Low Testosterone

Patient : My husband is a 51 year old Crohn's Disease patient (in remission for 11 years) who had an ileostomy after many (9) years of high-dose predisone treatment for his Crohn's. Over the last several years, he's noted a significant decrease in his libido, along with erectile dysfunction. Viagra aids somewhat with the erections, but he says the desire and sensitivity are no longer the same. Could the prednisone, which we know has caused a disintegration in his connective tissue, also have caused a low testosterone level, which would be causing these sexual issues? He's also depressed, and apprehensive about having the blood work done for low-T, in case that isn't it, and there would be one more thing that he's lost due to Crohn's.
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