New guidelineshave published this week in the Journal of Sexual Medicine called for GPs to routinely test all patients with erectile dysfunction, to establish whether the condition is caused by low testosterone levels.
The guidance, from the British Society for Sexual Medicine (BSSM), shows that testosterone deficiency syndrome (TDS) is a treatable cause of male impotence.
Low testosterone levels are associated with reduced sexual health, loss of libido and lack of responsiveness to the PDE5 inhibitor drugs that treat erectile dysfunction. Around 1 in 3 men with erectily dysfunction also have TDS.
TDS, once diagnosed by means of a test of serum testosterone levels, can be treated with testosterone therapy.
Professor Pierre-Marc Bouloux, consultant in endocrinology and diabetes at the Royal Free Hampstead NHS Trust, London, said: ‘Testosterone deficiency syndrome is more common than GPs realise and it is important that it is recognised as a potential cause of erectile dysfunction.
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