Are These Medications Killing Your Sex Life?

Most medications come with several side effects, ranging from mild dry mouth to severe life-threatening diseases. For most men, some of the worst—and the most common—are adverse sexual effects.

Some sexual side effects of medications can include erectile dysfunction, impotence, low testosterone, and even low sperm count or infertility. This is because certain medications impact hormone levels, nerve function, and blood circulation, all of which are an important part of sexual health.

Erectile dysfunction (ED) is typically not a disease in its own right. Instead, it is usually a symptom or side effect of another underlying condition, like high blood pressure or type 2 diabetes, which is why most men with erectile dysfunction are also on prescription medications to treat these conditions.

Erectile dysfunction has been linked as a side effect of numerous diseases along with the medications that treat those diseases.


What medications can cause erectile dysfunction and other sexual dysfunction?

What can you do to treat both your condition and your erectile dysfunction in a healthy way?

1. Blood pressure medications

Use

Blood pressure medications are used to treat high blood pressure. High blood pressure can be a serious condition as it damages blood vessels and causes arteries to harden and narrow. This can limit blood flow throughout the body, including to the heart (heart disease) and penis (erectile dysfunction).

Men with high blood pressure often have ED because the blood can’t properly flow to the veins in the penis.

Impact

Men with erectile dysfunction are 38% more likely to have high blood pressure than those without erectile dysfunction; the reverse is also true. There is a direct link between blood pressure and sexual function.

Healthy blood pressure is necessary for an erection. In order to achieve an erection, blood needs to flow into the penis to make it “hard.” If the blood pressure is too high, the arteries in and around the penis become narrowed and damaged, which prevent blood from filling up inside the penis.

Diuretics, a type of blood pressure medication, interfere with blood flow to the sex organs. They also increase the body’s excretion of zinc. Men need zinc in order to produce testosterone and diuretics can decrease the body’s concentrations of free-floating zinc.

Beta-blockers are blood pressure medications that interfere with nerve impulses. This means that the brain-penis connection is severed making sexual arousal nearly impossible. Beta-blockers also reduce testosterone levels, which lowers libido and sexual interest.

There is also an indirect link between blood pressure medications and lifestyle. Lifestyle factors like eating unhealthy foods, not exercising, and smoking can cause men to take medication for high blood pressure which may also lead to sexual dysfunction. This is also directly linked to chronic inflammation in the body, which is at the heart of nearly all major diseases.

Types

  • Atenolol (Tenormin)
  • Bethanidine
  • Bumetanide (Bumex)
  • Captopril (Capoten)
  • Chlorothiazide (Diuril)
  • Chlorthalidone (Hygroton)
  • Clonidine (Catapres)
  • Enalapril (Vasotec)
  • Furosemide (Lasix)
  • Guanabenz (Wytensin)
  • Guanethidine (Ismelin)
  • Guanfacine (Tenex)
  • Haloperidol (Haldol)
  • Hydralazine (Apresoline)
  • Hydrochlorothiazide (Esidrix)
  • Labetalol (Normodyne)
  • Nethyldopa (Aldomet)
  • Metoprolol (Lopressor)
  • Nifedipine (Adalat, Procardia)
  • Phenoxybenzamine (Dibenzyline)
  • Phentolamine (Regitine)
  • Prazosin (Minipress)
  • Propranolol (Inderal)
  • Reserpine (Serpasil)
  • Spironolactone (Aldactone)
  • Triamterene (Maxzide)
  • Verapamil (Calan)

Note that some blood pressure meds have more side effects than others. The medications that are least likely to cause adverse sexual effects are ACE inhibitors, calcium channel blockers, and angiotensin II receptor blockers. Talk to your doctor about switching your blood pressure medication if you’re experiencing any form of sexual dysfunction.

2. Antihistamine

Use

Antihistamines are most commonly used to treat allergies. You’ve likely taken Benadryl if you got a bad bug bite or Claritin or Zyrtec for the springtime sniffles. Antihistamines are also used to manage nausea, relax muscles, and induce sleep.

Impact

Experts don’t know exactly how antihistamines impact the sexual system, but it may be due to their impact on the nervous system. Antihistamines are used to reduce the body’s natural response to foreign bodies. 

When you have an allergic reaction to something—like pollen or a bee sting—your body releases a surge of histamines and white blood cells to “fight off” that unknown object. Antihistamines minimize this response, which often reduces the redness and itchiness in your system. But it can also depress your body’s natural immune response.

Histamines are used as a transmitter in the brain and spine, so suppressing this transmission may impact the brain’s ability to send signals to the penis to gain an erection.

Studies have also shown that histamines actually play an important role in erections. Histamines activate the H2 and H3 receptors, which help signal the penis to have an erection.

Types

  • Cimetidine (Tagamet)
  • Cyclobenzaprine (Flexeril)
  • Dimenhydrinate (Dramamine)
  • Diphenhydramine (Benadryl)
  • Doxylamine (Unisom)
  • Hydroxyzine (Vistaril)
  • Meclizine (Antivert)
  • Nizatidine (Axid)
  • Promethazine (Phenergan)
  • Pseudoephedrine (Sudafed)
  • Ranitidine (Zantac)

3. H2 blockers

Use

H2 blockers, also called histamine H2-receptor antagonists, are used to treat gastrointestinal disorders. Common uses include treatment of GERD, gastric ulcers, peptic ulcers, heartburn, and esophagitis.

Impact

Like antihistamines, H2 blockers deactivate the H2 receptors that are necessary for an erection.

Research has found that they may cause impotence and male breast enlargement if taken at high doses for a long period of time. This is likely because they impact the endocrine system and interrupt the H2 signaling process (as discussed above with antihistamines).

Types

  • Famotidine (Pepcid)
  • Cimetidine (Tagamet)
  • Nizatidine (Axid)
  • Ranitidine (Zantac)

4. Antidepressants

Use

Antidepressants are prescription drugs used to treat depression, anxiety disorders, eating disorders, and obsessive compulsive disorder. Some doctors prescribe antidepressants as a means of smoking cessation. Low doses of antidepressant medications have also been used to treat chronic pain, menstrual cramps, and irritable bowel syndrome.

Impact

Antidepressants influence the function of neurotransmitters and hormones in the brain, including serotonin, norepinephrine, and dopamine. Serotonin and dopamine are the “happy” hormones, but they also play an important role in libido and sexual satisfaction.

Antidepressants suppress these hormones, which in turn suppresses the body’s ability to get “excited” by sexual stimuli.

These hormones are also used as signals between nerve cells. With minimized signals, the brain has trouble alerting the nerves in the penis. This means that the penis doesn’t know it needs to have an erection. Even stimulating the nerve endings on the penis wouldn’t be able to signal the brain that it’s time to have sex. This inability for the brain and penis to interact is a direct cause of erectile dysfunction.


Overall, studies have shown that antidepressants—especially SSRIs—cause decreased sexual desire and excitement, diminished or delayed orgasm, and erectile dysfunction. There are also some cases of painful ejaculation, penile numbness, and spontaneous erection.

This proves that antidepressants have a direct influence on sexual function—even if the reason is still unclear.

It’s important to note that sexual dysfunction is often psychological. Depression and anxiety are known causes of erectile dysfunction. Thus, men on antidepressants may still have that psychological roadblock that is causing their erectile dysfunction, even while on medication.

 One study found that sexual side effects were actually worse when patients did not adhere to their depressive disorders. This suggests that for some individuals, depression and anxiety are a greater cause of sexual dysfunction than the antidepressants themselves.

Note: The same effect occurs with antipsychotic medications.

Types

  • Amitriptyline (Elavil)
  • Amoxapine (Asendin)
  • Buspirone (Buspar)
  • Chlordiazepoxide (Librium)
  • Chlorpromazine (Thorazine)
  • Clomipramine (Anafranil)
  • Clorazepate (Tranxene)
  • Desipramine (Norpramin)
  • Diazepam (Valium)
  • Doxepin (Sinequan)
  • Fluoxetine (Proxac)
  • Fluphenazine (Prolixin)
  • Imipramine (Tofranil)
  • Isocarboxazid 9Marplan)
  • Lorazepam (Ativan)
  • Meprobamate (Equanil)
  • Mesoridazine (Serentil)
  • Nortriptyline (Pamelor)
  • Oxazepam (Serax)
  • Phenelzine (Nardil)
  • Phenytoin (Dilantin)
  • Sertraline (Zoloft)
  • Thioridazine (Mellaril)
  • Thiothixene (Navene)
  • Tranylcypromine (Parnate)
  • Trifluoperazine (Stelazine)

5. Statins/fibrates

Use

Statins and fibrates are used to treat high cholesterol. They’re often used in conjunction to help lower cholesterol, especially for patients with type 2 diabetes.

Impact

Statins and fibrates are medications that inhibit the production of cholesterol, which happens to be the building block of testosterone and other hormones.

Statins are known to cause rhabdomyolysis, which breaks down muscle tissue and releases protein into the bloodstream, which can impact blood flow and sexual function.

One study found that statins and fibrates, which lower lipids, were significantly related to the incidence of erectile dysfunction cases.

Types

  • Fenofibrate (Tricor, Fibricor, Lofibra)
  • Gemfibrozil (Lopid)
  • Pravastatin (Pravachol)
  • Simvastatin (Zocor)
  • Lovastatin (Mevacor, Altoprev)

6. Benzodiazepines & anticonvulsants

Use

Also known as tranquilizers, benzodiazepines are used to treat anxiety, insomnia, agitation, muscle spasms, and are sometimes used to prevent seizures.

Anticonvulsants are drugs specifically used to control seizures for those with epilepsy. They may also treat certain types of chronic pain like migraines or neuropathic pain.

Impact

Both benzodiazepines and anticonvulsants have muscle-relaxant properties, which lessen sexual interest and sensation. They also interfere with the production of testosterone, often leading to low T levels, which impact one’s sex drive, as well as, the ability to have orgasms.

Some research suggests that newer anticonvulsants, like gabapentin and topiramate may have fewer side effects.

Types 

  • Xanax
  • Ativan
  • Valium
  • Librium
  • Gabapentin (Neurontin)
  • Topiramate (Topamax)

7. Recreational drugs

Use

Recreational drugs are used for recreational purposes… I do not recommend the use of recreational drugs.

Impact

Most recreational drugs (and alcohol) decrease the arousal response to stimuli in the brain, which removes the mental part of getting an erection. If your brain doesn’t respond to the idea or arousal of sex, then it isn’t able to send signals to the penis to have an erection. Painkillers like morphine, oxycodone, and codeine also have similar effects.
Moreover, recreational drugs impact your genetic expression. They can cause methylation on key DNA groups, which can “turn off” healthy genes that stop disease progression and “turn on” unhealthy genes that unleash genetic disorders. Learn more about the epigenetics of drugs here.

Types

  • Amphetamines
  • Barbiturates
  • Cocaine
  • Marijuana
  • Heroin
  • Nicotine

How to stop sexual side effects?

The good news is that most of these adverse sexual side effects are reversible after you stop taking the medication. If you’re suffering from impotence, low libido, infertility, or other sexual dysfunction, you’ll want to talk to your doctor about possibly changing your prescription or approaching your condition with a more natural remedy.


But isn’t taking a medication for your heart more important than a healthy sex life?
Actually, no. A healthy sex drive is a predictor for overall health. Your sex organs are one of the first to stop working when your body is going through some sort of “shock,” like disease or infection. Your essential organs start taking all of the blood and nutrients, so none is left for your sex organs.

Thus, if you have a healthy sex life, it’s likely that your other organs are working in tip-top shape.

Plus, sex is a great method of exercise. It can help burn calories, clear out your arteries, build muscle, boost the immune system and keep your body in shape to ward off disease.

Don’t settle.

There are a number of ways to try to improve your health condition before resorting to heavy medications or therapiesFor instance, if you’re currently taking statins and fibrates for high cholesterol, talk to your doctor about instead taking a mixture of vitamin B12, folic acid, and vitamin B6.

Check out the 7 supplements every man should take for optimal health here. One of the supplements I recommend for every man, especially those over 40, is a probiotic pill.

Moreover, changes in lifestyle have been shown to have an impact on cholesterol, type 2 diabetes, heart health, blood pressure, depression, anxiety, metabolic syndrome, and other conditions that typically require ED-inducing medication. 

Lifestyle changes can influence your epigenetic expression. Therefore, if you can alter your genes to be healthy and immune to disease, you won’t have to take any of the above medications that have ED-causing side effects. Learn more about how you can change your genes and risk for disease below with our Epigenetics Series.

Never stop taking a medication without first consulting your doctor.

Conclusion

There are a number of disorders that can cause erectile dysfunction, and a number of medications for those disorders can also cause ED.

Thankfully, sexual dysfunction is rarely permanent. You can change your pillbox—and your disorders—with certain lifestyle changes.

Check out our Male 90X program to start reducing your risk for disease and prescription meds.

If you don’t want to be on drugs with nasty side effects, it’s time to take control of your health.

Sign up for Male 90X’s genetic-based report and private consult to get started and own your health!

You should always talk to your doctor about any and all potential side effects of your medication before starting a regimen. You should also talk to a doctor before stopping any medications to try other avenues.

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Does BPA Cause Sexual Problems?


BPA, a chemical rampant in everyday American life, is directly linked to short-term and long-term sexual dysfunction.

But what is BPA and how is it linked to sexual disorders?

And what can you do about it?

What is sexual dysfunction?

Before we get into BPA, let’s first discuss the definition of sexual dysfunction.

“Sexual dysfunction” is an overarching term that encompasses a number of sexual problems that deviate from an individual’s personal norm. This means that a man’s sexual behaviors have changed in some way.

These dysfunctions can include:

  • Erectile dysfunction: inability to get or sustain an erection long enough to have satisfactory sex
  • Low libido: minimized interest in sex, often caused by low testosterone
  • Premature ejaculation: reaching orgasm too quickly for satisfaction
  • Delayed or inhibited ejaculation: reaching orgasm too slowly or not at all

The causes of sexual dysfunction are varied. Causes include:  low testosterone levels, prescription drugs, blood vessel or nerve disorders, depression, stress or anxiety, relationship concerns, performance anxiety, smoking, alcohol or drug abuse, and even a lack of sleep.

The cause of sexual dysfunction that we’re talking about today is chemicals in the environment—like BPA.


Chemicals impact your body’s natural and healthy functioning. In many cases, chemicals can mimic certain hormones, which disrupts the endocrine system.

These chemicals can also damage the cells in your body. This damage can create sexual problems as a result of decreased blood flow or blocked nerve impulses. Cellular damage is also a leading cause of disease, cancer, and aging.

What is BPA?

The chemical we’re going to focus on is BPA, aka bisphenol A. BPA is a chemical that mimics estrogen in the body. It’s a major component in hard plastics, like polycarbonate plastics and epoxy resins.

You’ll find BPA in a number of plastics and canned food linings. This includes baby bottles and reusable plastic storage containers.


I’m focusing this discussion on BPA because it’s proven to damage sexual function…

But it’s also one of the most common chemicals in our society.

In fact, an EWG survey found that the four leading producers of liquid infant formula line their cans with BPA. They also found that 20 out of 28 brands of canned foods and drinks use BPA in their products.

BPA is so common that it’s been detected in 93% of the American population (through a urine test). Nearly all of Americans test positive for low-level BPA contamination.

Most Americans consume BPA through their food and drink. The chemicals are released from the plastics and cans by penetrating the food or drink, which humans then consume.  

Thus, people have started looking to the Food and Drug Administration to regulate the chemical.

But the FDA has still maintained that BPA is safe at certain levels—despite nearly 100 academic studies saying otherwise. This initial research has shown a variety of negative effects of BPA, including infertility, weight gain, behavioral changes, early-onset puberty, diabetes, and even cancer.

That’s right—they found a link between BPA and cancer.

However, the FDA stated that those studies, which were performed on animals, did not translate to a human population.

So one set of researchers set out to prove the results in humans.

What links BPA and sexual dysfunction?

The study followed 634 male workers across four factories in China. Researchers compared one group exposed to BPA in the air and one that had no exposure. The study persisted for five years.

Researchers found three shocking discoveries:

  1. Men exposed to BPA were 4x as likely to suffer from erectile dysfunction. They also had reduced sexual desire and diminished sexual satisfaction.
  2. Men exposed to BPA were 7x as likely to have difficulty with ejaculation, even if they didn’t have ED.
  3. The above two effects happened after just months on the job, not years.

How does BPA affect sexual dysfunction?

Researchers were not 100% sure that BPA was the cause of the sexual dysfunction. However, the way BPA interacts with the body can give us some ideas about the link between the two.

BPA is a synthetic form of estrogen. This means that it mimics estrogen in the body. When you consume BPA, your body’s estrogen receptors start ringing off the hook, so the body thinks it has more estrogen than it actually does.

When there’s an excess of estrogen, the body stops producing testosterone. This creates a dangerous imbalance of hormones.

Estrogen and testosterone are both necessary for proper functioning. You need an appropriate balance of E and T. But “balance” depends on your gender. For women, that balance means more estrogen, and for men, that balance means more testosterone.

In women, estrogen dominance can cause serious health problems, like endometriosis, polycystic ovary syndrome (PCOS), and breast cancer.

In men, estrogen dominance can kill your interest in sex and overall motivation and drive. High E levels lead to low testosterone, low libido, erectile dysfunction, behavioral changes, anxiety, stress, weight gain, muscle loss, and a number of other side effects. It can even give you man-boobs.

Men need strong levels of testosterone in order to have all of those “manly” features, like lean muscle and hair growth. Testosterone is also necessary for a strong sex drive and fertility.

BPA functions like estrogen. When you consume BPA, you’re basically ingesting more estrogen, which suppresses the production of testosterone. This throws off the hormonal balance in the body and inhibits testosterone.

This can throw your body into a state of estrogen dominance, which leads to a number of sexual dysfunctions, including low testosterone, erectile dysfunction, low sperm motility, low sperm count, delayed ejaculation, and more. It can even lead to psychological concerns like stress, depression, and performance anxiety.

Is there a safe level of BPA?

Still, some experts are concerned that this human study doesn’t paint the whole picture of BPA and sexual dysfunction.


It’s important to note that researchers of the study were able to prove a correlational relationship—but not a causal one. 

Moreover, the study only looked at high levels of exposure in a factory setting. There could be a difference between intense periods of high exposure and continuous, low-level exposure, which is what the average American experiences.

Thus, some people still argue that low levels of BPA are not dangerous. Some of these people are unfortunately part of the FDA.

Nevertheless, groups are still fighting the use of BPA in our foods and drinks. The American Medical Association Board of Delegates, which is a highly credible group of academics, wrote:

“Even infinitesimally low levels of exposure—indeed, any level of exposure at all—[to BPA] may cause endocrine or reproductive abnormalities, particularly if exposure occurs during a critical developmental window. Surprisingly, low doses may even exert more potent effects than higher doses.”

My thoughts?

If we see such a heavy effect in high doses, there are likely effects in small doses as well.

Putting any sort of artificial chemical in your body is not ideal. Chemicals disrupt the endocrine system and damage cells, which can have long-term effects.

Anything that pretends to be a hormone and interrupts your natural hormone balance is a no-no for me. In these cases, chemical-induced low testosterone and erectile dysfunction can be avoided.

What about phthalates?

I’m glad you asked.

BPA is often used in hard plastics, but phthalates are a type of chemical used to soften plastics. You’ll often find these in toys, shower curtains, wallpaper, and personal care products. They’re also found in detergents and some food packaging.

Studies have shown similar concerns with phthalates as BPA. One study found that multiple types of phthalates were associated with reduced testosterone in both females and males. This was especially true for women ages 40-60 (menopausal age) and boys 6-12 years old (puberty age). There were significant reductions in T within adult men ages 40-60 as well.

This indicates that phthalates and BPA may have a more intense effect during critical hormonal periods, like puberty and menopause. It can also worsen with age, as testosterone levels naturally start to decline.

Not only do phthalates impact testosterone, but they alter fertility as well. Another study found phthalates in much higher concentrations in infertile men than fertile men. They concluded that exposure to phthalates may concern testicular and Leydig cell function, which is the basis of healthy fertility and virility.

What can you do about these chemicals?

Unfortunately, BPA doesn’t seem to be going anywhere any time soon. While we wait for more studies (and the FDA), it’s time to take control of your own health.

You may not be able to completely get rid of BPA by yourself—but minimizing your exposure is a start.

1. Choose organic, whole foods.


The best way to avoid BPA is to reduce your consumption of foods in cans or plastics. If 20 out of 28 major canning companies use BPA, any consumption of canned foods is likely exposing you to this chemical.

Plus, canned foods are usually incredibly high in sodium. Sodium also packs on the pounds, lowers your testosterone, and kills your sex drive.

It’s best to avoid canned foods altogether if possible. Instead, opt for organic, whole foods. This reduces your exposure to environmental contaminants in general, from BPA to pesticides to GMOs.

2. Look for “BPA-free” labels.

Not all canned foods and plastics use BPA. There are a number of companies moving away from BPA to protect their customers (and to market to a health-conscious consumer).

You can look for “BPA-free” labels on your cans and plastics. They will usually display their health certifications as well.

However, it’s important to note that the FDA doesn’t regulate BPA, which means it doesn’t regulate the labeling of BPA-free. Not all labeled items will be 100% free of BPA.

3. Store your food in glass or ceramic.


Don’t store your foods in plastic containers. A number of plastic containers also have BPA. If you store your food in plastic, the BPA can seep out of the lining and into the food that you’ll consume. This is especially important to note for your kids’ lunch boxes.

Using glass and ceramic can help you avoid BPA. These are an environmentally friendly and health-conscious way to minimize exposure to contaminants—and reduce your waste and environmental impact!

4. Don’t heat plastic.

Never put plastic containers in the microwave. Don’t cook with plastic. Don’t even leave plastic out in the sun for too long.

Heating up plastic actually releases chemicals inside, including BPA and phthalates. The chemicals in the plastic then transfer to the food inside. 

5. Avoid bottled water.

Bottled water is often subjected to unstable environmental conditions. It can be stored in hot warehouses, which causes a release of chemicals into the water.

Water is the most essential aspect of health. You want your water to be pure and clear for optimal health. You don’t want to fill up on BPA in your hydration.

6. Detox.


Going through a detox helps your body get rid of any chemicals, pollutants, or gunk that may be hanging around. Frequent detoxes can help keep your organs and cells clean, clear, and functioning at their peak.

There are a number of different detox plans out there. Try a variety to see which works best for your body. You’ll know which one’s best based on how you feel.

I usually recommend a detox that includes a period of intermittent fasting in association with raw, organic foods. I also recommend you drink your body weight (in ounces) in water to help flush out those toxins. For example, if you weigh 180 pounds, you want 90 ounces of water.

7. Probiotics.

Now that you’ve detoxed, it’s time to fill your body with goodness. Probiotics are natural “good bacteria” that help fight off foreign bodies, including chemicals and disease.

Learn more about the amazing benefits of probiotics here.

Conclusion

Be aware of what you’re putting in your body and how it’s impacting your hormone levels.

BPA is directly linked to male sexual problems. Despite efforts to get it removed from our cans and plastics, BPA is still very much a part of our daily lives in America.

But you can preserve your sexual and overall health by acknowledging the concerns of BPA.

With prevention and detox, you can safeguard against BPA.

Looking for a proven method of detox and revitalization?

Check out our G1 Performance Health program!

This genetic-based report and analysis, along with a private consultation will get you started on controlling your health and wellness for optimal wellbeing.

Do you want to feel invigorated, youthful, and energetic?

Do you want to have the best health you’ve ever had?

Are you ready to rejuvenate your life?

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What Are The Risks Of Testosterone Replacement Therapy?


If you’re suffering from symptoms of low T, you’ll try anything to overcome low testosterone and get back to feeling vibrant, young, and sexy once again. So you visit your doctor, and your doctor mentions testosterone replacement therapy.

But what is TRT? What are the risks of testosterone replacement therapy for men looking to raise their T levels and revitalize their energetic wellness?

What is low testosterone?

Low testosterone levels can occur with age or as a cause of poor diet, stress, hormonal imbalance, and other irregularities in the body. “Low testosterone” is usually defined as a testosterone level below 300 ng/dL.

Some doctors will also look at the free-floating levels of testosterone, which may be a better indicator of the severity of symptoms for a man suffering from low T. Free-floating testosterone is the testosterone hanging out in the bloodstream that’s not currently being used for another hormonal process.


Low T can lead to a number of severe symptoms that drastically impact quality of life:

  • Lowered libido/sex drive
  • Reduced performance in bed
  • Increased anxiety and depression
  • Brain fog and difficulty concentrating
  • Diminished motivation and energy
  • Disturbed or not restful sleep
  • Increased body fat
  • Muscle loss
  • Fatigue
  • Swollen or tender breasts
  • Hot flashes
  • Fewer erections and/or difficulty sustaining erections

Low T creates a general sense of un-wellness that is often so severe it impacts the man’s ability to have a “normal” life. Moreover, low T is linked to a number of serious health issues including diabetes, obesity, metabolic syndrome, osteoporosis, cardiovascular disease, and ED. There is even a link between low testosterone and shorter life expectancy.

The only way to overcome low testosterone symptoms is to hit it at the source: raise your testosterone levels. There are two ways you can boost your T levels: artificial therapies and natural lifestyle changes. This article is talking about the artificial way. If you’d like natural ways, click here for a great article: https://fitnessvolt.com/boost-testosterone-naturally/

Want our Peptide Guide? Email us at [email protected]

What is Testosterone Replacement Therapy (TRT)?

TRT is an artificial form of testosterone that is applied or injected into the body to raise testosterone levels. There are a number of forms of testosterone replacement therapy: gels, injections, skin patches, mouth patches, and implants.

Most experts won’t administer oral testosterone because it can have negative effects on the liver. The other methods bypass the liver and deliver testosterone directly into the bloodstream to quickly raise free-floating T level.

Note that TRT is not the same thing as steroids. Although some athletes and gym goers will inappropriately use testosterone injections and implants to “boost their gains,” TRT isn’t worthy of that same “roid rage” reputation. When administered safely by a professional, TRT will not have these same hulk-like effects.

What are the benefits of Testosterone Replacement Therapy?

For some men, TRT is the right solution. For those men with severely low T levels, TRT can help bring them to a normal level quickly and effectively.

Moreover, studies have shown some significant improvements with TRT, including:

  • Increased bone strength and density
  • Improved muscle strength
  • Fiercer sexual function and libido
  • Enhanced endurance and ability to gain muscle
  • Heightened mood and energy
  • Improved hemoglobin levels in participants with anemia
  • Potential boost in cognitive function

What are the risks of Testosterone Replacement Therapy?

TRT is used to pull testosterone levels back to a healthy range. However, TRT has two serious restrictions.

The first is that TRT is artificial. When applying or taking this type of testosterone, you’re introducing unnatural hormones into the body. The body usually responds negatively to “foreign” entities, even though this artificial testosterone is constructed to mimic natural testosterone.

The second key restriction is that testosterone replacement therapy only works in the short term. It will alleviate your symptoms for a given time period… but then it wears off. You then have to go back for another treatment or go through another application.

Aside from these restrictions, TRT also has some other severe risks that are important to consider before beginning a therapy process.

1. Infertility

When your body doesn’t have enough free-floating testosterone (low T), your pituitary gland sends out a hormone called luteinizing hormone (LH). This LH signals the testicles to start producing more testosterone naturally in order to restore your levels. The pituitary gland also sends out a hormone called follicle stimulating hormone (FSH), which signals sperm production. When you have low T, it could be because your pituitary gland has stopped sending out these signals as it used to.

When you start introducing artificial testosterone through TRT, the pituitary gland doesn’t detect that the testosterone levels are naturally low. It says, “Okay, that’s enough,” so it stops sending out the LH and FSH at all. This, in essence, tells your testicles to stop producing testosterone and sperm—which are the two primary functions of the prostate.

In essence, one of the greatest risks of testosterone replacement therapy is that it tells your body to stop naturally creating sperm and testosterone.

When your testicles aren’t working, they start to shrink. In the long term, this can severely hurt your fertility. Your testicles will shrink and stop producing sperm, which will make it harder for you to get your partner pregnant.

Moreover, it tells your body to stop producing testosterone. This means that your body has “forgotten” how to naturally produce testosterone on its own, so you become dependent on TRT.

One of the risks of testosterone replacement therapy is the very thing that keeps TRT in business… once you’re on TRT, you’re on it for life.

Worse yet, this testicle shrinkage and infertility is often irreversible.

2. Breast Enlargement

Even with the natural production of testosterone, some T is converted into the hormone estradiol. Estradiol is a form of estrogen that can stimulate breast tissue to grow. When you add more testosterone quickly, as with TRT, your body senses an influx of T. It will the convert a higher percentage of the free testosterone to estradiol. This estradiol can cause gynecomastia, which is a fancy term for “man boobs.” It’s also important to note that gynecomastia is linked to a 10x higher risk for breast cancer in men.

If you spur testosterone production naturally, though, you have a slower release of testosterone into the bloodstream. The body won’t detect high levels of T to convert, so a smaller percentage of the testosterone will be converted to estradiol.

3. Swelling

TRT can make your body hang on to excess fluid. For many men. this can cause swelling in the feet and ankles. It’s similar to how pregnant women’s feet swell due to hormonal changes in their bodies!

4. Acne

Artificial testosterone introduces new hormones into the system, which can change the type of skin you have. You might go from a dry face to an oily one, a clear complexion to one filled with cystic acne. How your body responds to these foreign hormones can be unpredictable.

5. Spreading

One of the major concerns with at-home TRT is the proximity to women and children. For example, a man uses testosterone gel, applied to his arm once per day. After application, he bumps against his wife while reaching for the keys, and some of the gel wipes off on her without their knowledge. He then reaches down and picks up his eight-year-old son to give him a hug goodbye. He pets the family dog and leaves the house.

This has now spread testosterone to other members of the family. For women, this can throw off their estrogen balance and cause concerns with fertility, hair growth, and even ineffective birth control. Spreading testosterone to children frequently can even cause children to go through premature puberty. Testosterone spread to pets can actually make them more aggressive and volatile.

If you don’t properly wash your hands, dispose of the gel, and protect the application area every single time, you could do damage to your loved ones.

6. Other side effects

Other side effects include sleep apnea, moodiness, pain, soreness, rash, itching, and allergic reaction. Read the Therapeutics and Clinical Risk Management review for the benefits and risks of testosterone replacement therapy to learn about more side effects.

7. Cardiovascular problems

There has been debate whether or not TRT is linked to cardiovascular problems. Early studies found that testosterone therapy was linked to coronary artery plaque buildup, but recent studies have overwhelmingly disproven these results. Most reviews conclude that there is “no compelling evidence to indicate that T therapy increases cardiovascular risk.”

However, there are still some potential clotting concerns with TRT. Testosterone therapy increases hematocrit, which is the percentage of red blood cells in the bloodstream. If this percentage gets too high, the blood thickens and can start causing clots. This should not be a concern when a doctor safely administers TRT in a regulated way.

Is prostate cancer a risk of Testosterone Replacement Therapy?

Early studies demonstrated a positive association between TRT and long-term growth of prostate cancer. However, experts are beginning to realize the relationship is much more complex than that. There are two key theories with regards to the link between TRT and prostate cancer.

Some believe the saturation theory, which says that the prostate becomes more sensitive to androgens when at lower testosterone levels. Then, when TRT introduces artificial androgens into the system—which already has low testosterone— it stimulates the prostate cells to grow more rapidly.

The second hypothesis is the dependence theory. This says that the duration of exposure to androgen levels is the primary driver for risk of cancer. Basically, the longer you introduce artificial testosterone androgens into the body, the more likely you’ll increase your risk for mutated cells.

However, neither theory has been proven or disproven. Rather, it’s been concluded that TRT does not necessarily cause prostate cancer, but it may worsen it. Most doctors will not give TRT to anyone with active prostate cancer, as it can progress the disease at a faster rate. When administering TRT to patients with a low-risk for prostate cancer, most doctors will check the patient’s PSA levels yearly.

The reason TRT may worsen prostate cancer? Because artificial testosterone converts to estradiol, which is a form of estrogen. And estrogen may be linked to prostate cancer! Learn more about the link between testosterone, estrogen, and prostate cancer here.

Although TRT does not necessarily cause prostate cancer, it still has some effect on the prostate. Testosterone replacement therapy has been linked to BPH and testicle shrinkage, as discussed above under “infertility.”

What is the alternative to TRT?

I believe that the natural solution is always the best solution first and foremost. It is possible to naturally increase your testosterone levels in the long-term without damaging your body.

Learn more about natural, effective methods to boost testosterone here:

Bottom line

TRT can have some benefits to improving quality of life right away—but ultimately, the long-term risks are not worth the short-term reward. TRT stops the natural production of testosterone and sperm, making you dependent upon TRT if you want to live a normal and healthy life. But there’s no need to worry about the serious, long-term risks of testosterone replacement therapy. Natural lifestyle changes can and will stimulate your body’s natural production of testosterone once again.

The best place to start if you want a hormonal optimization or peptide program is by seeing a physician first.  Have a doctor draw your blood and evaluate whether you are a candidate for therapy.

Smart Men’s Health with Dr. Tracy Gapin is currently accepting new clients and offers a comprehensive evaluation, blood test and state-of-the-art screening. If you are tired of being tired… or you have tried everything to lose that unwanted weight but nothing seems to be working, our Peptide therapy might be the piece to the puzzle that you are missing. Call us today to schedule your consultation. (941) 444-1441.

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In Male 2.0, Dr. Tracy Gapin has turned everything we once thought we knew about men’s health and performance upside down. The old model of how to be “a man” is broken. A man who works himself to death. A man who tries to NOT get sick but isn’t really healthy either. A man who takes a pill for every ill but is never really cured. That was Male 1.0. Now, imagine being THE MAN ─ owning your performance in the bedroom, the weight room, and the boardroom. Living a fully optimized life. Becoming limitless. This is Male 2.0!

Tracy Gapin, MD, FACS  is a board-certified Urologist, Men’s Health Expert, Author, and Professional Speaker. Using state-of-the-art biometric monitoring, nutrition and lifestyle intervention, Dr. Gapin coaches Fortune 500 executives and evolutionary leaders of business, sports medicine, and high performance. He specializes in cutting-edge precision medicine with an emphasis on Epigenetics, providing men with a personalized path to optimizing health & performance. www.SmartMensHealth.com