Treatment FAQ

does hormonal treatment help one who has e.d

by Jeanne Gleason Published 2 years ago Updated 2 years ago
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Many transgender men and women seek hormone therapy as part of the transition process. Exogenous testosterone is used in transgender men to induce virilization and suppress feminizing characteristics.

While there are treatment options available for many causes of erectile dysfunction, hormone replacement therapy is a highly effective and convenient treatment for men who have a hormone imbalance.

Full Answer

Can hormone therapy be used with other treatments?

When used with other treatments, hormone therapy can: Make a tumor smaller before surgery or radiation therapy. This is called neo-adjuvant therapy. Lower the risk that cancer will come back after the main treatment.

Should I talk to my doctor about hormone therapy?

Talk with your doctor about your personal risks. Who should avoid hormone therapy? Women who have or previously had breast cancer, ovarian cancer, endometrial cancer, blood clots in the legs or lungs, stroke, liver disease, or unexplained vaginal bleeding should usually not take hormone therapy.

What are the different ways to treat hormone deficiency?

Some common ways include: Oral. Hormone therapy comes in pills that you swallow. Injection. The hormone therapy is given by a shot in a muscle in your arm, thigh, or hip, or right under the skin in the fatty part of your arm, leg, or belly. Surgery. You may have surgery to remove organs that produce hormones.

What is hormone replacement therapy at the Mayo Clinic?

By Mayo Clinic Staff. Hormone replacement therapy is medication that contains female hormones. You take the medication to replace the estrogen that your body stops making during menopause. Hormone therapy is most often used to treat common menopausal symptoms, including hot flashes and vaginal discomfort.

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What hormone helps with erection?

Testosterone is central in the male sexual response, including the desire for sex and the mechanics of triggering an erection.

Does estrogen help with erectile dysfunction?

Androgens are essential for male physical activity and normal erectile function. Moreover, estrogens also influence erectile function, and high estrogen levels are a risk factor for erectile dysfunction (ED).

Can low hormones cause ED?

If you have low T, your levels of the male sex hormone, testosterone, drop below normal. When that happens it may affect your sex life. Your sex drive could go down. And you might develop erectile dysfunction (ED).

What cures erectile dysfunction permanently?

Oral drugs or pills known as phosphodiesterase type-5 inhibitors are most often prescribed in the U.S. for ED (Viagra, Cialis, Levitra, Stendra) Testosterone Therapy (when low testosterone is detected in blood testing) Penile Injections (ICI, intracavernosal Alprostadil)

Can you take Viagra while on hormone therapy?

Erectile dysfunction drugs such as sildenafil (Viagra) do not usually work for men undergoing hormone therapy because these drugs do not address the loss of libido (sexual desire) that is associated with a lack of androgens.

What happens when a man starts taking estrogen?

Sexual Changes After beginning Estrogen Hormone Therapy, you will notice that the number of erections you experience has lessened. It may also not be firm enough or last long enough to penetrate. However, you will be able to experience orgasms and even have erotic sensations.

What is the fastest way to cure ED?

For fastest results, it's best to consult a doctor to get appropriate treatment recommendations, which may include:Lifestyle changes. Maintaining a healthy weight. ... Counseling. ... Medications. ... Vacuum constriction devices. ... Surgery. ... Alternative therapy.

Can erectile dysfunction be cured?

Almost all cases of erectile dysfunction are treatable, and treatment can lead to better overall physical and emotional health for nearly every patient as well as improve intimacy for couples.

Will testosterone help ED?

Testosterone treatment usually isn't helpful for ED. Testosterone treatment does not improve erections in men with normal testosterone levels. And studies show that it does not help men with low testosterone levels if ED is their only symptom.

How can I regain erectile strength?

If you're wondering how to get rock-hard erections, consider doing the following:Change Your Diet. ... Work Up a Sweat to Regulate Blood Pressure. ... Drink Less Alcohol. ... Stop Smoking to Improve Blood Flow. ... Sleep Longer. ... Get Supplements. ... Consult a Physician About Taking Medications. ... Get a Cock Ring.More items...•

Can a man with ED still come?

Results: Ninety-two percent of the men with ED were able to ejaculate at least a few times during sexual stimulation or intercourse. Conclusion: Men with even severe ED claim they can ejaculate during sexual stimulation or intercourse.

Can you still get hard with erectile dysfunction?

Nearly every man occasionally has trouble getting an erection, and most partners understand that. Erectile dysfunction is the inability to attain and maintain an erection sufficient for sexual intercourse at least 25% of the time. The penis doesn't get hard enough, or it gets hard but softens too soon.

What Are The Benefits of Hormone Therapy?

The benefits of hormone therapy depend, in part, on whether you take systemic hormone therapy or low-dose vaginal preparations of estrogen. 1. Syst...

What Are The Risks of Hormone Therapy?

In the largest clinical trial to date, a combination estrogen-progestin pill (Prempro) increased the risk of certain serious conditions, including:...

Who Should Consider Hormone Therapy?

Despite its health risks, systemic estrogen is still the most effective treatment for menopausal symptoms. The benefits of hormone therapy may outw...

Who Should Avoid Hormone Therapy?

Women who have or previously had breast cancer, ovarian cancer, endometrial cancer, blood clots in the legs or lungs, stroke, liver disease, or une...

If You Take Hormone Therapy, How Can You Reduce Risk?

Talk to your doctor about these strategies: 1. Find the best product and delivery method for you. You can take estrogen in the form of a pill, patc...

What Can You Do If You Can't Take Hormone Therapy?

You may be able to manage menopausal hot flashes with healthy-lifestyle approaches, such as keeping cool, limiting caffeinated beverages and alcoho...

The Bottom Line: Hormone Therapy Isn't All Good Or All Bad

To determine if hormone therapy is a good treatment option for you, talk to your doctor about your individual symptoms and health risks. Be sure to...

How often should hormones be reevaluated?

For best results, hormone therapy should be tailored to each person and reevaluated every so often to be sure the benefits still outweigh the risks.

What is hormone replacement therapy?

By Mayo Clinic Staff. Hormone replacement therapy is medication that contains female hormones. You take the medication to replace the estrogen that your body stops making during menopause. Hormone therapy is most often used to treat common menopausal symptoms, including hot flashes and vaginal discomfort.

How old do you have to be to start hormone therapy?

Age. Women who begin hormone therapy at age 60 or older or more than 10 years from the onset of menopause are at greater risk of the above conditions. But if hormone therapy is started before the age of 60 or within 10 years of menopause, the benefits appear to outweigh the risks. Type of hormone therapy.

What is systemic estrogen?

Systemic estrogen — which comes in pill, skin patch, ring, gel, cream or spray form — typically contains a higher dose of estrogen that is absorbed throughout the body. It can be used to treat any of the common symptoms of menopause. Low-dose vaginal products.

What are the risks of taking estrogen pills?

In the largest clinical trial to date, hormone replacement therapy that consisted of an estrogen-progestin pill (Prempro) increased the risk of certain serious conditions, including: Heart disease. Stroke. Blood clots. Breast cancer.

How to manage hot flashes during menopause?

You may be able to manage menopausal hot flashes with healthy-lifestyle approaches such as keeping cool, limiting caffeinated beverages and alcohol, and practicing paced relaxed breathing or other relaxation techniques. There are also several nonhormone prescription medications that may help relieve hot flashes.

How old do you have to be to take estrogen?

Use the lowest effective dose for the shortest amount of time needed to treat your symptoms. If you're younger than age 45, you need enough estrogen to provide protection against the long-term health effects of estrogen deficiency.

What hormones are used for endometrial cancer?

Hormone treatment for endometrial cancer can include: Progestins (This is the main hormone treatment used.) At this time, no one type of hormone treatment has been found to be the best for endometrial cancer.

What are some ways to lower estrogen levels?

This becomes the body's main source of estrogen. Drugs called aromatase inhibitors can stop this estrogen from being made and lower estrogen levels even further. Examples of aromatase inhibitors include letrozole (Femara ® ), anastrozole (Arimidex ® ), and exemestane (Aromasin ® ). These drugs are most often used to treat breast cancer, but can be helpful in treating endometrial cancer, too. They're most often used to treat women who cannot have surgery, but doctors are looking at other ways these drugs could be helpful.

What is the treatment for cancer that makes your ovaries inactive?

Some women might have had radiation treatments that made their ovaries inactive. This helps keep the body from making estrogen and may also slow the growth of the cancer. Luteinizing hormone-releasing hormone agonists (LHRH agonists) are drugs that lower estrogen levels in women who still have working ovaries.

What is the best progesterone for endometrial cancer?

The 2 most commonly used progestins are: Medroxyprogesterone acetate ( Provera® ), which can be given as an injection or as a pill. Megestrol acetate ( Megace® ), which is given as a pill or liquid. These drugs slow the growth of endometrial cancer cells. They've been found to be useful in treating women with endometrial cancer who want ...

What is the name of the drug that turns off the ovaries?

These drugs "turn off" the ovaries in women who are premenopausal so they don't make estrogen. Goserelin (Zoladex ®) and leuprolide (Lupron ®) are drugs that might be used to treat endometrial cancer. They're given as a shot every 1 to 3 months. These drugs are also called gonadotropin-releasing hormone (GNRH) agonists.

Is hormone therapy the same as menopause?

It’s not the same as the hormone therapy given to ease the symptoms of menopause ( menopausal hormone therapy ). It's most often used to treat endometrial cancer that's advanced (stage III or IV) or has come back after treatment (recurred). Hormone therapy is often used along with chemotherapy. Hormone treatment for endometrial cancer can include:

Is tamoxifen a progesterone?

It might also be used to treat advanced or recurrent endometrial cancer. Alternating progesterone and tamoxifen is an option that seems to work well and be better tolerated than progesterone alone.

What hormones are used for endometrial cancer?

Cancer of the uterus or its lining, the endometrium, may respond to hormone therapy with progestins. Other types of hormone therapy for endometrial cancer include: 1 Tamoxifen 2 LHRH agonists 3 Aromatase inhibitors

What is the best treatment for endometrial cancer?

Hormonal therapy for endometrial cancer. Cancer of the uterus or its lining, the endometrium, may respond to hormone therapy with progestins. Other types of hormone therapy for endometrial cancer include: Tamoxifen. LHRH agonists.

What is LHRH agonist?

LHRH agonists. Aromatase inhibitors. When and why they’re used: Hormone therapy is typically reserved for advanced uterine or endometrial cancer, or for cancer that has returned after treatment. It’s often combined with chemotherapy.

How to get rid of cancer cells?

Hormone therapy may help make these hormones less available to growing cancer cells. Hormone therapy is available via pills, injection or surgery that removes hormone-producing organs, namely the ovaries in women and the testicles in men. It’s typically recommended along with other cancer treatments. If hormone therapy is part of your treatment ...

What is the treatment for cancer called?

Also referred to as hormonal or endocrine therapy , this cancer treatment is different from menopausal hormone replacement therapy (HRT), which refers to the prescription of supplemental hormones to help relieve the symptoms of menopause. Certain cancers rely on hormones to grow.

Can aromatase inhibitors be used for premenopausal women?

Premenopausal women produce too much aromatase for the inhibitors to work effectively. (Aromatase inhibitor drugs may be prescribed for younger women if they’re given with a drug to suppress ovarian function.) Ask your care team whether you may benefit from aromatase inhibitors based on your cancer’s characteristics.

Can hormone therapy be combined with radiation?

Additionally, hormone therapy may be combined with radiation therapy initially if there’s a high risk of cancer recurrence. It can also be given before radiation therapy to shrink the cancer and make other treatments more effective. Other types of hormone therapy for prostate cancer include:

What happens during menopause?

During this time, your body goes through numerous changes as it adjusts to fluctuating hormone levels. The hormones that once existed in such vast amounts begin to dwindle as you pass childbearing years, and they’ll continue to decrease throughout the rest of your life. These changes can cause symptoms, such as hot flashes, mood swings, and even depression.

What hormones are produced by the ovaries during pregnancy?

In your childbearing years, your ovaries produce estrogen and progesterone. These hormones regulate your reproductive cycle and promote the body’s use of calcium. The ovaries decrease their production of these hormones as you age, which often results in:

Is HRT good for menopause?

Though there are risks involved with HRT, it’s still the best way to treat severe menopause symptoms and improve quality of life. You and your doctor can discuss the risks and benefits for you specifically and evaluate other treatment options. It’s critical to work closely with your doctor so you can decide what’s right for you.

Is HRT safer than synthetic HRT?

However, there are no studies that show that bioidentical HRT is any safer than synthetic HRT . The risk of breast cancer increases the longer a woman engages in any type of HRT, and the risk decreases once HRT is stopped.

How does hormone therapy work?

Hormone therapy (also called hormonal therapy, hormone treatment, or endocrine therapy) slows or stops the growth of hormone-sensitive tumors by blocking the body’s ability to produce hormones or by interfering with effects of hormones on breast cancer cells. Tumors that are hormone insensitive do not have hormone receptors ...

Which hormone is released by the hypothalamus during premenopausal women?

The hypothalamus releases LHRH, which then causes the pituitary gland to make and secrete LH and follicle-stimulating hormone (FSH).

What is a breast tumor that has estrogen and/or progesterone receptors called?

Breast tumors that contain estrogen and/or progesterone receptors are sometimes called hormone receptor positive (HR positive). Most ER-positive breast cancers are also PR positive. Breast cancers that lack ERs are called ER negative, and if they lack both ER and PR they may be called HR negative. Approximately 67%–80% of breast cancers in women ...

What is the best treatment for ER positive breast cancer?

Hormone therapy is also a treatment option for ER-positive breast cancer that has come back in the breast, chest wall, or nearby lymph nodes after treatment (also called a locoregional recurrence). Two SERMs, tamoxifen and toremifene, are approved to treat metastatic breast cancer.

How to treat hormone sensitive breast cancer?

Several strategies are used to treat hormone-sensitive breast cancer: Blocking ovarian function: Because the ovaries are the main source of estrogen in premenopausal women, estrogen levels in these women can be reduced by eliminating or suppressing ovarian function. Blocking ovarian function is called ovarian ablation.

What type of cancer is adjuvant hormone therapy?

Decisions about the type and duration of adjuvant hormone therapy are complicated and must be made on an individual basis in consultation with an oncologist. Treatment of advanced or metastatic breast cancer: Several types of hormone therapy are approved to treat metastatic or recurrent hormone-sensitive breast cancer.

What hormones are involved in the development of long bones?

Estrogen promotes the development and maintenance of female sex characteristics and the growth of long bones. Progesterone plays a role in the menstrual cycle and pregnancy. Estrogen and progesterone also promote the growth of some breast cancers, which are called hormone-sensitive (or hormone-dependent) breast cancers.

What is the function of hormones in the body?

Produced in the endocrine glands, these powerful chemicals travel around your bloodstream telling tissues and organs what to do. They help control many of your body’s major processes, including metabolism and reproduction. When you have a hormonal imbalance, you have too much or too little of a certain hormone.

What causes hormonal imbalance?

Causes differ depending on which hormones or glands are affected. Common causes of hormonal imbalance include: hormone therapy. medications. cancer treatments such as chemotherapy. tumors, whether cancerous or benign.

What are the signs of hormonal imbalance in males?

If you aren’t producing enough testosterone, it can cause a variety of symptoms. Symptoms of hormonal imbalance in adult males include: gynecomastia, or the development of breast tissue. breast tenderness.

Does metformin help with PCOs?

Metformin is a type 2 diabetes medication that may help some women with PCOS symptoms. The FDA hasn’t approved it to treat PCOS, but it might help lower androgen levels and encourage ovulation.

Does prescription cream help with facial hair?

This prescription cream is designed specifically for excessive facial hair in women. Applied topically to the skin, it helps slow new hair growth, but it doesn’t get rid of existing hair.

Does testosterone help with puberty?

Testosterone supplements can reduce the symptoms of low testosterone in men. In adolescents with delayed puberty, it stimulates the start of puberty. It’s available in many forms, including injections, a patch, and gel.

Does yoga help with hormone imbalance?

There’s no evidence to suggest that they work better than regular hormone therapy, though. Some people find that yoga helps treat symptoms of hormonal imbalance. Yoga is excellent for your strength, flexibility, and balance. It may also aid in weight loss, which can help regulate your hormones.

Why do people need feminizing hormone therapy?

Typically, people who seek feminizing hormone therapy experience discomfort or distress because their gender identity differs from their sex assigned at birth or sex-related physical characteristics (gender dysphoria).

When does hormone therapy start?

If used in an adolescent, hormone therapy typically begins at age 16. Ideally, treatment starts before the development of secondary sex characteristics so that teens can go through puberty as their identified gender. Many trans girls are treated with a medication to delay the start of puberty. Gender affirming hormone therapy is not typically used ...

How can feminizing hormone therapy help with gender dysphoria?

Feminizing hormone therapy can: Make gender dysphoria less severe. Reduce psychological and emotional distress. Improve psychological and social functioning. Improve sexual satisfaction. Improve quality of life.

What are the risks of feminizing hormones?

Complications of feminizing hormone therapy might include: A blood clot in a deep vein (deep vein thrombosis) or in a lung (pulmonary embolism) High triglycerides, a type of fat (lipid) in your blood. Weight gain.

Can you use gender affirming hormone therapy for children?

Gender affirming hormone therapy is not typically used in children. Feminizing hormone therapy isn't for all trans women. Your doctor might discourage feminizing hormone therapy if you: Had or have a hormone-sensitive cancer, such as prostate cancer.

Does estrogen affect transgender women?

Other side effects of estrogen use in trans women include reduced libido, erectile function and ejaculation. Erectile function might improve with the use of oral medications such as sildenafil (Viagra) or tadalafil (Adcirca, Cialis).

Can you have feminizing surgery alone?

Feminizing hormone therapy can be done alone or in combination with feminizing surgery. Feminizing hormone therapy isn't for all transgender women, however. Feminizing hormone therapy can affect your fertility and sexual function and cause other health problems. Your doctor can help you weigh the risks and benefits.

What is the goal of hormone therapy?

The goal is to reduce levels of male hormones, called androgens, in the body, or to stop them from fueling prostate cancer cells. Androgens stimulate prostate cancer cells to grow. The main androgens in the body are testosterone ...

What hormones are used to remove testicles?

Estrogens (female hormones) were once the main alternative to removing the testicles (orchiectomy) for men with advanced prostate cancer. Because of their possible side effects (including blood clots and breast enlargement), estrogens have been replaced by other types of hormone therapy.

Where is androgen made?

Most androgen is made by the testicles, but the adrenal glands (glands that sit above your kidneys) as well as the prostate cancer itself, can also make a fair amount. Lowering androgen levels or stopping them from getting into prostate cancer cells often makes prostate cancers shrink or grow more slowly for a time.

Can LHRH antagonists cause prostate cancer?

LHRH antagonists can be used to treat advanced prostate cancer. These drugs work in a slightly different way from the LHRH agonists, but they lower testosterone levels more quickly and don’t cause tumor flare like the LHRH agonists do. Treatment with these drugs can also be considered a form of medical castration.

Does hormone therapy affect memory?

Still, hormone therapy does seem to lead to memory problems in some men. These problems are rarely severe, and most often affect only some types of memory.

Can hormone therapy be used for cancer?

Hormone therapy may be used: If the cancer has spread too far to be cured by surgery or radiation, or if you can’t have these treatments for some other reason. If the cancer remains or comes back after treatment with surgery or radiation therapy.

Can LHRH block androgens?

LHRH agonists and antagonists can stop the testicles from making androgens, but cells in other parts of the body, such as the adrenal glands, and prostate cancer cells themselves, can still make male hormones, which can fuel cancer growth. Drugs are available that block the formation of androgens made by these cells.

What is the best treatment for ED?

One of the most common medical treatments for ED in older people is a class of drugs called phosphodiesterase-5 (PDE 5) inhibitors. These drugs relax and widen the blood vessels, improving blood flow to the penis. , PDE 5 inhibitors are generally safe in older people, including those with cardiovascular diseases.

What to do when you have ED?

Anyone who has concerns about ED should see their doctor. A health professional will work to diagnose the cause and provide appropriate treatment. When treating ED in older people, a doctor may recommend a combination of lifestyle changes and medical treatments.

Why do older men have ED?

Several factors may cause or contribute to ED. Aging is one such reason, as older males are more likely to: have medical conditions that can contribute to ED. take medications that may contribute to ED. experience decreased testosterone levels, which may reduce sexual arousal.

What are some ways to cure erectile dysfunction?

Cures for erectile dysfunction can include medication, surgery, lifestyle changes, or managing underlying health conditions. The Massachusetts Male Aging Study. Trusted Source. was one of the first studies to report the epidemiology of ED in United States males.

What is the best treatment for erectile dysfunction in older adults?

Cures for erectile dysfunction can include medication, surgery, lifestyle changes, or managing underlying health conditions.

What is the function of testosterone?

Testosterone is a hormone with several important functions within the body. It helps with various aspects of sexual health in males, including: regulating sex drive. maintaining the tissues that supply blood to the penis . A person’s testosterone levels typically decrease as they age.

How does lack of sexual desire affect ED?

improving sleep habits. A lack of sexual desire can also influence ED in older males. According to a 2020 review, an estimated 82.4% of males aged 80 and above report a lack of sexual desire. Seeking treatment from a sex therapist is one option that could improve sexual desire and reduce ED symptoms.

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