The
powerful male sex hormone testosterone directly and indirectly influences
the fundamental components of male sexual function, including genital
development, sex drive, ejaculation, penile sensitivity and erectile
function.1-3 Recent
animal experiments suggest that testosterone
plays a direct role in erection mechanisms
through its effect on nitric oxide synthase,
a substance in the body which causes
blood vessels to relax and dilate.4
Sexual
drive is a critical component of healthy sexual function, and evidence
suggests the degree of sexual interest corresponds with the amount
of testosterone in the body, particularly in men with suboptimal
amounts. A review of recent studies on testosterone therapy notes
that testosterone boosts, in a dose-response fashion, both erectile
function and sexual libido.5 Teenage males with higher levels of
salivary testosterone show a four-fold increase in sexual activity
compared to their peers.6
Testosterone
replacement is among the most commonly used therapies for impotence
in men. Some experts advise, however, that this approach is best
utilized only after an initial assessment of bioavailable levels
of testosterone to establish clinical need.7 Bioavailable
testosterone refers to the "free" portion of the hormone unbound to
carrier proteins which is able to act directly upon target tissues.
The measurement of this free fraction of testosterone has "become
standard practice in screening for hypogonadism."8
With
advancing age, levels of bioavailable testosterone in men often
plummet, corresponding to a marked decrease in sexual function.
By the time a man reaches age 50, his bioavailable levels of testosterone
may be only half their youthful levels.9 Significantly,
testosterone loss has been shown to
precede-not simply accompany--both
a drop in sexual interest and frequency
of erections.10 Experts
on sexual dysfunction specifically
advise that testosterone be measured
in male patients with low sex drive
and/or decreased testicular size.11
The Male
Hormone Profile measures circadian activity of the free
fraction of testosterone by analyzing 4 saliva samples collected
at specific times over a 24-hour period.
Call to set up a nutritional consultation so that tests can be performed
and a comprehensive strategy of lifestyle, dietary modification
and nutrient supplementation can be implemented to aid you in reversing
this disorder.
For an appointment, contact our office at: 800-956-7083 or 818 707-3126.
Dr. Rispoli, Ph.D., L.Ac. has had a clinical practice for over 20
years. Her programs work because she is so thorough in testing and
providing a nutritional approach. Remember that the body can heal
itself if given the proper nutrients.
All lab tests can be done through the mail in the privacy of your
own home, except blood tests, we send you to a lab to have your
blood drawn for these. After you pay for the test we mail you the
kit, the results take two weeks, the test results will be mailed
to us and we will call you to go over the results, its that easy!
All tests include the consultation for the report of findings.
References
1 Sternbach H. Age associated testosterone decline in men: clinical
issues for psychiatry. Am J Psychiatr 1998;155(10):1310-1318.
2 Velazquez
M, Bellabarba Arata G. Testosterone replacement therapy. Arch Androl
1998; 41:79-80.
3 Burris
AS, Banks SM, Carter CS, Davidson JM, Sherin JS. A long-term prospective
study of the physiologic and behavioral effects of hormone replacement
therapy in untreated hypogonadal men. J Androl 1992;13(4):297-304.
4 Zvara
P, Sioufi R, Schipper HM, Begin LR, Brock GB. Int J Impot Res 1995;7(4):209-219.
5 Tenover
JL. Male hormone replacement therapy including "andropause."
Endocrinol Metab Clin N Am 1998;27(4):969-987.
6 Halpern
CT, Udry JR, Suchindran C. Monthly measures of salivary testosterone
predict sexual activity in adolescent males. Arch Sex Behav 1998;278:445-465.
7 Morley
JE, Kaiser FE. Sexual function with advancing age. Geriatr Med 1989;
73(6):1483-1495.
8 Govier
FE, McClure RD, Kramer-Levien D. J Urol 1996;156(2 pt 1):405-8.
9 Morley
JE, Kaiser FE, Sih R, Hajjar R, Perry III HM. Testosterone and frailty.
Clin Geriatr Med 1997;13(4):685-695.
10
Skakkeback N, Bancroft J, Davidson DW, et. al. Androgen replacement
with oral testosterone undecanoate in hypogoandal men: A double-blind
controlled study. Clin Endocrinol 14:49-55.
11
O'Keefe M, Hunt DK. Med Clin North
Am 1995;79(2):415-434.
Call to set up a nutritional consultation
so that tests can be performed and a
comprehensive strategy of lifestyle,
dietary modification and nutrient supplementation
can be implemented to aid you in reversing
this disorder.
For an appointment, contact our office
at: 800-956-7083 and visit our web
site www.completehealth institute.com
go to lab tests and click on appropriate
test for information.
Dr. Rispoli, Ph.D., L Ac. has had
a clinical practice for over 20 years.
Her programs work because she is so
thorough in testing and providing a
nutritional approach. Remember that
the body can heal itself if given the
proper nutrients.
The information herein is not intended
as diagnosis, treatment or a cure.
Should you have a medical condition
please seek the advice of your medical
doctor.
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