Brief Answer: Reduced libido is due to ageing . Detailed Answer: Hello Thanks for your query.Based on the facts that you have posted it appears that you have problem of Erectile Dysfunction. The causes of erectile dysfunction in your case are most likely to be 1) Ageing -With advanced age serum testosterone level drop down by 1% every year and same is true with sexuality of a individual. 2) Erection is a complex process that involves Central Nervous System.Cardio- vascular system,and and peripheral nerves. A)You have peripheral neuropathy that is one of the contributing factors for ED.in addition to low back surgery . B) You have coronary artery disease due to atherosclerosis of circumflex artery The same process involves rest of the arteries in body like Penile artery resulting into diminished blood flow to corpora cavernosa of penis causing ED. Please consult qualified Urologist for clinical evaluation to explore the feasibility of putting Penile Implant so that you can enjoy your sexual life and satisfy your partner. Hope I have answered your query. If you have any more questions please feel free to ask me I shall be happy to help you . Thanks and Regards. Dr.Patil.

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Brief Answer: Androgel may not help to increase Libido. Detailed Answer: Hello Thanks for follow up. Erectile dysfunction itself may cause of low libido. Since your testosterone levels are normal using Androgel may or may not help to improve your libido.However you can have a trial for few weeks .There are no medicines in modern medicine faculty to increase libido but other faculty like Ayurvedic and Homoeopathy claim to have solution to increase libido.and are available on line on internet. Taking penile injection to get erection over a long period may lead to scarring of the spongy tissue and Tunica Albugenia, a covering that envelops erectile tissue so it is advisable and safe to put penile implant rather than taking Penile injections as a routine to get erection. Thanks and Regards. Dr.Patil.

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