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Can testosterone improve sexual health?

Many factors fuel the sexual health of men as well as their sexual performance, ability to perform and changes in their ability to function as they once could. Low testosterone plays a significant factor in all of these and treating Low T can improve interest in sex, sexual function and sexual performance.sexual  health

The Effects of Low T on Sexual Health

While we do understand that testosterone production comes from a healthy HPA Axis, or  communication between your Hypothalamus, Pituitary Glands, Adrenals and Testicles, science still does not understand exactly how testosterone improves sexual health or performance. As you probably noticed in High School, College or amongst your friends, there is no normal level of sexual interest amongst men or women.

Like your testosterone levels, it peaks around 19 and usually slowly declines for the rest of your life. Each person takes a diff­erent path, however, and declining sexual interest is typically tied to declining testosterone levels. These levels can follow a steady decline, or can be accelerated by health issues, stress, poor sleep and even by keeping sexually active. Many men can lose sexual interest at normal testosterone levels or maintain sexual health even at low testosterone levels but as testosterone levels get depleted it will universally eff­ect sexual interest and performance.

One study of Men in the NE of the US showed 11% of men had a lack of sex drive. The researchers also found 28% of men with low testosterone levels had a low libido which means that men with low testosterone levels were 256% more likely to have low sex drive or low libido. The average age of the study participants was 47.

 

Low Testosterone and Erectile Dysfunction

sexual health

Erectile Dysfunction, or ED, can be caused by many health problems including low testosterone, atherosclerosis (hardening of the arteries), diabetes, high blood pressure and high cholesterol. Those last three items all cause hardening of the arteries. If they are damaged, the penis has difficulty dilating and bringing sufficient blood flow required for an erection. Testosterone therapy can lead to increased libido and interaction and connection between the brain and penis.

Viagra is an example of an oral PDE5 inhibitors that encourage an increase in nitric oxide which dilates the blood vessels and encourages more blood flow to the penis. Three potent selective PDE5 inhibitors (sildenafil (Viagra; Pfizer), tadalafil (Cialis; Lilly), and vardenafil (Levitra; Bayer)) are currently available. Testosterone therapy will often increase the libido and sexual function to erase Erectile Dysfunction, but often our physicians will prescribe a combination with PDE5 inhibitors as well.

Studies are showing that men with classic hypogonadism, or low testosterone, have a reduced response to PDE5 inhibitors and see a significant response improvement with Testosterone Therapy. For patients who fail to see ED improvement following TRT and PDE5 inhibitors we can prescribe and test the direct injectable Trimix.

The Connection of Testosterone Levels and Sexual Health

sexual healthWhile this sounds like a juvenile sex joke, we are now seeing that lowered testosterone levels lead to a decreased sex life, but that a decreased sex life also can lower ones testosterone levels in a study at the University of Sydney in Australia.

Researchers followed 1,700 men over the age of 70. The study asked questions and measured a number of things. The study tracked the ability to keep and maintain an erection. It measured the frequency that sexual activity led to ejaculation (through masturbation or sexual intercourse). The study also tracked libido and sexual health versus earlier times in their lives.

During the study, all of the men had blood tests regularly taken and the following tests measured: Total Testosterone, Free Testosterone, Estrogen, SHGB and some other hormones.

Researchers discovered a 10% reduction in testosterone levels led to a noticeable decrease in sexual activity but no change in the number of erections. Another study showed that testosterone levels increased on night after sexual activity without any increase on nights where there was no sexual activity. Physicians are concerned that a lack of sexual activity can accelerate low testosterone.

sexual healthA further study showed that men taking Cialis had higher testosterone levels than men taking Viagra. Both drugs are PDE5 inhibitors to boost nitric oxide and blood flow to the penis. Cialis, however, last 36 hours for most people rather than 6-8 hours. Cialis users typically have more intercourse over this extended time period.

The researchers concluded that “as it is unlikely that the two drugs have a di­fferent direct e­ffect on the pituitary-testis axis, this eff­ect is probably due to the higher frequency of full sexual intercourse.”

A Chinese study observed a group of men that abstained from ejaculation for one week and had their testosterone levels tested each day. Research showed that abstaining for 6 days had no eff­ect on testosterone levels, however, on the seventh day the testosterone levels surged to 145.7% of the baseline then plummeted on the 8th day.

The researchers believe the testosterone surge was the result of a negative feedback suppression of Luteinizing hormone (LH secretion) which is essential for testosterone production.

 

 

Hormone Therapeutics aims to help people looking to improve and optimize their health through natural means or through the guidance of our physicians.

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Saleamp Design November 15th, 2016

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