IMPOTENCE – TESTOSTERONE

Recently it has been clear why this is so. It is now possible to measure the levels of testosterone circulating in the blood with considerable accuracy. Dr Lawrence and Dr Swyer, who conduct the endocrinology clinic in University College Hospital in London, found no difference in the circulating levels of testosterone between impotent men with normal genitals and men who were not impotent. Low testosterone levels were only found among men whose impotence was associated with a disease of the pituitary gland which prevents the normal development of the genitals at puberty. Very few impotent men have low blood testosterone levels. However, if they have, their impotence may respond to testosterone injections, or tablets of a special form of testosterone. These men tend to be old and, in their case, testosterone often works, although it is uncertain whether the hormone has a direct effect or whether the cure is due to the expectation that the drug will work.

More imaginative, if less aesthetic, has been the development of splints to treat impotence. It is the scientific equivalent of the old army gibe ‘If your cock won’t stand up, lash it to a toothbrush’. An original, if bizarre, suggestion was to implant the penile cartilage of a whale into the penis of a man. This experiment is said to have been attempted in Russia and has never been repeated! The disadvantages are obvious.

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