The Male Sex Drive — How it Changes With Age

Published on July 24, 2023 .
Kristopher Bunting, MD  Author

This article is a repost which originally appeared on healthnews

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

For many men, having a strong sex drive—or libido—can be an important part of feeling healthy and having a good quality of life.

Key takeaways:

Male sex drive and testosterone levels decrease with age.

Less sex does not mean less sexual satisfaction.

Good health improves sexual function and sexual quality of life at any age.

Aerobic exercise can improve sexual function and sexual satisfaction.

However, as men age and their bodies change, so does their sex drive. Sex drive tends to decrease with age after it peaks in men in their 20s, but that does not mean that aging has to have a negative effect on sex.

Age, sex drive, and sexual satisfaction

Most men (and women) are more sexually active in their 20s than in any other decade of life. Men’s sex drives seem to peak in their 20s and begin to decrease in their 30s and onward slowly. Men in their 40s and older are also more likely to have problems with sexual function, including erectile dysfunction.

Men have less sex as they get older, but that is only half the story. Sexual satisfaction does not necessarily decrease with age.

A study in Norway found that although sexual activity decreases with age and sexual dysfunction increases with age, sexual satisfaction is more complex. According to the study, men in their 20s had the highest level of sexual satisfaction, followed by men in their 50s. Surprisingly, despite increased sexual dysfunction and decreased sex drive, men in their 50s reported higher sexual satisfaction than those in their 30s and 40s.

Another study from the US found that overall, sexual quality of life tended to decrease with age but was higher in older people who had a better quality of sex. The authors attributed this to “sexual wisdom”—better sex through past experience. No matter the cause, this is certainly good news for anyone worried about their odds of having a fulfilling sex life as they age.

Testosterone and sex drive

Testosterone levels play a major role in the male sex drive. Testosterone is the primary sex hormone responsible for male sexual development and is also associated with sex drive. Research has shown that men’s testosterone levels decline with age beginning after age 30, and reach their lowest levels after age 70—when sex drive is at its lowest.

Low testosterone in men is called male hypogonadism. Hypogonadism in men can cause or contribute to lower sex drive, erectile dysfunction, infertility, loss of bone mass, loss of muscle mass, and depression.

Testosterone replacement therapy can treat male hypogonadism, and research shows that in older men, it can improve sexual activity, sexual desire, and erectile dysfunction. In a study of men with poorly controlled type 2 diabetes, testosterone replacement therapy was shown to improve not only sexual function but also the quality of life and memory.

While considered a normal part of aging, low testosterone can be caused by various medical conditions, including head injuries and some medications. Certain prescription medications can decrease testosterone levels, including opioids (painkillers), hormone therapy for prostate cancer, and a few other drugs.

Remember, do not stop taking any medication without first talking with your healthcare provider. If you are concerned about your testosterone levels, discuss it with your doctor or another healthcare provider.

Better health means better sex

As men age, health plays an increasingly important role in their sex life. According to research, people in better health are more interested in sex, have sex more often, and have a better sexual quality of life. On the other hand, high blood pressure, heart disease, and other conditions that affect blood flow can affect sex drive and contribute to male sexual dysfunction.

Medications can also affect sex drive and sexual performance in men, including some prescription medications for high blood pressure, depression, prostate disease, and hair loss. Common medications that contribute to low sex drive and sexual dysfunction are beta-blockers, diuretics, and finasteride (Propecia, Proscar). Always discuss possible medication side effects with your healthcare provider—the benefits may outweigh the drawbacks.

Erectile dysfunction

Along with a decreased sex drive, aging, poor health, and certain medications can also lead to erectile dysfunction—a known contributor to depression. Fortunately, modern medicine has dedicated a great deal of research to improving men’s erections.

Nowadays, there are several ways to successfully improve erectile dysfunction, including penile implants and medications such as sildenafil (Viagra), tadalafil (Cialis), and vardenafil (Levitra, Staxn). While these medications are safe for many men, they can cause dangerous side effects in people taking nitrates (such as nitroglycerin, isosorbide, and others).

However, it is possible to improve erectile function with natural means such as CBD oils. The latter is one of the best ways to reduce anxiety and stress interfering with libido. CBD oils and gummies improve blood flow in vessels, thus benefiting erectile function. Full-spectrum CBD oils are believed to be a better choice for erectile dysfunction containing both CBD and THC in moderate amounts.

Exercise can improve sex

It is no secret that aerobic exercise is good for your health. It helps reduce cholesterol, blood pressure, and body fat in addition to decreasing the risk of death from coronary artery disease. Studies also show that aerobic exercise is also important for sexual health.

A study in Japan found that regular aerobic exercise improved sexual function in men aged 43-59. Another group of researchers in the U.S. showed that aerobic exercise—running, cycling, or swimming—improved sexual function in men aged 18-50. The potential for better sex life is excellent motivation to get more exercise,

When do men stop being sexually active?

If you think that people stop being sexually active when they get older, you would be wrong. Research shows that men have a sexual life expectancy well into their 70s. While it is true that sexual activity decreases with age, even the elderly are busy getting busy.

In fact, the 55 and older population has had a significant increase in sexually transmitted diseases (STDs) over the past few decades, including chlamydia, gonorrhea, syphilis, and HIV. While an increase in STDs may be alarming, it clearly indicates that both men and women keep having sex well into old age.

As men age, they tend to have less sex but have high satisfaction with their sex life. Aging and health can have significant effects on sexual function and satisfaction, but medical treatment and exercise can improve both sexual function and sexual satisfaction at any age. If you are concerned about decreased sex drive or sexual dysfunction, talk with your healthcare provider.

Resources:

1. BJU International. Assessment of male sexual function by the Brief Sexual Function Inventory.
2. NIH. Sexual Quality of Life and Aging: A Prospective Study of a Nationally Representative Sample.
3. StatPearls. Physiology, Testosterone.
4. Endocrine Reviews. The Decline of Androgen Levels in Elderly Men and Its Clinical and Therapeutic Implications.
5. Mayo Clinic. Male hypogonadism.
6. The Journal of Clinical Endocrinology & Metabolism. Testosterone Treatment and Sexual Function in Older Men With Low Testosterone Levels.
7. ENDOCRINE SOCIETY. Testosterone improves quality of life, sexual function, and delayed verbal recall in men with uncontrolled type 2 diabetes.
8. ISSM. Can prescription medications affect testosterone levels?
9. thebmj. Sex, health, and years of sexually active life gained due to good health: evidence from two US population based cross sectional surveys of ageing.
10. NHS. Low sex drive (loss of libido).
11. Mayo Clinic. High blood pressure and sex: Overcome the challenges.
12. MedlinePlus. Finasteride.
13. NIH. Sexuality in Ageing Male: Review of Pathophysiology and Treatment Strategies for Various Male Sexual Dysfunctions.
14. NIH. Increased incidence of depressive symptoms in men with erectile dysfunction.
15. NIH. Health benefits of aerobic exercise.
16. NIH. Regular aerobic exercise improves sexual function assessed by the Aging Males’ Symptoms questionnaire in adult men.
17. NIH. Exercise Improves Self-Reported Sexual Function Among Physically Active Adults.
18. EmergencyMedicineNews. STI Rate Has Doubled Among Senior Citizens.

Low sex drive in men linked to chemical imbalance, study says

‘It just didn’t enter my mind to initiate sex;’ Low sex drive in men linked to chemical imbalance

By Sandee LaMotte, CNN
Updated 3:23 AM EDT, Wed April 12, 2023

This article is a repost which originally appeared on CNN

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

Key Points

‧ Not everyone thinks of sex in the same way.

‧ The hormone Kisspeptin plays a role in pubertal development and reproduction.

‧ Distress over sexual interest can itself contribute to issues.

While hanging out with his college roommates, Peter (not his real name) realized he felt differently about sex than other heterosexual men.
Increasing stressors like juggling work and family and the economic slump are taking a toll on our sleep, experts say.

Lack of sleep may be ruining your sex life

“I’ve never been somebody who was interested in pornography, but I’d laugh along with their jokes,” said Peter, now 44, who is British. “Of course I never mentioned that … as a man, you’d be kicked out of the herd.”

As he developed “proper, serious relationships” with women, Peter discovered he didn’t have the sexual drive many of his partners did.

“I would make excuses around getting tired or feeling stressed, that kind of thing,” he said. “It wasn’t an issue with attraction to my partner. It just didn’t enter my mind to initiate sex.”

In 2021, Peter saw an ad recruiting male volunteers for a new study on hypoactive sexual desire disorder, or HSDD. Researchers planned to inject the study’s participants with kisspeptin —a naturally occurring sexual hormone — to see if it increased their sex drive. Kisspeptin plays a key role in reproduction; without adequate levels of the hormone children do not go through puberty, for example.

In a long-term, committed relationship with a woman he says has a higher sexual appetite, Peter signed up, intrigued by the thought that a biological imbalance might help explain his behavior.

In the week after the final session, Peter said, something amazing occurred.

“All of a sudden, I wanted to initiate intimacy. I can only presume it was driven not by my mind remembering something, but my body wanting something,” he said. “I did initiate sex more and it improved things with my partner incredibly.”

Wiring in the brain

Experts believe HSDD affects at least 10% of women and up to 8% of men, although those numbers may be low, said Stanley Althof, a professor emeritus of psychology at Case Western Reserve University School of Medicine in Cleveland, Ohio and executive director of the Center for Marital and Sexual Health of South Florida.

“Men are embarrassed to go to the doctor to begin with, and you’re supposed to be a macho guy,” said Althof, who was not involved in the kisspeptin study.

“So it’s difficult for men to say, ‘Hey, I’ve got a problem with my sex drive.’ That’s why the majority of male patients I see with HSDD are sent in by their partners.”

To be diagnosed with the disorder, a person must have no other issues that might cause a change in libido, such as erectile dysfunction or premature ejaculation.

“Losing interest due to performance issues is common, but HSDD is its own thing,” Althof said. “It’s an absence of erotic thoughts and a lack of desire for sex that has to be present for six months. It also cannot be better explained by another disorder or other stressors: It can’t be due to depression. It can’t be due to a bad relationship. It can’t be due to taking an antidepressant.”

One more key point: A man or woman must have clinically significant distress to have HSDD, said clinical psychologist Dr. Sheryl Kingsberg, a professor in reproductive biology and psychiatry at Case Western Reserve University, who was also not involved in the kisspeptin study.

“Some people aren’t bothered by their lack of interest in sex, so we wouldn’t treat them for HSDD,” said Kingsberg, who is also chief of behavioral medicine at MacDonald Women’s Hospital and University Hospitals Cleveland Medical Center.

“The women coming into my office are deeply distressed,” she said. “They tell me ‘I used to have desire but it’s gone. I could be on a desert island with no pressures, but I just don’t have the appetite. I want it back.’ Those women have HSDD.”

‘Surreal’ experience

Dr. Waljit Dhillo, a professor in endocrinology and metabolism at Imperial College London, has been studying the relationship between low sexual desire and the hormone kisspeptin for years, first in animals, then in people.

Prior studies by Dhillo of healthy men with no libido problems found giving them kisspeptin boosted levels of testosterone and luteinizing hormone, which is important for gonad function.

His newest study, published in the journal JAMA Network Open in February, enrolled 32 men with verified HSDD. Peter was one of them.

“So many people say to themselves, ‘It’s just me. I’ve got a problem.’ But actually, HSDD may be how your brain is wired,” said Dhillo, who is a dean at the United Kingdom’s National Institute for Health and Care Research Academy in Newcastle upon Tyne.

“The biology is telling us there’s increased activation of inhibitory areas in the brain — the same areas that tell us it’s not OK to walk around in public naked — and those areas are switching off sexual desire. How can we tackle that? We give a hormone that would naturally give you increased sexual desire, essentially hijacking the normal system.”

The men participating in the new study visited Dhillo’s lab twice. On each occasion, they were fitted with a device to objectively measure arousal, given an injection and asked to watch pornography while their brains were scanned via functional magnetic resonance imaging (fMRI).

Neither the subjects or the researchers knew if that day’s injection was kisspeptin or a placebo.

“It was extraordinarily surreal, lying there with something resembling a hangman’s noose around your bits and watching a mixture of ’70s to modern-day pornographic images and videos,” Peter said. “You’d get about five or six seconds of one type of image or video, rate your arousal for the researchers, and then move on to the next.”

Brain scans showed a significant dual effect after the kisspeptin injection, Dhillo said. Activity in the areas of the brain that inhibit behavior slowed, while areas of the brain connected to sexual interest lit up.

“As a group, the men had a 56% higher sexual response to sexual images after the kisspeptin than the placebo,” Dhillo said. “And we found no side effects at the very, very small dose that we are using.”

Peter noticed a difference immediately after finishing the treatments. His sex life was so robust, in fact, that it wasn’t long before his partner was pregnant with their first child.

As published, the study did not follow the men long-term to see if the effects of kisspeptin lasted. For Peter, however, its impact has been life-changing.

“I have found there’s been a lasting effect for me,” he said. “I do find I have a much better sexual appetite even now some years after the treatment.”

Even the arrival of a baby boy didn’t deter his new interest in sex.

“The cliche is when you have kids, your sex life takes a bit of a hit,” he told CNN. “But that hasn’t been the case for us. In fact, we’re pregnant with our second child, due in July.”

More research is needed

While Peter had a positive long-term result, it’s too soon to say kisspeptin injections were the reason, Althof said.

“When you hear dramatic results like Peter’s, I would be cautious in saying that is the typical outcome. While it’s wonderful that it happened for him, these fMRI studies are difficult to interpret and not conclusive,” he said.

“Sexual desire is very complicated — I say it’s a combination of brain function, hormones and love, wine and roses,” Althof added. “This study is promising, but it needs replication in larger groups.”

And even if future research does confirm kisspeptin’s benefits, medical treatment is not a substitution for healthy communication about sex between partners and with health care providers, Dhillo said.

“These are society’s taboos, but actually, the more we talk about real (sexual) issues that affect real people, the more we find it’s actually quite common,” he said.”If you’re not troubled by low libido, it’s not an issue at all, but if you are troubled by it, this can lead to marital breakdown, unhappiness and reduced quality of life.”

Naturally Boost Testosterone – Tips, Lifestyle Changes

5 Ways to Naturally Boost Testosterone

Certain lifestyle changes can help keep it from getting too low.

By Erica Sweeney Published: Feb 12, 2023

This article is a repost which originally appeared on Men’sHealth

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

Key Points

‧ Testosterone levels decline as men age.

‧ Maintaining a healthy weight is recommended for optimal testosterone levels.

‧ Resistance training and supplementation will also help maintain higher T levels.

TESTOSTERONE IS RESPONSIBLE for so many important functions, from building muscle to getting (and keeping) erections to bone health and red blood cell production. So, maintaining normal levels of the essential hormone—which vary from person to person—is crucial.

There are several natural ways to give your testosterone a boost and keep it from getting too low. Low is generally under 264 nanograms per deciliter (ng/dL), although most doctors are just as concerned about any symptoms that you have, like low libido, fatigue, irritability, and erectile dysfunction. They typically factor in your labs and your symptoms before prescribing testosterone replacement therapy.

“The goal is general well-being,” says Ahmed El-Zawahry, M.D., a urologist at the University of Toledo Medical Center. “Testosterone treatment is only necessary when a person has symptoms associated with low testosterone.”

Not everyone who has low testosterone experiences symptoms, he adds. The impact varies depending on the individual, their age, size, and how physically fit they are.

Testosterone, which is produced in the testicles, naturally declines as you age, Dr. El-Zawahry says. After your 30s or 40s, you can expect it to drop about 1 percent to 3 percent a year.

Aging is something you can’t control, of course. But, you can control other factors that contribute to low T. There are a few ways to naturally boost your testosterone, or at least help keep your levels from getting too low.

How Can You Boost Testosterone Naturally?

With testosterone, more isn’t always better—and, it’s not in any way linked to manliness. It’s rare for men to have naturally high testosterone, which can cause low sperm counts, high blood pressure, and mood swings.

But, you don’t want it to get too low, either, or you’ll experience a range of symptoms, like always feeling tired or erectile dysfunction. Here are some natural ways to keep your testosterone in balance.

Maintain a Healthy Weight

The weight-low testosterone connection is an “interesting paradox,” says Anthony Hackney, Ph.D., D.Sc., a professor of exercise physiology and nutrition at the University of North Carolina. Low testosterone is linked to being overweight or obese, as well as being underweight.

Hormones in fat cells can inhibit testosterone production by increasing estrogen, which affects the pituitary glands that signal to the testicles how much testosterone to make. On the other hand, “When you’re going negative in your caloric balance, your testosterone is going to drop,” Hackney says.

Maintaining a healthy weight will keep your T levels in their normal range, whatever normal means for you (the “normal” range is a gigantic 264 to 916 mg/dL.

Eat a Balanced Diet

“Having an unhealthy diet with empty calories causes increased body fat,” Dr. El-Zawahry says. “This will cause a vicious cycle of lower testosterone: more fat, less exercise, and then, more fat.”

Eating a balanced diet with plenty of fruits, vegetables, whole grains, and lean protein will keep you healthy overall, including keeping your T levels normal.

There aren’t necessarily any magic foods that will raise your levels, however. Dr. El-Zawahry says omega-3 fatty acids, found in fatty fish like salmon, have been shown to help with testosterone synthesis. There’s also some evidence certain nutrients in eggs, garlic, broccoli, and Brussels sprouts can have a positive influence on testosterone, but it’s not like they’re magic bullets for low T.

Limiting high-sugar and high-fat foods will help keep testosterone in a healthy range, too. These foods have been linked to lower T levels, says Jamin Brahmbhatt, M.D., a urologist at Orlando Health.

Get Plenty of Sleep

Everyone needs at least seven hours of sleep a night, but most people don’t get that much. That can affect many aspects of your health, including testosterone production.

T levels increase while you sleep, peaking around 3 a.m. to 8 a.m., and are tied to your circadian rhythms. So when you stay up too late or don’t stick to a sleep schedule, it disrupts your circadian rhythms and testosterone production.

A small study of healthy young men showed that their T levels dropped by 10 to 15 percent when they only slept for five hours a night.

“Good quality sleep on a regular basis is just really critical,” Hackney says. Strive to get seven or more hours a night by creating a routine of going to bed and getting up at the same times every day.

Increase Resistance Training

Regular exercise is beneficial for your health, and certain workouts can temporarily raise testosterone. Exercise is also a key component in weight management, which can also keep your T balanced.

Research shows that strength exercises can increase testosterone levels. But the boost usually only lasts about an hour before your T levels return to normal, Hackney says.

Lifting heavier weights and performing lots of sets can have a bigger impact on your levels than other protocols, he adds. When you start your resistance training session with large muscle groups, like glutes or chest, and then move to small muscle groups, like triceps and shoulders, you could see the largest testosterone response, according to some research.

While extreme endurance-based exercises have been shown to possibly reduce testosterone, that doesn’t mean you should cut out the cardio. Dr. Brahmbhatt says any exercise is good for your body, which is good for your testosterone.

Cut Back on Drinking (and Other Substance Use)

Generally avoiding smoking, taking drugs, and drinking alcohol will improve your testosterone.

Smokers tend to have lower testosterone levels. Heavy alcohol consumption has been shown to reduce testosterone levels in the blood. It can impair testicular function and interfere with hormone production.

Overuse of other substances, like opioids, cannabis, and amphetamines, also have been shown to interfere with testosterone production and testicular function.

“My advice is to avoid these or not to overdo them as much as possible,” Dr. El-Zawahry says. Usually, when you cut out or cut back on these substances, your T levels will return to normal.

Can Supplements Boost Your Testosterone?

There are tons of supplements out there promising to give your testosterone a boost, but Dr. El-Zawahry says most lack scientific evidence showing that they actually work.

There’s some evidence that zinc and vitamin D3 may help raise T levels minimally, Dr. Brahmbhatt says. But, you usually don’t need a supplement unless you have a vitamin deficiency. (It’s always best to talk to your doctor before taking one, especially when you have existing medical conditions or take medications).

There is also some research on the herb Tongkat Ali and its potential to boost testosterone, although experts say the amount it might raise it won’t change how you feel or how you perform.

Anabolic steroids, which are synthetic testosterone, are sometimes misused to enhance muscle-building or athletic performance. They increase testosterone but come with many side effects, like male breast growth, heart problems, high blood pressure, and testicle shrinking.

What to Do When You Think Your Testosterone Is Low

If you’re noticing symptoms like low sex drive, fatigue, depression, erectile dysfunction, and irritability, and suspect you might have low T, talk to your doctor. They’ll discuss with you reasons for these symptoms and will order blood tests to see if your testosterone is low.

You may be prescribed testosterone replacement therapy, and doctors will recheck your levels and talk to you about symptoms regularly.

“Testosterone therapy is not a fountain of male youth,” Dr. Brahmbhatt says. “There are risks, and therefore it’s important to have this therapy initiated by the right people at the right time at the right doses.”

 

 

Relationships Can Affect Testosterone Levels, Doctors Say

5 Ways Your Relationship May Affect Your Testosterone Levels

On the flip side, low testosterone might cause issues with your partner, too.

By Erica Sweeney

Published: Feb 20, 2023

This article is a repost which originally appeared on Men’s Health

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

Key Points

‧ Being in a loving relationship can be good for optimizing hormone levels.

‧ Signs of decreased testosterone levels may include a decline in muscle mass, increased anxiety, and sleep issues.

‧ Seeking out a medical professional is a good idea if there’s a suspicion of low T.

BEING IN A LOVING, committed relationship is good for your health. It can lower stress, give you a sense of purpose, and even strengthen your immune system and help you live longer. There also may be a connection between relationships and your testosterone levels.

While research is mixed on the direct link between testosterone levels and relationships, there’s some evidence that certain aspects of having a partner, like sex and emotional connection, can influence your levels of the hormone. Other not-so-pleasant parts of being in a relationship, such as stress and fighting, might play a role, too.

When your testosterone—the key male sex hormone produced by the testicles—is low, it brings with it symptoms like fatigue, a depressed mood, erectile dysfunction, and low libido—all things that can affect relationships.

“We see that things like mood and stress impact our hormonal axis,” says Ryan Smith, M.D., associate urology professor and urologic microsurgeon specializing in men’s health at the University of Virginia Health. “So, there’s some data to suggest that when you’re in a healthy relationship, you may have lower stress levels and that may play a role.”

You’re likely happier and have an overall sense of well-being, when you’re in a healthy relationship, he adds. “But, how that translates to serum levels [or the measure of testosterone in your blood] is more challenging to interpret.”

Here’s a look at the relationship-testosterone link, specifically how being in a relationship could affect your levels and how low testosterone might affect your relationship. And, what to do if you suspect your testosterone levels are low.

How Relationships Affect Your Testosterone Levels

Overall, studies have shown that men in relationships tend to have lower testosterone. But, there are lots of variables. And, certain elements of relationships can have different effects on your levels, including:

The Length of the Relationship

The excitement and warm, fuzzy feeling of a new relationship may give your testosterone a boost. A 2015 study found that single men and men in new relationships had higher testosterone levels than men in long-term relationships. Researchers concluded that the findings showed that testosterone might play a role in motivating men to seek new mates.

It appears that the longer you’re in a relationship, the bigger impact on your hormonal levels. Research suggests that men who are in committed, romantic relationships (married or unmarried) have about 20 percent lower testosterone than men not in relationships.

How Happy You Are

It’s believed that the lower testosterone among men in long-term partnerships helps them to be more nurturing, which fosters loving, supportive relationships.

A 2016 study published in Hormones and Behavior found that older men with the most emotional support (four or more sources from romantic and social relationships) had lower testosterone than individuals with just one source of support. Lower testosterone helps facilitate supportive relationships, researchers said.

Other research found that the quality of a relationship, including satisfaction, commitment, and investment, lowered testosterone for both men and women, and that couples were more satisfied when one person had lower testosterone.

The Stress Level of Your Relationship

Fighting and conflict happen in every relationship from time to time. How often you have conflict and the stress that comes along with it might cause your testosterone to fluctuate.

In a 2018 study, 50 male-female newlywed couples were asked to discuss four marital problems and how much oppositional behavior they felt from their partner during the discussions. Saliva tests measured their testosterone. Men, but not women, showed “heightened testosterone reactivity” to opposition from their partners.

Some studies have shown that psychological, physical, and actual stress can lower testosterone levels, though.

How Affectionate You Are

Increased testosterone—or even testosterone replacement therapy—is often linked to rage and aggression, but that’s generally a myth, says Brian Black, D.O., an osteopathic board-certified physician in family medicine. “There are many other factors that contribute to aggressive behavior, such as genetics, environment, and upbringing.”

A study with animal subjects published in 2022 showed that testosterone increased nonsexual and prosocial behaviors in male rodents. When the subjects received a testosterone injection while with their partners, they showed “positive social responses,” like cuddling. Testosterone influences the activity of oxytocin cells, also known as the love hormone. So, that’s great news if you and your partner are regular cuddlers and generally affectionate.

How Much Sex You Have

Testosterone is responsible for sexual functioning, including getting erections and a healthy libido. Research is mixed on whether having sex regularly influences testosterone levels, although the testosterone-sex link is often seen when men start testosterone therapy. “Many see improvements in certain aspects of sexual health,” Dr. Smith says.

How Low Testosterone Might Impact Your Relationship

Testosterone plays a crucial role in many bodily functions. When your levels are low, you might experience a range of symptoms that could impact your relationship.

Not everyone with low testosterone, or hypogonadism, experiences symptoms, Dr. Black says. Those who do might have “decreased libido, erectile dysfunction, and decreased muscle mass.”

Decreased sex drive and erectile dysfunction could affect your sex life. This might increase stress, affect your sleep and cognitive function, and cause a disconnection with your partner.

“All those things could translate to having impacts on a relationship,” Dr. Smith says. “If a man undergoes treatment, if libido and potentially erectile function improve, maybe we could see that translating to improvement in their relationship.”

Low testosterone has also been linked to fatigue, depression, and a change in mood, Dr. Black says. There’s a connection between depression and relationship problems. When you’re generally not feeling well or like yourself, it can be difficult to connect with others, including your partner.

If you find that you’re experiencing any of these symptoms, it’s a good idea to talk to your doctor, Dr. Black emphasizes. They may recommend getting your testosterone levels checked and potentially prescribe testosterone replacement therapy.

 

 

 

 

 

How Men Can Take Care of Their Sexual Health

What Men Can Do to Ensure Their Sexual Health Is Strong

Mental and physical care are both critical to a man’s libido and reproductive well-being.

Author: Helen Massy
Published: March 06, 2023

This article is a repost which originally appeared on Giddy

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

Key Points

‧ Maintaining good sexual health is important for men.

‧ Mental health will have a large impact on sexual well-being.

‧ 20-30% of men in their 20s and 30s experience some form of ED.

Sexual health is an essential part of every man’s life. As well as protecting yourself from sexually transmitted infections (STIs) and diseases (STDs) or preventing unwanted pregnancies, sexual health is about having safer, satisfying sex and a positive and respectful approach to sexuality and relationships.

Understanding how to look after your sexual health benefits both you and your partner.

The best place to start is by getting to know your body and your reproductive system, and what’s normal and what’s not normal. This way, you can quickly identify any problems and seek medical support to address them.

There are multiple aspects to men’s sexual health, including physical health and mental health. Lifestyle factors influence all of these elements, either in a positive or negative way.

Men’s health and sexual health

A few of the essential aspects of a male’s sexual health are desire, erections and endurance, explained James J. Elist, M.D., a urologist in Beverly Hills, California, who specializes in impotence and male sexual dysfunction.

Being sexually healthy enables a man to fully participate in and enjoy sexual activity.

The body can’t just rely on physical health to create desire, erections and endurance, though. Physiology, mental health and emotional health can affect both libido and sexual function.

Male sexual health isn’t just about the ability to enjoy sex. It’s also about preventing STIs/STDs and identifying any problems with fertility. It’s about understanding how to prevent unwanted pregnancies and ensuring sex is consensual, respectful and safe for both partners.

Mental health and men’s sexual health

Mental health can directly impact sexual health and vice versa.

“Low libido, erectile dysfunction [ED] and premature ejaculation can all be exacerbated by negative mental health experiences, whether that’s traumatic experiences, relationship or professional workplace stress, depression or anxiety,” Elist said.

He explained that those negative mental health experiences can lead to worsened sexual performance, which in turn leads to more strains on mental health, driven by decreased self-confidence and self-worth as a result of poor performance in bed.

This leads to a negative cycle in which one feeds into the other.

“As such, it’s important to seek solutions early on to prevent any issues from worsening. Taking care of one’s mental health through therapy, meditation, etcetera can often improve sexual health issues as well,” Elist said.

If you find your mental health is affecting your sexual health, or problems with sex or sexuality are affecting your mental health, you can explore a number of options with your healthcare provider to address either issue.

Physical health and men’s sexual health

“It all begins with male libido,” Elist said of the connection between physical health and sexual health. “A man must have the desire to engage in sexual activity in the first place.”

Unfortunately, he said, as guys get older, libido tends to decrease as testosterone decreases. Obviously, for a man to be able to perform sexually, he must be able to achieve and maintain an erection. You can take steps to address this issue.

“As with testosterone and libido, erectile function also relies on staying healthy, particularly maintaining cardiovascular health, avoiding cigarettes and exercising frequently to get the blood pumping,” Elist said.

Once a man achieves an erection, he must maintain the erection and be able to last long enough to enjoy a sexually satisfying experience for both himself and his partner.

“Often, premature ejaculation can get in the way, which is why it’s important to limit stress and practice pelvic floor exercises if that’s an issue an individual deals with,” he said.

There is no need to suffer in silence if you have any problems with your libido, erection, ejaculation or performance. Seek help from your healthcare provider if you are experiencing problems, as many treatment options are available to help you feel comfortable and satisfied when having sex.

What’s a ‘normal’ sex drive?

Sex drive varies depending on a man’s age. Elist explained what happens to libido across the stages of life:

‧ In his early 20s, an individual can desire sex almost daily.

‧ Starting in his mid-30s, an individual’s testosterone levels begin to decrease by approximately 1 percent per year.

‧ Upon reaching his 60s, sexual desire may lessen even further for many men.

While there’s no “normal” level of sex drive for men, Elist stressed it is normal for levels to decrease over time.

“However, that trend can be partially mitigated and offset through regular exercise, eating healthy and maintaining a consistent sleep schedule,” he said.

Sexual health and reproductive health

“There are various issues that can impact an individual’s reproductive health and fertility, from stress to smoking to excessive testosterone use,” Elist explained.

To look after reproductive health, men should undertake a testicular self-exam routinely to ensure that there are no signs of lumps or tumors. Cancer is obviously a concern here, but fertility comes into the picture, too.

Testicular self-exams and examinations by a physician can help men identify the presence of a varicocele, a dilated vein inside the scrotum that can increase the temperature of the testicles and negatively affect sperm development, according to Elist.

Sperm counts decrease by an estimated 40 percent for every degree the testicles rise in temperature.

Elist also highlighted that the excessive use of testosterone or androgens could damage the testicles. Tobacco and frequent marijuana use can also decrease sperm count. All of these factors should be considered if a man is experiencing fertility issues.

Your healthcare provider can use various tests to help establish fertility problems, including the following:

‧ STI/STD testing
‧ Semen analysis
‧ Urinalysis
‧ Hormone testing
‧ Ultrasound scans
‧ Testicular biopsies

Complications and related conditions

The most common male sexual dysfunctions men should be aware of, according to Elist, include:

‧ Low testosterone
‧ Low libido
‧ Erectile dysfunction
‧ Premature ejaculation

ED is an issue that impacts more than half of all men at some point in their lives.

“While many think erectile dysfunction is an issue that only affects older men, it can actually impact 20 percent to 30 percent of men in their 20s and 30s,” Elist said.

Premature ejaculation is an issue that impacts nearly 40 percent of all men.

“It is characterized by sexual activity that often lasts one minute or less and sexual experiences which cause stress and frustration,” Elist explained.

You can address premature ejaculation issues with a combination of solutions that could include meditation, pelvic floor exercises, supplements, lidocaine sprays or prescription SSRIs, or selective serotonin reuptake inhibitors.

“Other issues, such as delayed ejaculation, retrograde ejaculation and Peyronie’s disease, are less common, but if an individual is experiencing any of those issues, then it’s important to discuss them with a urologist,” he added.

 

Scientists Uncover Potential New Treatment for Low Sex Drive

Kimberly Drake
February 07, 2023

This article is a repost which originally appeared on healthnews

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

Kisspeptin — a naturally occurring hormone — improved sexual responses in men and women in two studies.

Several factors, including physical or psychological health conditions, relationship issues, and hormonal changes, can cause low sex drive in both women and men. In addition, the natural aging process can also impact sexual desire, as well as lifestyle factors such as substance misuse, alcohol consumption, and poor diet.

Sometimes, reduced sexual desire can lead to hypoactive sexual desire disorder (HSDD). People with HSDD experience a decreased desire for sex that causes them emotional distress. However, treatments for HSDD are limited and usually involve psychotherapy, mindfulness practices, or medication changes.

Scientists may have uncovered a new treatment option for HSDD. Their research, involving two clinical trials, has found that kisspeptin — a naturally occurring hormone that stimulates the release of other reproductive hormones — may positively affect sexual desire in men and women.

The studies, Effects of Kisspeptin Administration in Women With Hypoactive Sexual Desire Disorder and Effects of Kisspeptin on Sexual Brain Processing and Penile Tumescence in Men With Hypoactive Sexual Desire Disorder, appear in the journal JAMA Network Open.

To conduct the studies, the scientists administered an IV infusion of kisspeptin or a placebo to 32 heterosexual men aged 21 to 52 years and 32 heterosexual pre-menopausal women aged 19 to 48 years with HSDD. Then, the participants underwent brain MRI scanning, blood tests, and behavioral assessments.

The results showed that in female participants, kisspeptin improved brain activity associated with sexuality and attraction. In addition, female participants that experienced more distress over their low libido showed more improvements in sexual desire-related areas in the brain after kisspeptin administration.

In male participants, kisspeptin significantly improved activity in sexually-related brain networks and also increased penile rigidity by up to 56% compared to the placebo. What’s more, kisspeptin also increased men’s feelings of happiness about sex.

Kisspeptin was well-tolerated with no reported adverse effects. Moreover, the study authors say that in addition to injection, kisspeptin can also be administered intranasally.

However, the authors note that further research should include a more generalized population, including participants of different sexual orientations. They also hope to investigate kisspeptin therapy for sexual disorders that have a psychological origin.

Overall, the scientists suggest that their findings provide evidence that kisspeptin is a potentially effective therapy for people with emotionally distressing low libido. They also say their results lay the groundwork for kisspeptin-based treatments for men and women with HSDD.

Resources:

1. JAMA Network Open. Effects of Kisspeptin Administration in Women With Hypoactive Sexual Desire Disorder: A Randomized Clinical Trial.

2. JAMA Network Open. Effects of Kisspeptin on Sexual Brain Processing and Penile Tumescence in Men With Hypoactive Sexual Desire Disorder.

 

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.

Q&A: Why holiday stress can affect men’s sexual health and how to manage it

 

By Dr. Tim Sandle Published December 13, 2022

This article is a repost which originally appeared on DIGITAL JOURNAL.

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

Our takes:

‧ A number of men report lower sex drives during the holidays.

‧ It’s thought ED (Erectile Dysfunction) is becoming more common and also more openly discussed.

‧ Stress is believed to be the #1 culprit in ED.

Many men experience a much lower sex drive during the holiday season. Holiday stress, spending time with extended family (maybe in unfamiliar and less private surroundings), excessive drinking and overly-indulgent food – are all contributing factors to a lack of interest.

To discuss the many factors that affect the male libido, particularly during the holiday season, and how to address and manage them, Digital Journal sat down with Michael Werner, M.D, FACS, a board certified urologist and Medical Director and Founder of Maze Men’s Sexual & Reproductive Health in New York.

Digital Journal: We’ve been hearing more and more about erectile dysfunction (ED) lately. Is it becoming more common, or are people just more willing to talk about it?

Dr. Michael Werner: I think it safe to say it is a combination of both. Men are living longer, and with higher expectations of having a quality life, including a robust sex life, complete with a rigid erection. We have learned from research that ED is far more prevalent in younger men than we previously thought. For example, 20 percent of men in their 20s have some sort of erection problems. At the same time, it is pushed into the forefront through proliferation of online medication and support services, men’s magazines, and media in general.

This has all made the topic more approachable. Nationally, 1 out of 3 men have some sort of sexual function problem. It does takes men a much shorter time to come to terms with the fact that they have a sexual issue, and to seek treatment, even if it is just to access drugs on line.

DJ: Why is there is an increase in ED during the Holiday Season?

Werner: Stress is probably the #1 culprit here. Not only the stress of events and family get-togethers, but financial pressures of couples. In our practice we hear a lot of friction in couples worrying about how much money is being spent on holidays. Nothing kills sex like resentment or anger. Add to this, overeating, too much alcohol, and being overtired will all put a damper on any sex life.

DJ: Let’s talk about the stress – how can men best manage that when a lot of the holiday pressure seems out of their control?

Werner: Breathe! Taking care of yourself means minimizing stressful situations. You do not have to accept every invitation that comes along. It means stepping outdoors for a breath of fresh air or going for a walk when you have had enough of family dynamics. Better yet, go for a walk with your partner. Commiserating and talking about your stress with your partner, being open about your feelings, will often bring you closer together. Misery loves company! Laugh about the insanity around you.

It is important to maintain as much of your normal routine as possible. Work harder on getting to bed on time, exercise, avoid overeating and certainly avoid over drinking.

DJ: The holidays are known to increase symptoms of depression. Is this part of the equation as well?

Werner: Virtually all holidays have a lot of expectations around them. We have this ideal of what any holiday is supposed to look like. If our expectations are a Hallmark movie but reality more closely resembles Mad Magazine, we can get pretty frustrated. Holidays can also amplify feelings of loneliness or loss. Holidays are associated with memories and not all memories are pleasant. We encourage our patients to get involved in helping other people such as a soup kitchen or volunteering in their religious community.

DJ: You say we should avoid overeating and drinking too much. Isn’t that difficult during the holidays?

Werner: I really feel that for most people it’s not simply over-eating, it is that they are eating food in quantities they normally would not. Instead of one candy, it’s so easy to pop another candy, cookie, or holiday treat into your mouth as you walk by the kitchen counter. Pretty soon, the cookie tray is empty, and you are in a carb crash and feeling bloated.

Alcohol can be the same situation. It’s a party? Have another drink! The good news is that not drinking alcohol is very common in our culture now. Most people will respect your choice to not imbibe. If they don’t? You’re at the wrong party.

DJ: What steps can men take to improve sexual health during the holidays?

Werner: Eat well, sleep well, exercise well! The magic trio of good health applies to sex organs as well. But sexual health is not just body parts. Maintain physical intimacy. This is a good time to explore pleasure focused sex: massages, baths, and other non-penetrative activities. I think sometimes we don’t acknowledge that intercourse often requires a lot of energy and endurance for everyone! Buy each other a sex gift of some kind. Sexual health is emotional health and mental health as well.

Male Hormonal Cycles

5 Things You Need to Know About the Male Hormonal Cycle

Anouare Abdou
November 8, 2022

This article is a repost which originally appeared on AskMen.

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

Early testing can help identify low testosterone.

‧ Unknown to many, men also have hormonal cycles.

‧ There is a correlation with optimal health and well being and optimal hormone levels.

‧ Testosterone is a stress resistance hormone.

When you hear the words “hormonal cycle,” the menstrual cycle might come to mind. You may be aware that women ovulate or have periods, for example. But men have cycles too — and it’s important to understand yours.

“Many men have little understanding of their hormonal cycle and are often dismissive of the impact it can have on both body and mind. Although most men know that hormones play a massive role in regulating sex drive and libido, the effects of the male hormonal cycles are often overlooked,” according to Dr Chia Tan, founder of Harley St M.D., a clinic that provides testosterone replacement therapy and a range of men’s health tests and treatments.

“Optimal testosterone and hormone levels help create the best version of ourselves. We feel youthful, energic, vibrant, and capable of making quick cognitive decisions. We recover quickly after exercising, keep belly fat at bay, and have a passionate libido as well as the ability to gain and maintain a strong erection,” says Ross Tomkins, co-founder of a men’s hormonal health clinic called Alphagenix.

From the impact of your lifestyle on your hormones to the effects of low testosterone, here are five things you need to know about the male hormonal cycle.

How Often Does the Male Hormone Cycle Reset?

While the average menstrual cycle lasts 28 days, the male hormonal cycle is actually built around the typical workday and resets within a 24-hour time span.

“Testosterone levels are elevated in the morning, reduce slightly in the afternoon, and are lowest late at night,” says Tan. “This basically means men tend to have more energy in the morning and afternoon, the natural time of the day when they would have been out hunting, which is when motivation, assertiveness and strength are needed the most.”

Can You Use Your Hormonal Cycle to Your Advantage?

You can therefore use that knowledge to your advantage. For example, Tomkins suggests working out or doing your most important work tasks first thing in the day to benefit from the surge of testosterone you experience in the morning. Your testosterone levels will start to decrease around lunchtime, so the period of time before that is prime time for being productive.

How Important is Testosterone?

You’ve gathered that testosterone plays a crucial role in your hormonal cycle. Its impact cannot be understated. Common signs of low testosterone levels include reduced sex drive and difficulty getting erections, fatigue, increased body fat, and mood swings, according to Tan.

Testosterone is not only responsible for your sex drive. It plays a big role in how you deal with stress and how efficient your metabolism is. “Testosterone is a stress hormone, it helps us resist stress. Low testosterone therefore often is linked with low mood, low motivation, and low vigor in life. Body fat distribution may change and one may find it harder to maintain lean muscle mass and easier to gain body fat due to a reduction in metabolism,” adds Tan.

Can Men Go Through Early Andropause?

You should also be aware of the fact that men experience the equivalent of menopause — andropause. And it can happen earlier than normal. For instance, Tomkins was diagnosed with low levels of testosterone in his early thirties, which led him to embark on a wellness journey.

Although men will always produce testosterone, they reach peak levels of the hormone in early adulthood. As they age, their testosterone levels decrease. “In some cases, these symptoms can be reported as early as in their late 30s or early 40s, but the majority of men may only start to notice it in their 50s or 60s,” says Tan.

How Does Lifestyle Affect Your Hormones?

Keep in mind that it’s not all luck and genetics. Your habits can have a huge impact on your hormonal cycle. “It’s really important to realize that this cycle is easily disrupted by poor lifestyle choices including poor diet, alcohol, smoking, no exercise and lack of quality sleep,” says Tomkins.

“If you recognize any symptoms I would start by looking at your diet, lifestyle and sleep. If these are all good, consider speaking to a specialist or at least taking a blood test to check biomarkers,” he recommends.

That being said, a blood test might not tell the full story, so trusting yourself and your awareness of your body is key. “Being within the normal range may not be sufficient for optimal well-being. The normal range determined by a laboratory takes no account of symptoms and is derived purely based on a statistical calculation of standard deviation and normal distribution curve,” says Tan.

What Can You Do to Address Low Testosterone?

If you do get diagnosed with low testosterone or embark on a journey to optimize your hormones, there are things you can do in conjunction with lifestyle changes.

Tomkins says that he now feels stronger and fitter than in his twenties after changing his diet and starting Testosterone replacement therapy (TRT). TRT is designed to bring back hormone levels to a healthy range by giving the body testosterone until symptoms start to reverse. “Restoring testosterone levels to an optimal level will significantly improve a man’s quality of life,” says Tan.

However, you’ll want to find experienced and knowledgeable doctors who will be able to diagnose you and create a personalized treatment plan. “Good TRT requires regular monitoring and tweaking, as all men are different,” adds Tan. “Everyone has a different height, body mass, and physical activity level, therefore treatment needs to be bespoke and individualized to make sure you get the best out of it.”

Men Should Check Their Testosterone Levels by Age 30, Urologist Says

Men should know their testosterone levels by age 30 to prevent health issues like weight gain and muscle loss, says top urologist

Gabby Landsverk
Oct 11, 2022, 12:31 PM

This article is a repost which originally appeared on INSIDER.

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

Early testing can help identify low testosterone.

‧ Low testosterone levels can cause side effects ranging from low libido and mood to muscle loss.

‧ A urologist said more men should get tested so their doctors can see how their hormone levels change over time.

‧ There is some evidence that higher testosterone levels may prevent illness like prostate cancer, not increase the risk.

Testosterone is a crucial hormone for men’s health, and a top urologist says more men should know their levels earlier in life.

Low testosterone can cause loss of energy, muscle, and libido, and can contribute to chronic illnesses such as heart disease, diabetes, and obesity, according to research.

But diagnosing low testosterone can be tricky, because natural testosterone levels can vary.

If you don’t already know your baseline, and you start experiencing these symptoms, you may not be able to trust the results of a testosterone test, said Dr. Ananias C. Diokno, former chief medical officer and chair of urology at Beaumont Hospital, Royal Oak.

“If you ask men what their testosterone levels are, they’ll scratch their heads. They don’t know and doctors aren’t testing for this. You should know what your level is by the time you hit 30 to 35,” Diokno told Insider.

What we think of as ‘normal’ testosterone, and why it’s not a perfect barometer

Testing for low testosterone is simple, using a blood test.

In healthy men, testosterone levels can range between 260 nanograms per deciliter (ng/dL) and more than 900 ng/dL, depending on age.

Low testosterone is typically defined as less than 250-300 ng/dL, according to the Cleveland Clinic.

However, since natural testosterone levels can vary widely, Diokno said many men can be misdiagnosed for hormone deficiencies.

For example, a person with testosterone levels of 400 or 500 ng/dL won’t be diagnosed with low testosterone because it’s higher than the defined standard, but if his initial levels were 700 or higher, the drop is significant and may warrant treatment.

“Many practitioners close their minds. Someone may be having symptoms but according to the guidelines, does not have low testosterone. It’s frustrating among men and among doctors who can’t help them,” Diokno said.

One solution is more routine hormone testing so men can establish what a healthy baseline looks like for them, similar to other markers of health like cholesterol, blood pressure, and blood sugar, Diokno said.

Low testosterone can cause low energy, low libido, and loss of muscle

Over time, men’s testosterone levels dwindle as a common side effect of aging. However, younger men can also have low testosterone, causing them to experience similar symptoms to much older men.

Telltale symptoms of low testosterone can be mental, physical, and emotional, including:

‧ Decreased sex drive

‧ Brain fog

‧ Depression and mood changes

‧ Fatigue

‧ Difficulty building or maintaining muscle

“The lower the testosterone, the more symptoms,” Diokno said.

Testosterone therapy may not be as risky as previously believed

For men who have had sudden dips in hormone levels, testosterone therapy can help restore quality of life, energy, and libido, Diokno said.

Previously, testosterone therapy has been carefully regulated, in part because high testosterone has been linked to a higher risk of prostate cancer in some studies.

Diokno said the opposite may be true, according to some observational studies, and healthy testosterone levels may protect prostate health.

Loss of muscle linked to low testosterone can cause other problems, too, including a decreased metabolism that can lead to weight gain and associated health issues.

Available evidence suggests that testosterone therapy, done correctly and with medical supervision, is a safe and effective way to raise hormone levels, and more research is needed to see who could benefit, Diokno said.

“It’s a Pandora’s Box, I think there are many questions that are still unanswered,” he said.