Problems with Testosterone Replacement
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Taking a testosterone supplement can pose risks that you should be aware of, especially if you have certain medical conditions. Watch this video to learn about the problems with testosterone replacement.
Transcript: Some of the potential downsides or contraindications of testosterone replacement-number one is fertility...
Some of the potential downsides or contraindications of testosterone replacement-number one is fertility in the near future. When you give someone a testosterone replacement or any hormone, it basically shuts off the body's own intrinsic system of producing that hormone so that's something I always try and talk about with patients and, you know, "are you thinking about having children soon, anything like that?" and that may sway my decision one way or another. It's not a complete contraindication but it's something to take into consideration. If someone's on testosterone replacement, when you stop that replacement it's going to take your body a period of time to start producing its own which may not be the pleasant thing to go through. So that's another thing you have to think of is...when you start someone on testosterone you have to think number one: is it warranted? And number two: is this going to be a lifelong commitment for this patient? One thing we always have to consider is prostate. We check a PSA which is a prostate level cancer screening test, at least once a year, maybe every six months. I usually recommend that if they're older to see a urologist to make sure the prostate's in good shape because testosterone can cause prostate enlargement. And the other thing is if anyone has sleep apnea that's untreated, that can be worse with testosterone replacement. And we also have to monitor red blood cell counts because that can go up as well so there's a couple of things that we always kind of monitor at least every six months or so just to make sure everything's staying as it should be. Another thing that's coming out recently in the media is the potential for long term effects such as cardiovascular side effects and we just really don't have the information out there yet and they're going to be doing long term studies, you know from the FDA, on all these long term cardiac outcomes to see what happens. But by the time that stuff comes out it's going to be another ten years and in the meantime the question is, "what do we do with this information and how should it sway our practice?"More »
Last Modified: 2014-04-08 | Tags »
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Many things, including lifestyle habits, can contribute to testosterone deficiency. Check out this video to learn how you can manage it.
Transcript: Testosterone is something I usually explain to patients as a reproductive hormone just like estrogen....
Testosterone is something I usually explain to patients as a reproductive hormone just like estrogen. So you can imagine that if your body's under stress you're not sleeping well, you're not eating right-any of those things, your body's not going to be in a reproductive state of mind, let's say. So, the best thing to do is to kind of get your body balanced again such as trying to exercise more, eat healthy, make sure you're getting enough sleep. All those things should increase your testosterone level as your body stabilizes and gets into a steady state. Every individual is different but I would say probably a couple of months of exercising and losing weight and being more active, working on mood certainly can make a difference. So a lot of times if I see patients who may be experiencing a lot of anxiety or depression I may recommend that they see a therapist or someone to work through some of those issues and sometimes that'll boost testosterone levels. A lot of times with testosterone it's like a chicken or the egg type thing. You know, it's like, 'is the testosterone low because of lifestyle things?" but then sometimes you think if you give the testosterone it may enhance some of the other effects that lead to long term improvements so it's kind of a tough clinical dilemma. I look at every individual that comes through the door as that-an individual. So if someone's in their 30's or 40's and I do kind of a '24-hour in the life of so and so' I think I can make some recommendation that may improve the testosterone, then I will use that. But if I have someone come in who I think it's going to be really hard to get the levels up naturally or they're really symptomatic or having a lot of things going on, I may say, "let's do a trial and see how you respond."More »
Last Modified: 2014-04-08 | Tags »
testosterone deficiency, low testosetrone, hypogonadism, male sex hormones, hormone changes in men reproduction, reproductive hormone, exercise, physical activity, diet, anxiety, depression mens health
When your husband or partner is dealing with low testosterone, both of you can suffer. Get tips and advice on how to talk to your partner with low testosterone and how to help them cope with their condition.
Transcript: Just like high blood pressure or migraine headaches, low testosterone is a MEDICAL issue and is associated...
Just like high blood pressure or migraine headaches, low testosterone is a MEDICAL issue and is associated with medical problems such as osteoporosis. But there is a very strong psychologic component, too. A man dealing with low testosterone often has a low SEX drive, weakened self-CONFIDENCE, and even mild depression. And these characteristics are not exactly conducive to a happy partnership. Before you think about helping your partner deal with his low testosterone, remind yourself that it's NOT ABOUT YOU. His gloomy mood and reluctance to have sex may feel like rejection, but believe me, he WANTS to want sex. It's just that the hormone that CHARGES his sex drive isn't as abundant as it once was. When your partner has low testosterone, participate in OTHER couple activities together. They'll improve his mood, DISTRACT him from his worries and demonstrate that you still find him ATTRACTIVE and desirable. Try dancing lessons, romantic dinners or HIKING treks! Another activity you two should do that ISN'T as fun is going to the doctor together. If he'd rather go alone, your offer will at least say that you're open to talking about his low testosterone-there's no stigma attached. Make sure YOU'RE educated about low testosterone, too. It's not just about sexual functioning-it can also cause shrinking testicles, swollen breast tissue, increased body fat, fatigue, and cognitive issues. Your partner can also seek testosterone replacement therapy. It will help reduce these symptoms, but it won't work right away and isn't always FULLY effective. The two of you should consider couples counseling if the effects of low testosterone are spilling into other aspects of your relationship. Encourage him to see a therapist ON HIS OWN-a professional can teach him techniques for confronting problems such as low self-esteem, depression and irritability. To learn more about your spouse's low testosterone, check out more videos in this series.More »
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Men with low testosterone often experience feelings of low self-confidence and low self-worth. Learn how a man with low T can improve his confidence.
Transcript: Testosterone, drives sexual desire, maintains muscle strength, and assists in red blood cell production....
Testosterone, drives sexual desire, maintains muscle strength, and assists in red blood cell production. Since it is responsible for so many sexual functions, society perceives TESTOSTERONE as a defining, component of manhood. So, if you're diagnosed with LOW testosterone you may feel EMASCULATED. Experiencing a loss of self-esteem and self-identity is NOT unusual. The gradual loss of testosterone that happens as a man ages may or may not cause symptoms i. In normal circumstances a 70 year old man may have testosterone levels that are only 60% of what they were at age 30-but while that many reduce the urgency of sex it should not diminish the interest in or pleasure that he can get from a sexual relationship. However, if falls to a clinically significant level it may be smart to consider testosterone replacement therapy. So if your doctor diagnoses you with low testosterone, don't feel discouraged. It means that NOW you're back on the road to regaining your confidence and restoring your sex drive. AFTER a frank discussion with your doctor about its benefits and potential risks, you may choose to start testosterone replacement therapy. Taking in the hormone through injections, patches, gels or implants can help improve symptoms and give you back your libido. You can also increase your self-confidence with other, non-drug techniques. Remind yourself that YOU ROCK. List the good things in your life-for example, you have a loving partner, or you've traveled the world, you're respected at work. Those things matter. Continue TAKING CARE OF YOURSELF. Put an effort into getting plenty of exercise so you are healthy and in shape. And pay attention to your hairstyle and clothing. It will help you feel PROUD of your appearance. DON'T distance yourself from family or friends. They love you and activities with them will make you HAPPY. And KEEP UP your hobbies-your gardening skills, your poker-playing mastery--that can be FULFILLING. STEER your thinking pattern from the negative to the positive. Stop picturing yourself as "less masculine" and remind yourself that low testosterone is a medical condition, it doesn't define you and it can be treated. Talk to a therapist if you need more guidance in your journey back to confidence. He or she can also help you deal with any feelings of depression that may develop.More »
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Low testosterone can trigger episodes of depression. Learn how to handle low T-related depression and how to treat both conditions.
Transcript: The symptoms of low testosterone can change the way a man THINKS of himself. A loss of MUSCLE strength,...
The symptoms of low testosterone can change the way a man THINKS of himself. A loss of MUSCLE strength, weakened sexual desire, swollen breast tissue, cognitive dysfunction, and insomnia can cause you to lose self-confidence, self-respect and even a sense of masculinity. That's one reason dysthymia, or mild chronic depression, often develops in men with low testosterone. Scientists aren't sure if there is also a HORMONAL component to the depression, but they do see a link between the two issues. One study out of the University of Western Australia indicated that depression is 3 TIMES more likely to occur in men with low testosterone than in men with normal levels. Signs of dysthymia include SADNESS, fatigue, IRRITABILITY, indifference to previously enjoyable activities, HOPELESSNESS, and avoidance of social situations. It can seem like there's NOTHING you can do about it. But there IS. First, you can look into hormone replacement therapy to treat your low testosterone. Your doctor will ask you for details about your symptoms and check your hormone levels with a blood test. If you meet the criteria, he or she can start you on testosterone injections, gels, patches, or implanted pellets. Testosterone replacement therapy will HELP reduce your symptoms. However, according to The Endocrine Society, it is not consistently effective in remedying low-testosterone-related depression. You may need additional therapy to treat your mood problems. Ask your doctor to recommend a THERAPIST. Talk therapy can help you WORK OUT your emotions and teach you how to cope with them in a productive way. Antidepressant medicine may also help you feel better. Finally, you should make an effort to remain ENGAGED in your personal life. Spending time with family and FRIENDS, exercising, cooking and taking part in hobbies can ALL help lift your mood.More »
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Low testosterone affects all aspects of your life, including your sex drive and ability to maintain an erection. Learn how to cope with low T's effects on your love life.
Transcript: Testosterone is the male hormone made in the testicles.-it maintains a man's LIBIDO, red blood cell production,...
Testosterone is the male hormone made in the testicles.-it maintains a man's LIBIDO, red blood cell production, and muscle mass. It's also responsible for the body's CHANGES during puberty. When testosterone levels are within the NORMAL range, a man can experience spontaneous erections and a STRONG sex drive. Some men, though, have LOW testosterone levels and that can cause symptoms such as WEAK erections, low sexual desire, fatigue and decreased MUSCLE strength. The most common cause of low testosterone is AGING-testosterone levels naturally decrease by about 1 percent each year after the age of 30. It can also be caused by treatment for CANCER, hormonal disorders, genetic diseases, and more. Whatever the cause, the sexual symptoms caused by decreased testosterone levels are DEVASTATING for men who are accustomed to a healthy, normal sex life. The condition can damage a man's self-esteem as well, driving his libido DOWN even further. Testosterone replacement therapy can help a man with low testosterone RETURN to his previous level of sexual function. Male hormone replacement therapy can boost the sex drive, produce stronger erections and improve mood and increase muscle strength. But it can potentially come with side effects, such as WORSENING of undetected prostate cancer,, sleep apnea, and OVERPRODUCTION of red blood cells. Talk with your doctor to see if testosterone therapy is right for you. Psychotherapy can help a man cope with feelings of inadequacy, hopelessness, unhappiness and depression that can often accompany the sexual symptoms of low testosterone. And, you and your partner can go to a sex therapist to work out any issues related to your low libido. Interested in learning more about men's health? Watch other videos in this series.More »
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Do you think you have low testosterone? Watch this video to learn about the symptoms of low T as well as its possible causes. Then see your doctor to get a diagnosis!
Transcript: So you're not in the mood for sex-does that mean you have low testosterone? Although a low libido is...
So you're not in the mood for sex-does that mean you have low testosterone? Although a low libido is ONE symptom of low testosterone, also known as male hypogonadism, it's not a sure sign of hormonal problems. However, if it accompanies other symptoms, it may be time to talk to your doctor about testosterone replacement therapy. The other symptoms of low testosterone are: Weak erections, FATIGUE, difficulty concentrating, IRRITABILITY, occasional HOT flashes, increased BREAST tissue, DECREASE in strength and/or muscle mass, as well as Smaller, softer testicles. If you are experiencing these symptoms, you can go see your doctor-you'll get a physical exam and probably a blood test to check your testosterone level. There is a debate amongst experts as to what counts as a normal range for a grown man-many say between 300 and 1000 nanograms per deciliter. According to the Cleveland Clinic, Results between 250 and 350 ng/dL are borderline , and anything below that is considered low. Your doctor may want to administer a repeat test at another time to confirm the first result, since testosterone levels are highest in the morning and they may fluctuate throughout the course of the day. It's natural for testosterone levels to decrease as you age. In fact, after the age of 30, testosterone levels decrease by about 1 percent each year. Other causes of low testosterone include: treatment for testicular cancer, diabetes, chronic use of opioid pain medications, damage, inflammation or infection of the testicles, diseases in the pituitary gland, Klinefelter syndrome-that's the presence of an extra X chromosome in a male, Kallmann syndrome-- a genetic condition which interferes with a normal puberty. Undescended testicles, HIV/AIDS, and, also certain medications. If your doctor determines that one of these issues is NOT the cause of your low testosterone, then you can discuss your treatment options. So how do you relieve those symptoms and get back to your old self? Well watch these other videos in this series for details.More »
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If you're a man with low testosterone, there are several therapy options available. Check out this video to learn about hormone replacement therapy and treating low testosterone.
Transcript: Low testosterone causes many problems such as erectile dysfunction, LOW sexual desire, irritability,...
Low testosterone causes many problems such as erectile dysfunction, LOW sexual desire, irritability, fatigue, decreased muscle mass, and memory problems. If these symptoms are DISRUPTIVE enough, low testosterone treatment can work to return your blood levels of this important hormone to NORMAL. Testosterone treatment can be delivered in several different ways--through intramuscular injection or an implant, topically using a GEL on your arm or shoulders or patch or RARELY via a dissolving tablet. Additional oral medications are currently in development right now. Testosterone injections are most affordable and are administered every 2 weeks, the problem is that levels can fluctuate in between doses. The implantable testosterone pellets are placed under the skin on the buttock area. They're replaced every 3 to 4 months as the dose becomes depleted. Testosterone gels and patches are applied to the skin every day. The hormone is ABSORBED through the skin, minimizing fluctuations in hormone levels. However, the patches and gels are more expensive than alternatives such as injections. There is also a medication called Clomid. It is a pituitary stimulant that prods the testicles into making more testosterone. It preserves fertility and testicular volume, unlike testosterone supplements. Now, Testosterone replacement therapy is NOT without controversy. When it comes to low testosterone caused by aging, The Endocrine Society only recommends the therapy when a man has significant symptoms and low hormone levels on more than one occasion. Additionally, more research still NEEDS to be done to completely understand the risks and possible long-term side effects of testosterone replacement therapies. Some studies have shown that testosterone may accelerate the growth of a previously undetected prostate cancer, it can CONTRIBUTE to worsening of sleep apnea, and cause OVERPRODUCTION of red blood cells. You should discuss the benefits and risks of low testosterone treatment with your doctor to better understand if it is right for you. DON'T start hormone replacement therapy without a doctor's prescription. Check out other videos in this series to learn more about low testosterone.More »
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Now that you’ve made an appointment with your doctor to figure out why you're experiencing overactive bladder, there are a few things you’ll want to make sure you discuss.
Transcript: Now that you've made an appointment with your doctor to figure out how to stop that constant feeling...
Now that you've made an appointment with your doctor to figure out how to stop that constant feeling that you have to urinate, there are a few things you'll want to make sure you discuss. First, make sure to explain: how strong your urge to urinate is, how often you feel this urge, if you feel it after eating certain foods or doing certain activities and the number of late-night trips you take to the bathroom. Also mention any other changes in your health, even if you don't think they're tied to your urinary issue. And tell your doctor about any medications you take, as well as any vitamins or supplements. They could be the cause. In addition, here are some questions you'll want to ASK your doctor: What are my treatment choices, and what's right for me? Are there generic medications I can take? How long will it take before I see positive results from my treatment? What kind of side effects do the medications cause? Are there any lifestyle or self-care treatments I can do for myself, such as diet changes or Kegel exercises? And ... Should I avoid any activities? Don't hesitate to mention the emotional problems that OAB can cause - such as embarrassment, social withdrawal, and depression. You doctor can offer suggestions to ease your distress. And make sure to ask for any brochures or printed material that you can take home, as well as what websites are most helpful. Your doctor may suggest: NIDDK dot gov or Medscape dot com. For more information on overactive bladder, check out other videos on this site.More »
Last Modified: 2012-11-20 | Tags »
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If you are a guy who feels the constant urge to urinate, you could be dealing with overactive bladder in men. Yes, even guys can get this, too. Watch the video for more.
Transcript: Are you a guy who continually feels the need urinate---only to discover there's not really much in your...
Are you a guy who continually feels the need urinate---only to discover there's not really much in your bladder? If so, you may suffer from overactive bladder, the frequent URGE to urinate due to bladder spasm or contractions. Experiencing the need to urinate more than eight times a day and frequently waking in the middle of the night to pee are two symptoms of this urological condition. While OAB is most common in women, it affects nearly one out of every eight American men, particularly those 40 and older. But it is important to know that it is NOT a normal part of aging. For men, overactive bladder is typically triggered by medications, bladder infections, neurological disease or prostate problems. Women tend to experience it after menopause because of thinning tissue around the urethra, although medications can also trigger it. For both men and women, treatment includes pelvic exercises, restriction of fluid intake, increase of fiber intake, elimination of caffeinated drinks and taking certain prescriptions as advised by your doctor. You don't have to suffer in silence: If you experience the symptoms of overactive bladder contact your physician for further assistance. For more information on overactive bladder, check out other videos on this site.More »
Last Modified: 2012-10-18 | Tags »
men, enlarged prostate, medications, bladder infections, neurological disease overactive bladder, OAB, urge incontinence, urological, urinary, neurological, pelvic, treatment, remedy bladder, urine, leakage, aging, urological
You're having trouble with arousal in the bedroom and you don't know what's causing it…it could be erectile dysfunction. Understanding erectile dysfunction is an important step in getting the right treatment. Watch this video to learn more.
Transcript: If you're having trouble in the bedroom, you're not alone: At least 20 million American men experience...
If you're having trouble in the bedroom, you're not alone: At least 20 million American men experience erectile dysfunction. So what is erectile dysfunction anyway? Erectile dysfunction, or ED, is the inability to achieve and/or sustain an erection that is suitable for sexual intercourse. To fully understand ED, it helps to look at the basic process that occurs when a man gets an erection. An erection may sound simple, but it's actually quite complex and requires several different processes working in harmony. The penile nerves must be functioning properly, blood circulation to the penis must be adequate and there must be a sexual stimulus to the brain. When a man becomes physically or mentally stimulated, his brain responds by sending chemical messages to the nerves in his penis. These messengers tell the blood vessels in the penis to relax so that blood can flow freely into the area. Once blood is within the penis, pressure traps it in the shaft, creating an erection that is sustained until ejaculation occurs or the exciting stimulus is diminished. Because an erection is such a complicated process, the causes of erectile dysfunction vary greatly, from lack of stimulus to psychological stress to a problem with the nerves in the penis. Up to 20 percent of all cases of ED can be traced to psychological factors. Many men who are under serious stress or are suffering from depression may be unable to maintain or even obtain an erection. Anxiety about performing poorly or guilt about sexual acts, are also common reasons for psychological ED. Another cause of the problem can be prescription or over-the-counter medications. In fact, over 200 FDA-approved drugs list ED as a side effect. Drugs that may cause problems in the bedroom include some antidepressants, like Prozac and Zoloft, diuretics like Lasix, antihistamines such as Benadryl and muscle relaxants like Norflex. Medications that men take for chemotherapy, prostate cancer and Parkinson's disease can also result in ED. Physical erectile dysfunction often stems from diseases like diabetes, kidney disease and vascular disease. Men with these conditions can have poor blood flow to the penis, resulting in decreased erections. Sometimes, an injury to the penis or pelvis area, or an invasive surgery, can cause ED, although these effects are often temporary. Finally, abuse of recreational drugs like alcohol, illegal opiates and tobacco, can also damage blood vessels and restrict blood flow to the penis. No matter the cause, for men who have difficulty sustaining an erection, a once enjoyable act can be anything but! While erectile dysfunction can be incredibly frustrating, there are treatments that can help, so talk to your doctor about ED.More »
Last Modified: 2013-06-04 | Tags »
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If you're experiencing erectile dysfuncion, you're probably looking for ways to treat it. Watch this video to find out more about ending erectile dysfuncion.
Transcript: One in ten American men suffer from erectile dysfunction. If you're among them, keep watching for treatments...
One in ten American men suffer from erectile dysfunction. If you're among them, keep watching for treatments that can help. Men who experience difficulty getting or maintaining an erection long enough to engage in sexual activity may have erectile dysfunction, or ED. Often, treatment starts with prescription medication. There are currently three drugs approved by the FDA to treat ED: Cialis, Levitra and Viagra. Each works in the same way. When a man becomes erect, the arteries in his penis carry blood through the spongy tissue inside. When genital blood doesn't flow properly, these medications can increase blood flow to the penis, resulting in an erection. All ED drugs should be taken about thirty minutes to an hour before sexual activity. The effects of Levitra and Viagra can last up to five hours, while Cialis can last up to 36. If a man does not respond to erectile dysfunction medications, his doctor may recommend a vacuum constriction device, or penis pump. The device works like this: The pump is placed over the penis. Then, air is pumped out of the cylinder so that a vacuum is created, drawing blood into the shaft and causing an erection. A retaining band is attached to the lower end of the penis to maintain the erection. Over 50 percent of men who use a vacuum constriction device are satisfied with the results. These are often people who have poor blood flow to the penis, diabetes, or psychological issues, like anxiety. An erection obtained in this manner tends to be purplish in color. Other side effects include a small bruise on the penis shaft and a decrease in the force of ejaculation. Another, more drastic, option for treating ED is a penile implant. This is not usually considered unless there is a clear medical cause for ED that is unlikely to improve. The penile prosthesis is usually inflatable. It has two cylinders that are placed in the penis and connected by tubing to a reservoir of fluid, which is located under the groin muscles. A pump is also added, under the skin of the scrotum. To inflate the penis implant, a man presses on this pump in the scrotum. The pump then transfers fluid from the reservoir into the cylinders in the penis, inflating them and causing an erection. Similarly, a valve returns the fluid to the reservoir and deflates the penis. Although a penile prosthesis does not change the sensation in the penis, once the prosthesis has been implanted, most men cannot get an erection naturally ever again. Despite this, up to 90 percent of men are satisfied with the results of their penile prosthesis. For men who have psychological problems that lead to ED, both sex therapy and individual counseling can help minimize the condition. Erectile dysfunction is common, but a number of treatment options can stop it from permanently affecting a couple's sex life. Remember to talk to your doctor before starting any treatment for ED.More »
Last Modified: 2013-06-04 | Tags »
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