Erectile dysfunction with elevated serum testosterone

Abstract

Symptoms of testosterone deficiency with elevated testosterone levels are rare and could occur with elevated sex hormone binding globulin (SHBG) levels. Here, we report a 59 year old patient presenting with erectile dysfunction (ED) with diminished libido for 4 months. He developed these symptoms 6 months after starting anti tuberculosis treatment (AAT). He had elevated total testosterone concentration along with raised SHBG. However, his free testosterone was normal. Repeated total testosterone level 2 months after completion of ATT was normal indicating normalization of SHBG levels.

Keywords

• erectile dysfunction, shbg, att