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theyfactortx · 3 years ago

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MANday - When Men Lose Libido

Libido ergo Sum (Desire is why I am)

What is your sexual desire over the past four weeks? How often did you feel it? The answers of men to this question could indicate significant sexual dysfunction. While men may experience a temporary loss of libido or sexual drive due to anxiety and mental fatigue, this usually diminishes with age. However, most men retain some sexual desire even into their 70s.

In order to have a decreased libido, one must reduce the number of sexual thoughts and fantasies, decrease in sexual intercourse and frequency, as well as sensory sexual stimulation. Anxiety, depression, fatigue, substance abuse, and underlying depression can all lead to decreased sexual desire in younger men. Men can also experience a decrease in libido due to cranial nerve disorders, endocrine disease, medications, old-age, and testosterone decline. A 30% drop in testosterone levels by 70 years old will result in lower libido (ED), energy, depression and fatigue.

Recent studies have shown that chronic cigarette smoking, OSA (obstructive sleep disorder), which results in difficulty breathing during sleep, as well as nocturia (wakefulness to urinate at night) has been linked to lower Testosterone levels and libido. A further stat is that 4% are diagnosed with OSA. These can be treated by CPAP devices or surgery. Nocturia is a common problem in the prostate that causes low Testosterone. This can be caused by interrupted sleep cycles. Treatment of OSA or nocturia can reverse low Testosterone levels and increase sexual drive. Bupropion (or Wellbutrin), an antidepressant, is not FDA approved. However, it has been shown that it can increase men's sexual drive. Testosterone therapy, also known as Testosterone Enhancement or Replacement Therapy, can restore normal Testosterone levels following correction of any reversible factors.

A visit with one of the six Y Factor teams in Houston is recommended if you have concerns about a recent loss or significant reduction of your sexual drive. Your provider will review your medical history, conduct a physical exam, order any lab tests, and then provide you with a treatment plan. Once the provider has determined the cause of your lower libido the provider will recommend the best treatment to restore your sexual drive.

Kim, S. D., & Cho, K. S. (2019). Obstructive Sleep Apnea & Testosterone Deficiency. The world journal on men's healthcare, 37(1), 12-18. doi:10.5534/wjmh.180017

Rizk, P. J., Kohn, T. P., Pastuszak, A. W., & Khera, M. (2017). Testosterone therapy improves libido, erectile function, and sexual performance in hypogonadal males. Current opinion in urology 27(6), 511-515. doi:10.1097/MOU.0000000000000442

Shigehara, K., Kato, Y., Iijima, M., Kawaguchi, S., Nohara, T., Izumi, K., Kadono, Y., Namiki, M., & Mizokami, A. (2021). Risk Factors that Affect Decreased Libido in Middle-Aged and Elderly Men. Nocturnal Voiding is an Independent Factor of Decreased LIbido. Sexual medicine, 9(5), 100426. doi:10.1016/j.esxm.2021.100426

Yasin, W., Ahmed, S. I., & Gouthro, R. V. (2019). What Does Bupropion Do to the Mood? A Case Report, and Review of the Literature. Cureus, 11(3), e4277. doi:10.7759/cureus.4277

To Learn more, visit The Y Factor today.

#The Y Factor

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theyfactortx · 3 years ago

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Seven Reasons Men Should See a Urologist

A urologist may be needed if you have trouble urinating, or if you wake up at night to go to the bathroom. If you have pain in the pelvic area, or you feel like you've lost your sexual drive, a urologist may be able to help. However, there are other urology issues that men may have and it is important to schedule an appointment with a doctor. A urologist is trained to diagnose and treat problems that affect the urinary system. This includes the bladder, kidneys, and urethra. Here are eight reasons why you should see one.

1. Prostate symptoms?

A small gland in the prostate helps to produce a portion of the semen. It surrounds your urethra which is the tube that allows urine and semen to leave your body. As you get older, the gland will grow larger. However, it can become problematic if it becomes too large. A enlarged prostate can make it more difficult to urinate. The bladder might become less strong and may not empty completely. This can cause you to go more often, even at night.

Prostatitis is a condition where the prostate gland can become inflamed, infected or inflamed. It can lead to pain in your urinate. You may experience fever and chills if the infection is caused by bacteria. Recurrent prostate infections can cause pain in the lower back, groin or tip of your penis.

An urologist will diagnose the root cause of your symptoms. The doctor may prescribe medication to reduce the size of the prostate or relax the muscles surrounding it. Lifestyle changes such as limiting alcohol before bed, relaxing stress levels, regular exercise and taking time to empty your bladder more fully could help. Another option is surgery.

The cause of prostatitis will determine the treatment. To diagnose the problem, a urologist will perform a physical exam. Prostatitis can usually be treated with medications. You might find relief by drinking more fluids, getting lots of sleep, or taking stool softeners.

2. If you have kidney stones.

A kidney stone can cause difficulty urinating, cloudy or bloody urine and upset stomach. These symptoms should be immediately addressed by a urologist.

Kidney stones, which are pebble-like deposits inside your kidneys, can be hardened and formed into hardened stones. They can cause pain in your urinary tract and cause discomfort. To determine if the problem is a kidney stones, a urologist will perform blood and urine tests. Your doctor may prescribe medication or use sound waves to pass the stone. If the stone becomes stuck on the route, surgery may be required.

Lifestyle changes can be recommended by a urologist to prevent the formation of kidney stones. Drinking more water, reducing salt intake and animal protein, and avoiding calcium supplements are some of the lifestyle changes that may help prevent kidney stones from forming.

3. If you have a bacterial infection of the urinary tract.

Urinary tract infections (UTIs), are caused by bacteria getting into your urinary system. UTIs can lead to burning sensations when you urinate, as well as pain and urgency. UTIs can also cause a fever, a cloudy urine, and pain in the lower abdomen. UTIs are more common in women than in men. Men with an enlarged prostate and kidney stones are more at risk. Men who are bed-bound are also at risk.

UTIs should be treated immediately to prevent the infection spreading from your bladder and kidneys. The infection is usually treated with antibiotics by urologists. Your doctor might also discuss ways to prevent a UTI from happening in the future. Fluids are important to flush out bacteria from your urinary tract. UTIs can be prevented by eating more blueberries, cranberries and citrus fruits.

4. If you experience urinary incontinence.

Urinary incontinence is the loss or control of your bladder. This condition can affect up to a third or more of older men. It could be caused by problems in your urinary tract muscles or nerves. UI can also be caused by disorders of the brain, spine, or enlarged prostate. Obesity and sedentary can also lead to UI. You could also have an overactive bladder if you have UI. This condition is caused by a delay in the timing of nerve signals to your bladder, and can cause you to not be able to go to the toilet on time.

The cause of UI will determine the treatment options. There are many options for treatment, including surgery, medical devices and medicines. Urologists may recommend lifestyle and exercise changes before recommending medicines. You might be able to learn bladder training, which will teach you to wait longer between trips. A doctor might also recommend that you limit the intake of acidic or caffeinated foods and beverages and to urinate twice in a row.

5. If you have erectile dysfunction.

As you age, your chances of developing erectile dysfunction (ED), increase. ED can make it difficult to conceive and maintain an erection. This can impact your confidence, quality and relationships. Erectile dysfunction (ED) could indicate a medical problem that can be treated. Low levels of testosterone, the male hormone, can lead to ED. Other chronic conditions, such as diabetes, heart disease and Parkinson's disease can increase the risk.

The cause of ED will determine the treatment. There are two options for treating ED: testosterone treatment and medication. A penis implant, or pump, is an option for more severe cases. An urologist will be able to explain the pros and cons for each treatment. Talking to a urologist can help you make lifestyle changes that will benefit you. These include not smoking and losing weight. It can also help to reduce alcohol intake and ease stress.

6. Permanent birth control is an option.

A urologist can perform an end-of-life vasectomy if you are certain you have had enough children. The procedure involves removing the tubes that transport sperm from your testicles and penis. Your semen will then no longer contain sperm. Your body will not resorb the sperm you make. You can also ask your urologist questions about other methods of birth control. Each option can be explained by the doctor in detail.

Many urologists can also help with infertility. If you are trying to have children but have a medical condition that prevents conception, they may be able help.

7. If there is blood in your urine

A urine sample with blood in it is often a sign that there are kidney problems, infection, or kidney stones. It can also be a sign that you have prostate or bladder cancer. Other symptoms include difficulty going to the toilet, back pain, and needing to urinate frequently. As you age, your risk of developing prostate cancer increases. If you have a family history, your risk is even higher.

For these symptoms, a urologist may be the first provider to see. A doctor can perform an exam, order blood and urine tests to diagnose the condition. It is easier to treat cancers if they are detected early. So don't hesitate to see a urologist.

To learn more, visit The Y Factor today.

#Reasons Men Should See a Urologist

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