When it comes to erectile dysfunction (ED) in middle-aged men, testosterone may not be a key factor, according to a recent study of 614 Finnish men born in 1945.

Kadri Suija, MD, of the University of Oulu in Oulu, Finland, and colleagues found a strong association between depressive symptoms and ED, but no association between free and total testosterone levels and ED, according to a paper published online ahead of print in the Scandinavian Journal of Public Health.

“Depressive symptoms rather than testosterone levels should be taken into consideration while treating middle-aged men with erectile problems at the community level,” Dr. Suija’s group concluded.


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