Date post: | 23-Jan-2018 |
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Health & Medicine |
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Sexual Health
Sexual health issues are in)mately related to overall health
Blog Post: “The Sound and the Fury”
0% 50% 100%
70 65 60 55 50 45 40
Age
None Mild Moderate Severe
Source: Massachuse9s Male Aging Study Probability
“Anybody who believes that the way to a man’s heart is through his stomach flunked geography.”
-‐ Robert Byrne
The usual suspects…
Source: NaIonal Sleep FoundaIon Sleep in America Poll
Album cover, Ben Lee
Low Desire
Obesity
Stress MedicaEons
Heart Disease
Diabetes
ProlacEn
Depression
Low Testosterone
Sleep
ErecEons Thyroid
InferElity
Obesity
Stress MedicaEons
Heart Disease
Diabetes
Cholesterol
ProlacEn
Surgery
Injury
Organ Failure
Low Testosterone
High Blood Pressure
Sleep
The Usual Suspects…
Alcohol &
Drugs
Source: Nudell D et al. Hum Reprod.15: 1289, 2000.
TesEcular Cancer A.er InferElity
FerElity Status No. of Men SIR (95% CI) All Men 22,562 1.3 (0.9, 1.9) Male Factor InferIlity
4,549 2.8 (1.5, 4.8)*
No Male Factor InferIlity
14,557 1.1 (0.6, 1.7)
*P<0.05
Male InferIlity: A Biomarker Of Overall Future Health
InferIlity
?
? etc
Facts: • Risk factors: family history,
undescended tesIs, pot use • Curable if caught early • TesIcular self-‐examinaIon
can catch it
Blog post: “Weed worries”
Issues in your body, not “in your head!”
Source: www.Ne9ers.com
• Early (premature) ejaculaIon
• Late (delayed) ejaculaIon
• Dry (retrograde) ejaculaIon
• Absent or anejaculaIon
• EjaculaEon is a spinal reflex (just like sneezing) • Completely clinically treatable
ContracepEon
Guys, here are your choices:
Blog Posts: “Pulling Out is In” and “The Ailing Male Pill”
Condoms #1 for STD protecIon
Rhythm
Withdrawal Not as bad as was thought
AbsInence
Vasectomy #1 for ease and compliance
“Male Pill” Compliance, effecIveness and trust issues
STDs The STD “Most Unwanted” list in the U.S.:
Source: www.cdc.gov/std *Has a vaccine: Gardasil
Frequency Perpetrator Trend
#1 Genital Warts (HPV)* ?
#2 Herpes Virus (HSV) ?
#3 Chlamydia Rise
#4 N. Gonorrhea Decline
#5 HIV Decline
#6 Syphilis Rise
STDs: Syphilis in California
ReproducIve Age Men Who Live in the Bay Area
Source: www.cdc.gov/std
STDs: The Best Advice
PracEce safe sex.
The Male Hormone Testosterone
Body hair
Bone marrow-‐stem cells
Behavior / mood
Bone-‐growth, density
Blood-‐clojng, HDL
Heart-‐vasodilaIon
Fat-‐reducIon
Kidney-‐erythropoieIn Liver-‐serum proteins
Muscle-‐anabolic
Male sex organs-‐ maintenance
MaseraI Ghibli
Sexual Health
Obesity
Stress MedicaEons
Heart Disease
Diabetes
ProlacEn
Depression
Low Testosterone Sleep
ErecEons Thyroid
Alcohol &
Drugs
Does it do a body good? Yes, some call it the “elixir of life”…
Is it the “root cause” of your sexual problems?
Unlikely…
Is testosterone replacement the “holy grail” for men?
No…
Blog post: ”Testosterone: A sword with two edges”
“More is be9er” curve
Testosterone Level
Outcome
“Here’s the truth” curve