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Some men have healthy erections despite testosterone levels well below the normal range. What is clear is that low testosterone levels are linked to a number of the same chronic conditions that play a role in erectile dysfunction, such as type 2 diabetes, obesity, and heart disease.or men who do have low testosterone levels, TRT has a better track record of restoring a man's sex drive than overcoming ED. While many men on TRT do report improvements in their erections, they often need added help from ED drugs known as PDE-5 inhibitors, such as: 1  Viagra (sildenafil). 2  Levitra (vardenafil).
About 6 percent of men, however, have clinically low testosterone levels that cause troubling symptoms such as low sex drive, erectile dysfunction, sleep difficulties, depressed mood, low energy and low muscle tone. Some may develop osteoporosis or fractures from having too little of the sex hormone.