In this episode, Dr. Morgentaler talks about how testosterone therapy can help treat erectile dysfunction in men with low testosterone—especially when vascular health isn’t the main issue.
00:14 – Testosterone and Erectile Dysfunction: Expert Opinions
In this episode, Dr. Morgentaler explains why some experts say testosterone shouldn’t be used alone to treat ED—but why that’s not the whole story.
01:19 – Personal Experience and Treatment Approach
Dr. Morgentaler shares how treating low testosterone alone has helped many of his patients improve erections without ED meds.
03:38 – Key Studies on Testosterone Therapy
He compares two major studies—Testosterone Trials and TRAVERSE—to show why results differ based on patients' heart health.
08:28 – Understanding Erectile Function and Testosterone's Role
He breaks down how erections work and the key roles testosterone, nerves, blood flow, and the brain all play.
15:03 – Practical Treatment Strategies and Conclusion
Dr. Morgentaler outlines his go-to treatment method: start with testosterone, then add ED meds if needed.
Resources:
1. The Testosterone Trials (2016):
Snyder, P. J., Bhasin, S., Cunningham, G. R., Matsumoto, A. M., Stephens-Shields, A. J., Cauley, J. A., ... & Ellenberg, S. S. (2016). Effects of testosterone treatment in older men. The New England Journal of Medicine, 374(7), 611–624. https://doi.org/10.1056/NEJMoa1506119
2. The TRAVERSE Trial (2023):
Bhattacharya, R. K., Harman, S. M., Coviello, A. D., Snyder, P. J., Swerdloff, R. S., Grobler, A., ... & Ellenberg, S. S. (2023). Cardiovascular safety of testosterone-replacement therapy. The New England Journal of Medicine, 388(15), 1349–1360. https://doi.org/10.1056/NEJMoa2215025
With Dr. Abraham Morgentaler and Dr. Marianne Brandon
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