Because erectile dysfunction (ED) is associated with
medication side effects, diabetes, coronary artery disease,
and other disorders, male patients should be
routinely screened forEDin the primary care setting to
determine potential causes. Although testosterone
replacement is indicated for men with primary or
secondary hypogonadism and documented low testosterone
levels, it is not indicated for men with normal
testosterone levels.12 According to the American
Urological Association (AUA), testosterone is not
indicated for the treatment ofEDin men with a normal
testosterone level.12 The American College of Physicians
determined there was not enough evidence to
recommend or not recommend testosterone therapy
for ED.13 Recent studies also raise increased concerns
about testosterone therapy.14,15 These studies suggest
that men with a past history of cardiac disease seem to
have increased susceptibility for a cardiovascular event
causing the Food and Drug Administration (FDA) to
re-evaluate testosterone’s safety.