Archive for the ‘Testosterone deficiency’ Category

A Little Dab Will Do Ya-Use of Testosterone Gel For Low Testosterone Levels

April 15, 2013
Influence of Testosterone

Influence of Testosterone

Most men who have symptoms of low testosterone levels such as decreased libido (sex drive), erectile dysfunction, lethargy, and loss of muscle mass who used testosterone gel every day had their testosterone levels restored to normal and experienced benefits over time. These benefits included:
• Improvement in energy, sexual desire, sexual function, and mood within 1 month
• More muscle mass and decreased body fat within 3 months
• Increased bone strength within 6 months in patients receiving 10 grams of AndroGel daily
However, once you stop using testosterone gel, it is likely your testosterone levels will fall below normal in just 5 days and your symptoms may come back.

Your Goal with Treatment
Low testosterone is a medical condition that likely won’t go away on its own. There is typically no cure for low testosterone levels. The goal of treating low testosterone is to raise your blood level of testosterone and to keep the level in a normal range. Once your testosterone reaches a normal level and remains there, symptom relief may follow.

No Sperm, No Baby, No Problem

March 29, 2013

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Women have received a bad rap.  The assumption that most problems associated with the difficulty to conceive and have a baby is the fault of the female partner.  However, let the truth be told, 1\3 are a result of female problems, 1\3 are a male issue, and 1\3 are linked to both male and female problems. 

That’s the bad news.  The good news is that two-thirds of couples treated are ultimately able to conceive.

Part of the issue today is that many women are waiting much later in life to have children.  As women get older they’re going to see more problems trying to conceive. Men are capable of fathering children later in life, certainly into their 40s and 50s. They don’t have the same fertility issues that women have at that age.  That is, the biologic clock of men ticks longer than for women.

Common causes of men’s infertility can be hormonal problems, injuries, illness, medications, or a previous vasectomy. Lifestyle issues like smoking and alcohol use may affect sperm production, but are secondary factors.

A common cause of infertility in men is varicocele, an enlargement of the veins in the scrotum that heats the testicles, affecting the number and shape of sperm.  A varicocle is a common problem and up to 30 percent of all men have a varicocele.

Varicocele can develop in adolescence, and may be discovered by a pediatrician. Because of the long-term effects that can lead to infertility, a pediatric surgeon or urologist may recommend a procedure to correct the problem, depending on the severity. The purpose of the surgery is to seal off the affected vein and route blood flow into normal veins.

Another cause of male infertility is vasectomy.  Men are having a vasectomy, which is a reasonably permanent form of sterilization at an earlier age, and then have a change of heart when they get divorced and then marry a younger partner and want to have children and start a second family.  A vasectomy reversal is now quite successful and can be done as an outpatient in an ambulatory treatment center.

More recently, the public has been bombarded with advertisements for medications aimed at correcting low testosterone or low T. These popular medications for hormone replacement for low testosterone may affect a man’s future fertility.  Men should talk with their doctors about medications if they are trying or may be planning to achieve a pregnancy in the future.

Bottom line: Infertility is just as much a man’s problem as it is for the woman.  Help is available and the place to start is a semen examination to be sure that the man has all the ammunition he needs to father a child. 

Sex Drive In The Tank? DHEA Is An Option

February 13, 2013

Women with a decreased sex drive or decreased libido now have treatments that can restore their interest and enthusiasm for sexual intimacy. Options include testosterone, yes the hormone produced in the testicles of men, but also produced in small amounts in women and is responsible for a women’s sex drive. Testosterone is available in pills, lozenges, patches, gels injections, and small rice-sized pellets inserted underneath the skin. Although there are advantages and disadvantages to each, most gynecologists and urologists will not prescribe pills, which can increase the risk of liver toxicity and lower levels of HDL (the “good” cholesterol).

A slightly “milder” alternative to testosterone is DHEA (dehydroepiandrosterone). This steroid hormone is converted to testosterone. Supplementary DHEA, which is available in pill or cream form, increases testosterone levels by one-and-a-half to two times. So it’s not surprising that DHEA provides many of the same therapeutic benefits, including increased sexual interest and enhanced physical and mental satisfaction.

If you think you might be a candidate for testosterone therapy, here’s what to do:
Have your testosterone, DHEA and estrogen levels measured. Normal concentrations of testosterone range from between 25 and 100 nanograms per milliliter of blood.
Eat a well-balanced diet to stabilize your hormones Fiber and foods rich in minerals, such as potassium and magnesium can help balance hormones. Tofu, tempeh and other soy products are excellent sources of phytoestrogens, plant compounds that behave like mild estrogens in the body, helping relieve menopausal symptoms. Other sources of phytoestrogens include apples, alfalfa, cherries, potatoes, rice, wheat and yams. A diet rich in fruits and vegetables will also help maintain optimal health as you transition into menopause.
If you begin androgen therapy, be sure to report any side effects, such as acne, deepening of your voice, go to your doctor so he or she can monitor your progress and decrease your dosage as necessary.

Bottom Line: Although it is not for everyone, emerging research may reveal androgen to be one of the most promising therapies available to menopausal women. Sexuality and vitality need not be passing pleasures of youth.

This was modified from “Testosterone: A Major Breakthrough for Menopausal Women”. This article appeared in Fit & Health and can be accessed at: http://health.howstuffworks.com/wellness/women/menopause/testosterone-major-breakthrough-for-menopausal-women5.htm

Sex and The Senior Man-Help Is Available For Men With ED

January 20, 2013

It wasn’t too long ago that erectile dysfunction (ED) was believed to be a natural part of aging.  Nothing could be further from the truth.  Middle age and older men who are healthy and have an opportunity to have sexual intimacy can expect to be successful in the bedroom. 

 Once taboo, ED has emerged from the shadows, thanks in large part to the widespread media attention give to Viagra, Levitra and Cialis. However, a wide variety of treatment options are now available that provide hope for men of any age suffering from ED symptoms. There simply is no reason to suffer in silence, whatever your age.

 Approximately 30 million men in the U.S. suffer from ED. An estimated 50 percent of men at age 50 experience some ED symptoms, and the percentage jumps 10% with each decade in life.

 Most men certainly aren’t willing to accept a decline in our eyesight with age—we use glasses when needed. In much the same way, ED is more than a minor inconvenience and can seriously impact quality of life for men and their partners.

 Related Health Risks

ED is a medical condition and can be an early warning sign of a much more serious condition, such as diabetes, heart disease, elevated cholesterol levels or disease of the blood vessels to the brain, which could lead to stroke. ED symptoms can also be a manifestation of depression.  This makes it even more important to pay attention to your ED symptoms.

 Aside from these physical symptoms, ED can take a serious toll on your overall well-being and mental health, causing strain on your relationships and unnecessary anguish and stress.

 Talk to Your Doctor

Talking to your doctor about your ED symptoms can feel embarrassing or difficult, but there’s no reason to be ashamed or uncomfortable. An active sex life can be just as important to your overall health as is proper nutrition and exercise.

 When you visit the doctor, tell him/her about other medical conditions you may have so you can determine whether your ED may be the symptom of a greater problem. Make a separate appointment to discuss ED, to make sure you have enough time to discuss your concerns. Ask for a referral to a urologist, a doctor who specializes in men’s urinary and sexual health issues.

 Be sure to discuss the all the possible issues surrounding your ED, the hurdles you face in all areas of sexual function, including your ability to get and keep an erection, sensitivity and other issues that may help pinpoint the root cause.

 Treatment Options

For many men, oral medications are not only very safe, but also quite effective. Pills such as Viagra, Levitra and Cialis are effective for about 70% of men. But for those with other health factors, such as cardiac disease, diabetes, oral medication may not be an option, or they may become less effective over time. For these men, there are a number of other treatment options available, including:

  • Vacuum pump therapy, which requires the use of a small pump to mechanically enhance blood flow and create an erection. These devices are totally noninvasive, but they can be somewhat awkward to use and not conducive to spontaneity.
  • Transurethral suppositories are tiny pellets of medication inserted into the urethra opening – a minimally invasive treatment, but still somewhat uncomfortable. This also requires some advance preparation.
  • Injection therapy, while the concept is disturbing to most men at the start, involves the use of a very fine needle to inject medication to produce an erection. Because of both the psychological and physical discomfort, in spite of high levels of effectiveness, many men do not find this to be a long-term solution. About 50% of men who try injections, do not continue their use.
  • Penile prosthetic implants are surgical devices concealed within the body that restore erectile function to as near natural as possible and still allow for spontaneity. While the concept itself is nothing new, the devices and implantation procedures have evolved considerably to make the procedure quicker and easier on the patient. While implants carry the same risks associated with any surgery, implant procedures generally have extremely high success rates and provide an effective solution for many men. Implants may not be for everyone, but they are a viable option to restore erectile function for most men over the age of 50, and they carry a very high satisfaction rate among patients and partners.

 Choosing a treatment that’s right for you depends on a number of factors, including your relationship status, the importance and level of physical intimacy required, and other health issues. Ask your doctor about the success rate and risks with each option and about what you can reasonably expect in the form of results. It’s unlikely that any treatment will restore erectile function back to the way it was in your younger years, especially with advanced age, but ED treatment can allow all men to enjoy and active and satisfying sex life well into their golden years.

 No matter what your age, it’s important to take that first step and talk to your doctor about ED symptoms. It’s never “normal” at any age to not have normal sexual function. With the wide variety of treatment options available, there’s no longer any reason to ignore the problem as a fact of life.

Bottom Line: ED is not a natural consequence of aging.  Help is available and no one needs to suffer the tragedy of the bedroom.

 

Modified article by Gerald Brock. By Healthy Aging Admin Published 09/16/2010 Health News

Raise Your Testosterone Level-Au Natural

December 27, 2012

Effects of Testosterone

Effects of Testosterone


Testosterone is the male hormone responsible for sex drive or libido, muscle mass, energy level, and strength of your bones. Many men have a low testosterone level that can easily be checked with a simple blood test. If it is low, there are means to increase the level without taking testosterone supplements.

Begin by looking at your lifestyle. Some changes that are good for the rest of you could also benefit your testosterone level, if it’s low.

1. Get Enough Sleep.

Poor sleep can have consequences for your testosterone level.

Poor sleep is the most important factor that contributes to low testosterone in many men. A lack of sleep affects a variety of hormones and chemicals in your bloodstream. This, in turn, can have a harmful impact on your testosterone. If you’re having problems getting good sleep on a regular basis, talk to your doctor as you may have obstructive sleep apnea or prostate problems that require you to get up multiple times a night and disturb your sleep.

2. Keep a Healthy Weight.

Men who are overweight or obese often have low testosterone levels. For those men, losing the extra weight can help bring testosterone back up.

3. Stay Active.

Testosterone adapts to your body’s needs, Yu says. If you spend most of your time lying on the couch, your brain gets the message that you don’t need as much to bolster your muscles and bones.

But when you are physically active, your brain sends out the signal for more of the hormone. Walking briskly at least 10 to 20 minutes a day is a great way to get started. You can take it to the next level by building strength with several sessions of weights or elastic bands each week.

4. Take Control of Your Stress.

If you’re under constant stress, your body will be churning out a steady stream of the stress hormone cortisol. It will be less able to create testosterone. As a result, controlling your stress is important for keeping up your testosterone. If you are experience increased stress at work, cut back on long work hours. If you’re logging lots of overtime, try to whittle your workday down to 10 hours or less. Spend two hours a day on activities that you enjoy that aren’t work- or exercise-related, such as reading or playing music.

5. Review Your Medications.

Some medicines can cause a drop in your testosterone level. These include: opioids ( fentanyl, MS Contin, and OxyContin), glucocorticoid drugs such as prednisone, and anabolic steroids used for building muscles and improving athletic performance.

6. Forget the Supplements.

Finally, although you’re likely to encounter online ads for testosterone-boosting supplements, you aren’t likely to find any that will do much good. Your body naturally makes a hormone called DHEA that it can convert to testosterone. DHEA is also available in supplement form.

Bottom Line: Testosterone deficiency is a common problem affecting millions of American men. The problem is easily diagnosed with a blood test. Moderate to minimal decreases in the testosterone level can be treated with life style changes. Significant decreases may require testosterone replacement therapy. If you have any questions, see your doctor.

Sex and The Male Senior Citizen

November 24, 2012

Couple in Love

Couple In Love


You are 60 years of age and you note that your erections are not as strong as there were at 40 years of age. It takes longer to get an erection than a decade ago and once you ejaculate it takes longer to get the next erection. Welcome, guys to the middle ages. These are normal consequences of aging for men. This doesn’t mean that you pack up your penis and never use it again. It means that you will use it differently than years ago.

What are the normal, expected changes in a man’s penis as he ages?

Appearance. There are two major changes. The head of the penis (glans) gradually loses its purplish color, the result of reduced blood flow. And there is a slow loss of pubic hair. You don’t have to worry about your manscape as nature will take care of your pubic hair for you.

Penis Size.
Weight gain is common as men grow older. As fat accumulates on the lower abdomen, the apparent size of the penis changes. A large clump of fat in the lower abdomen makes the penile shaft look shorter. If you want a bigger penis, check out your core and trim it down and your penis will grow larger….or at least it will appear to be longer.
In addition to this apparent shrinkage (which is reversible) the penis tends to undergo an actual (and irreversible) reduction in size. The reduction — in both length and thickness — typically isn’t dramatic but may be noticeable. “If a man’s erect penis is 6 inches long when he is in his 30s, it might be 5 or 5-and-a-half inches when he reaches his 60s or 70s.
What causes the penis to shrink? At least two mechanisms are involved, experts say. One is the slow deposition of fatty substances (plaques) inside tiny arteries in the penis, which impairs blood flow to the organ. This process, known as atherosclerosis, is the same one that contributes to blockages inside the coronary arteries — a leading cause of heart attack.
Another mechanism involves the gradual buildup of relatively inelastic collagen (scar tissue) within the stretchy fibrous sheath that surrounds the erection chambers. Erections occur when these chambers fill with blood. Blockages within the penile arteries — and increasingly inelastic chambers — mean smaller erections.

As penis size changes, so do the testicles. Starting around age 40, the testicles definitely begin to shrink. The testicles of a 30-year-old man might measure 2 inches in diameter, he says; those of a 60-year-old, perhaps only 1.5 inches.

Curvature. If penile scar tissue accumulates unevenly, the penis can become curved. This condition, known as Peyronie’s disease, occurs most commonly in middle age. It can cause painful erections and make intercourse difficult. The condition may require surgery.

Sensitivity. Numerous studies have shown that the penis becomes less sensitive over time. This can make it hard to achieve an erection and to have an orgasm.

Libido or sex drive
As men get older the testosterone level falls. Testosterone is the hormone produced in the testicles that is responsible for the sex drive. It reaches a peak in the 20’s and early 30’s and slowly declines at a rate of 2% a year. Men who have this problem can obtain a blood test, a serum testosterone test, and if it is low and there is no history of prostate cancer, then the man can receive testosterone supplements in the form of an injection every two weeks, the application of a daily gel to the lower abdomen or shoulders, or the insertion of a pellet under the skin which lasts for 4-6 months.

Bottom Line: Yes, there are changes that are going to occur as a man ages just as there are changes in muscle mass, bone density, memory, hearing, and vision. But this doesn’t mean the end of a man’s sex life. With good health, a willing partner, and a desire to pleasure your partner, you, too, can enjoy sexual intimacy in your silver years.

Loss of Libido-Finding It Without Medication

November 17, 2012

Many men are experiencing a decrease in their libido or sex drive. The symptoms consist of more than just a loss of libido. Men may also have decreased energy, falls asleep after the evening meal, and may loss muscle and bone mass. There some suggestions that men can follow to boost their testosterone level without the necessity of taking medications or testosterone replacement therapy.

10: Drink in Moderation
One alcoholic drink can lubricate a nervous first-date situation. By reducing anxiety and stress one drink can help get you in the mood for sex. But beware, alcohol is a depressant, too much booze and you can end up with quite the opposite problem.

9: Try Aphrodisiacs
There is no magic love potion but aphrodisiacs can be fun. Often they are foods that look sexually suggestive like asparagus. Others, like oysters, gain their love-inducing reputation by containing antioxidants and trace elements necessary for good sexual functioning. For example, oysters are packed with zinc, a mineral central to fertility and good prostate health.

8: Stop Smoking
It’s well known that smoking can have a terrible affect on blood flow to the sexual organs as it causes the blood vessels to narrow. It also saps your stamina and most people don’t like kissing an ashtray.

7: Keep Fit
Moderate regular exercise will help improve blood flow to the sexual organs. In addition, exercise helps you feel good about yourself. Anything that improves self-esteem will improve libido.

6: Lose Weight
Being overweight can affect not only your self-esteem and your feelings of sexuality but you’re likely to suffer from blood vessel disease which can reduce essential blood flow to the genitals.

5: Eat the Right Things
If your body becomes frail due to bad health, sex invariably suffers. Five to nine fruits and vegetables a day can provide the cornerstone to your health. The vitamins and antioxidants will help maintain good blood flow to the sex organs and prevent certain chronic diseases.

4: Massage
Massage techniques can do wonders for sexual arousal particularly if you’re stressed, worried or angry. Prepare the room with soft lighting and soothing music then start with a back massage.

3: Yohimbine
Long used in Africa as an aphrodisiac and often called natural Viagra, yohimbine is thought to improve male impotence although clinical trials have been disappointing. There is little evidence that it works for women.

2: Gingko Biloba
This herbal remedy made from the leaves of the gingko biloba tree, is known to improve blood flow to the brain and sexual organs. It is thought to have an enhancing effect upon desire, excitement and orgasm.

1: Feel Good About Yourself
Nothing reduces your interest in sex more than low self-esteem. Spoil yourself when you’re feeling down and take some time to relax or do an activity that makes you feel better within yourself.

Bottom Line: Loss of libido is just one aspect of erectile dysfunction. The diagnosis is easily made with a simple blood test to measure the serum testosterone level. If the above suggestions do not work, you may want to consider hormone replacement therapy with testosterone injections, topical gels, or the new pellets that can be inserted under the skin and provides a normal blood level for 4-6 months.

Want To Raise Your Testosterone? Lower Your Wasit Line!

November 13, 2012

Your Belly May Be Burying Your Sex Life

Your Belly May Be Burying Your Sex Life


Lifestyle modification such as weight loss may help increase your testosterone level by almost 50%. Overweight man with low testosterone levels may find that a weight loss program and exercise may be all that is necessary to raise the testosterone level to the normal range. Lifestyle modifications consisting of exercise for a total of 2 hours a week and eating less fat and fewer calories may be all that is necessary to raise the testosterone level. Another benefit of this program is that men who have early diabetes may be prevented from progressing to actual diabetes.

Bottom line: Low testosterone and the symptoms of loss of energy loss of bone mass loss of muscle mass and decreased libido can be significantly improved with lifestyle modifications including weight loss and exercise.

Male Hormone Deficiency-You Don’t Need To Wind Down When You Grow Older

November 13, 2012
Testosterone Deficiency

Don’t Wind Down With Hormone Deficiency

A decrease in the serum testosterone level may not be an inevitable part of aging but instead could be due to changes in smoking habits, body size, mental health status and chronic cardiovascular disease. And men who have declines in testosterone levels are more likely to be does to become obese, had stopped smoking, were depressed, or had persistent or new onset of heart disease.

It is also of interest that unmarried men had a significantly greater decline in testosterone levels compared to married man.

Bottom line: Testosterone deficiency can be a marker of underlying disease. Therefore, it is necessary if you are having the symptoms of low testosterone which include loss of energy, loss of muscle mass, and decreased libido, you should consider seeing your physician and being evaluated for these other comorbid conditions.

Testosterone Deficiency – Weighing The Benefits and the Risks

September 17, 2012

For my blog post, I would like to suggest that you read my
letter to the editor at the Times Picayune:
http://www.nola.com/opinions/index.ssf/2012/09/testosterone_therapy_can_be_be.html


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