Testosterone Therapy & ED: How Fixing Low T Restores Performance

How Low T Impacts Erections

• Libido & arousal: Low T dampens sexual desire and neural drive.

• Erection quality: Testosterone supports nitric-oxide signaling and nocturnal erections.

• Mood/energy: Fatigue and low mood reduce initiation and performance.

ED is multifactorial—vascular disease, diabetes, meds, sleep apnea, and stress also matter. We assess the whole picture.

Who Benefits Most from TRT for ED

• Symptoms of low T plus low total/free testosterone on morning labs (drawn properly, repeated to confirm).

• ED that only partially responds to PDE5 inhibitors (Viagra/Cialis).

• Men with secondary hypogonadism who want fertility preserved (see enclomiphene/hCG below).

What Results to Expect

• Libido & motivation: often improve in 2–4 weeks.

• Erection quality: typically 4–12 weeks as levels stabilize.

• Better response to ED meds: TRT can enhance PDE5 efficacy when low T was a limiter.

• Gains sustain with adherence, lifestyle, and proper monitoring.

Your TRT Options at Ultimate Male

Injections – Testosterone Cypionate (IM/SubQ)

Precise, flexible dosing 1–2×/week; strong symptom control; cost-effective.

Oral – Kyzatrex® (testosterone undecanoate)

Needle-free capsules absorbed via lymphatic pathway; take with meals for best levels.

Oral – LH/FSH Booster

SERM that boosts LH/FSH to stimulate your own T; fertility-friendly.

HCG (Human Chorionic Gonadotropin)

Standalone or add-on to preserve testicular function, volume, and sperm.

Transdermal Gel

Daily, needle-free; steady levels if absorption is good; avoid skin transfer.

Pellet Insertion

3–6 month convenience; stable levels; brief in-office procedure.

Safety, Labs & Dose Tuning

Baseline and follow-ups: Total/Free T, SHBG, Estradiol, CBC/hematocrit, CMP, Lipids; PSA (as indicated), LH/FSH/Prolactin, BP.

We adjust based on symptoms + labs (not numbers alone) and plan around your work schedule and fertility goals.

If TRT Isn’t the Whole Answer

We may layer:

        • PRP Injections (P-Shot)

• PDE5 inhibitors (on-demand or daily tadalafil)

• Shockwave Therapy for ED to improve penile blood flow

• Pelvic floor therapy (Emsella), sleep optimization, weight training, cardio, nutrition

Your Next Step

1. Consult & labs 2) Personalized plan 3) 8–12 week titration 4) Quarterly check-ins

Call/Text (626) 319-5261 or visit ultimatemale.com to book in San Gabriel or Downey.