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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Does Testosterone Replacement Therapy Restore Libido Of A Person?

My boyfriend is 23 years old, he is a smoker and few days ago he just told me that he had a dysfunction in his pituitary gland(Secondary Hypogonadism prepuberty) so his body does not produce FSH & LH, he is on treatment, he takes 2 hormones to stimulate the testicles to produce testosterone and sperms to be able to conceive and then he will take testosterone injection every 3 months. My question are: 1) How effective is the testosterone replacement will be?? Will it restore his erections, sex drive and performance?? and even when he gets older (( about 40-50 years old))?? because i ve read that male testosterone drops 1% when they reach 30s or 40s, so in his cause how it goes?? 2) His sperms report states that the morphology is 95% (( only 5% normal )) So what are the chances to conceive?? Thank you :)
Mon, 23 Mar 2020
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General Surgeon 's  Response
Hello,

The basic cause of testosterone deficiency is central nervous system at pituitary level and hence life long supplementation is demand of time he wants the sex drive. Though erection and libido can be pursued with testosterone therapy, ability to conceive depends upon the semen analysis with motile sperms and other criteria. It is best recommended to consult his endocrinologist for details of discussion about the sensitive topic.

Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Bhagyesh V. Patel, General Surgeon
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Does Testosterone Replacement Therapy Restore Libido Of A Person?

Hello, The basic cause of testosterone deficiency is central nervous system at pituitary level and hence life long supplementation is demand of time he wants the sex drive. Though erection and libido can be pursued with testosterone therapy, ability to conceive depends upon the semen analysis with motile sperms and other criteria. It is best recommended to consult his endocrinologist for details of discussion about the sensitive topic. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Bhagyesh V. Patel, General Surgeon