Testosterone Treatment and Sexual Function in Older Men With Low Testosterone Levels.

Academic Article


  • CONTEXT: The Testosterone Trials are a coordinated set of seven trials to determine the efficacy of T in symptomatic men ≥65 years old with unequivocally low T levels. Initial results of the Sexual Function Trial showed that T improved sexual activity, sexual desire, and erectile function. OBJECTIVE: To assess the responsiveness of specific sexual activities to T treatment; to relate hormone changes to changes in sexual function; and to determine predictive baseline characteristics and T threshold for sexual outcomes. DESIGN: A placebo-controlled trial. SETTING: Twelve academic medical centers in the United States. PARTICIPANTS: A total of 470 men ≥65 years of age with low libido, average T <275 ng/dL, and a partner willing to have sexual intercourse at least twice a month. METHODS: Men were assigned to take T gel or placebo for 1 year. Sexual function was assessed by three questionnaires every 3 months: the Psychosexual Daily Questionnaire, the Derogatis Interview for Sexual Function, and the International Index of Erectile Function. RESULTS: Compared with placebo, T administration significantly improved 10 of 12 measures of sexual activity. Incremental increases in total and free T and estradiol levels were associated with improvements in sexual activity and desire, but not erectile function. No threshold T level was observed for any outcome, and none of the 27 baseline characteristics predicted responsiveness to T. CONCLUSIONS: In older men with low libido and low T levels, improvements in sexual desire and activity in response to T treatment were related to the magnitude of increases in T and estradiol levels, but there was no clear evidence of a threshold effect.
  • Keywords

  • Aged, Erectile Dysfunction, Hormone Replacement Therapy, Humans, Libido, Male, Placebos, Sexual Behavior, Sexual Dysfunction, Physiological, Surveys and Questionnaires, Testosterone, Treatment Outcome
  • Digital Object Identifier (doi)

    Author List

  • Cunningham GR; Stephens-Shields AJ; Rosen RC; Wang C; Bhasin S; Matsumoto AM; Parsons JK; Gill TM; Molitch ME; Farrar JT
  • Start Page

  • 3096
  • End Page

  • 3104
  • Volume

  • 101
  • Issue

  • 8