Mind Over Masculinity: Breaking the Stigma of Men’s Mental Health

This article is a repost which originally appeared on RHODY HEALTH/Cranston HERALD

Edited for content. The opinions expressed in this article may not reflect the opinions of this site’s editors, staff or members.

Written by: Eric Tirrell, clinical manager of the Transcranial Magnetic Stimulation (TMS) program and the research operations manager for the Center of Biomedical Research Excellence (COBRE) in Neuromodulation at Butler Hospital and Joshua Davis a program therapist in the Butler Hospital’s Cognitive Behavioral Therapy Program. 

Mental health is a crucial part of our overall well-being, yet it remains a topic that is often misunderstood, stigmatized, and overlooked, especially for men. For far too long, men have been expected to suppress their emotions, to tough it out, to soldier on through difficult times. This resulted in a significant gap in our understanding of men’s mental health needs and an alarming disparity in the rates of suicide, substance abuse, and other mental health issues among men.

By breaking down the walls of stigma and shame surrounding men’s mental health, we can start addressing this critical issue with compassion, understanding, and empathy. Here we will explore the importance of men’s mental health, the challenges men face when seeking help, and the available treatment options that can help them achieve greater emotional well-being and fulfillment.

Sobering Statistics

• Men are more likely to die by suicide than women. In the United States, men account for nearly 75% of all suicides.

• Men are less likely to seek help for mental health issues than women. In a survey conducted by the American Psychological Association, only 35% of men reported they would seek help from a mental health professional, compared to 58% of women.

• Men are more likely to struggle with certain mental health conditions. For example, men are more likely to be diagnosed with alcohol dependence and antisocial personality disorder, while women are more likely to be diagnosed with depression and anxiety disorders.

• Men are more likely to experience workplace stress and burnout. According to a survey by the American Institute of Stress, men are more likely to report feeling overwhelmed at work and are less likely to take time off to care for their mental health. (Ultram online)

• Men are more likely to engage in risky behaviors as a coping mechanism. This can include substance abuse, reckless driving, and other dangerous activities.

Importance of Men’s Mental Health

Men’s mental health is important for many reasons.

1. Mental health issues can severely affect a man’s quality of life. This includes relationships, work, and personal goals.

2. Depression, anxiety, and other mental health conditions can impact a person’s ability to function, causing them to feel hopeless, isolated, and overwhelmed.

3. Untreated mental health conditions can lead to physical health issues like heart disease, stroke, and diabetes.

4. Mental health issues can have a ripple effect on those around them, including family members, friends, and colleagues.

5. When men struggle with mental health issues, it can impact their relationships and those closest to them.

6. Addressing men’s mental health is crucial for building a more equitable society that prioritizes all individuals’ well-being, regardless of gender.

Contributing Factors

Several factors contribute to men’s reluctance to seek help for mental health issues. These include societal expectations of masculinity, mental health stigma, and a lack of awareness about available resources.

Men are often expected to be strong, stoic, and self-sufficient, making it difficult to acknowledge their struggles and ask for help. Additionally, mental health stigma can make men feel ashamed or weak for struggling with mental health issues, further preventing them from seeking help.

Treatment Options for Men’s Mental Health

Fortunately, several treatment options are available for men struggling with mental health issues. These include:

• Therapy: Talk therapy can involve working with a mental health professional to identify and address mental health issues. Therapy can be conducted in person, online, or over the phone and can help men develop coping strategies, manage symptoms, and improve their overall mental health.

• Medication: In some cases, medication can be used to treat mental health issues. This may include antidepressants, anti-anxiety medication, or mood stabilizers. Medication can help manage symptoms and improve overall mental health but should always be prescribed and monitored by a healthcare professional.

• Support groups: Support groups can be valuable for men struggling with mental health issues. These groups provide a safe space for men to share their experiences, connect with others going through similar challenges, and receive emotional support.

• Lifestyle changes: Making lifestyle changes, such as eating a healthy diet, exercising regularly, and practicing stress-management techniques, can also improve mental health. These changes can help reduce symptoms of depression and anxiety, improve mood, and promote overall well-being.

• Electroconvulsive Therapy (ECT): ECT uses brief, low-energy electrical pulses to stimulate nerve-cell activity in the part of the brain that affects mood. Stimulating this area helps to alleviate symptoms of depression. The electrical impulses are delivered through electrodes placed on the scalp. Patients are given anesthesia to relax and ensure the procedure is pain-free.

• Transcranial Magnetic Stimulation (TMS): TMS is an FDA-approved outpatient treatment that uses magnetic fields to stimulate nerves in the brain non-invasively. This innovative and safe technique requires no sedation or anesthesia and successfully treats individuals suffering from Major Depressive Disorder and Obsessive-Compulsive Disorder. Published reports from TMS treatment studies for depression show that more than half of patients treated with TMS Therapy experienced significant improvements in symptoms, and one-third of patients experienced full remission of their depressive episodes.

Disclaimer: The content in this blog is for informational and educational purposes only and should not serve as medical advice, consultation, or diagnosis.  If you have a medical concern, please consult your healthcare provider, or seek immediate medical treatment. 

How to Raise Testosterone Levels Naturally (from The Ultimate Guide To Male Enhancement)

The following is a chapter taken from the book: The Ultimate Guide To Male Enhancement.

Edited for content

How to Raise Testosterone Levels Naturally
By Mr. Paul Becker of http://www.naturalsize.com/

Testosterone is a male hormone that is essential for building larger muscles. It is important for manufacturing new protein within the muscle cell, which allows it to increase in size.

One of the things that can make the difference between a “quick gainer” and a “hard gainer” is testosterone production. Testosterone production can vary substantially among trainees, and the ones that have the higher testosterone level will make better gains.

This report will help you to up your own natural testosterone production so that you can maximize your size and strength gains without having to resort to illegal and possibly dangerous steroid drugs.

Exercise

Both the lack of physical activity and excessive physical activity (over training) will result in decreased levels of testosterone. Exercise effects testosterone directly by stimulating the pituitary gland and the testes and it probably also raises levels by slowing down the normal breakdown of testosterone.

The duration, intensity, frequency and timing of exercise will determine the circulating levels of testosterone.  Testosterone levels increase most with short intense bursts, while it decreases with prolonged activity especially that of frequent endurance training. During endurance training, testosterone is needed to maintain muscle but frequent extended training doesn’t allow for repair and recovery of testosterone and tissue damage occurs.

Testosterone is released in higher concentrations by using heavy weights (5 to 10 rep range) using rest periods of 3 to 5 mins between sets. Basic, multi-joint exercises (like squats, deadlifts, barbell rows and dips) cause a much greater hormone release then isolation exercises (like flies, lateral raises, concentration curls).

Only when you use a large percentage of your muscle mass will you get maximum testosterone release. So, spend most of your training time, working the largest muscle groups (legs, back and chest) by using heavy weights in the squat, deadlift, barbell row and bench press or dips.

Normally testosterone is the 30% higher in the morning than the evening. So, if possible, train in the morning and reap the benefits of those naturally elevated levels.

Studies show that testosterone levels will elevate with exercise for about 45 to 60 minutes. After this time period, cortisol levels begin to increase and testosterone levels will decline. This decrease has been detected for up to 6 days.

Because you require testosterone for repair and growth, do not train for more than 45 to 60 minutes at a single session. If you feel like you want to exercise or train more, split sessions are recommended. Also do not lift weights and perform aerobic training at the same time. It is also a good idea to vary your workouts and cycle them throughout the year.

Diet

You are what you eat! If you want to keep “juiced with testosterone” it is extremely important to follow these dietary
rules:

● Eat moderate amounts of protein. Protein in Latin means “above all else.” Protein stimulates the hormone glucagon and the anabolic (muscle building) responses important for adequate testosterone release.

● Eat more vegetables and fruit and limit excessive carbohydrate intake especially of simple sugars and starches (grains, potatoes, pasta). Excess intake of carbohydrates especially those that raise blood sugar rapidly create chronically elevated levels of the hormone insulin and cortisol. These two hormones oppose the action of testosterone and diminish its production.

● Eat Fat! The reason, Jack Sprat was so lean was he ate no fat. Essential fats such as the omega 3 fatty acids found in fish and flaxseed as well as saturated fats are essential for normal testosterone production. All steroid hormones are produced from cholesterol and when fats are deficient in the diet, this process will be inhibited.

● Studies clearly indicate that low fat diets result in lower testosterone levels while those higher in protein, lower in carbohydrate and moderate in fat cause the greatest sustained levels of testosterone and growth hormone.

● A recent study demonstrated the influence of diet on pre and post exercise testosterone and cortisol. After exercise with bench press and squat to failure, testosterone and cortisol were measured. Those men who were on a diet with a higher protein/carbohydrate ratio and percent fat content had the largest increase in
testosterone and the smallest rise in cortisol.

You must train and eat smart to minimize the catabolic and maximize the anabolic effects of exercise. If your diet is very low in fat and high in complex carbohydrates and fiber, your testosterone levels may remain very low and you will never make the changes in muscle mass and strength that you desire.

Also, don’t take anything, which produces estrogen; these being such as Soya, Cannabis or Alcohol.

Sunbathing

Sunbathing greatly aids recovery from exercise and can naturally raise our testosterone levels by 200% after nude exposure (yes, 200% and drug free!). You will also look more defined, carry less body fat and have that healthy glow when you spend some time in the sun.

Emotional Stress

Emotional stress is a frequent cause of decreased testosterone levels. When the “fight of flight” alarm reaction system is active, stress hormones such as adrenaline, noradrenaline and cortisol are released. These hormones that are released to protect our lives have catabolic activity. This means they catabolize (breakdown) body stores of fat and protein to be used for acute resources of energy and immune response. They go even one step farther and inhibit all anabolic processes as well. Because in life or death situations the body does not need to build muscle, eat, have sexual thoughts etc. processes that require vital life energy, all anabolic (building) processes including testosterone are shut down.

This was a very effective system when it evolved. For hundreds of thousands of years the threats to the body were short-lived and very acute such as being eaten or attacked. Today stresses are not only prolonged but perceived in our mind. And this chronic stress causes an over activation of our adrenal system and the catabolic process. In fact, chronic catabolism is not only the greatest cause of premature aging and cardiovascular disease but it severely inhibits testosterone function making it almost impossible to build muscle and strength.

So, if you want to really grow it is essential that you follow the advice, “Don’t sweat the small stuff and it is all small stuff”, stay well rested and take your time eating frequent small meals. This will help normalize cortisol levels and allow your anabolic system to take over again.

Use the techniques exactly as the book says, for about 15 to 30 minutes every day and you will be surprised at how much of a difference it will make in your training and in your life.  NOTE: Learn How to Build Muscle Mass and Get Super Strong Naturally! At naturalsize.com

The Ultimate Guide to Male Enhancement

 

8 Ways to Boost Male Fertility and Improve Sperm Health

Posted June 23, 2023

(BPT) – Written by: Dr. Sina Abhari, Medical Director and board-certified reproductive endocrinology and infertility specialist at CCRM Fertility of Newport Beach

This article is a repost which originally appeared on LI HERALD.COM.

Edited for content. The opinions expressed in this article may not reflect the opinions of this site’s editors, staff or members.

Key Points

‧ Recent surveys show up to 40% of men are concerned about fertility.

‧ There are many individual things someone can do to improve their fertility health.

‧ Checking with a fertility specialist is recommended if problems are suspected.

With studies reporting a significant decline in sperm counts across the globe, fertility health has been a top-of-mind concern for many men in recent years. In fact, a recent survey of 1,000 men, ages 25-54, found that nearly 40% of men are currently concerned with their fertility health.

While some causes of male fertility are genetic or structural and require help from a fertility doctor, there are lifestyle considerations and changes you can factor into your everyday routine to improve your wellness and optimize reproductive health.

Here are some tips to help improve male fertility:

1. Maintain a healthy weight

Having a higher body mass index (BMI) may have a negative impact on sperm production. Research suggests that if your BMI is on the higher side, you might be at a greater risk of experiencing fertility issues and sometimes pregnancy outcomes are negatively impacted. So, it’s worth keeping an eye on your BMI and taking steps to maintain a healthy weight if you’re planning to start a family. Focus on eating well-balanced meals, exercise three to four days a week, and aim for a BMI between 21 to 26.

2. Eat a nutritious diet

Consume a diet rich in fruits, vegetables, whole grains, lean proteins, and healthy fat and include foods high in antioxidants, such as berries, leafy greens, nuts and seeds, which can help protect sperm from damage. Certain vitamins and supplements can also affect sperm health. Taking a multivitamin can provide additional antioxidants such as zinc, selenium and vitamin C — all of which are used by the testes to support sperm production.

3. Avoid tobacco

Smoking tobacco can take a serious toll on your overall health and wellness, and this includes negatively impacting your fertility. A meta-analysis of 20 studies with 5,865 participants found that smoking tobacco reduces sperm count and motility (how the sperm move/swim). If you smoke and are trying to conceive, it is time to kick the habit. Here are some tips from the CDC on how to quit smoking.

4. Consume alcohol in moderation

Excessive alcohol consumption can lower sperm counts, lower testosterone, and can disrupt reproductive hormone balance. So, what amount of alcohol is considered okay? The results from studies are inconsistent and there is no one study that gives direction on how much alcohol you should drink before your fertility is negatively impacted. But generally, fertility specialists recommend consuming less than four to six glasses of wine (or the equivalent) a week.

5. Exercise regularly

Some studies show that getting regular physical activity can increase testosterone levels and better sperm quality. However, excessive exercise may have a negative impact, so strike a balance.

6. Limit heat exposure

Avoid prolonged exposure to high temperatures, such as hot tubs, saunas, or tight-fitting underwear, as they can raise scrotal temperature and affect sperm production.

7. Minimize exposure to toxins

Reduce exposure to environmental toxins and chemicals that can harm sperm, such as pesticides, heavy metals, and certain workplace chemicals. Use protective clothing and follow safety guidelines if you work in a potentially hazardous environment.

8. Get enough sleep

Sleep deprivation has been correlated with a number of health concerns, including male fertility problems. Sufficient rest (aim for seven to eight hours each night) promotes hormonal balance and overall well-being.

If you’re concerned about your fertility, it is best to consult a fertility specialist. They can provide a thorough evaluation and recommend appropriate treatments or interventions based on your specific situation.

Men’s Health: Dos & Don’t Of Diet For Better Fertility In Men

This article is a repost which originally appeared on DOCTOR NDTV

Edited for content. The opinions expressed in this article may not reflect the opinions of this site’s editors, staff or members.

The ability of a person to reproduce naturally is referred to as fertility. When a man’s chances of getting his female spouse pregnant are poor, this is known as male infertility. Usually, it depends on how good his sperm cells are. Infertility can sometimes be related to sexual function, and it can also occasionally be related to the quality of the semen.

Male fertility really depends on a healthy sperm count. Sperm count can be affected by a variety of elements, such as nutrition and way of life. You can increase sperm count and overall fertility by incorporating particular nutrients into your diet. We’ll look at some fundamental dos and don’ts that have been demonstrated to have an impact on sperm count below.

Dietary do’s & don’ts to boost fertility in men:

Do’s

  1. Eat a balanced diet that includes plenty of fruits, vegetables, whole grains, lean proteins, and healthy fats.
  2. You certainly already know that vitamin C can strengthen the immune system. According to some research, consuming antioxidants like vitamin C may increase fertility.
  3. Cut back on processed and fast food, as they contain high levels of unhealthy fats, sugars, and artificial additives that can negatively impact fertility.
  4. Increase your intake of antioxidants such as vitamin E, and selenium, as they can help protect sperm from damage.
  5. Fertility in both men and women can benefit from vitamin D. Another vitamin that might raise testosterone levels is this one. Men who were vitamin D deficient had a higher likelihood of having low testosterone levels, according to one observational study.
  6. Fenugreek is an appreciated herb for both cooking and medicine. Supplements containing fenugreek have been demonstrated to considerably raise testosterone levels.
  7. One of the foundational elements of male fertility is getting adequate zinc. Additionally, taking zinc supplements may prevent the lower testosterone levels linked to overdoing it on high-intensity exercise.
  8. Ashwagandha is a herb used for medical purposes which can be added to your diet. According to studies, ashwagandha may increase testosterone levels, hence enhancing male fertility.

Don’ts

  1. Avoid or limit foods that are high in saturated and trans fats, such as red meat, fried foods, and baked goods, as they can decrease sperm count and motility.
  2. Reduce intake of soy products. Soy is abundant in isoflavones which causes an oestrogenic effect that drops the levels of testosterone.
  3. Avoiding consuming predator fish such as tuna and swordfish. These fish are high in mercury which can negatively affect our reproductive health and lead to fertility issues.
  4. Reduce your caffeine intake, as high levels can negatively impact sperm quality.
  5. Avoid or limit alcohol intake, as excessive consumption can decrease testosterone levels and impair sperm production.
  6. Avoid smoking and exposure to secondhand smoke, as they can damage sperm DNA and decrease sperm count.
  7. Don’t skip meals, as it can negatively affect hormone levels and overall sperm health.
  8. Foods in cans and tins are lined with a substance called bisphenol (BPA). Since bisphenol mimics oestrogen in the human body, it can have consequences akin to too much soy.

Follow these dietary dos and don’ts to improve your fertility and increase your chances of conceiving.

 

5 reasons for low sex drive in men these days and how to treat it

TIMESOFINDIA.COM | Last updated on -Mar 11, 2023, 00:00 IST

This article is a repost which originally appeared on Times Of India

Edited for content. The opinions expressed in this article may not reflect the opinions of this site’s editors, staff or members.

Key Points

‧ 1 in 5 men experience low libido.

‧ There could be several reasons why men experience low libido or ED (Erectile Dysfunction).

‧ Stress can cause low libido through different feedback loops.

01/7 Reasons for lack of sexual desire

Among every 5 men 1 faces the problem of low libido due to various reasons like stress or hormonal imbalances that make them want to avoid any kind of sexual activity. Yet, sometimes a loss of sex desire is a symptom of a deeper issue. Men’s decrease of sex desire can frequently be attributed to depression, stress, drunkenness, illicit drug usage, and weariness.

Here are several reasons why men may experience low sex drive:

02/7 ​​Stress: ​

High levels of stress can affect testosterone levels and reduce sex drive. If a person is distracted by a certain situation or goes through severe mental pressure, then his sexual drive decreases.

03/7​​ Hormonal imbalances:​

Dr. Caranj S.V., M.B.B.S., M.S. (General Surgery), M.Ch. (Urology), Medical expert with Kindly Health says, “Issues such as low testosterone levels, can lead to decreased sex drive. Men who have hypogonadism are determined to struggle with the problem of low testosterone levels estimated below 300 ng/dl. Such men face a lack of urge for any sexual activity.

04/7 ​​Medications: ​

Some medications can have side effects that reduce sex drive, such as antidepressants and blood pressure medications. Men taking radiation treatments or chemotherapy for cancer suffer from decreased sex drive along with those who take anabolic steroids like sportsmen.

05/7​​ Poor lifestyle habits: ​

Poor diet, lack of exercise, smoking, consumption of excessive alcohol, and drug use can all contribute to low sex drive. Also, if proper sleep and rest are not taken then that also creates problems and causes low sex drive.

06/7 ​​Relationship issues: ​

Problems with a partner, such as communication issues or unresolved conflicts, can reduce sexual desire.

07/7​​ The solution to low sex drive in men include:​

Addressing stress: Finding ways to manage stress, such as through exercise, meditation, or therapy, can help improve sex drive. Adopting a healthier lifestyle: Cessation of smoking, eating a balanced diet, exercising regularly, and reducing alcohol and drug use can all help improve sex drive. Treating hormonal imbalances: According to Dr. Caranj, “If low testosterone levels are the cause, hormone replacement therapy may be necessary.” Addressing relationship issues: Working with a partner to address communication issues and resolve conflicts can help improve sexual desire. Switching medications: If medication side effects are the cause, switching to a different medication may be necessary.

Here’s how a poor diet can affect men’s sexual health

Eating habits that can have a negative impact on men’s sexual health

By Radhika Agrawal
22 January 2023

This article is a repost which originally appeared on GQ India.

Edited for content. The opinions expressed in this article may not reflect the opinions of this site’s editors, staff or members.

Key Points

‧ Diet has a high impact on sexual performance.

‧ Negative habits like smoking, excess caffeine and alcohol, and poor sleep can also negatively affect sexual performance.

‧ Switching to a healthy diet may reverse many of the above problems.

POV: You take your date out for pizza and wine, the two of you click instantly, and they even invite you back to their place. Everything is going splendidly—until your erection bails on you midway. If you’re not sure what went wrong, it might be a good idea to take a closer look at your diet leading up to the anticlimactic event. Junk food can have an adverse effect on your libido and excessive drinking can leave you with an unfortunate case of whisky dick.

“Sexual health and nutrition share a closer relationship than most realize. What we put into our body determines how it functions, and a lousy diet can influence erectile function through its effects on the biology of blood vessels and nerves, leading to issues that will affect sexual performance,” says Dr. Rushikesh Trivedi, Metabolic Expert at Fast&Up.

When we talk about men’s sexual health, we are not only referring to the sex drive or libido, but also the ability to have and maintain an erection, which is known as erectile function. Your diet and nutrition can have a positive or negative impact on your sexual health and performance, both directly and indirectly. We spoke to Dr. Trivedi to understand how this happens. Here’s everything you need to know about the relationship between nutrition and sexual health in men.

How a poor diet affects men’s sexual health

Following a healthy, balanced diet is not only the key to looking good in the bedroom—it’s also responsible for your sexual health. If you are noticing a decrease in your sex drive or erectile function, it’s time to start cutting out unhealthy and junk foods from your nutrition plan. “Making smart dietary choices can help turn things around. It is critical to consume meals high in zinc, vitamin E, and omega-3 fatty acids for optimal sperm health and production. Nuts, beans, shellfish, green vegetables, seeds, seafood, and other foods fall under this category,” advises Dr. Trivedi. He also suggests consuming supplements from trusted and certified brands to meet your dietary needs.

Let’s not forget that an improper diet is also linked to weight gain and obesity, which can lead to self esteem issues and other health problems. “Carrying those extra pounds can increase the odds of developing unwanted health and sexual problems,” says Dr. Trivedi.

Lifestyle habits that are detrimental to your sexual health

You may not realize it, but your unhealthy lifestyle habits can affect your sexual patterns in the long run. Smoking, excessive caffeine and alcohol consumption, erratic sleep schedules,  and a stressful routine can lead to sexual dysfunction over a period of time. It is essential that you take care of your cardiovascular health to improve your sexual health.

According to Dr. Trivedi, the most common causes of sexual problems are fatigue and depression. Exercising can boost your mood and help you have better sex. “By exercising on a regular basis, you increase your blood flow and stamina. You’re also releasing more endorphins, which generate positive emotions in the body akin to morphine,” he says.

Unhealthy habits that affect men’s sexual health; ways to bid them goodbye

Men’s fertility health is as important as women’s reproductive health. Apart from contributing towards a healthy pregnancy, it also keeps men’s overall health fine and free of diseases. Read on to know what unhealthy hay habits which lead to sexual disorders in men and how you can treat them.

Authored by: Ashima Sharda Mahindra

Updated Dec 11, 2022 | 01:32 PM IST

This article is a repost which originally appeared on TIMES NOW.

Edited for content. The opinions expressed in this article may not reflect the opinions of this site’s editors, staff or members.

Key Points

‧ There are many things one can do to improve sexual performance.

‧ A leaner body composition will usually result in better performance.

‧ Engaging in better habits- like more foreplay; and decreasing negative habits- like alcohol consumption- will improve potency.

New Delhi: Many times, sexual disorders in men are equated with their masculinity. Time and again the myth has been debunked by doctors since the stigma does not let men openly talk about and seek help regarding sexual issues they face.

Across the world, men suffer from various sexual and fertility disorders that make them prone to stress, depression, and other mental as well as physical health issues, including infections, kidney failures, and even fatal diseases like cancers.

What are male sexual disorders?

According to Cleveland Clinic, sexual dysfunctions can affect men of all ages but is especially common in older men. The most common problems related to sexual dysfunction include

‧ Ejaculation disorders
‧ Erectile dysfunction
‧ Inhibited sexual desire

These issues can often be corrected by treating the underlying causes. According to statistics, infertility affects about one in every 6-to 7 couples and is treatable only in a few cases but only up to a few extents.

Unhealthy habits that affect men’s sexual health

Here is a list of a few unhealthy habits that affect sexual health in men:

‧ Eating too much salt: According to WebMD, amounts of salty foods are likely to increase blood pressure levels, leading to lower libido. Health experts call for steering clear and away from pre-packaged and processed foods which are high in sodium levels, preservatives, and unsaturated fats.
‧ Stress: Stress is one of the biggest underlying factors which cause most health issues. Constant strain and high levels of anxiety wear you out and decrease sexual desires. Try working towards decreasing stress levels, which are also detrimental to overall health.
‧ You do not indulge in foreplay: According to sexual health experts, it is very important to indulge in foreplay before sex to enjoy and make it last. However, due to various reasons, men do not include more types of stimulation beforehand.
‧ Alcohol dependence: Increased dependence on alcohol and addiction might be a good thing for a short while as they can help you relax but binging on booze can cause you to crash and burn in the bedroom. Doctors say that men struggle with sexual performance issues when they are drunk.
‧  Obesity and being overweight: Obesity and weight issues are one of the main reasons for bad performance in bed. Studies have said that men who are obese are more likely to have erectile dysfunction than those who are not.
‧  Smoking: Smoking, like a lot of other health issues, harms your sexual health as well. Chemicals in tobacco can mess with blood flow, which can cause sexual problems, especially for men.

Ways to boost sexual health

Try some of the following methods to reduce erectile dysfunction, increase stamina, and improve the overall quality of sex:

Manage your stress and anxiety

Since both anxiety and stress can make it hard to get or maintain an erection and distract people from sexual intimacy, you need to formulate some strategies to manage them. A few of them include:

‧ Focusing physical sensations
‧ Regular workouts
‧ Regulating sleep patterns
‧ Working on emotional aspects of your relationship
‧ Seeking therapy

Communicate and address relationship issues

Sexual health is deeply linked with mental health, as emotional bonds can improve sexual experiences. Resolving the situation together with your partner can make you feel less isolated and address any concerns or guilt.

Exercise regularly

Studies have shown that being physically active can drastically reduce a lot of health problems, including sexual ones. Conditions like high blood pressure, heart disease, and diabetes damage nerves and change the amount of blood that flows to the penis. This can make it more difficult to get or maintain erections. Exercise would help proper blood circulation across the body. Also, exercising improves mental health and reduces anxiety.

According to Medical News Today, men can also benefit from exercising the muscles involved in arousal and ejaculation. The following exercise may help:

‧  While urinating, stop the flow of urine. Repeat several times and learn to identify the muscles involved.
‧  When not urinating, try to contract these muscles for 10 seconds. Relax them for 10 seconds, then contract them for another 10 seconds.

Practice meditation

Health experts suggest that the practice of mindful meditation greatly improves sexual functions, and helps you manage stress, depression, and other mental health issues as well.

Disclaimer: Tips and suggestions mentioned in the article are for general information purposes only and should not be construed as professional medical advice. Always consult your doctor or a dietician before starting any fitness programme or making any changes to your diet.

 

 

 

 

 

 

 

 

 

 

Sperm counts are decreasing, study finds. What might it mean for fertility?

Karen Weintraub
USA TODAY

This article is a repost which originally appeared on USA TODAY.

Edited for content. The opinions expressed in this article may not reflect the opinions of this site’s editors, staff or members.

Key Points

‧ A new study found men are likely to have lower sperm counts than 50 years ago.

‧ The reason? Experts say it’s hard to tell but may be due to environmental exposures, chemicals or changes in weight.

‧ Being healthy overall is important for reproductive health, experts said. Men should talk to their doctor if they’re concerned about their sperm count.

Sperm counts and concentration are down all over the world, according to a new study that updates previous research and raises questions about exposures and men’s health.

From 1973 to 2000, sperm counts dropped by 1.2% per year, “which is a lot,” said Hagai Levine, who helped lead the research. From 2000 to 2018, the decline was 2.6% per year, “which is an amazing pace.”

The United States is part of this larger trend.

“In the U.S., due to availability of good data, we have the highest certainty that there is a strong and sustainable decline, but it’s similar globally,” Levine said.

It’s unclear why sperm counts have been falling.

“We don’t understand why we’re seeing this pattern, so I think it’s hard to be alarmist for an individual,” said Dr. Michael Eisenberg, a urologist focused on male fertility and sexual function at Stanford University and Stanford Health Care in California. He was not involved in the new study.

“But at a policy level, this should be a wake-up call to try and understand,” Eisenberg said.

Experts say falling sperm counts might mean it takes longer to have children. Here’s what to know.

What’s the evidence?

The new study is a meta-analysis, which means it combined findings from more than 250 previous studies. It also updates a previous meta-analysis the team published in 2017, adding data on sperm counts from 2011 to 2018 and regions in South America, Asia and Africa, where data had been incomplete before.

Men in the global south have seen the same significant decline in sperm count and concentration as the team showed in 2017 among men in North America, Europe and Australia, whose sperm counts and concentrations continued to fall, according to the new study.

Sperm count is a imperfect measure of fertility, but there is a threshold below which a low sperm count affects the chances of reproduction. On a population level, the study suggests that median sperm counts have dropped from 104 to 49 million per milliliter over five decades.

That means more men are likely to have sperm counts below the fertility threshold than was the case 50 years ago, said Levine, an epidemiologist and public health physician at the Braun School of Public Health, at Hadassah University Medical Center.

What’s the impact on fertility?

But Amy Sparks, a reproductive physiologist at the University of Iowa, who was not involved in the research, cautioned that sperm counts are falling, but not enough to affect the human population.

The paper is not “suggesting that our sperm concentrations are crashing at a rate that is going to lead us out to every man needing to walk into an infertility center. Heavens to Betsy, no.”

People have raised questions about sperm counts for generations. Sparks said she found a 1974 study of 390 men at the University of Iowa that raised concerns about low sperm counts.

“We can’t ignore that things are changing. Lifestyles have changed. Dietary patterns certainly have changed,” she said. “Through these changes, we are exposing our body to altered conditions. In response to those altered conditions, we’re seeing a decrease in sperm concentration.”

Levine, however, sees the drop in sperm count as a problem for today’s families, not just future ones.

Although most American couples can manage to have the one or two children they want, it may take them longer now than in the past. In Israel, some religious families want 10 or more children. Slower fertility may mean they run out of time before they can have that many, he said.

It’s challenging to study sperm counts and fertility is even harder, said Dr. Bruce Redmon, a professor at the University of Minnesota Medical School, who was not involved in the research but studies male reproductive disorders.

It’s not really feasible, he said, to sample sperm in a randomly selected population of men every year for decades. And men who seek help for fertility problems are not reflective of the entire population.

But overall, Redmon said, the new study was a reasonable way to look at the issue.

“It’s probably something we have to continue to take seriously and look at,” he said.

Why are sperm counts falling?

Studies haven’t yet explained why sperm counts are falling, but Levine has a few ideas.

Total sperm capacity is determined during fetal development, so exposures to human-made chemicals, stress and poor diet during pregnancy might all be contributing factors, Levine said.

Environmental exposures of the father before conception may also be related to poor fetal outcomes. In a man’s adult life, his sperm count can also be reduced by exposure to pesticides, lack of physical activity, poor diet, smoking and obesity, he said.

Excess weight changes hormone levels, adding more estrogen to the male body, Sparks said. And extra fat around male reproductive organs could increase heat there, which will decrease sperm production.

Sparks doesn’t think any one thing is causing the drop. It’s happening too fast to blame on reproductive technologies. But the world’s population is carrying more weight, spending more time spent sitting at a computer, eating more processed foods and packing those food in plastic. Any or all of those could be driving the drop in sperm count, she said.

“We need to be motivated to invest in the research to work on this,” she said. “It points to a need.”

What can men do to boost their sperm count?

Men concerned about their fertility should to talk to their doctor, Eisenberg said. It’s important to be evaluated and determine whether there are specific treatments that may help.

Being healthy overall is important for reproductive health. Eisenberg suggests a healthy diet, regular exercise and smoking cessation.

“I always tell men there’s a strong link between fertility and health, so anything that’s good for your heart is good for fertility,” Eisenberg said.

A few other tips:

►Alcohol use: Moderate alcohol use is OK, Eisenberg noted, with studies suggesting that semen quality drops only after about 20 drinks a week.

►Avoid extreme heat: There’s no strong link between what kind of underwear men wear – boxers or briefs. But heat exposure isn’t good, so he advises avoiding hot tubs and saunas while trying to conceive.

►Taking testosterone: He also discourages his patients from using testosterone, which has been tested as a contraceptive, because it reduces sperm production.

 

 

 

 

 

 

Renowned Doc Reveals The Simple Secrets To Being A Healthy Man

Dr. Frank Lipman talks about “the male way of seeing” health and how it got us to this men’s health crisis point.

This article is a repost which originally appeared on Fatherly.

Edited for content. The opinions expressed in this article may not reflect the opinions of this site’s editors, staff or members.

Our Takeaways:

· One of the greatest challenges for men getting appropriate medical treatment is resistance through lack of caring.

· Biohacking can provide some solutions to medical challenges for men.

· Erectile Dysfunction (ED) is usually a systemic issue.

One of the biggest threats to men’s health has always been the challenge of getting them to care about it. “It’s hard to say the exact reason, but men don’t really do anything preventatively,” explains physician Frank Lipman, M.D. Through nearly 40 years of experience practicing functional medicine, he has found that men generally “are not interested in subtle changes in their body, and they traditionally wait until they have a heart attack or something serious,” Lipman says. And although he can’t point to a single catchall reason for why this is, it’s always been the case. “That’s the male way of seeing things: It’s not a problem until it’s a big problem.”

That’s not to say there haven’t been attempts to engage men to take a more proactive approach to their health and wellness. But much of this has been geared toward optimizing their performance. That’s why erectile dysfunction and low testosterone have been a major part of these efforts, because they affect men’s ability to perform in bed, at work, and on the field. As a result, these are the concerns that might get men in to see their doctors and screened for more serious risks such as heart disease and diabetes.

But now, thanks to a combination of telemedicine, wearable tech, and the mainstreaming of biohacking, doctors like Lipman have been able to spin this competitive edge into a more holistic approach to healthcare. “A lot of guys are learning that they can do a lot of health testing at home, use wearables, and do things in order to perform better,” Lipman says. Being able to track things like their sleep, exercise, and how much alcohol they’ve cut back on, and bond with other guys while competing over these progress, might be what gets them paying more attention to their minds and bodies.

“Men generally are more competitive, so if that can be spun in a positive way, then they will take more notice,” Lipman says. “Being able to measure these things at home and compare it to their friends is a positive.”

Although the overall outcome remains to be seen, Lipman sat down with Fatherly to discuss his optimism about the future of men’s health, and how we can gamify it for the better.

Over the course of your career, how have you seen men’s interest in their health change? What’s different now, and what is still the same?

Traditionally it’s been the spouse or significant other bringing men into the doctor. But there’s been a shift, and now men seem to be paying more attention to athletes and other role models for men, on Twitter and social media, talking about how when they started doing ice plunges, they started performing better. A lot of them are athletes because there’s a lot more awareness about health for them. All of that has made men more aware. Instead of their spouses getting them to care about their health, there are successful role models.

With so many men getting this information from social media, are there concerns about misinformation?

There’s always going to be some misinformation, but overall I think it’s much more positive. There’s much more good coming from it. And if it brings them into the doctor, they can do more testing, and their health can be a little bit more controlled.

What conditions are guys coming into your office worried about?

They’ve become more aware of heart disease, which usually is a disease that’s easily picked up from biomarkers. I think men are usually more concerned about performance and issues related to that, like Alzheimer’s and other cognitive issues. They’re worried about not having the energy to play basketball with their friends. They’re worried about not being able to perform as well as the younger people at work.

It seems like men aren’t that interested in worrying about diseases like cancer that could develop. Is it fair to say, when you try to get men to worry about preventative healthcare so far in the future, it may not work?

Yes, you’ve got to present it in a way that’s going to make them make changes. You can’t say, “If you don’t do this, you’re going to get heart disease.” Or, “If you don’t do this, you’re going to put on weight.” It’s more about, “If you don’t do this, you’re not going to have the energy to do the thing you want to do.

Having heart disease or a problem with your health is going to affect your penis as well, because ED is not isolated to that particular organ. Usually when someone has ED, it’s a systemic thing — it’s vascular disease all over the body. That’s a generalization, but you’ve got to scare men in a way that’s going to change the way they’re going to see things.

You mentioned biomarkers. For someone who’s new to telemedicine, wearable tech, and biohacking, what are some biomarkers they should pay attention to? Or what sort of things should they have tested?

A lot of the blood work done by doctors is not particularly helpful. Guys should be asking for an advanced lipid panel that looks at the particle size of the cholesterol molecules — that measures inflammatory markers. It’s a much more extensive test that gives us much more information about heart disease and inflammation than regular tests.

They should have their uric acid checked. They should have nutrient levels checked, which are not usually checked. For instance, they should have their Omega-3 levels checked. They should have their red blood cell magnesium checked. They should have their B-12 checked.

And then hormones; men should not only have their testosterone and free testosterone checked, they should check for estrogens as well. Too much estrogen can be a problem for men as well as women.

What are the limits to biohacking?

The biggest things that get ignored are moving your body, how you sleep, meditation or stress reduction, spending time in nature, having some purpose in life, having some connection, or being connected to family or a community. Those to me are the primary biohacks of the body.

The secondary hacks are when you want to take it to the next level. So guys who are biohacking by measuring their blood glucose and their sleep and taking all these crazy supplements, it’s all fine, and I don’t think they’re dangerous. But to me, those are secondary hacks. If you’re thinking of biohacking, you can’t ignore the primary biohacks.

Sleeping seems to be a big thing that men can track for the sake of their mental and physical health.

Poor sleep puts you at risk for almost every chronic disease from Alzheimer’s to heart disease to diabetes to obesity. So poor sleep is the first place you need to do some work, because men don’t take sleep seriously enough. Sleep is when your body is recovering and repairing. It’s when your brain cleans all the toxins out. Sleep is crucial to one’s health.

Alcohol seems similar, in that it puts men at risk for a lot of problems, but it also can be managed and tracked easily with apps. Does it work the same way?

Yes, too many people drink too much alcohol, which not only affects sleep, but it can affect so many other parts of the body and predispose you to so many problems. Three to four drinks a week isn’t a problem, but most men are drinking three to four drinks a night for three or four nights a week, and that becomes a problem. It puts a load on most organ systems, and is probably one of the primary risk factors for many of the diseases men are presenting with.

Sleep and alcohol also seem to have a large effect on men’s mental health, which has been said to be in a state of crisis. Do you believe men are facing a mental health crisis, and has it always been this way?

I’m not sure the problems with men’s mental health are a new thing. I think it’s probably more of an issue now because there’s more stress in people’s lives, whether it’s financial or otherwise. And men are starting to deal with it instead of suppressing it. Younger men are much more aware of their mental health and are in therapy, again because there have been more role models. People like Michael Phelps make a difference and help things.

I think younger men are more aware of their mental and emotional health, and it’s great that that’s shifted. But also, there is more pressure on everyone, including men, than there was 20 years ago.

And how can paying attention to physical health in the ways we’ve discussed help with mental health?

To me, mental and physical health are all one thing. Men paying more attention to their physical health will absolutely help with their mental health. I think teletherapy has made men more comfortable going to therapy from their home and that’s also helped a lot with that.

If you were to take into account all the avoidance and mental and physical health risks we’ve discussed, do you think that being a man should be considered a pre-existing condition, or a medical diagnosis in itself?

I don’t see it that way. We all have different pre-dispositions. Especially with genetic testing now, we can tell who’s more genetically predisposed to heart disease or diabetes or whatever. Certain diseases might happen more for men, but I don’t see being a man as a health risk, to be quite honest. I think it comes down to how health information is presented, and I think now it is being presented to men in a more accessible way.

How to Increase Testosterone: A Guide

Medically Reviewed By Kelly Wood, MD
— Written By Dr Christopher Oseh Updated on August 15, 2022

This article is a repost which originally appeared on healthgrades.

Edited for content. The opinions expressed in this article may not reflect the opinions of this site’s editors, staff or members.

Our Takeaways:

· Testosterone controls a number of physiological functions in adult males.

· Older males typically experience a reduction in testosterone levels due to a number of factors.

· There are many ways to naturally increase testosterone levels.

There are different interventions to increase testosterone. Testosterone naturally reduces in males as they grow older. Individuals with low testosterone may notice symptoms such as decreased sexual drive and unusual tiredness.

Read on to learn more about the treatment methods and natural remedies that could boost your blood testosterone level.

What is testosterone?

Testosterone is a male sex hormone produced in the testis — the male reproductive organ. Testosterone binds to albumin and sex hormone binding globulin as it circulates in the blood, while some exist in an unbound form. Regulatory hormones in the pituitary gland regulate the production of testosterone.

Testosterone production starts from the seventh week of gestation in a male embryo. The amount gradually rises and helps in the development of the male genitals in utero. A few months after birth, the blood concentration of testosterone in male infants drops and peaks again at puberty.

The liver, prostate, and reproductive tissues contain an enzyme called 5α reductase, which converts testosterone to its metabolite — dihydrotestosterone.

Testosterone and dihydrotestosterone are responsible for the development of male sexual characteristics.

Testosterone controls physiologic functions in adult males, such as:

‧ sexual drive
‧ muscular tone
‧ sperm production
‧ red blood cells

Adult males may notice a decline in these functions when their testosterone level drops.

What are the symptoms of low testosterone in males?

Symptoms of low testosterone levels are nonspecific. However, if you have low testosterone, sexual and nonsexual symptoms may manifest.

Here are some sexual symptoms you could notice:

‧ decreased sexual desire or libido
‧ reduced frequency or rigidity of nocturnal erections
‧ erectile dysfunction

Nonsexual symptoms include:

‧ unexplained fatigue
‧ decreased energy
‧ difficulty concentrating
‧ decreased sense of well-being
‧ depressed mood

These symptoms alone are not adequate to diagnose low testosterone. Your doctor will typically conduct a physical examination and order some investigations to identify the possible causes of low testosterone levels.

Low testosterone causes vary depending on the age of the individual. For instance, genetic and acquired conditions that affect the testis may lead to low testosterone levels in young males.

In addition to medical conditions affecting the testis, older males typically experience a natural reduction in blood testosterone. This is due to the gradual decline in regulatory hormones that influence testosterone production.

The combination of your clinical history and investigation findings is essential in diagnosing low testosterone.

However, if you experience any of these symptoms, contact your doctor.

How can doctors help increase testosterone?

After confirmation of low testosterone, your doctor will typically initiate a treatment called testosterone replacement therapy (TRT). TRT involves administering testosterone medication to boost testosterone concentration in your blood.

Testosterone medication exists in various preparations. Your doctor will generally carry out a clinical assessment to identify the most effective type of medication for your individual needs, best formulation, or route of delivery for you.

Oral testosterone replacement therapy

This type of medication involves the oral intake of testosterone capsules to boost the blood testosterone level. However, as a result of low absorption and liver toxicity, doctors do not typically prescribe testosterone capsules to individuals with low testosterone.

Buccal testosterone replacement therapy

Buccal testosterone preparations have adhesive features that enable adhesion to the gums in the mouth. After dissolving in the gums, the blood vessels in the gums absorb the medication. This allows the medication to bypass the liver and the gastrointestinal tract.

Because of the above characteristics, buccal testosterone formulations are generally more tolerable than oral capsules.

Nasal testosterone replacement therapy

This form of TRT involves self-administering nasal pumps to administer intranasal testosterone gel into the nasal cavity. The blood vessels in the nasal mucous membrane absorb the nasal gel into the systemic circulation. Some individuals who use Intranasal testosterone may have side effects, such as:

‧ sinusitis
‧ nasal discomfort
‧ rhinitis
‧ nose bleeds

If you use intranasal testosterone and you experience any of these symptoms, contact your doctor.

Intramuscular testosterone replacement therapy

This type of medication entails injecting oil suspensions of testosterone into the muscles. Your doctor may prescribe long-acting intramuscular testosterone preparations for weekly injections. This ensures convenience and also improves compliance and adherence to therapy.

Transdermal testosterone replacement therapy

This form of TRT involves administering transdermal testosterone gels or patches over the skin. Your doctor will typically apply transdermal patches or gels on the skin where the blood vessels absorb it.

These areas generally include:

‧ surfaces of your abdomen
‧ upper arm
‧ thigh

To reduce the onset of local skin irritations, rotate the skin area where you apply the transdermal gels or patches.

Contraindications to testosterone replacement therapy

Though testosterone replacement therapy is effective, it is not suitable for some individuals. Some contraindications to TRT include:

‧ hematocrit above 48%
‧ prostate cancer
‧ uncontrolled heart failure
‧ a recent episode of myocardial infarction or cerebrovascular accident
‧ untreated obstructive sleep apnea
‧ fertility planning in males
‧ elevated PSA above 4 ng/mL

How can you naturally increase testosterone?

A 2018 study showed that eating foods rich in specific vitamins and minerals can maintain testosterone. However, it may not be possible to increase it without medical intervention. Here are some foods and supplements that can support the blood testosterone level.

Natural cocoa products

Natural cocoa products such as cocoa powder contain flavonoids — plant-based antioxidants with potent anti-inflammatory properties. These flavonoids promote the formation of steroids required for testosterone production and support the testicular cells.

A few studies reveal that flavonoids facilitate the process of testosterone production in the testis.

Magnesium-rich foods

A 2011 study suggested that magnesium increases insulin-like growth factor 1, which stimulates the process essential for testosterone formation. Intake of some fruits such as avocados or leafy vegetables, which are sources of magnesium, may maintain your testosterone level.

Selenium foods

Animal and human studies of selenium demonstrate its potential benefits and support in the male reproductive system. Selenium has strong antioxidant properties that promote male fertility. However, more clinical studies are essential to show its potential benefits in humans.

Herbal extracts

Certain herbs may support the production of testosterone. A 2020 research review revealed that some leaf and root herbal extracts positively affected testosterone concentrations in male study respondents.

However, as a result of dosage variations and safety concerns, further studies are critical in establishing the efficacy of these herbal extracts.

Reduce alcohol intake

Frequent consumption of alcohol adversely impacts testosterone production in multiple ways. Firstly, a high intake of alcohol disrupts the balance in the pituitary hormones that regulate testosterone production.

Also, a high concentration of alcohol in the blood may cause damage to the testosterone-producing glands and cells in the testis.

Studies with male rats showed that chronic alcohol intake negatively impacted their overall fertility and the structures in their reproductive tracts.

Therefore, reducing your quantity and frequency of alcohol intake can have a positive reproductive health impact.

Summary

Testosterone is a male steroid hormone produced in the testis. In older males, blood testosterone levels typically drop naturally. However, young adult males may have low testosterone levels if they have medical conditions that damage the testosterone-secreting glands in the testis.

You may notice symptoms of low testosterone levels such as decreased sexual desire or libido, erectile dysfunction, unexplained fatigue, and reduced energy.

Even though intake of certain fruits like natural cocoa products or some herbal extracts may maintain testosterone levels, testosterone replacement therapies are typically the most effective treatment for low testosterone.

Contact your doctor for clinical evaluation and to discuss the most appropriate TRT intervention for you.

Sources:

1. Cohen, J., et al. (2020). Low testosterone in adolescents & young adults. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6966696/
2. Emanuele, M. A., et al. (n.d). Alcohol and the male reproductive system. https://pubs.niaaa.nih.gov/publications/arh25-4/282-287.htm
3. Hu, T-Y., et al. (2018). Testosterone-associated dietary pattern predicts low testosterone levels and hypogonadism. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6266690/
4. Maggio, M., et al. (2011). Magnesium and anabolic hormones in older men. https://onlinelibrary.wiley.com/doi/10.1111/j.1365-2605.2011.01193.x
5. Martin, L. J., et al. (2020). Improvement of testicular steroidogenesis using flavonoids and isoflavonoids for prevention of late-onset male hypogonadism. https://www.mdpi.com/2076-3921/9/3/237
6. McBride, J. A., et al. (2015). Testosterone deficiency in the aging male. https://journals.sagepub.com/doi/10.1177/1756287215612961
7. Shoskes, J. J., et al. (2016). Pharmacology of testosterone replacement therapy preparations. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5182226/
8. Smith, S. J., et al. (2020). Examining the effects of herbs on testosterone concentrations in men: A systematic review. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8166567/
9. Testosterone and aging: Clinical research and directions. (2004). https://www.ncbi.nlm.nih.gov/books/NBK216164/
10. Qazi, I. H., et al. (2019). Role of selenium and selenoproteins in male reproductive function: A review of past and present evidences. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6719970/