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Sometimes men with erection problems or a diminished libido have low levels of testosterone, Boyle says. Testosterone deficiencies can also affect mood and energy levels. Boyle tests for testosterone levels and prescribes it as a topical gel, though she warns it is only safe when prescribed and monitored by a physician. Nonprescription testosterone, such as the kind used by some bodybuilders, is dangerous, she warns.
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So it’s worth asking, guys, do you really need a bigger penis? Most men who seek treatment for the condition called “short penis” actually fall within normal penis size, the researchers found; their sense of what’s normal is simply warped. To qualify for the clinical definition of short-penis syndrome, a man must be smaller than 1.6 in. (4 cm) when limp and under 3 in. (7.6 cm) when erect. In a 2005 study of 92 men who sought treatment for short penis, researchers found that none qualified for the syndrome.
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Atherosclerosis, a condition in which fatty deposits build up inside arteries, may restrict blood flow to the penis and cause erection difficulties. "The small blood vessels that go to the penis can become diseased much earlier than the [larger] vessels that go to the heart," Karen Boyle, MD, a urologist at Johns Hopkins School of Medicine, tells WebMD. "In younger or younger middle-aged men, ED is often the first sign of atherosclerosis."