low libido : 1. testosterone deficiency. 2. erectile dysfunction 3. Lack of interest in partner we discuss in Hindi: low libido kya hota hai,low libido ka ilaj kya hai aur low desire ko kaise badhaye When we treat low testosterone, the ED problem also gets solved. I am Dr Ashish Sabharwal urologist and Andrologist, and Men's Health Expert from New Delhi India, and I will talk to you today about low libido and erectile dysfunction in a young man. Testosterone is formed in the testes in males. With age the testicular function reduces. With that the testosterone levels also reduce. It has been seen that after the age of 45 years, up to 40 % of patients suffer from low testosterone. Low testosterone causes 5 sexual function side effects in men : 1. Erectile dysfunction: at the time of excitement, the body releases nitric oxide which dilates the blood vessels and muscles of the penis and makes the penis hard. When the testosterone level is low, there is reduced production and release of nitric oxide and due to this, penile blood flow does not increase at the time of intercourse, and due to this patient suffers from erectile dysfunction. 2. Low libido: This means that patients with low testosterone have a lack of initiative and lack of excitement so much so that they do not even feel like having intercourse. So many patients will come to me that their erections are fine but their desire to have intercourse is no longer present. 3. Low testosterone causes loss of sensation in the penis. It means that you do not feel any sensation or excitement in the penis and the penis feels like it is almost dead.4.Penile shrinkage: the normal penis since it is not getting enough blood supply and there is reduced sensation, feels and becomes very shrunken. After the testosterone levels in the body become normal, the Penile size becomes normal.5. Loss of semen quality. Low testosterone causes the Semen to become thin and watery. How to diagnose low testosterone levels: Total testosterone test. This test should be done empty stomach between 7 AM to 11 AM and a value of less than 300 ng/dL signifies low testosterone. How to treat low testosterone naturally: If you’re having symptoms and your testosterone levels are low, You will need testosterone treatment : We will explain in Hindi the various treatment modalities : Lifestyle modification: weight loss, exercise exercises, proper sleep, proper diet of green leafy vegetables and fruits, and avoiding red meat. If you have diabetes it should be controlled. Diabetes causes low testosterone and obesity. Testosterone replacement therapy ( TRT ): medicine for increasing testosterone levels. Testosterone injections, tablets transdermal gels, and patches are available for correcting testosterone levels. They can be used either alone or along with sildenafil and other phosphodiesterase inhibitors to improve erections. If you are also suffering from ED or low testosterone and you want to consult me, you can contact me on email: urodoc2011@gmail.com. or WhatsApp: +919999059016

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