Erectile dysfunction (ED) is a condition that affects many men and can lead to difficulty in achieving or maintaining erections. Erectile dysfunction (ED) is a common problem for men, which can harm their quality of life. Fortunately, various treatments are available for this condition, including oral and injectable medication.

And although the best treatment for erectile dysfunction (ED) is the one that is best for you, the experts and experienced physicians here at Boston Medical Group (BMG) certainly can recommend some over others.

So we’ll explore the top drugs used to manage ED and about how each medication works and what its benefits and drawbacks are.

What Causes ED?

Erectile dysfunction (ED) is a common sexual dysfunction in men, affecting 52% between the ages of 40 and 70. It can occur in mild, moderate, and complete forms. There are several causes and risk factors associated with ED, including vascular, hormonal, and neurologic factors.

Risk factors for atherosclerosis, such as smoking, high blood pressure, diabetes, and high cholesterol, are also risk factors for poor sexual function. Additionally, straddle injuries and bicycle riding with a narrow saddle can obstruct and impair arteries to the penis, making bicycle riding a risk factor for ED.

Little attention has been paid to endocrine factors in sexual dysfunction, though testosterone modulates sex drive, arousal, and orgasmic function and decreased levels can influence the efficacy of sildenafil (Viagra). A medical history of neurologic problems, depression, and certain medications can also cause ED.

How Vascular and Blood Pressure Issues Lead to ED

Vascular issues are a leading cause of ED. Atherosclerosis, a narrowing of the arteries, can lead to reduced blood flow to the penis and cause ED.

The penis contains two chambers, the corpora cavernosa, or the erection chambers, that fill with blood during an erection. Reduced blood flow to the penis prevents these chambers from filling completely, resulting in an insufficient erection. As the flow of blood is reduced, the muscles in the penis become tense, causing the penis to remain flaccid.

Reduced blood flow to the penis can be caused by a variety of factors, including cardiovascular disease or a previous heart attack, diabetes, high cholesterol, and certain medications. In addition, certain lifestyle factors such as smoking, heavy alcohol consumption, and lack of physical activity can also reduce the flow of blood to the penis.

If the underlying cause of reduced blood flow is not addressed, it can lead to chronic erectile dysfunction. Erectile dysfunction treatment typically involves medications that increase blood flow to the penis, lifestyle changes, such as quitting smoking and exercising regularly, and even a penile implant in extreme cases.

Treatment for Erectile Dysfunction

There are several ways to treat ED caused by vascular problems or low blood flow, including oral medications such as vardenafil (Levitra), avanafil (Stendra), and tadalafil (Cialis); penile injections; vacuum devices; surgery; penile implants, and hormone replacement therapy.

Among these treatments, ICP/Trimix has emerged as a popular choice due to its ability to provide long-term relief from ED without significant side effects.

This treatment involves injecting medication into the penis that helps relax the smooth muscle tissue of the corpora cavernosa, allowing blood vessels to expand so that more blood flow is possible.

How ED Drugs Help

Drugs and medications for ED typically work by stimulating blood flow to the penis, allowing for increased sexual arousal and performance.

The most common prescription drugs for ED are ICP/Trimix, Sildenafil (Viagra), Tadalafil (Cialis), and Vardenafil (Levitra).

Top Medications for Erectile Dysfunction

First, it must be made clear that it is important to talk with a doctor about any potential risks or benefits before taking any of these medications for erectile dysfunction. Additionally, individuals should always follow their healthcare provider’s instructions carefully when using any prescription drug. With that said, let’s dive a bit deeper into each of these medical treatments

Non-Pill Treatments

ICP/Trimix

ICP/Trimix is an injectable medication that has been proven to be a reliable, long-lasting treatment for ED symptoms. It is a mixture of alprostadil, papaverine, and phentolamine, which work by increasing blood flow to the penis and help men achieve and maintain erections when sexually aroused.

ICP/Trimix is recommended as a first-line treatment option due to its effectiveness in treating ED without causing side effects such as headaches or stomach upset. The advantages of using ICP/Trimix include:

• Easy administration – ICP/Trimix can be injected directly into the penis, eliminating the need to take pills;
• Fast acting – ICP/Trimix begins working within minutes;
• Long-lasting results – erections can last up to 36 hours after injection;
• No risk of heart disease or other cardiovascular diseases due to lack of systemic absorption;
• Minimal pain during administration if done correctly.

In addition, patients with underlying medical conditions like diabetes, hypertension, or high cholesterol levels need to discuss their treatment options with their healthcare provider before taking any medications for ED.

Pills for Erections

Sildenafil Citrate

Sildenafil Citrate’s active ingredient is a phosphodiesterase type-5 inhibitor that helps to increase blood flow to the penis, aiding in achieving an erection. It is most commonly used to treat erectile dysfunction (ED) and is one of the oldest drugs used for this purpose.

Sildenafil citrate was developed by Pfizer Pharmaceuticals in 1989, marketed as Viagra, and has been approved by the U.S. Food and Drug Administration (FDA) since 1998.

Studies have shown that sildenafil citrate can help men with ED achieve firmer and longer-lasting erections when taken 30 minutes before sexual activity. The effects of sildenafil citrate can last up to 4 hours, although it typically starts wearing off after 2-3 hours in most patients.

Despite its efficacy, some potential side effects may include headaches, flushing, indigestion, nasal congestion, or visual disturbances such as blurred vision or sensitivity to light. As with any medication, patients need to consult with their doctor before taking sildenafil citrate or any other drug for treating erectile dysfunction.

Is Generic Sildenafil as Good as Viagra?

Generic Sildenafil is a cheaper alternative to Viagra; however, it is not guaranteed to be as effective. While generic Sildenafil or other generic versions of any ED drug can give you the same results as Viagra, there is no guarantee that it is as safe and effective as the brand-name drug. Therefore, it is important to consult with your healthcare provider before taking any prescription drugs or their generic versions.

Tadalafil

Tadalafil is an oral medication that works by inhibiting the enzyme phosphodiesterase type-5, which increases blood flow to the penis and helps men achieve and maintain erections when sexually aroused.

‘This prescription medication is available in various doses, ranging from 2.5mg to 20mg per tablet. Tadalafil is effective in treating erectile dysfunction as it relaxes the muscles of the blood vessels, allowing them to widen and improve blood flow. It also helps reduce high blood pressure levels in some individuals who take it regularly.

Common side effects of a tadalafil tablet include headaches, flushing, indigestion, muscle pain or back pain, congested nose, and dizziness.

Avanafil

Avanafil, known as well as Stendra, is a prescription medication that works by targeting the same enzyme as tadalafil, phosphodiesterase type-5, to aid in improving blood flow and allowing men to achieve and maintain erections.

Doses of this Stendra can have effects within 15-30 minutes from oral administration, and its effects can last for up to 6 hours. Avanafil has become an increasingly popular option for treating erectile dysfunction due to its quick onset of action and long duration of effect.

Some important points about this drug:

• It is suitable for men looking for a fast-acting ED treatment option.
• Stendra is safe when used appropriately, with no known serious adverse health effects reported.
• It has been shown in clinical trials to be an effective treatment option, with up to 80% of participants showing positive results compared to placebo.

Avanafil offers men with erectile dysfunction a viable treatment option with proven efficacy, few side effects, and fast onset of action. Stendra’s quick action makes it a great choice for those who need relief from their symptoms quickly without sacrificing safety or effectiveness.

Vardenafil

The next drug on the list of treatments for erectile dysfunction is Vardenafil, a medication with an active ingredient that is a phosphodiesterase type-5 inhibitor, and it works by increasing blood flow to the penis, which helps to produce an erection.

Compared with other similar ED pills, Vardenafil is more effective and has fewer side effects than its counterparts.

Compared to Avanafil, doses of Vardenafil have a longer half-life, meaning that it can remain in the body for up to 12 hours after ingestion. This allows men to have increased flexibility when planning sexual activities.

Vardenafil is also known for having fewer interactions with other medications than Avanafil.

It has been found that certain medications may interfere with the effectiveness of Vardenafil if taken together; however, this interaction is much less likely with Vardenafil than with other ED drugs such as Avanafil or Sildenafil.

Additionally, some studies suggest that patients who take Vardenafil may experience faster onset times compared to those taking other ED drugs.

All of these factors make Vardenefail an attractive treatment option for erectile dysfunction.

What’s the Best One to Keep an Erection Firm?

Between Viagra, Stendra, Levitra, and others, ICP/Trimix has emerged as a popular choice due to its ability to provide long-term relief from ED without significant side effects. ICP/Trimix is one of the most effective ED drugs available today, with a success rate of up to 95%.

It works quickly and effectively by increasing testosterone levels in just a few hours, compared to a pill and tablet. This treatment involves injecting medication into the penis that helps relax the smooth muscle tissue of the corpora cavernosa, allowing blood vessels to expand so that more blood flow is possible.

Additionally, it has fewer side effects than other ED medications – such as a drop in blood pressure or dizziness – making it an ideal option for those suffering from pre-existing conditions.

Furthermore, unlike many other ED drugs that must be taken multiple times per day, ICP/Trimix only needs to be taken once per day for optimal results.

BMG Can Help You Find the Best Option For You

At Boston Medical Group (BMG), we understand that erectile dysfunction is an incredibly personal condition and that the best solution for each individual may vary. As such, we strive to provide our patients with the highest level of care and treatment options tailored to their needs.

Our team of highly trained medical professionals is here to help you find the best option for you with a comprehensive approach that includes a detailed assessment of your medical history and current health from both physical and psychological perspectives.

We will work with you to determine which drug therapy is most appropriate for treating your erectile dysfunction, whether it be an oral medication like that famous blue pill or a more long-lasting solution like ICP/Trimix. With years of experience as a healthcare provider treating men’s sexual health conditions, we have helped countless patients find relief from their symptoms and regain their confidence.

Contact us today to learn more about how BMG can help get you back on track!

Misconceptions and false beliefs abound regarding masturbation have been connected to a variety of negative effects, including fatigue or tiredness, hair loss, and even blindness. However, there is no evidence to support such beliefs of any negative consequences of masturbation, and the dangers are minimal.

It might surprise you to know the opposite of that is true. Many studies have found that masturbation is good for your body and mind. Masturbation is a great way to release tension, improve your mood, and get rid of excess energy. Self-acceptance and bodily exploration can be practiced in a relaxed and secure environment.

Read on if you want to dispel the idea that masturbating makes you tired or causes hair loss, and learn about other common misunderstandings regarding the practice

Effects of Masturbation On The Brain

Even though scientific evidence shows that masturbation has no negative effects on health, many people nevertheless believe that it is dangerous. On the other hand, there may be some positive health effects of masturbation. Keep reading to find out how masturbation influences the mind:

Masturbating Releases Hormones

When you masturbate, your body releases a variety of hormones, both before and during the climax. Some examples of such hormones are:

Dopamine

Dopamine is one of the “happy hormones” linked to the brain’s reward circuitry.

Endorphins

Endorphins are released in the body in response to pain and can have calming and uplifting effects.

Oxytocin

This chemical messenger plays a key role in romantic and platonic relationships.

Testosterone

This hormone is released during sexual activity and has been found to boost energy and sexual desire. Additionally, the hormone is released in the context of sexual desires.

Prolactin

Prolactin is a hormone essential to lactation and affects your mental state and defense mechanisms.

Why Can Masturbation Make You Feel Tired?

Although there are clear advantages, some people do experience negative effects from masturbating. It’s possible that you don’t like the emotion, that it goes against your beliefs, or that you’re just not interested in it. That’s okay. It is entirely up to you whether or not you choose to masturbate.

Consider talking to a doctor or therapist if you find it difficult to masturbate and this difficulty is making you feel weak or tired, but the action itself can only make you feel tired if you do it in excess

Why Are There Different Responses to Masturbation?

It is entirely up to you and only you whether you masturbate. If you do, you can be sure it won’t hurt you physically. If you choose not to, there is no harm or foul done to you. Here are the main negative reactions to masturbation:

Negative Feelings Associated To Masturbation

To masturbate is a sin in the eyes of various faiths. Many people hold the view that people shouldn’t masturbate, and others consider the act to be sinful. Not to mention several of the disturbing myths about masturbation that cause anxiety.

Underlying Health Issues Not Related To Masturbation

In addition to societal and spiritual challenges, underlying medical issues may make masturbation challenging.

For instance, masturbating could be annoying if you have:

• Erection problems.
• Lowered libido.
• Dyspareunia; a painful vaginal penetration condition.
• Vulvar dryness.
• Post-orgasmic syndrome; is a little-known disorder that causes people with a penis to get sick after ejaculating.

Additionally, if you have had sexual trauma, masturbating could be uncomfortable.

What Is Considered Excessive Masturbation?

Excessive masturbation happens when:

• You feel a lot of distress as a result.
• You engage in many acts of masturbation each day to get away from stress or the realities of daily life.
• You rub abrasively and hurt yourself frequently.
• You spend so much time enjoying yourself that you scarcely have time for your friends or family.
• You fight the continual want to indulge yourself because you feel insatiable.
• You feel discomfort in your genitalia.

Possible Side-Effects Of Excessive Masturbation

Anything in excess can be dangerous and bad for your health. Excessive masturbation can lead to:

• Feeling tired.
• Feeling weak.
• Early ejaculation.
• Preventing you from having sex with your spouse.
• Damage to the penis.
• Vision alterations.
• Lower back discomfort.
• Testicular discomfort.
• Loss of hair.

Masturbation Myths

Many of us have heard the absolutely untrue statements that preteens frequently spread, such as the ones that masturbating can make you go blind or make your hands grow hair.

Due to that, you may feel guilty, anxious, ashamed, or depressed after masturbating if you think such things and then do it.

It’s absolutely acceptable to refrain from masturbating due to your personal views, however, speaking with a therapist may be able to help you deal with your guilt and allow you to masturbate without feeling anxious. The following are some myths about masturbation that you should stop worrying about:

Masturbation is Bad For Your Health

On the contrary, many medical professionals concur that masturbating may be beneficial to your health. It offers a number of health advantages, including increased concentration and rest. As your body releases endorphins—which are feel-good brain chemicals— it also aids in reducing stress and headaches.

Masturbation Causes Erectile Dysfunction

There is no evidence to suggest that masturbation can cause erectile dysfunction (ED). Therefore, a variety of physiological and psychological reasons, none of which involve masturbation, are what actually cause ED. Several reasons that may result in ED include:

• Difficulty with intimacy
• Anxiety or tension.
• Excessive drinking or smoking.
• Either having low or high blood pressure.
• A high cholesterol level.
• Having diabetes or being obese.
• Enduring a cardiac condition.

Masturbation Causes Psychological Problems

The American Psychological Association does not currently classify masturbation or sex addiction as mental health problems. Most medical practitioners, however, classify excessive masturbation as compulsive sexual behavior (CSB) or uncontrollable sexual activity.

Some individuals are particularly vulnerable to CSBs as a result of specific medical problems, including:

• Alzheimer’s condition.
• Bipolar illness.
• Pick’s illness.
• The Kleine-Levin condition.

Treatment of the underlying medical problem often lessens sexual compulsions and behaviors in people with these illnesses.

Masturbation Reduces Sperm Count

The sperm count is not decreased by masturbation. In otherwise healthy males, masturbation is not known to alter sperm count or fertility. There is a catch, though. If you have been told that your sperm count is low, it is advised that you wait two to three days before ejaculating in order to get the most sperm possible.

Boston Medical Group and the specialists affiliated with it offer treatments for various conditions affecting men’s health. If you have any questions about how masturbation makes you weaker or does masturbation make you tired? The medical professionals at BMG are on the lookout for these common myths and the possible influences those areas may have on the patient’s health.

Call us today or make an online appointment so we can enhance your sexual lifestyle!

Do You Feel Too Plump To Participate?

Very little can keep the male libido from experiencing urges. The sex drive in both men and women is what propels the procreation of our species. However, the simple fact is, it’s not unusual for many men to experience changes in their sexual drive or libido, over the course of their lives. It is normal for sexual interest to wax and wane intermittently. Temporary decreases in libido can be due to changes in relationships, work or family obligations, or other life changes.

But when weight gain becomes the prime inhibition from enjoying a gratifying sexual relationship, it is often a depressing disappointment for the man. It also affects relationships or the ability to derive the satisfaction that many men obtain from one.

In the USA, current trends in recent decades indicate an alarming increase in obesity. What qualifies someone as obese? If your BMI is 25.0 to <30, it falls within the overweight range. If your BMI is 30.0 or higher, it falls within the obesity range.

Here’s how Body Mass Index can be calculated — (BMI calculator may overestimate and underestimate for muscular body mass and athletic body respectively.)  https://www.medindia.net/doctors/clinical_cal/bmi.asp

Many men suffering from obesity also suffer from erectile dysfunction (E.D.). According to Ira Sharlip, MD, spokesperson for the American Urological Association, “Fifty-three percent of men between the ages of 40-70 have some degree of erectile dysfunction.” There are many risk factors for erectile dysfunction including:

• Age
• Cardiovascular disease
• High blood pressure
• Low testosterone
• Smoking and diabetes, along with a poor diet and sedentary lifestyle

With many conflicting studies, it is unclear whether a high body mass index (BMI) and obesity cause erectile dysfunction or are just tied to the associated risk factors, however, it is clear that obesity is a contributing factor. With significant health and lifestyle changes, erectile dysfunction can be significantly improved.

Simply with increased age alone, there is an associated natural decline in erectile function. If there are other diseases present, there is a greater risk. E.D. and sexual performance are great sources of anxiety and concern for all men. Poorly perceived performance leads to worsening performance and depression for even the most confident of men! Obesity can bring on these diseases and also magnify these psychological concerns. * https://www.obesityaction.org/resources/men-is-obesity-affecting-your-sex-life/

It’s True, Your Self-Esteem Can Be a Factor In Having a Robust Sex Life

It’s not just the physical hurdles or the mechanics of consummating the act of sex, it’s how you feel about your own physical self.

But while bodily physical barriers can be surmounted, other health conditions induced by severe obesity are more difficult to work around. Obese men sport a 30% increased risk of erectile dysfunction, as well as diminished levels of sexual desire stemming from reduced levels of testosterone. Depression, which commonly plagues obese men and women, also serves as a roadblock, effectively eroding libido.

Far more extreme cases of sexual limitation can also arise, particularly in men. Super obesity can cause testosterone levels to plummet and estrogen levels to skyrocket. This may lead to invagination of the penis, in which the member actually retreats into the bladder. In one unfortunate case, these symptoms were documented in a man weighing 660 pounds! During 20 years of marriage, he and his wife were literally unable to have sexual intercourse.

Considering this man’s sad situation, it’s likely that Fat Bastard, who supposedly weighed 2,200 pounds, would probably have suffered from the same debilitating conditions. In fact, he actually admitted that he hadn’t seen his “willy” in three years. That joking assessment was, in all likelihood, scientifically accurate. * https://www.realclearscience.com/blog/2013/06/how-do-morbidly-obese-people-have-sex.html

Boston Medical Group Recommends Fitness & Nutritional Behavioral Changes/Lifestyle Management

Men who are affected by obesity may have elevated cholesterol, hypertension and high blood pressure and diabetes, all of which contribute to erectile dysfunction. “If you are affected by obesity, the risk of developing diabetes is two to three times more likely than for someone who is not affected by obesity,” says Elizabeth Selvin, PhD, MPH, assistant professor and epidemiologist at John Hopkins Bloomberg School of Public Health. Additionally, she says, “More than 50 percent of men with diabetes suffer from erectile dysfunction.”

It is well studied and accepted that obesity often leads to diabetes as well as atherosclerosis-related hypertension and cardiovascular disease, which can cause E.D. We do not know exactly why, but obesity appears to damage the inner lining of the vessels (the endothelium) and when this lining is damaged the penis cannot get enough blood flow to produce and sustain an erection.

‘An erection is basically a cardiovascular event, and if blood flow cannot increase because the blood vessels can’t dilate normally, then there is a decrease in erectile function,’ says Robert A Kloner, MD, a cardiologist and professor of medicine at the University of Southern California’s Keck School of Medicine. A fatty diet and lack of exercise that contribute to obesity and cardiovascular disease can cause narrowing and hardening of the arteries (atherosclerosis), which can slow blood flow as well.” *

E.D. has many causes. Some genetic. Some age-related. Those that are self-induced, such as obesity can be solved in numerous ways.

About 90% of cases of ED are caused by physical factors, classified as vascular (related to blood flow) and non-vascular diseases. It is estimated that 70% of all ED cases may be attributable to vascular diseases alone.

ED is more than just a sexual problem. A fulfilling sex life can lead to a greater sense of self-esteem and confidence.

• Weight Management
• Exercise Programs
• Hormonal Management
• Stress Management
• Healthy Eating Programs
• Walking Fitness Plans

* http://altiusatcardinia.com.au/?big=bigger-isnt-always-better/

The most common solution that comes to mind when looking to treat ED is usually Viagra, however, it has been noticeable by professionals as well as ED patients that generic pills are not only limited to varying and low success rates across the general population, but it also does not seem unique enough for every individual’s sexual lifestyle and lack of performance. With the introduction of the internet, more and more men are looking for natural supplements to boost their sex life and among this list there is a very interesting but usually forgotten theory of zinc supplements and its undeniable impact when zinc is not received in sufficient amounts. It might be quite frustrating to pay a whole lot of attention to zinc intake levels, absorption, as well as possible zinc toxicity; however, can this forgotten supplement be a key to a higher libido, testosterone level maintenance, as well as performance boost?

In order to understand the key concept of supplementation, it is vital to acknowledge the significance of underlying factors when it comes to ED. As discussed in other BMG articles, erectile dysfunction depends a whole lot on underlying conditions, which include but are not limited to low testosterone production, psychological factors, physiological deformities and more. Often, nutrients have been used to help with managing these underlying conditions by providing the necessary elements which are used by the body to transfer, uptake, and transition the required nutrients to a state which the body can use to boost production, regulation, and balance.

Benefits of Zinc Sexually

Zinc is an example of a nutrient which has been put in the spotlight recently, and that is mainly due to its ability to help boost production of testosterone, prolactin, as well as prostate fluids which help greatly during sexual activities [2].

Zinc is a popular mineral which is proven vital for regular physiological functioning, and although it is needed in trace amounts, it plays a significant role in many aspects of the human body’s cellular and molecular functions, ranging from immune system regulation to sexual performance. Zinc is not produced by the body, so it is essential to receive the sufficient amount through diet and supplementation therapy for those deprived of this valuable mineral. Zinc boasts a lot of health benefits such as helping with growth, acute diarrhea, wound repair, blood clot formation, thyroid regulation, as well as keeping the body’s immune system strong, and many more. This article pays significant attention to zinc’s role in sexual health, and its importance in testosterone boosting and prolactin production—two very key sex hormones. A healthy testosterone level is vital for a healthy sexual relationship, as it helps with the sex drive, performance, and erectile dysfunction [2]. Besides helping with testosterone levels, zinc is also found to improve inflammation management by the body and benefits the regulation of treating enlarged prostates. In addition, zinc is believed to help sperm quality, vitality, as well as increased male fertility.

Studies have shown that the recommended dose for adult men is around 11 milligrams of zinc daily. Zinc benefits are many as they are great. However, it is important to note that before jumping on any sort of supplementation therapy, it is always a great idea to speak to a healthcare professional to ensure the right dosage and frequency is achieved. The doctor’s at Boston Medical Group Telemedicine will gladly discuss the rights and wrongs with zinc therapy with patients, allowing them to know what the right amount for their bodies is, and how zinc can be utilized supplementary in their treatment of low-testosterone and ED. It is important to note that zinc may not have a direct impact on erections; however, it’s deficiency can pair well with other underlying conditions, which will directly impact erection and sexual competency. A study also found that zinc improved ejaculatory control for those who suffer from premature ejaculation [3].

Zinc Supplements

The next question is what are some sources of zinc? The most appropriate and effective approach is through diet and eating a balanced portion of foods rich in zinc. Certain foods such as oysters, seeds, rice, almonds, beans, wheat germ, and red meat are good sources of dietary zinc. Other choices besides food would be zinc supplements. Zinc is usually found as the main ingredient of any zinc supplement, or it can be found in multivitamin packages along with other useful minerals. Zinc supplements are available as zinc gluconate, zinc sulfate, or zinc acetate in multivitamins. It is a good idea to look for supplements made specifically for the male body, as these supplements include the recommended dose with each serving, which allows men to receive the sufficient amount. It is always a great idea to speak to a doctor about Zinc supplementation as too much zinc can also play a negative role on your health and cause severe health problems. Zinc toxicity could cause some undesirable side effects such as cramping, nausea, diarrhea, fever, and even loss of muscle coordination, which is definitely something unhelpful especially when it involves a sexual dysfunction like ED.

Erectile dysfunction can have underlying conditions which impacts the overall sex life of an individual; therefore, deficiencies such as low zinc levels could be contributing to erectile dysfunction and low sex drive. A regular diet including appropriate amounts of zinc can possibly play an important role in regaining sexual confidence, boosting testosterone levels, improving sperm quality, and a better performance in the bedroom.

Sources:

1. https://www.healthline.com/health/erectile-dysfunction/zinc#zinc-deficiency
2. https://www.bensnaturalhealth.com/blog/sexual-health/benefits-of-zinc-sexually/
3. https://www.spandidos-publications.com/etm/12/4/2083
4. https://www.medicalnewstoday.com/articles/316241#zinc-ED
5. https://www.emedicinehealth.com/ask_what_vitamins_good_for_erectile_dysfunction/article_em.htm
6. https://www.mdlinx.com/article/-is-vitamin-d-the-next-viagra-plus-more-of-your-favorites-in-supplement-and-vitamin-research/lfc-2431
7. https://prostate.net/benefits-of-zinc-for-mens-health/

This Content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.

A healthy diet and workout are critical for patients with poor blood circulation and high cholesterol. Eating a healthy diet for men, exercising, reducing anxiety with physiotherapy, and taking prescribed medications are some of the few ways to improve blood flow and reduce the risk of erectile dysfunction.

How Exercise Helps With Erectile Dysfunction

Regular physical activity is beneficial for improving muscle strength, endurance, and blood circulation. A common cause of erectile dysfunction is poor blood flow due to plaque buildup in the arteries and high cholesterol. Exercise improves blood flow by stimulating the body’s production of nitrogen oxide, which allows blood vessels to become more elastic and expand. It also lowers LDL cholesterol (bad cholesterol) and increases HDL cholesterol (good cholesterol) in the body. Exercises for ED facilitate weight reduction and help you look your best. A boost of self-confidence can help with sexual performance and improve the psychological factors involved with sexual activity. You also have to quit smoking to maintain stable breathing from doing some workouts.

Best Exercises For Erectile Dysfunction

Aerobic Exercise (Cardio)

The best exercises to improve vascular health and increase HDL cholesterol are aerobic (cardiovascular) exercises. This includes yoga, jogging, swimming, running, and brisk walking. Aerobic exercise will also help maintain a healthy heart and build muscle tone. For beginners, exercise could be started at a slower pace and gradually increase to a more vigorous intensity routine. This is necessary since going directly to a full-speed exercise may cause health risks. It’s common sense but remember to move at your own pace and gradually raise intensity as you go. A 30-minute daily exercise program provides great health benefits for men with erection problems. Aerobic activity could be done either at the gym or at home.

Yoga

Yoga promotes physical and mental benefits such as building muscles strength, flexibility, heart health, and overall well-being.

Pilates

Pilates is also a great option for erectile dysfunction exercises since they challenge pelvic floor strength while moving and activate the right group of muscles. Pilates exercises are also recommended by experts for their wide array of benefits such as stronger erections in addition to improved erectile dysfunction. Knee fall outs, pelvic curls, supine foot raises are some pilates exercises that are great erectile dysfunction exercises that are worth a try.

Jogging or Running

Most well-known as a fat-burning weight loss exercise, running helps to reduce other contributing factors that cause ED such as high blood pressure and stress. Even walking regularly can improve physical fitness and disabilities in older people.

Swimming

Swimming is an exercise that is easier on the joints. It is a great form of resistance training that can improve muscle strength and tone.

Kegel exercises (pelvic floor exercises)

Kegel exercises are great for strengthening core and pelvic floor muscles and effectively work in addressing erectile dysfunction. Pelvic floor muscle training leads to better control of pelvic muscles and can help men get and maintain an erection. Kegel exercises are a good start to pelvic floor activation and strengthening.

Kegel Exercise #1 Floor lying on your back squeezes

Start this exercise by lying on your back with your hands flat on the floor. Have your knees bent comfortably and pointing upwards. Draw your penis in towards your body and hold the position for five seconds before releasing. You can do the same squeeze and release for the anus muscles as if you are stopping a bowel movement. Repeat these squeezes 8-10 times for 3-5 sets.

Kegel Exercise #2 Floor lying on your side squeezes

Start this exercise on the floor on your side. Place a pillow between your knees to spread your legs apart. Squeeze your legs together and hold the position for 5 seconds before releasing. Repeat these squeezes 8-10 times for 3-5 sets.

Kegel Exercise #3 Sitting in a chair squeezes

Start this exercise sitting in a chair. Squeeze the muscles of your penis as if you are trying to stop urine from flowing and hold this position for 5 seconds before releasing. Do avoid using your butt and leg muscles when doing so to direct all focus to those important pelvic muscles that need exercising. Repeat these squeezes for 8-10 times for 3-5 sets.

Kegel Exercise #4 Standing squeezes

Once you’ve become comfortable with the above exercises, increase the regimen and frequency without overdoing it. You can even do kegel exercises and squeezes while standing.

How Diet Helps With Erectile Dysfunction

Recent studies show that over 80% of male impotency cases may be caused by a high cholesterol diet. On the other hand, around 50% of men with higher cholesterol have increasing rates of impotency than those with healthy cholesterol levels. Additional studies also show that men with total cholesterol higher than 240 milligrams per deciliter were twice as likely to have high cholesterol impotence as those with cholesterol levels below 180 mg per deciliter. There are plenty of treatments including medicines and therapies available to treat high cholesterol and erectile dysfunction. Although medications like Viagra are popular for those suffering from ED, it is also important to note that treating ED with any medication has to be a medically reviewed decision that’s been talked over with your doctor. In addition to—or apart from—medication. Lifestyle changes such as a healthy diet for men together with proper exercise can greatly help in lowering cholesterol and upholding sexual life.

Lowering the body’s bad cholesterol requires joint efforts in removing saturated fats from the diet. Saturated fat increases the LDL (low density lipoprotein) or also known as the bad cholesterol in the bloodstream. Lowering you cholesterol will improve your improve erectile function or sexual function during sexual intercourse for people who suffer from it. But it is also important to note that the act is beneficial in general since elevated LDL or bad cholesterol is a major cause of cardiovascular disease.

Foods That Increase HDL In The Body

It is essential to avoid foods high in cholesterol, especially saturated fats (fatty meats, whole milk dairy products, and processed grain products). In contrast, HDL (high density lipoprotein) also known as good cholesterol is vital for energy production. This is helpful to patients suffering from erection problems such as erectile dysfunction and impotence.

The following are some of the foods that can help increase HDL cholesterol in the body:

Food High in Omega 3

Flax seed oil, salmon, pumpkin seeds, walnuts and walnut oil, soybeans, dark green leafy vegetables like seaweed, greens, broccoli and kale. Spring leaves, dark salad leaves, cabbage and Brussels sprouts are also high in Omega 3.

Food High in Soluble Fiber

Oat bran, oatmeal, beans, peas, rice bran, barley, citrus fruits, strawberries and apple pulp.

Soy Products

Soy milk, soy patties and any other food that substitutes animal products with soy can helps lower LDL (bad cholesterol) and increases HDL cholesterol.

A combined effort in both diet and exercise is effective in treating erectile dysfunction, premature ejaculation, and can lead to improving your sexual health. Aerobic exercises that get the heart pumping and blood flowing are great for overall body wellness and circulation, especially if you have heart disease and diabetes. Erectile dysfunction exercises like Kegel exercises strengthen the muscles that support the genital area, giving you more control over your erections. Eating well and a healthy diet gets your body the nutrition it needs while keeping cholesterol levels low.

Prostrate cancer can often lead to Erectile Dysfunction. Trouble getting an erection and keeping an erection and reduced sexual desire are the symptoms of Erectile Dysfunction. If you want to have an erection, for safety considerations, you can try penile pumps. As urologists, we can help you with this. Contact us now.

Sources:
1. https://www.webmd.com/men/best-exercises-erectile-dysfunction-premature-ejaculation
2. https://www.healthline.com/health/erectile-dysfunction/exercises
3. https://www.medicinenet.com/the_best_three_exercises_for_erectile_dysfunction/article.htm

This Content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other
qualified health provider with any questions you may have regarding a medical condition.

Fundamentally, telemedicine can allow patients to communicate with healthcare providers using telephonic technology, as opposed to physically visiting a doctor’s office or hospital. With telemedicine, discussions of symptoms, medical issues, and even more can allow a healthcare provider, sometimes even using video in real time, to provide help with email follow-ups, including testing results and reports.

Doctor House Calls Are Back!

Since telephones have become “smart,” along with many desktop & laptop computers, more and more patients are having their doctor visits online. At home, in bed, anywhere! Using telemedicine, you may be able to receive a diagnosis, learn your treatment options, and get a prescription. In cases where it’s necessary, healthcare providers can even monitor readings from medical devices remotely to keep an eye on your condition.

It should be noted Telemedicine is not appropriate methodology for emergency situations, such as heart attacks. Call 911 in case of an emergency.

Types of telemedicine may include:

• Interactive medicine, or “live telemedicine.” Here, physicians and patients communicate in real time.
• Remote patient monitoring, where in caregivers monitor patients who have mobile medical equipment that collects data on things like blood pressure, blood sugar levels, etc.
• Providers can also share a patient’s health information electronically with other healthcare professionals or specialists.

Telemedicine vs. Telehealth

With Telemedicine, a physician in one location uses a telecommunications infrastructure to deliver care to a patient at a distant site.

Telehealth is different from telemedicine in that it refers to a broader scope of remote healthcare services that might include some aspects of telemedicine. Telemedicine refers specifically to remote medical clinical services, while telehealth usually refers to remote non-clinical services, such as providing basic health information, non-prescription services and general healthcare recommendations. It should be noted that these terms are sometimes be used interchangeably. But there is a difference. In short, all telemedicine is telehealth, but not all telehealth is telemedicine.

The World Health Organization (WHO) defines telemedicine as “healing from a distance.” This gives you the freedom to receive treatment without needing to schedule an appointment with your physician to go to their office for medical services.

HealthIT.gov defines telehealth as “the utilization of electronic information and telecommunications technologies to support and promote long-distance clinical healthcare, patient and professional health education, public health and health administration.” Telehealth is not a service. It is a way to improve patient care and physician education. Telehealth expands beyond telemedicine, to cover non-clinical events like appointment scheduling, continuing medical education, and physician training.

How Does Telemedicine Services Work?

The need for more accessible healthcare is a driving force behind the growth of telemedicine. Whether a patient lives in a remote area or has a busy schedule that doesn’t allow time to visit a physician, telemedicine can help improve a person’s overall health and well-being. And it can also help your financial health. Access to a telemedicine provider can reduce the need to visit the emergency room. According to a 2017 study, the average telemedicine visit costs $79. The average doctor’s visit is $149 and the average trip to the emergency room is $1,734.

And as the popularity of telemedicine grows, many health insurance plans are beginning to offer coverage for telemedicine visits. Some states have enacted laws that require health insurance plans to reimburse telemedicine visits at the same rate as in-person doctor visits. Medicaid may also offer reimbursement for telemedicine services as long as they meet all federal requirements and eligibility. It’s best to check with your specific plan’s benefits before using telemedicine to understand your financial obligation.

Does My Doctor Offer Telemedicine Services?

The best way to know if — and to what extent — your current healthcare provider offers telemedicine services is to ask. Your physician’s practice administrator or manager should be able to explain what telemedicine services are offered, as well as the associated costs.

“The Boston Medical Group Telemedicine (BMG), the globally recognized medical practitioner leader in the area of Erectile Dysfunction (ED), proudly unveils its new Telemedicine Division. As part of its comprehensive offering to patients, this enables them to book online sessions from the comfort of their own home.” It was recently announced by Daniel Ha, one of the codevelopers of The Boston Method®, the patented method for diagnosing and treating ED that has been successfully utilized by BMG for over 20 years.

Boston Medical Group Telemedicine is pleased to add the new Telemedicine Center for ED at this critical time of expansion. We continue our efforts to innovate and build our organization to its fullest potential. This new division will successfully complement our growth strategy with a keen focus and commitment to excellence for our valued patients throughout the country.

This new Telemedicine Center for ED, facilitates direct sessions for patients. As such, BMG has further expanded its national footprint. The online Telemedicine portal additionally provides the latest in-depth information on sexual performance solutions and best options for men with ED, discreetly addressing their individual needs and associated issues. BMG’S revolutionary treatments in ED have included: The Boston Method®; Low-T and Regenerative Therapy with exclusively featured BostonPRP, RejuvaPulse Therapies, Cardiovascular Neo-Genesis; and Stem-Cell EVS with Exosomes. For patients who don’t respond to the common ED pills (Viagra/Cialis), BMG also has available a range of combination pills for erectile dysfunction and premature ejaculation sourced from a registered FDA 503B compounding pharmacy.

Many patients know the treatment, Rx they are looking to refill. This includes ICP/ED shot refills. Boston Medical Group Telemedicine makes it easy to talk to a doctor via telemedicine to renew prescriptions. You may fill out a request here. Please note, there are certain medical regulations, starting with a simple patient authorization to release records (when moving from one provider to another).

The prostate is normally about the size of a walnut. Once men hit their 50s and beyond it’s very common for their prostate to grow. The prostate gland is located between the bladder and the penis. The prostate is just in front of the rectum. The urethra runs through the center of the prostate, from the bladder to the penis, letting urine flow out of the body. The prostate secretes fluid that nourishes and protects sperm.

“The value of testosterone replacement therapy (TRT) for older men is currently a topic of intense debate. While US testosterone prescriptions have tripled in the past decade (9), debate continues over the risks and benefits of TRT.

TRT is currently prescribed for older men with either low serum testosterone (T) or low T plus accompanying symptoms of hypogonadism. The normal range for serum testosterone is 300 to 1,000 ng/dl. Serum (less than) 300 ng/dl is considered to be low, and T (less than) 250 is considered to be… hypogonadism. Most experts support TRT for older men with… hypogonadism and symptoms.

Treatment for men who simply have low T remains somewhat controversial. TRT is most frequently administered by intramuscular (im) injection of long-acting T esters or transdermally via patch or gel preparations and infrequently via oral administration. TRT produces a number of established benefits in hypogonadal men, including increased muscle mass and strength, decreased fat mass, increased bone mineral density, and improved sexual function, and in some cases those benefits are dose dependent. For example, doses of TRT administered by im injection are typically higher than those administered transdermally, which results in greater musculoskeletal benefits. TRT also produces known risks including development of polycythemia (Hct > 50) in 6% of those treated, decrease in HDL, breast tenderness and enlargement, prostate enlargement, increases in serum PSA, and prostate-related events and may cause suppression of the hypothalamic-pituitary-gonadal axis.

“I thought this is just a part of aging. I asked my friends it they felt the same way and some of them said that they had experienced the same issues around the age of 50. One of my friends suggested it might be low testosterone.”

-Boston Medical Group Telemedicine Patient 

Importantly, TRT does not increase the risk of prostate cancer. Putative risks include edema and worsening of sleep apnea. Several recent reports have also indicated that TRT may produce cardiovascular (CV) risks, while others report no risk or even benefit…”

* https://pubmed.ncbi.nlm.nih.gov/25898953/

Hormone Therapy and Prostate Cancer

It was in the early 1940s when it was discovered the male hormone testosterone can feed the growth of prostate cancer. This can also be further proved by the fact that hormone therapy for prostate cancer is a treatment that stops the male hormone testosterone from being produced or reaching prostate cancer cells. Androgens stimulate prostate cancer cells to grow, and testosterone is one of the two main androgens in the body. And if you’re receiving or thinking of getting hormone replacement therapy, it can be spooky to learn while testosterone is vital to the development of generally masculine characteristics in males, it also stokes the growth of prostate cancer cells. It can even make you worried if might increase your risk of developing prostate cancer.

Research has challenged the link between testosterone and prostate cancer in recent years. While there is still a lot that needs to be studied on whether testosterone therapy is safe for men with a history of prostate cancer, there have been studies that found testosterone treatment does not increase a man’s risk of developing prostate cancer. For example, if a person is diagnosed with prostate cancer while taking testosterone, it’s not a cause-and-effect relationship. In fact, a new study published in European Urology found that men with the lowest levels of testosterone had a 23% reduced risk of developing prostate cancer. While, again, further studies are needed regarding the link between hormone therapy and prostate cancer, existing evidence suggests that testosterone therapy can be safe in some men who not only have low testosterone but have completed prostate cancer treatment and are therefore at lower risk for recurrence.

A Preeminent Medical Expert on TRT & Cancer Risks

“Abraham Morgentaler, MD, explains new concepts that could subvert the long-held belief that high levels of testosterone exacerbate prostate cancer growth. He discusses the androgen saturation model, as well as the benefits of testosterone therapy for patients’ quality of life.

General attitudes in the urologic community have long maintained that high testosterone exacerbates prostate cancer (PCa), low testosterone is protective, and raising testosterone levels in men with PCa will enable tumor growth. However, these assumptions may be flawed.

In the 1940s, Huggins and Hodges found that giving men with bony metastases testosterone caused acid phosphatase levels to rise. They concluded that high testosterone was dangerous for PCa patients. However, this study only reported results for 2 men, one of whom was castrated. This means that the prohibition against T therapy in men with prostate cancer originated from observations in one non-castrated patient. Later, many researchers looked for a link between high testosterone and PCa, but found no conclusive results. However, data does show that low testosterone does not protect men from developing PCa.

One concept subverting this long-standing assumption is a saturation model. This concept dictates that PCa growth is sensitive to variations in testosterone levels at the low levels, but this sensitivity lessens at higher testosterone levels. According to this model, depriving PCa of testosterone can cause tumor death. However, testosterone only exerts a prostatic effect by binding to the androgen receptor (AR). Once serum testosterone concentrations reach maximal androgen-AR binding, or a saturation point, increasing testosterone will not cause tumors to grow.”

** https://grandroundsinurology.com/testosterone-therapy-in-men-with-advanced-prostate-cancer

https://player.vimeo.com/video/340896194

An Oncologist on TRT & Cancer Treatments

“Testosterone is usually viewed as a fuel for prostate cancer. Consequently, most researchers are reluctant to explore it as potential therapy. However, Johns Hopkins cancer researcher, Dr. Samuel Denmeade, took a page right out of cancer’s playbook, and figured out what prostate cancer cells were doing to survive hormonal therapy and then beat them their own game. After prolonged treatment with testosterone-blocking drugs, prostate cancer cells adapted to living with low levels of the hormone by ramping up the activity along with the amount of receptors within the cell surface to suck up every bit of testosterone available.

With prostate cancer cells in this state, adapted to an environment with low levels of testosterone, Denmeade wondered what would happen if he flooded the cancer cells with a short burst of high-dose testosterone, using the hormone like a drug. “If we give testosterone acutely through injection to cause a sharp rise in the hormone, prostate cancer cells won’t like that, and some will die,” says Denmeade. “Prostate cancer cells might be killed by the hormone shock, and the cells that survived would make fewer receptors, making prostate cancer cells vulnerable once again to hormone-lowering therapies.” At first glance, it seems paradoxical to give testosterone to a prostate cancer patient, but Denmeade and Isaacs say this approach is very different from the chronic, ongoing supply of testosterone that naturally occurs in men or testosterone replacement therapy. “It’s pharmacologic testosterone, not physiological testosterone,” says Isaacs.

Prostate cancer cells are not expecting an intense dose of testosterone, and they don’t know that it’s a short burst. Cancer cells that survive will adapt again, this time turning down the activity of those cell surface testosterone receptors. “They will downregulate their receptors at a time when the drug is wearing off, so we will see a period of low testosterone, low receptor, and that’s not good for cancer cells,” says Denmeade. As the cells are continually challenged with these short bursts of testosterone, they are constantly adapting levels of cell surface receptors up and down. “We are taking the cancer cells’ options out of play by making the testosterone levels rise and fall rapidly,” says Denmeade. Denmeade turned the idea in a clinical trial of testosterone as a prostate cancer drug therapy.”

*** https://www.hopkinsmedicine.org/news/articles/testosterone-as-a-drug

Boston Medical Group Telemedicine has TRT Programs

“At first I was skeptical about this whole testosterone idea. I was not prepared for what was in store for me…It has taken some time to get the levels adjusted but there is no denying the effects of testosterone has had a huge positive effect on my life.”

-Boston Medical Group Telemedicine Patient

Testosterone is the key hormone produced by the Leydig cells of the testicles and is responsible for the normal growth and development of male organs and for maintenance of other sexual characteristics. Aside from sexuality, it also contributes to some essential body functions such as embryological development, facial hair development, brain function, body muscle mass, bone strength, red blood cells function and even mood and energy levels.

The range for normal testosterone level is 300-1100 ng/dL. It is optimal for a man to get around 800- 1100 ng/dL. When a man reaches his mid 30’s, production of testosterone declines an estimate of 1% each year – 10% in 10 years or even more. Greater decline in testosterone level can happen due to obesity, infectious diseases, excess of blood iron and inflammatory diseases.

Low testosterone level can post significant health risks and physical limitations such as decreased energy, low libido, decreased mental quickness and depression. If left untreated, it may lead to more serious health problems such as osteoporosis, muscle atrophy, alopecia and erectile dysfunction.

*** http://altiusatcardinia.com.au/?big=low-testosterone

Click here to read Part I: It’s Not Just About Muscles

Click here to read Part II: A Man’s “Time of the Month?”

This Content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.

Do men have hormonal cycles too? Some hormones researchers say no, men don’t cycle. Others say yes, but their cycles are less studied and less dramatic than women’s. Men’s testosterone cycles fluctuate from higher in the morning to lower each evening, and, according to some Australian, Russian and Dutch studies, the hormone level fluctuates seasonally as well, peaking in October and ebbing in April, notes psychologist Jed Diamond, PhD, author of several books on men and hormones.

It’s not clear whether hormones dip and rise over months, as women’s do. Some researchers believe that male hormones vary with the seasons. One study found that testosterone levels of men bottomed out in summer and reached a high in late fall.

Testosterone also declines as men age, and as their levels drop, they experience increases in moodiness and irritability, says Diamond, who in 1977 published the book “Male Menopause,” one of the first U.S. works to raise awareness that, during the midlife period of what he calls “andropause,” men’s hormones change, just as women’s do.
“The whole idea that men show hormonally based changes or change of life has not been studied much in this country, or has been seen as a joke, but in fact there is a lot of research on this happening outside the United States,” says Diamond, a Northern California psychotherapist who most recently published “Mr. Mean: Saving Your Relationship from the Irritable Male Syndrome.” (Vox Novus, 2010).

The complex effects of testosterone, investigators found, depend partly on its conversion in the body to a type of estrogen. The insights will help guide the development of better ways to diagnose and treat men who don’t produce enough natural testosterone.

Testosterone is thought to regulate sex drive (libido), bone mass, fat distribution, muscle mass and strength, and the production of red blood cells and sperm. A small amount of circulating testosterone is converted to estradiol, a form of estrogen. As men age, they often make less testosterone, and so they produce less estradiol as well. Thus, changes often attributed to testosterone deficiency might be partly or entirely due to the accompanying decline in estradiol.

What Science Says About Testosterone

“Testosterone was first used as a clinical drug as early as 1937, but with little understanding of its mechanisms. The hormone is now widely prescribed to men whose bodies naturally produce low levels. But the levels at which testosterone deficiency become medically relevant still aren’t well understood. Normal testosterone production varies widely in men, so it’s difficult to know what levels have medical significance. The hormone’s mechanisms of action are also unclear.”

A team led by Dr. Joel Finkelstein at Massachusetts General Hospital investigated testosterone and estradiol levels in 400 healthy men, 20 to 50 years of age. To control hormone levels, the researchers first gave the participants injections of a drug that suppressed their normal testosterone and estradiol production. The men were randomly assigned to 5 groups that received different amounts (from 0 to 10 grams) of a topical 1% testosterone gel daily for 16 weeks. Half of the participants were also given a drug to block testosterone from being converted to estradiol.

The participants were seen every 4 weeks. Blood was taken to measure hormone levels, and questionnaires were given to assess physical function, health status, vitality, and sexual function. Body fat and muscle measurements were also taken at the beginning and end of the 16 weeks. The study was funded in part by NIH’s National Institute on Aging (NIA) and National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK). Results appeared in the September 12, 2013, issue of the New England Journal of Medicine.

The researchers found that the dose of testosterone required to produce different effects in the body varied widely. The influence of testosterone and estradiol also differed. As the testosterone gel dose was reduced, the scientists showed, reductions in lean mass, muscle size, and leg-press strength resulted from decreases in testosterone itself. In contrast, increases in body fat were due to the related declines in estradiol. Both testosterone and estradiol levels were associated with libido and erectile function.

This study establishes testosterone levels at which various physiological functions start to become impaired, which may help provide a rationale for determining which men should be treated with testosterone supplements,” Finkelstein says. “But the biggest surprise was that some of the symptoms routinely attributed to testosterone deficiency are actually partially or almost exclusively caused by the decline in estrogens that is an inseparable result of lower testosterone levels.”

The researchers are conducting follow-up clinical trials to address the effects of testosterone replacement both on the measures in this study and others, such as bone and prostate health.”

— by Harrison Wein, Ph.D.

**  https://www.nih.gov/news-events/nih-research-matters/understanding-how-testosterone-affects-men#:~:text=Testosterone%20is%20a%20sex%20hormone,red%20blood%20cells%20and%20sperm

Note: The Endocrine Society publishes clinical practice guidelines with recommendations for who should and shouldn’t receive testosterone therapy. See “Endocrine Society recommendations summarized.” For a complete copy of the guidelines, visit https://www.endocrine.org

What A Simple Blood Test Can Reveal

“I was advised to start testosterone treatment due to a low red blood cell count in several blood tests. After testosterone treatments I started to have occasional, spontaneous rigidity (so-to-speak). I also seemed to have more energy and in general, a better mood.”

-Anonymous

Testosterone is the key hormone produced by the Leydig cells of the testicles and is responsible for the normal growth and development of male organs and for maintenance of other sexual characteristics. Aside from sexuality, it also contributes to some essential body functions such as embryological development, facial hair development, brain function, body muscle mass, bone strength, red blood cells function and even mood and energy levels.

The range for normal testosterone level is 300-1100 ng/dL. It is optimal for a man to get around 800- 1100 ng/dL. When a man reaches his mid 30’s, production of testosterone declines an estimate of 1% each year – 10% in 10 years or even more. Greater decline in testosterone level can happen due to obesity, infectious diseases, excess of blood iron and inflammatory diseases.

Low testosterone level can post significant health risks and physical limitations such as decreased energy, low libido, decreased mental quickness and depression. If left untreated, it may lead to more serious health problems such as osteoporosis, muscle atrophy, alopecia and erectile dysfunction. Let us know if you have any questions regarding testosterone or your sexual health.

Click here to read Part I: It’s Not Just About Muscles

Click here to read Part III: The Key to Prostate Health?

*** http://altiusatcardinia.com.au/?big=low-testosterone

This Content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.

Boosting Sexual Desire with Bremetide

Bremetide (BRE-me-tide), also known as Bremelanotide PT 141, is a synthetic peptide hormone used to treat sexual dysfunction in both men and women. In more specific terms, it’s a nonselective agonist that binds to and activates a cellular receptor in the hypothalamus. As it is known that sexual excitement involves neurotransmitters, such as dopamine and serotonin, to help process sexual stimulation, this hormone treatment may be just the thing to help one experience a fulfilling sex life.

The hypothalamus is a region of the forebrain that controls a multitude of bodily functions including: body temperature, thirst, appetite and weight control, emotions, sleep cycles, blood pressure and heart rate, production of digestive juices, balancing of bodily fluids, and most relevant to our discussion – sex drive.

“It works so well that I felt like I was back in my early 20’s.”

–Michael M.

How was Bremetide Discovered?

Bremetide, the first ever FDA-approved aphrodisiac, was previously found to be a tanning agent after experimenting with its “parent” melanocortin receptor, Melanotan II. After test subjects experienced increased arousal and erections, the aphrodisiac was sold as a treatment for female sexual dysfunction (specifically, to treat Hypoactive Sexual Desire Disorder), by the name brand Vyleesi. Today, it is used by both men and women to treat sexual dysfunction and low libido.

How is this different?

There are plenty of ED pills and medication that target blood flow to induce erections. Needles, pills, and suctions all can create erections through increasing blood flow to the penis. But let’s think back to when you were young and vibrant. It’s the stimulation from your environment that first got you excited; your body created a chain-reaction from thoughts in the brain to an erection. Bremetide can help men achieve that same kind of excitement through the receptors in your brain.

Furthermore, the common oral medications used to treat male sexual dysfunction, PDE5 inhibitors (phosphodiesterase type 5), oftentimes, result in side effects such as headaches, flushing, and priapism (an erection lasting more than 4 hours). These include Viagra (sildenafil), Cialis (tadalafil), Levitra & Staxyn (vardenafil), and Stendra (avanafil). On the other hand, Bremetide elicits a natural response, and affects one’s sexual arousal. Rather than directly acting on the blood vessels in the penis, Bremetide reacts in the hypothalamus in the brain, which sends signals to the nerves. Your nerves regulate the constriction and flow of blood to the penis to create your erection. Thus, Bremetide is a safe and efficacious alternative for treating male sexual dysfunction, while also helping women increase their level of sexual desire.

“Great treatment as a standalone, it works amazingly well in conjunction with some of the other treatments.”

–Michael M.

Unlike other assumed aphrodisiacs such as ginseng and yohimbine, which depend on placebo effects, Bremetide activates “hypothalamic and limbic emotional structures, the parts that naturally flares when you’re turned on” (Men’s Journal). Some plants, spices, and foods classify as aphrodisiac substances mainly due to their historical contexts. In many cultures, aphrodisiacs were important substances in reassuring reproduction, and their popularity grew as generations after generations passed down knowledge of miracle performance enhancers. Who’s to say if these actually work?

Where can I get Bremetide and what can I expect from it?

Bremetide is available as orals, nasal sprays, and subcutaneous injections. If you are already on a treatment plan with Boston Medical Group Telemedicine, ask us how you can start on Bremetide in conjunction with ICP or Rejuvapulse. While ICP and Rejuvapulse help to boost blood flow, Bremetide will simultaneously increase your sexual appetite. As a secondary effect, Bremetide can help to increase blood flow too. Here’s what you can expect:

• increase in sex drive and sexual desire
• increased sexual frequency
• treatment of erectile dysfunction and impotence
• higher natural energy levels
• relief from lethargy or tiredness

While subcutaneous has been shown to have the highest efficacy, if you are hesitant about using these types of low-invasive injections, you can opt for alternate deliveries via nasal spray or orals.

Bremetide is a BRAND NEW treatment and has been personally pre-evaluated by Regional Manager Mike Moss with BMG. Read his story below:[ps2id id=’testimonial’ target=”/]

“My name is Michael Moss, and yes, I do work for Boston Medical Group Telemedicine, but don’t let yourself believe for one minute that my opinion is any less valid than someone who does not.

I started with BMG when I was 35 years old, and like most men that age, everything was working just fine – if you know what I mean. But with the passage of time, things do begin to start slowing down. As a matter of fact, over 52% of all men will have to deal with it.

I had the opportunity to try this new treatment called Bremetide. I was given all kinds of information about this treatment; and to be honest, I had to read it a few times before I understood it. To me, all the talking in the world does not really matter. All I am concerned with is, DOES IT WORK FOR ME? Well let me tell you this – it really does work. It works so well that I felt like I was back in my early 20’s. Let us just say that when I finally got to sleep, I really slept. And my wife, well, she made me my favorite breakfast in the morning. After more than 35 years of marriage, you know that that does not happen every weekend.

So, if you get the chance, check out Bremetide. Not only is it a great treatment as a standalone, but it also works amazingly well in conjunction with some of the other treatments. You too can feel that youthfulness again. Let’s face it, it’s all about having fun again.”

– Michael Moss

Sources Cited:

1. https://www.mensjournal.com/features/the-libido-drug-20120807/
2. https://pubmed.ncbi.nlm.nih.gov/31893927/
3. https://www.mayoclinic.org/drugs-supplements/bremelanotide-subcutaneous-route/side-effects/drg-20466805?p=1
4. https://abcnews.go.com/Nightline/Sex/story?id=2692533&page=1
5. https://northamptonintegrativemedicine.com/wp-content/uploads/2020/04/PT-141-Monograph.pdf

This Content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.

In short, testosterone is a hormone that helps make a male human, a man. Indeed, it plays a significant role in a man’s body, regulating bone mass, fat distribution, the production of red blood cells and sperm. And yes, it significantly aids in inducing muscle mass and strength development. Not the least, it definitely affects a man’s sex drive – or libido.

As with many bodily functions, testosterone production is a complex process. It’s instrumental in the development of male reproductive tissues such as testes and the prostate gland. It promotes secondary sexual characteristics such as the growth of body hair. In addition, testosterone is involved in an individual’s health and well-being, and in the prevention of osteoporosis. Insufficient levels of testosterone in men may lead to abnormalities including frailty and bone loss.

“I thought this is just a part of aging. I asked my friends if they felt the same way and some of them said that they had experienced the same issues around the age of 50. One of my friends suggested it might be low testosterone as he had the same issue a year before. He recommended that I book an appointment with Boston Medical Group Telemedicine.”

–Anonymous

Testosterone is a steroid that’s biosynthesized in several steps from cholesterol. It’s converted in the liver to inactive metabolites (small molecules). In humans, testosterone is secreted primarily by the testicles of males and, in small amounts, the ovaries of females. Men, on average, have levels of testosterone 7 to 8 times as great as adult females. Daily production is about 20 times greater in men than in females (who are also more sensitive to the hormone).

Testosterone’s Big Role In The Body

Testosterone is the major sex hormone in males and performs some major roles, including:

• Penis and testes development
• Voice deepening during puberty
• Facial and pubic hair starting at puberty and possibly a role in balding
• Muscle size and strength
• Bone growth and strength
• Sex drive (libido)
• Sperm production

Adolescent boys with too little testosterone may have abnormal masculinization. For example, the genitals may not enlarge, facial and body hair may be scant and the voice may not deepen normally.

Testosterone may also help maintain normal mood. There may be other important functions of this hormone that have not yet been discovered.

Signals sent from the brain to the pituitary gland at the base of the brain control the production of testosterone in men. The pituitary gland then relays signals to the testes to produce testosterone. A “feedback loop” closely regulates the amount of hormone in the blood. When testosterone levels rise too high, the brain sends signals to the pituitary to reduce production.

Women Need Testosterone Too

If you thought testosterone was only important in men, you’d be mistaken. Testosterone is produced in the ovaries and adrenal gland. It’s one of several androgens (male sex hormones) in females. These hormones are thought to have important effects on:

• Ovarian function
• Bone strength
• Sexual behavior, including normal libido (although evidence is not conclusive)

The proper balance between testosterone (along with other androgens) and estrogen is important for the ovaries to work normally. While the specifics are uncertain, it’s possible that androgens also play an important role in normal brain function (including mood, sex drive and cognitive function).

https://www.health.harvard.edu/drugs-and-medications/testosterone–what-it-does-and-doesnt-do

Testosterone and Sexual Arousal

Testosterone isn’t the only fuel for a man’s sex drive and performance. But low testosterone can lower your ability to have satisfying sex. Lack of sex drive and erectile dysfunction are sexual problems that can result from low testosterone. If low testosterone is the cause, treating it can help.

“From that point on, I sleep better, I have loads more energy, and my wife tells me I have a new spark in my eyes”

–Anonymous

There’s a rhythm to Testosterone levels, with peaks early each day, regardless of sexual activity. Men do go through hormonal cycles, with testosterone levels tending to peak in the early morning, and diminishing over the course of the day.

Positive correlations exist between orgasm experience in women and testosterone levels where relaxation was a key perception of the experience. There is no correlation between testosterone and men’s perceptions of their orgasm experience, and also no correlation between higher testosterone levels and greater sexual assertiveness in either sex. Sexual arousal and masturbation in women produce small increases in testosterone concentrations. The plasma levels of various steroids significantly increase after masturbation in men and the testosterone levels correlate to those levels. Healthy testosterone levels are important in maintaining fulfilling sex lives in both men and women.

Click here to read Part II: A Man’s “Time of the Month?”

Click here to read Part III: The Key to Prostate Health?

This Content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.