Author: Leann Poston, M.D.

Erectile Dysfunction (ED) in Your 20s and 30s: What You Need To Know

James is 25 years old and in good health. He has been in a committed relationship for the past four years. He loves his partner, and they intend to start a family. However, James has been struggling with erectile dysfunction. He has undergone a full physical exam, and so far, no treatable cause has been identified. Dealing with erectile dysfunction has been a stressful experience for both James and his partner. Like most young men, James believed erectile dysfunction was only a problem for...

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What Is Testosterone and How Does It Affect Your Health?

Testosterone is commonly referred to as the male sex hormone, but it affects the male in ways other than libido. The male testes and, to a lesser extent, the adrenal glands and ovaries produce testosterone. In females, half of the testosterone is produced by the ovaries and the adrenal gland, and the rest is produced by converting other androgens.   The production of testosterone begins with puberty and declines by about 1% each year after age 30. Testosterone either binds to androgen...

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How Long Does Testosterone Replacement Therapy Typically Last?

Testosterone therapy can relieve many of the side effects of age-associated low testosterone levels. Before starting treatment, most men want to know how long it will take to restore their vigor and how long testosterone therapy lasts.  Hypogonadism, or low testosterone levels, affects approximately 4-5 million men in the United States (Seftel, 2006). Testosterone levels are at their highest during adolescence and early adulthood. After the age of 30 to 40, testosterone production begins...

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Can Thyroid Problems Cause Low Testosterone?

Thyroid disease in men can cause low sperm count, loss of muscle mass, and erectile dysfunction. Thyroid disease is much more common in women, so men may not attribute symptoms unique to men as secondary to thyroid disease. However, men tend to have increased thyroid problems with age.   The endocrine system is complex. A slight change in one hormone can have far-reaching consequences throughout the body. Testosterone levels decline at a rate of about one percent per year, beginning...

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Can Nicotine Cause Impotence?

Approximately 15% of adult men smoke cigarettes. Smoking is most common in men between the ages of 25 and 64. According to the 2018 Gallup poll, nine percent of adults surveyed vape for their nicotine exposure, at least occasionally. More than 16 million Americans live with a smoking-related disease. If these statistics are not enough to make you want to kick your smoking habit. The strong link between smoking and erectile dysfunction (ED) may. Smoking is a major risk factor for ED, no matter...

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Diet and Exercise to Help With Erectile Dysfunction

Erectile dysfunction affects almost one in every ten men at some point in their lives. So, it is not surprising that many men, and their partners, are asking if diet and exercise can affect erectile dysfunction. Researchers have been evaluating the best foods and diets to support erectile function as well as exercises that may help.  Erectile dysfunction (E.D.) is often caused by blood vessel damage or suboptimal hormone levels; however, it can also be caused by stress or poor lifestyle choices...

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The Connection Between Intimacy and Mental Health

Mental health and intimacy are two critical aspects of our lives. Healthy and intimate interpersonal relationships are an important part of one’s mental health. Sex and intimacy release a flood of neurotransmitters such as dopamine, serotonin, and oxytocin, which can ease some mental health symptoms. However, some people may find it difficult to engage in physical intimacy due to mental health conditions. The ability to establish and maintain sexual intimacy is heavily influenced by one’s...

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What Can Harm Your Chances of Getting Pregnant?

What Is Fertility? Fertility is the natural ability to conceive a child. It involves the endocrine, reproductive, and nervous systems in both men and women, at a minimum. In addition, many lifestyle factors can positively or negatively impact fertility. About 9% of men and 11% of women of reproductive age in the U.S. have experienced fertility problems (NIH, 2017). The following steps are necessary for a pregnancy to occur: The male must produce normal, healthy sperm The male must be able...

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5 Major Reasons Why Younger Generations Aren’t Getting Married

Is marriage necessary for a happy life? Approximately 17% of women and 16% of men say that marriage is essential for them to have a fulfilling life. Over half of Americans say that marriage is important but not critical. About 30% say marriage is not important. Younger adults are more likely than older adults to believe that marriage does not equal happiness. Marriage rates have continued to decline from a high in the 1960s to 58% of Americans in 1990 to 50% in 2017 (Barroso,  2020). While...

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The Surprising Link Between Sex and Work Productivity

Sex and sexual behavior aren’t usually the first things that come to mind when you think about employee management or productivity. Nonetheless, a study published in the Journal of Management investigated this topic, and the findings may surprise you. Workers who engaged in sex at home had a more positive attitude toward work, regardless of whether they were otherwise satisfied with their marriage. Sex at home increased both job satisfaction and daily job engagement. Conflict between work...

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7 Ways to Naturally Regulate Your Hormones

The endocrine system and nervous system regulate nearly every process in the body—with the endocrine system handling longer-term changes and the nervous system controlling the minute-to-minute changes. Because these two systems are so intertwined, every change in one will affect the other. Get the Guide The Lifestyle Nutrition Guide Your Healthier Lifestyle Starts Here. See real results with expert tips and tools. Download the Guide Like your...

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Cognitive Symptoms in Menopause

Women self-report many cognitive symptoms in perimenopause and menopause. Symptoms such as word-finding difficulty, difficulty paying attention, difficulty concentrating, needing to use memory aids, and feeling like they are in a brain fog. In the Seattle Midlife Women’s Health Study, out of 230 women aged 33 to 55, 60 percent reported they had an unfavorable memory change (Sullivan Mitchell & Fugate Woods, 2001). Perimenopausal women were 1.4 times more likely to report forgetfulness...

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Supplements for menopause brain fog?

Brain fog, moodiness, fatigue, hot flashes, and nighttime trips to the bathroom. None of the changes associated with menopause are especially welcome. Fluctuating estrogen levels have a tremendous impact on your body. You may wonder whether these changes are a “deal with it” situation or whether you can act proactively to minimize their impact on your life. Hormone therapy, a supplement that has been in and out of favor for treating symptoms associated with menopause such as vasomotor...

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The Truth About Postmenopausal Brain Fog

What causes postmenopausal brain fog? How can you treat and ultimately beat postmenopausal brain fog? These are a few of the top search queries on the internet? You, like many women, may be concerned about the symptoms you are noticing. You don’t need scientific studies to show that fluctuating estrogen levels causes symptoms such as weight gain, difficulty sleeping, mood changes, and the dreaded hot flashes. You may be aware that hormone replacement therapy has gone in and out of favor....

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COVID and ED: The role of Trimix

The list of symptoms, both long term and short term from SARS-CoV-2 or COVID, continue to grow. Long-haulers suffering from exhaustion and other symptoms for months on end have led to research examining the effects of COVID on every system in the body. The list of medications that might treat symptoms of COVID gets longer and longer as the pandemic drags on. Research on the male reproductive system in patients with COVID has added erectile dysfunction and concerns about male fertility to the list...

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TriMix Injections: A well-tested solution for ED

Penile injection therapy is a well-tested treatment for erectile dysfunction. Injectable medications have been used since 1983 and are considered by the American Urologic Association to be one of the most effective non-surgical solutions for ED (American Urological Association, 2018). Trimix injections are compounded medications that require a prescription. Men can buy Trimix injections online after consulting with a physician and receiving a prescription. Trimix is an alternative treatment option...

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Trimix: Is it safe and effective?

You may have heard that Trimix injectables, like many other compounded medications, are not evaluated by the FDA or are used off-label. What does this mean? Are Trimix injections safe? Injectable medications have been used since 1983 to treat ED and are considered the most effective non-surgical solution for ED, according to the American Urological Association (American Urological Association, 2018). What makes up Trimix injectables? Trimix is a combination of three medications: papaverine,...

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Trimix injections for ED: The Risks and Benefits

Trimix injections are a combination of three medications that are used to treat erectile dysfunction. Injecting medications into the penis may sound extreme and more than a little painful. As you learn more about Trimix injections, you may find this option may be a better one than you might think at first glance, especially if you are in the 22-35% of men who have not been helped by oral ED treatment or have a medical contraindication to using medications such as Viagra (Guay et al., 2001). In...

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Who should use Trimix injections?

Trimix is a combination of three different medications that a man can inject into his penis to treat erectile dysfunction. Most urologists consider Trimix injections second-line therapy after oral ED treatments. However, men can buy Trimix injections online with a prescription after a medical consultation with their physicians. Not all physicians are familiar with the wide range of treatments available for ED. Penile erection requires three physiologic changes simultaneously; cavernous smooth...

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Testosterone cypionate: What is it?

TRT or testosterone replacement therapy is medically indicated for men with low testosterone. It sounds simple, right? You get a blood test, your testosterone level is low, whether from aging or other causes, you get a prescription for testosterone cypionate injections and your testosterone level goes up. Testosterone cypionate is the most common form of injectable testosterone prescribed in the U.S. to treat low testosterone levels or hypogonadism. It is available legally with a prescription,...

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