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Sleep Answers: Sexual Dysfunction in Men

You just have to turn on the TV to know that there is an epidemic of male sexual dysfunction in America.  We are bombarded with ads for medications that improve erectile function and correct low testosterone levels.  However, what is rarely mentioned is the relationship of sleep and sleep disorders to sexual function.

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Low Estrogen Plays Role in ‘Male Menopause’, Study Suggests

A study of 400 men ages 20 to 50 found that estrogen in men is important for keeping fat down and testosterone is important for muscle size and strength — and that both are involved with sexual desire, Dr. Abraham Morgentaler, an associate clinical professor of urology at Harvard Medical School, explained on “CBS This Morning.”

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Testosterone Viagra Not A Winning Combination For Erectile Dysfunction

Using a testosterone gel in addition to Viagra doesn’t make the little blue pill work any better, according to a new study.

The report’s lead researcher said testosterone is typically prescribed to men who have both low testosterone levels and symptoms such as little interest in sex or low bone and muscle mass. But, “there’s a tremendous amount of clinical judgment” that goes into that, said Dr. Matthew Spitzer, from the Boston University School of Medicine. “People are certainly being prescribed and using these medications at increasing amounts.”

According to Spitzer, studies have suggested that about one-quarter to one-third of men with erectile dysfunction, or ED, also have low testosterone. There’s a range in part because doctors and researchers don’t all agree on where the cutoff should be for low levels of the male sex hormone. Read full article.

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Novel Progestin Nestorone, Testosterone Promising as Transdermal Male Contraceptive

HOUSTON – Applying transdermal gels containing off-label testosterone and an experimental nonandrogenic progestin showed promise as a form of reversible contraception for men in a randomized, double-blind, controlled pilot study in 99 men.

Healthy male volunteers were randomized in three groups to apply gels containing 10 g of testosterone plus placebo or testosterone plus either 8 mg or 12 mg of Nestorone, an investigational synthetic nonandrogenic progestin. They were asked to apply the gels daily for 20-24 weeks, and 56 complied.

Read full article.