Tag: Sleep apnea

Male Menopause: Symptoms and Treatment

The term “male menopause” is used to refer to the condition of men who have hormone levels drop after mid-life.

Male menopause is a subject of controversy in the medical society. In the case of women, menopause is related with the termination of a bodily operation, like when the monthly menstruation periods stop. Also, a critical drop in the hormone levels in women occurs along with menopause. For these reasons, doctors are debating on whether male menopause really exists.

In the case of men in their middle and elderly years, smaller quantities of testosterone are being created by the testicles. This is believed to be the underlying reasons behind the occurrence of symptoms of male menopause.

Men with menopause usually suffer from irritability, sleep disturbance, low sex drive, sweating, anxiety, sadness, memory problems, and erectile dysfunction.

In most cases, erectile dysfunction may be caused by other disorders. But testosterone deficiency may be one possibility.

It is important that men who suffer from symptoms related to low levels of testosterone be subjected to medical investigations like blood tests to evaluate testosterone levels.

Other reasons for having short testosterone levels include testicular dysfunction and probable inherited features.

As a treatment, hormone replacement therapy is being recommended for men with low levels of testosterone and symptoms that come with it.

Hormone replacement may not be applicable to older men who seek treatment for their erectile dysfunction unless they actually have very minimal levels of androgen. As for younger men with known hormone deficiency, it has been proven that nominal doses of testosterone can improve interest in sex.

Testosterone replacement therapy, which is also called as androgen replacement therapy, aims to reduce the symptoms brought about by male menopause. This method is a lifelong treatment, since testosterone deficiency is generally a permanent condition.

Testosterone replacement therapy is usually given as an oral prescription, implants, or injections.

The injection of testosterone is usually carried out once every two weeks.

The oral drugs are especially prescribed to those who can’t stand injections or implants.

The testosterone implants, which are being inserted under the skin of the buttock or abdomen work for a period of months. The implant works by releasing testosterone directly into the bloodstream.

Androgen therapy, however, comes with potential side effects and risks.

With low testosterone levels, the prostate tends to shrink. Hormone replacement therapy cannot recover a physically reduced prostate since it does not have influence in the levels of prostate specific antigen.

Androgen therapy may not be a cause of increased risk of prostate cancer for those who have naturally greater testosterone levels in the same age bracket.

On the other hand, the safety of hormone replacement therapy and its possible effects on the prostate, mental functioning, and cardiovascular system still need to undergo proper researches. Moreover, there is also a need to assess the probable benefits of androgen therapy on the bones and muscles.

Androgen therapy is said to increase the risk of heart diseases, although researches on this subject are uncertain. It is a known fact, however, that those with low testosterone levels have been found among heart attack victims. This opens the possibility that hormone replacement therapy could help prevent cardiovascular diseases.

Older men undiagnosed of prostate cancer should also take caution when being applied with androgens.

Sleep apnea, or the cessation of breathing during sleep, is also considered as a rare risk with hormone therapy.

Sleep Apnea: A Weighty Issue

Sleep apnea is the condition for where there are pauses in breathing during sleep. These are defined by medical terminology when an individual literally stops breathing. There are two types of apneas Central and Obstructive. This is a common problem among the morbidly obese which requires them to wear an oxygen mask so they can breathe since that’s due in part of their weight bearing down on their chest crushing their rib cage and lungs.

According to medical reports the population at risk are obese middle-aged males since physiology doesn’t make women potential sufferers of sleep apnea. The problem is that people who do fall asleep due to sleep apnea will go through brief periods where people think they’re not going to wake up. Keep in mind that this is very serious because if it’s not properly diagnosed it can be life threatening. People with excessive weight usually morbidly obese constantly have to deal with frequent episodes of paused breathing. Snoring is a common problem with the morbidly obese and constant gasping for air while sleeping is another problem. Obstructive sleep apnea can be dangerous to the heart because it’s prolonging and deprivation of oxygen to keep the circulation flowing efficiently.

Other symptoms that are deemed non-specific are headaches, irritability, moodiness, difficulty concentrating, Noctoria (getting up in the middle of the night to urinate), increased urination, decreased sexual drive, increased heart rate, anxiety, depression, esophageal reflux (acid reflux disease), and profuse heavy sweating at night.

Sleep apnea has also been linked to congestive and congenital heart failure usually found in people who are diagnosed as morbidly obese because of the excessive weight on them. This is from severe and prolonged cases meaning the individual(s) were not being treated and had let the condition get to the point that it’s no longer treatable.

Individuals born with Down’s Syndrome are likely to develop obstructive sleep apnea since 50% of the population that has this genetic condition are likely to be diagnosed because of having an enlarged head, adenoids, tonsils, tongue, and narrowing of the nasopharnyx. Pharyngeal flap surgery has also been noted to cause sleep apnea in patients because of the obstruction in the breathing pattern after surgery which if not monitored can be life threatening. There are different treatments for people with sleep apnea and doctors and ENT (Ear Nose and Throat) specialists take the following into consideration for designing a treatment plan for those who are diagnosed with this condition.

The factors that are considered are an individual’s medical history, severity of the disorder, and the specific cause for the obstruction. Some treatments also incorporate a lifestyle change, avoiding alcohol and medications that can relax the nervous system.

Other lifestyle changes is losing weight and quitting smoking, and incorporate things like elevating themselves while sleeping so that they can breathe using slanted pillows. The weight issue is the biggest lifestyle concern because that causes some people to be confined to beds where they can’t move and be active contributing further into a person’s weight gain.

Usually if someone who’s morbidly obese and loses about 50 pounds within a couple months their condition improves, but it’s usually up to a steady support system to get someone on a set routine and healthy eating plan that helps to get their weight down so they can qualify for other treatments to help them maintain weight loss which is either through gastric bypass which has to be strongly enforced since this surgery is irreversible and you have to eat differently and undergo a major lifestyle change.

The other option is lap band, which is reversible, but again to maintain the weight loss to improve sleep and breathing patterns comes with monitoring what one eats and exercise to help improve breathing patterns.