A DUPLA QUE MUDOU O TRATAMENTO DA DISFUNÇÃO ERÉTIL

THE DUO THAT CHANGED THE TREATMENT OF ERECTILE DYSFUNCTION! 👉 Schedule your Consultation: https://drasamiraposses.com.br Dr. Samira Posses - Urologist CRM-SP 147554 / RQE 74966 Rua Cubatão, 86, Room 206 - Paraíso São Paulo - SP Contact (11) 2365-3865 / Whatsapp (11) 92033-5995 Online (Telemedicine) and In-Person Consultations Click the link above! 🔻⬇ Connect with me ⬇🔻 👉 Subscribe to the Channel: https://bit.ly/yt-drasamiraposses 📲 Instagram: @drasamiraposses -------------------------------------------------------- The combination that changed the treatment of erectile dysfunction 💥 Have you heard that tadalafil and testosterone, when used together, can completely change the treatment of erectile dysfunction? But is it safe? Does it really work? Many men who don't respond to tadalafil… actually have low testosterone. In many cases, correcting the hormone can transform the outcome of treatment. Erection doesn't depend only on blood. It depends on testosterone, circulation, and the brain — all working in harmony. Let's understand what happens inside the body. Tadalafil is a PDE-5 inhibitor, an enzyme that breaks down cGMP — the molecule that relaxes blood vessels and allows blood to flow into the penis. In other words, it helps blood flow and sustain an erection. Without enough testosterone, the body produces little nitric oxide, and cGMP is not activated as it should be. In many cases, the problem is not the medication — it's the hormonal imbalance. A classic study published in the International Journal of Impotence Research in 2010, conducted by Schiavone and colleagues, evaluated exactly that. They studied men with low testosterone who did not respond to tadalafil. And the result was clear: adding testosterone to the treatment brought significant improvement in erectile function. While tadalafil improves blood flow, testosterone works on desire, energy, sensitivity, and even mood. It's a complementary action duo: one acts on the body, the other on the brain. In 2015, a study with 60 patients compared the use of injectable testosterone combined with 5 mg of tadalafil daily. The group that received the combination had a much greater improvement in IIEF scores — the international index of erectile function — and maintained the results for longer. And to complete the picture, a study published in Urology in 2014, by Goldfischer and colleagues, showed that 5 mg/day of tadalafil improves erectile function even in men with low testosterone, but the best results occur when the hormone is within the normal range. In other words: ideal testosterone potentiates the effect of tadalafil. And the opposite is also true: tadalafil optimizes the response to hormonal treatment. ⚠️ But be aware: this combination is not for all men. Using testosterone unnecessarily is dangerous — it can cause infertility, increased hematocrit, gynecomastia, and even cardiovascular events. Therefore, the first step is to evaluate: measure total and free testosterone, LH, FSH, prolactin, estradiol, and liver function, etc... only with a clinical and laboratory diagnosis of hypogonadism can the doctor safely indicate this combined therapy. The truth is that the treatment of erectile dysfunction has evolved. Today, medicine doesn't just look at the symptom, but at the man as a whole. Circulation, hormones, sleep, diet, mental health — everything is interconnected. And when we balance all of this, the results appear. AND REMEMBER: you are not alone! Click like if this video helped you in any way! Activate notifications so you don't miss any new content from the channel. Subscribe to the channel to receive more tips on men's and sexual health. Together, we will overcome any challenge regarding your sexual health! ⚠️ LEGAL NOTICE 👉 This video is purely educational and aims to guide the public on medical and general health topics. All content is strictly educational. 👉 The information contained herein in no way replaces medical consultation and does not serve as a treatment plan recommendation. If you have any questions, seek medical attention. 👉 Medicine is a constantly evolving science, and some information has an expiration date. The videos are produced based on scientific articles published up to the date of posting the video.