Can Propranolol result in low sex drive and poor erections?

Hello,

Welcome to icliniq.com.

Thanks for writing in, and I understand your concern. Your symptoms can be due to low testosterone. Based on your reports (attachments removed to protect the patient's identity), you have low total testosterone. Other possible causes are anxiety, Propranolol intake, and diabetes-related vascular neuropathy. Would you please repeat the test one more time to confirm? Also, check sex hormone binding globulin (SHBG) and free testosterone levels. I suggest you lose weight as weight loss will help you greatly. Did you experience a head injury, snake bite, surgery, or radiation? If low testosterone is confirmed, you can start testosterone replacement therapy. It will help your sex drive and erections to some extent. Do you have plans for another child? Because when you start testosterone, your sperm count will drop. Also, you seem to have high HbA1c (glycated hemoglobin). So, check with your doctor about diabetes and get treated for that. Lastly, if Propranolol can be substituted with anything else, that would be good.

Regards.

Hello,

Welcome back to icliniq.com.

First, we are not sure if low testosterone is the reason for your symptoms. Secondly, you do not have any severe health problems, so do not be worried. Yes, obesity is the most likely reason for high HbA1c and low testosterone. Obesity lowers sex hormone binding globulin (SHBG). So, I strongly recommend checking SHBG and free or bioavailable testosterone. Weight loss will improve the testosterone level. Cut down on sugars, starch, and fat. I also suggest aerobic exercise and additional three days of resistance exercise. You can also try the ketogenic diet, intermittent fasting, meal replacement, and whole food plant-based diet for a faster weight loss. There are medicines for weight loss also. And finally, bariatric surgery. Please meet with the endocrinologist. See what they have to say.

I hope this helps you.

Regards.