Hormone Replacement Therapy in Delray Beach

Are you one of the many people in Delray Beach who are burning the candle at both ends and maybe only getting 4 or 5 hours of sleep a night? Are you also one of those guys having problems with his sex drive and feeling out of sorts? Well, recent studies done in Delray Beach in the last 3 years show that these symptoms could all be due to the effect of sleep on testosterone – just how, though, may be a chicken and egg question!

While it’s true that lower testosterone levels can be the cause of a sluggish sex drive and irritability it seems to be a matter of research opinion whether low sleep levels cause low testosterone or low testosterone causes lack of sleep.

Menopause Treatment Options

female hormone replacement therapy

Testosterone is a male hormone, besides promoting libido it has other important functions such as maintaining muscle mass and form bone, regulating heart muscle and cholesterol. It also helps to improve the oxygen levels throughout the body as well as controlling blood glucose and strengthening the immune system. In this article, we will discuss symptoms of low levels of testosterone.

1. Decreased sexual function
As we mentioned in the last article, starting at age 40 levels of testosterone start to diminish, the levels of the by-product prolactin of testosterone of men increases, stimulating the production of the enzyme 5-alpha reductase that causes the conversion of testosterone to gihydro-testosterones DHT thus triggering low levels of testosterone resulting in sexual dysfunction.

2. Loss of bone density
The brain and bone are the important tissues that have the primary effect of testosterone is by way of aromatization to 17² estradiol. In the bones. 17²-estradiol accelerates maturation of cartilage into bone, leading to closure of the epiphyses (a rounded end of a long bone) and conclusion of growth.

3. Loss of muscle mass
As men start aging or damage of pituitary gland or extra estrogen build up in the body causing low levels of testosterone being produced resulting in loss of muscle mass. Testosterone effects can be classified as anabolic effects that include growth of muscle mass and strength, increased bone density and strength, and stimulation of height growth and bone maturation. Testosterone effects can also be classified by the age of usual occurrence.

4. Memory loss
Low levels of testosterone allows beta-amyloid, a toxic peptide to accumulate in certain regions of the brain causing memory loss.

5. Abdominal fat
Fat cells create aromatase enzymes that contribute to fat build up and low levels of testosterone that allows the forming of abdominal fat that produce more aromatase enzyme resulting in more formation of estrogen. It also causes insulin resistance by increasing fat around the stomach/waist area and fat mass.
There are more symptoms of low levels of testosterone such as timidity, feeling of weakness, passive attitude,etc.

I hope this information will help. If you need more information of the above subject, please visit my home page.

Various Menopause Treatment Options

alternatives to hormone replacement therapy

Theoretically,  menopause is not a disease.  Therefore, there is no cure.  Many women opt to forgo any treatment at all, and simply tolerate many of the symptoms associated with this normal transition.  However, for those women whose symptoms are so severe as to interfere with their quality of life, there are many options at their disposal.

Remedies may be implemented by the woman herself for the conditions associated with menopause.  For example,

Hot flashes: Several nonprescription treatments are available, and lifestyle choices can help.

  • Many women feel that regular aerobic exercise can help reduce hot flashes
  • Foods that may trigger hot flashes, such as spicy foods, caffeine, and alcohol, should be avoided.
Heart disease: A low-fat, low-cholesterol diet helps to reduce the risk of heart disease.

Weight gain: Regular exercise is helpful in controlling weight.

Osteoporosis: Adequate calcium intake and weight-bearing exercise are important. Strength training (lifting weights or using exercise bands in resistance training) can strengthen bones.

Certain medications are beneficial in reducing many of the signs and symptoms of menopause.

Hormone Replacement Therapy

  • estrogen or a combination of estrogen and progestin
  • treats hot flashes
  • reduce fracture risk by building bone mass
  • improve cholesterol levels
  • decrease vaginal dryness
  • estrogen and progestin combination associated with increased risk of heart attack, stroke, and breast cancer
  • estrogen alone associated with increased risk of endometrial cancer
  • increased risk of gallstones and blood clots
Selective Serotonin Reuptake Inhibitors (SSRIs)
  • normally used for depression and anxiety
  • effective in reducing hot flashes
Clonidine (Catapres)
  • used to lower blood pressure
  • effective in reducing hot flashes
Gabapentin (Neurontin)
  • primarily used for treating seizures
  • used to treat hot flashes
Megestrol (Megace)
  • short-term relief of hot flashes
  • not recommended as first-line drug
Medroxyprogesterone (Depo-Provera)
  • injectable
  • sometimes effective in treating hot flashes
  • may cause weight gain and bone loss
Several medication options are available for the treatment of osteoporosis during menopause.  They include:
  • Aldenodrate (Fosamax)
  • Raloxifene (Evista)
  • Calcitonin (Calcimar or Miacalcin)
There are natural remedies on the market which report to reduce hot flashes.  However, for many, the clinical studies are conflicting and inconclusive.  These include:

Black Cohosh

  • herbal supplement
  • German studies recommend limiting its use to six months or less
  • not regulated by the Food and Drug Administration
  • side effects include nausea, vomiting,  dizziness, visual problems, slow heart beat, and excessive sweating
Plant Estrogens (Phytoestrogens)
  • soy is an example
  • safety of soy in women with breast cancer not established
Other Herbal Preparations - avoid or take under supervision of health care provider
  • dong quai
  • red clover
  • chaste-berry
  • yam cream
  • Chinese medicinal herbs
  • evening primrose oil
There are several treatment options available to help alleviate the symptoms of menopause.  These treatments should be individualized for each patient.  As many of these methods are not without risk, they should be implemented and monitored under the guidance of a physician.

Are Low T-Levels and Poor Sleep Related?

bioidentical doctors

High prolactin levels in men are a guaranteed killer of your sex life. The normal range for prolactin in men is 2-14 ng/ml, but yours should be under 8 and preferably between 2-3 if you want optimal sexual function. The symptoms in males of high prolactin levels are low/no libido, weak erections, premature ejaculation, long refractory period, listlessness, and low energy.

So how can you lower your prolactin? There are some over-the-counter supplements that will help if you are in the 8-14 range and you want to get down closer to 2 or 3, but if your levels are above 14, you need to talk with your doctor or endocrinologist about getting on a prescription-strength supplement.

The over-the-counter supplements that can lower prolactin levels in men are P-5-P, which is the bioavailable form of Vitamin B6. 100mg daily is the recommended dose. Another option is 400mg daily of an herb called Vitex Agnus Castus, also purported to have mild prolactin lowering effects in males. Finally, you can take mucuna pruriens standardized for l-dopa. Your dose will vary based on how much l-dopa is in the formulation.

If these don't work for you, I would strongly recommend talking to your doctor about a prescription drug called Cabergoline, which will obliterate your prolactin and turn you into a "marathon man" sex machine.

My prolactin varied between 15-21 ng/ml, so I used a combination of P-5-P and penis hand exercises to deal with my problem. The P-5-P lowered my prolactin below 8, and the hand exercises improved my erection quality as well as my penis size, which gave me greatly increased confidence which also improved my libido. I went from 5.5 puny inches to very well endowed.

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Delray Beach, Florida

Delray Beach is a coastal city in Palm Beach County, Florida, United States. The population of Delray Beach was estimated at 67,371 in 2016. That is up from 60,522 according to the 2010 United States Census.[8] Delray Beach is a principal city of the Miami metropolitan area, which was home to an estimated 6,012,331 people in 2015.

The earliest known human inhabitants of what is now Delray Beach were the Jaega people.[11]Tequesta Indians likely passed through or inhabited the area at various times, and an 1841 U.S. military map shows a Seminole camp located in the area now known as Lake Ida. Few other recorded details of these local indigenous settlements have survived.[12][13]

In 1876, the United States Life Saving Service built the Orange Grove House of Refuge to rescue and shelter ship-wrecked sailors. The house derived its name from the grove of mature sour orange and other tropical fruit trees found at the site chosen for the house of refuge, but no record or evidence of who planted the trees was discovered.[1][2]


Testosterone Replacement Therapy in Palm Beach