Q. I am suffering from erectile dysfunction with high FSH and LH. Please help.

Answered by
Dr. Ramchandra Lamba
and medically reviewed by Dr. Vinodhini. J
This is a premium question & answer published on Mar 20, 2020 and last reviewed on: Mar 31, 2020

Hello doctor,

I am 41 years old. My height is 5'7" and I weigh about 74 kg. I am suffering from ED.

T3-110, T4-9.4, TSH-1.37

Total cholesterol 238 (last year), and 249 recently.

25 OH Vitamin D (total) 58.87 ng/ml.

Blood glucose random-104

Blood glucose post prandial 124 g/dL

HbA1c 6.3

T level 330, TSH 1.660 Uiu/ml, FSH 250, LH 400, Prolactone 540, Free testosterone 75.90 pg/ml. There is a smoking history of 20 years (one packet per day) but I completely quit from the last six months. Doctore give me four to five testosterone injections and a sachet to drink with hot water. Later an endocrinologist told no need for medicine and hormones are functioning properly.



Welcome to

All your tests are normal except for high level of FSH (follicle-stimulating hormone) and LH (lutenizing hormone) and prolactin and your endocrinologist advises for no medicine.

For managing your ED (erectile dysfunction) try the life style modifications and use of Sildenafil or Tadalafil as on when required basis.

Avoid alcohol and tobacco products if using currently.

Go for a regular morning walk at least 45 minutes daily or go for exercise daily.

Spend more time during foreplay.

Take adequate sleep.

Eat healthy food and drink plenty of water.

I hope this helps.

Thank you doctor,

My FSH 2.49 miu/ml , LH 4.20 miu/ml , prolactin 5.39 ng/ml. And after two months, the values are FSH 2.50 miu/ml, LH 4.00 miu/ml, Prolactin 40 ng/ml. Why in the evening T level goes below the normal range?



Welcome back to

Then it is fine. Actually there is always variation in hormone levels during evening times, morning time and night time. The standardized test results are accordingly assessed and there is no need to worry if there is some variation depending upon the time.

Do try lifestyle modifications and continue it for a long time and you will see the good results.

is there need of any more medical tests ( i never hear testosterone test or endocrinology before 2017 but doctor know what test needed from problem so you know better ).
history of smoking of 20 years but quit from last 6th month completely .. need any test .

is age a factor ?

in diet simple lunch / dinner , fruit and salads not regular ( 12-15 times in month ) , carrot juice and amla regular in winter seasons , no milk from long time ... 6 – 7 tea a per day , i don’t take fast food and pack food .

walk/ light exercise is mostly done ( 18 –19 days in month) ..this is from 4-5 year
In earlier i walk daily 4—5 km for 8 to 10 years

in 2017 a sexologist advice daily milk , 20 almonds , banana , beet roots and soak & boil chanwala ( black eye beans , lobhiya ) .. and endocrinologist told to reduce sweet item in diet ..what black eyes beans do ..

till now i find from your answer that best food , exercise and good life style
# welcome back sir.

As of now there is no need for other investigation.

Age is a factor but your age is not much concern now as you are only 41 .

your diet is good and avoid too much tea.
Milk ,banana, roots and black eye beans are good sources of vitamins so continue them.
Take salad and leafy vegetables and fruits.

So as of now
do regular exercise.
Take healthy food.
Good life style.

Thanks and regards

Was this answer helpful?


Same symptoms doesn’t mean you have the same problem. Consult a doctor now!

Related Questions:
Is erectile dysfunction related to my thyroid disease?

With regards to erectile dysfunction, the most common cause at this age would be psychogenic ... I feel a strong sexual urge but then there is that ...   Read full

Erectile Dysfunction in Diabetic Population

It has a large psychological component in a huge number of patients - depression, a common psychiatric condition, is much more commonly seen in diabetic men ... This causes a rise in the pressure within the urethra of the pen...   Read full

How to know whether I am going to ovulate in this cycle or not?

.. be helpful if you can share the pictures of the ultrasound you have undergone and also the report which mentions the endometrial thickness on day 14 of your scan .. ...   Read full


Also Read Answers From:

ideaComprehensive Medical Second Opinion.Submit your Case

Also Read

Management of Coronasomnia
Coronasomnia refers to increased sleep problems among people during the COVID-19 pandemic. Read the below article to get...  Read more»
Balantidiasis - Causes, Signs and Symptoms, Diagnosis, Treatment, and Prevention
Balantidiasis is a rare bacterial infection caused by a parasite called Balantidium coli. Read the article below to know...  Read more»
JAK Inhibitors in Treating Rheumatoid Arthritis
Doctors mainly suggest JAK or Janus kinase inhibitors for patients with rheumatoid arthritis to ease their symptoms. Rea...  Read more»

Ask your health query to a doctor online?

Ask a Sexologist Now

* guaranteed answer within 4 hours.

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.