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1 Consultant in Sexual Medicine, Leo Institute of Sexual Medicine, Hyderabad 2 Professor in General Surgery, VMMC&H, VMRF (DU) *Corresponding Author Dr Allasatyanarayana Reddy Leo Institute of Sexual Medicine, Rajbhavan Road, Somajiguda, Hydertabad, India 500082 Abstract Erectile Dysfunction (ED) is a common sexual problem, the prevalence increasing with age; severe ED seen in 5% of men at 40, tripling to 15% in men at 70 years of age. The prevalence rates of ED in young men in 20-40 years age group varies from 1.7% to 13% in various studies. Low testosterone is a well known but uncommon cause of ED. This study aims at identifying hypogonadism in young men with ED. This is a retrospective clinic based study from South India done on young men of 20-40 years. One group of 142 men with Premature Ejaculation (PME), no ED; and another group of 269 men with ED with or without PME, demographically similar, attended the clinic during the same time were compared. 3% of men in PME group and 17% of men in ED group had total testosterone less than 240 ng/dl. 22% of men in PME group and 49% of men in ED group had total testosterone less than 360 ng/dl. The mean Total Testosterone (TT) value in PME group was 520 and the mean TT in ED group was 406.ng/dl. All of these are statistically significant. Hence it can be inferred that, even in young men, testosterone deficiency is not a rare cause, but a significant cause of ED.

Erectile Dysfunction and Testosterone Deficiency in Young Men