Are gel forms effective in treating erectile dysfunction?

Question

Hello doctor,

I have low libido problem. As a result of which I am suffering from ED since two years. I am 38 years old, married and having one daughter aged six years. I had some issue of erectile dysfunction at 32 years, but it got sorted by itself. I checked my testosterone and it was 295 ng/dL and 270 ng/dL (normal laboratory values above 300 ng/dL) tested at different laboratories a year back.

My prolactin level is 4.36 (normal ranges between 1.61 and 18.77). Since two years I have tried ED drugs, but no significant results. I do have some symptoms like delayed ejaculation and baldness from the age of 22. I tried Testoviron depot 250 which gave very good results.

But stopped as I was worried of side effects. Kindly advice whether I am a fit candidate for TRT. Are gel forms a better alternative and effective? I feel taking injection may become difficult.

Please help.

Thank you.

Answer 1

Hello,

Welcome back to icliniq.com.

I understand your concern.

Yes, your symptoms are due to testosterone deficiency. And you do need testosterone supplement. Well, Depot injection was actually a good option. But, it comes with side effects. Still it is a good option as you need to take injection just once in one or two months.

Testosterone gel is also a good option, but it should be applied daily and cost when compared to injection is high. But, the risk of side effect is less with gel. In addition, I recommend you to get tested for diabetes, serum vitamin D levels and get scrotal ultrasound scan done.

I hope this helps.

Kindly follow up if you have more concerns.

Thank you.

Answer 2

Hello,

Welcome back to icliniq.com.

I understand your concern.

You can use Androgel (testosterone gel). It comes in a daily use sachet to be applied anywhere on the body. Within few minutes of application, the site should not come in contact with females or children. Side effects with injections are there will be increase in cholesterol levels, blood pressure and increased risk of heart problems. But, it will not happen in every one.

So, get your blood pressure checked once in a month and blood cholesterol checked for every six months (lipid profile). If there is a symptom of chest pain then get 2D echo (two-dimensional echocardiogram) done. Otherwise, injections can also be continued.

I hope this helps.

Kindly follow up if you have more concerns.

Thank you.

Answer 3

Hello,

Welcome back to icliniq.com.

I understand your concern.

Yes, Cernos gel can be used. Ask for 1 % gel. I would suggest you to apply Cernos gel 1 % over thigh or back once daily. If you wish to opt for injection, take injection Testosterone cypionate 200 mg IM once a month.

I hope this helps.

Kindly follow up if you have more concerns.

Thank you.