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Christy Florence, the wife of a transgender man and mother of a trans daughter, wrote an open letter to her brother, a conservative lawmaker in Utah, decrying his reported efforts to introduce legislation that would restrict transgender health care for minors in the state.

"Brad, I implore you to leave the decisions of medical care to the parents and medical professionals," she wrote in The Salt Lake Tribune to her brother, state House Rep. Brad Daw, a Republican. "Trust the experts. They know what they are doing. These families know their children and what is the very best for them."

While the anticipated legislation has not yet been proposed, The Tribune reported this month that Daw had begun drafting a bill to ban gender reassignment operations and the use of cross-sex hormones for trans minors. Similar measures have been introduced in at least seven other states this month.

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Daw declined NBC News' request for comment.

Florence, co-founder of the Utah LGBTQ advocacy group Mama Dragons, said in her op-ed that she has sat with many transgender young people and their families and "listened to their struggles." She said transgender health care is "life-saving" and those seeking it often face "insurmountable obstacles." The bill her brother is reportedly about to propose, she added, would "restrict survival opportunities for young people who are transgender."

The Tribune reported that Daw is writing the draft legislation following a request by the conservative Eagle Forum, founded by the activist Phyllis Schlafly.

"We want to do what we think is reasonable practice, which is put off that kind of one-way ticket decision until the youth is an adult," Daw told the paper.

According to local media, Daw's bill is being framed as a compromise, at least compared to bills progressing in legislatures in states like Tennessee and South Dakota, because it would not restrict the use of puberty blockers, which a study published last week found to be linked to lower suicide risk for trans people.

But experts warned that even a less draconian effort than Utah's which would permit the use of puberty blockers but not cross-sex hormones could have unintended consequences.

"Puberty blockers are an important component of care for transgender youth; however, they are insufficient on their own," said Dr. Jack Turban, a resident psychiatrist at Harvard Medical School and lead author of the puberty study. "Guidelines set forth by major medical organizations, including the Endocrine Society, explain that hormonal treatments like estrogen and testosterone are also needed."

Without cross-sex hormones like estrogen and testosterone, Turban added, trans adolescents who wish to suppress puberty may not see proper bone development. Turban also noted that genital surgery for minors, which would reportedly be banned in Daw's bill, already goes against existing medical guidelines.

"At the end of the day, legislators should not pick away individual steps of established medical protocols they do not fully understand," Turban said. "It is a recipe for unintended and dangerous medical consequences."

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Tim Fitzsimons reports on LGBTQ news for NBC Out.

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Mom of trans child pleads with lawmaker brother over trans health care bill - NBC News

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Global Testosterone Replacement Therapy Market Expected to Witness a Sustainable Growth over 2025 - Expedition 99

Dear Healthy Men: A recent news release suggested that men with low testosterone levels may have improvement in sexual function and quality of life. How can I determine whether I can benefit and what questions should I ask my doctor?

A: Before we get into the details of the newly reported benefits of testosterone therapyincluding the scope of those benefits and the men most likely to see themlets talk about what, exactly, testosterone is, what it does, and what constitutes low levels (also sometimes referred to as low T, andropause, or even male menopause).

To start with, testosterone is the most important male hormone (although women have measurable levels as well). In a nutshell, its what makes men menat least physically. Its manufactured in the testicles and plays a significant role in puberty (including penis and testicle growth and voice deepening), muscle and bone growth and development, strength, sex drive, and fertility.

Testosterone levels are usually measured with a blood test and are reported in terms of nanograms per deciliter (abbreviated as ng/dL). The normal range for men 20-70 is 300-1000 ng/dL. However, starting at about age 30, mens levels gradually decrease by an average of 1-2% per year. According to the journal Annals of Internal Medicine, the symptoms of low testosterone include little or no interest in sex, erectile dysfunction, less energy/feeling weak, mood changes and feeling depressed, loss of bone mineral density, and loss of body and facial hair. However, there is significant debate as to whether these symptoms are truly associated with low testosterone or if they are a result of other factors, such as chronic illness or certain medications.

Studies have found that 20%-40% of males ages 30-70 have low testosterone levels (although its important to note that not all of them will have any negative symptoms).

Okay, now lets talk about the news stories you may have heard about. The study in question evaluated 38 other high-quality studies and focused on men with age-related low testosterone and the effects of testosterone replacement therapy (TRT). The findings were fairly limited: Overall, men who received TRT experienced small improvements in sexual function and quality of life. The researchers did not find that TRT offered any benefits for other age-related issues, such as lack of energy, mood, strength, memory, or cognitive ability. And they were unable to shed any new light on any of the previously reported links between testosterone replacement therapy and heart health, prostate cancer, or mortality.

So, what should you do if you think you might have age-related low testosterone? The Washington DC-based non-profit, Mens Health Network (menshealthnetwork.org), recommends that you discuss your symptoms with your doctor and ask for a blood test. If your levels come back low, you should ask your doctor the following questions recommended by the American College of Physicians (ACP): Will taking TRT help with the symptoms that I came to discuss with you? What method of TRT is best for me? What are the risks and side effects of treatment? And How long will it take for TRT to work, and what if it does not work?

Mens Health Network supports the ACPs guidelines, which recommend that doctors consider offering TRT via intramuscular injection rather than a patch, gel, or pellet. The ACP believes that injections are cheaper yet just as effective as other methods and involve similar side effects. However, they recognize that injections (which will need to happen every 1-4 weeks) may not be for everyone.

Previously published on Healthy Men Today

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Benefits of Male Hormone Replacement Therapy - The Good Men Project

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An important starting point for understanding sexual desire is to appreciate that hormones play a key role in motivating our sexual appetites and behaviors. In fact the operation of our sexual systems depends on a cascade of hormones that affect us at two critical points during our life cycleinitially during the course of embryonic development (these are called organizing effects, which establish the architecture of the brain/body) and later on, when we hit puberty (these are the activating effects, which turn on the wired-in systems).

Most people dont know that the masculinization of the brain and body happen during embryonic development at two distinct and separate points, facilitated by two different hormones, which has huge potential in clarifying some issues involving sexual orientation, gender identification, and transgenderism (in which the sex of the brain does not apparently match that of the body). As far as the activating effects of the hormones, we know that the hormone testosterone is responsible for the sex drive in both male and female mammals and people.

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What is not usually discussed (but has been well established) is that testosterone has more impact on the male mammalian brain. While it might be considered politically incorrect to call attention to fundamental differences in how male and female brains are wired, modern neuroscience has provided tons of evidence to support that there are indeed significant differences. Although it is true that the brain of each sex has some feminine and some masculine networks or circuits, if all goes according to plan in the process of embryological development, male brains simply have more places for the testosterone (and another hormone related to testosterone, vasopressin) to workby connecting with structures called receptors activated by the hormones. The receptive fields or places for testosterone to have influence are plentiful in the male brain. This feature explains the general finding that males tend to report having sex on the mind more frequently than females.

On the other hand, if all goes well during embryonic development, the female brain comes equipped with sufficient receptors sensitive to the hormone oxytocinthe hormone that is associated with decreased anxiety, increased trust, and social bonding. Oxytocin affects male brains similarly but there are substantially fewer oxytocin circuits in the male brain. Interestingly enough, the female sex hormone estrogen turns up the activity of the oxytocin circuits in the brain, while testosterone in the male brain fires up the vasopressin circuits, fueling competition and sexual interest.

Another fascinating aspect of female sexuality is that womens interest in the erotic can wax and wane in response to cyclical changes in brain chemistry. At peak fertility, when estrogen and progesterone levels are high, some women report more sexual thoughts and fantasies. Studies have also shown that women engage in more sexual behavior during their fertile periods (with rates of intercourse rising by 24 percent during the six days flanking ovulation). But way more than biology affects female sexuality. One need only read the fascinating research done by Dr. Meredith Chivers, a colleague from Queens University in Ontario, who has demonstrated that, in women, arousal of the genitals (as measured by blood flow in response to audiovisual erotic stimuli) simply doesnt translate into subjective sexual arousal or feeling turned on. In other words, blood flow to female genitals tends to be a nonspecific response to all sorts of erotic stimuli, regardless of the female participants sexual orientation, which doesnt necessarily correlate with feeling turned on. Blood flow to the womens genitals increases when the participants watched males with females, males with males, females with females, and even bonobos (those randy pygmy chimpanzees) getting it on.

This type of arousal is keenly different from how male arousal works: mens genitals only rise to the occasion, so to speak, in response to stimuli matching their own sexual orientation. And for men, increased blood flow to the penis in this type of study usually translates into increased subjective turn on. This explains why Viagra-type drugs dont work for women. With these drugs, you can indeed increase blood flow to the female genitals, but it doesnt do much for the ladies in terms of either subjective (experienced) arousal or desire. Suffice it to say that sexuality for women appears to have more complex underpinnings, which are not as well understood.

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Men and women also experience some aspects of sex differently. At first, in the early days, sexuality research by Masters and Johnson (1966), Kaplan (1979), and Lief (1977) described the sexual response cycle as a linear process that begins with desire/arousal, moves to a plateau or middle stage of intensified arousal or excitement, and then on to a third stage of orgasm and/or ejaculation. We have moved beyond this model not only because women dont fit neatly into it but also because we know so much more about the varying ways that humans in general become aroused and experience desire.

Several sexologists, including Beverly Whipple and K. B. Brash-McGeer and Rosemary Basson, distinguish the female sexual response cycle as being more circular than linear because there are so many more dimensions to what drives female desire and arousal. Basson shifted the nonlinear model farther by emphasizing that women are not necessarily motivated by sex for the release of orgasm but rather personal satisfaction, which may come through the emotional experience of intimacy with a partner. Essentially, for women, as compared with men, sexual desire might not be as driven by physically experienced horninessbut rather more motivated and accessed by and through the warm, intimate, and fuzzy partnership pathway.

Why are these models helpful or significant? Because they underscore that the pleasure of sex comes at different stages and in different forms: in the turn-on level of stimuli; in the predicted expectation that sex is going to happen; in the body-focused build-up of increased blood flow and muscle tension of the excitement and plateau stages; and ultimately in the release of the orgasm. If pleasure is experienced all along the way and is naturally variable, and the brains involvement is paramount, then how we think about solving our sexual problems needs to consider these realities.

Nan Wise, Ph.D., is AASECT certified sex therapist, neuroscientist, certified relationship expert. This piece is an excerpt from her new book, Why Good Sex Matters: Understanding the Neuroscience of Pleasure for a Smarter, Happier, and More Purpose-Filled Life, out Jan. 28, 2020. Follow her @AskDoctorNan.

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How Women and Men Differ in Bed: It's Complicated. - menshealth.com

The Iron MaidensProvidedThe Iron Maidens are a part of a relatively new breed of tribute acts in which women musicians perform the music of bands that have most certainly at one point or another had their music described as testosterone-fueled by a music critic.

Joining all-women tributes to Metallica (Misstallica), The Ramones (The Ramonas), Girls, Girls, Girls (Mtley Cre) and Rage Against the Machine (Take the Power Back) in helping to explode stereotypes is The Iron Maidens, a Southern California-based group that has been offering its take on the oeuvre of British Metal giants Iron Maiden since 2001.

The bands lineup of talented musicians use fun pseudonyms like Bruce Chickinson (singer Kristen Rosenberg) and Nikki McBURRain (drummer Linda McDonald) and have individually been nominated for instrumental awards over the years. The Iron Maidens shows feature songs from throughout Iron Maidens Rock and Roll Hall of Fame-worthy career and, yes, a facsimile of Maiden mascot Eddie also joins them on stage though, somewhat disappointingly, they are not renamed Edie.

8 p.m. Friday, Jan. 31. $15-$20. Bogarts, 2621 Vine St., Corryville, bogarts.com

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Testosterone levels are important for both men and women to consider, not just to buff up and stay strong, but also to support our bodys natural growth hormone, a key hormone to keep our bodies youthful and energized. Testosterone also supports our libidos, our mood, and our levels of motivation and drive.

Women dont want too much testosterone, a little is actually important to ward off excess estrogen that can lead to depression, weight gain, hormonal changes, or just an overall imbalance of sex hormones in the body. Men, of course, are always looking to improve their testosterone levels to help build muscle, stay strong, and support their male livelihood that the big T-word is often associated with.

Maintaining a necessary testosterone level is important for both men and women. Not to say everyone has to buff up and stay strong, but A general dose to enhance the support system of our bodys natural growth hormone, testosterone is none the less a key hormone to keep our bodies youthful and energized.

Testosterone is known to supports our libido, our mood, and our levels of motivation and drive. Though women dont want too much testosterone, a little is actually important to ward off excess estrogen that can lead to depression, weight gain, hormonal changes, or just an overall imbalance of sex hormones in the body.

Men anyway need testosterone levels to help build muscle, stay strong, and support their male livelihood that the big T-word often associates with.

Pumpkin seeds are packed with zinc, a crucial mineral maintaining optimal testosterone levels. Zinc keeps sex organs healthy and promotes a healthy metabolism that assists with the conversion of certain hormones.

Zinc is a great source of tryptophan, an amino acid that helps the body produce more serotonin, which helps balance your hormones even further. These alkaline green seeds are also one of the most overlooked sources of plant-based protein, iron. It is a great source of healthy omega-3 fats.

Coconuts great food to boost your muscle growth, promote lean body mass, and balance your bodys hormones including testosterone.

Its a great source of healthy saturated fats, which most people avoid, but when eaten from plant-based sources, it is actually great in moderate amounts. How so? Saturated fats are indispensable for testosterone production and they support the bodys ability to make cholesterol without having to consume added dietary cholesterol from animal-based foods.

A few tablespoons of raw coconut butter, shreds, coconut milk, or fresh coconut meat are all you need to support your body with this healthy source of fat. Its still a good idea to limit all sources of saturated fats to 10 percent of your daily diet and not rely on them completely.

3. Maca

Maca is a great food to improve, normalize and enhance your hormones. It boosts libido and improve mood in both men and women, and is fantastic to reduce stress levels that can interfere with healthy testosterone levels.

Maca is great to boost your energy to help you exercise, which will boost testosterone in return. When you work out, especially when you lift weights, you naturally boost your testosterone levels, which makes maca a great superfood to use on all counts.

Working out and maca also both support your bodys production of growth hormones that support ones metabolism and keeps the body youthful.

4. Avocado

It is great libido-boosting food, this fruit has great healthy food and has exceptional amounts of vitamin B6 which reduces both cortisol and improve testosterone production. Avocados also support the metabolism and overall mood function.

Avocados fats also reduce high levels of unhealthy cholesterol levels (LDL) that interferes with the production of testosterone. Animal-based fats raise high levels of LDL while plant-based fats lower LDL and improve levels of good cholesterol (HDL).

5. Chia SeedsChia seeds boost testosterone levels in the body due to their amazing essential fatty acid (EFA) profile. A great source of omega-3 fats, along with other anti-inflammatory fats.

It is a great source of potassium, zinc, iron, magnesium that support your metabolism, blood pressure, blood sugar, and mood. These nutrients are also necessary for optimal energy and hormone production in the body.

Hemp seeds are also known to maintain your hormone levels and they contain more protein, iron, and magnesium than chia seeds do.

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5 vegan foods that boost testosterone in the body - Newsd.in

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Early this month, Representative Bruce Griffey of western Tennessees 75th district made public his latest effort to control and degrade the states most vulnerable: a bill that would require any person convicted of sex offenses against a minor under the age of 13 to undergo chemical castration upon becoming eligible for parole.Ad Policy

Convicts will be responsible for the cost of the intervention, and halting it would be considered a parole violation, sending the parolee immediately back to jail to serve the rest of their sentence. Proponents justify the invasive law on the pretext of protecting the children of Tennessee from potential predators.

Chemical castration reduces the bodys sexual urges with drugs or hormones. Unlike surgical castration, it is reversible, but it isnt harmless. Critics claim the practice violates fundamental civil liberties, like the right to ones own thoughts and to bodily autonomy, and note that the commission of a crime, no matter how serious, does not strip a person of their essential rights.

If you have a penis, imagine a life without the possibility of erection or orgasm. No more yearning, no more physical intimacy, no more pleasant daydreams. For someone whos supposed to have paid their debt to society, this is unnecessarily cruel.Related Article

The treatment is not without considerable health risk, either. Long-term use carries the potential for osteoporosis, cardiovascular disease, impaired glucose metabolism, and more everyday side effects like gynecomastia, hot flashes, and depression. Though some small-scale studies have found modest decreases in recidivism with chemical castration, no randomized control trials have been conducted.

Its not the first time a Republican legislator has displayed excessive interest in the genitals of his constituents. Griffey is also currently cosponsoring a bill that would require Tennessee students to play sports on teams appropriate to the gender noted on their birth certificates, a transparent attempt to curtail the rights of transgender and gender-nonconforming kids. Schools that refuse to follow the rule would lose public funding.

And in June of last year, Alabama enacted a law nearly identical to Griffeys chemical castration proposal, joining Florida, Texas, Louisiana, Montana, Wisconsin, and California, which passed the first such measure in the United States in 1996, under Republican Governor Pete Wilson.Current Issue

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Following Indonesias push in 2016 to introduce the punishment for sex offenders, Amnesty International released a statement about the practice noting that forced chemical castration is a violation of the prohibition on torture and other cruel, inhuman or degrading treatment or punishment under international law. The ACLU has come out against the practice as well.

In the United States, such statutes may face legal challenges, largely on the basis of their dubious constitutionality. A 2003 analysis in The Journal of the American Academy of Psychiatry Law notes several grounds for potential disputes: under the First Amendment, for attempting to control the content of a persons mind, or fantasies; the Eighth Amendment, as cruel and unusual punishment; and the 14th Amendment, for failing to honor the guarantee of due process, and infringing on fundamental liberties, such as the liberty to have children. The measures may also violate the equal protection clause, since, although their language is gender-nonspecific, the actual effects of the drugs disproportionately affect men.

It is a return, if you will, to the dark ages, said Randall Marshall, executive director of the ACLU of Alabama, of that states law.

Chemical castration has a brutal, bigoted, and ableist history. Before the technology existed for a chemical intervention, eugenics movements embraced castration and sterilization as ways to prevent undesirable populationsfor instance, criminals and mentally ill peoplefrom procreating, in 19th century America. Beginning in the 1940s, diethylstilbestrol or DES was used to lower testosterone levels in men with pathological sexual behavior. In 1966, Dr. John Money, famous for his wrongheaded (and in some cases, fatal) views on gender assignment at birth, prescribed a man struggling with pedophilic fantasies medroxyprogesterone acetate (MPA), the active ingredient in the hormonal contraceptive Depo-Provera, and the drug used in most states that have chemical castration laws for sex offenders. (MPA is not approved for this usage by the FDA, and was abandoned in Europe because of its severe side effects.)

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Hormone treatment, used as a corrective punishment in place of prison for the crime of homosexuality, has been widely blamed for the suicide of renowned computer scientist Alan Turing (Turing was forced to take DES). In 2012, a doctor in Sydney was banned from practicing medicine after prescribing chemical castration as a cure for his 18-year-old patients homosexuality.

Despite its checkered past, some choose hormone therapy of their own volition to curb troubling sexual thoughts or behaviors, and reduce sexual urges. The Cut published an interview in 2015 with a 62-year-old man voluntarily taking Lupron (generic leuprolide), which dramatically decreases the pituitary glands production of testosterone; the man says that it, combined with regular psychotherapy, ended his destructive pattern of compulsive sex with prostitutes and saved his marriage.

Another ethical thorn jabs the doctor assigned to give the hormone-limiting drugs. Can a physician administering this kind of treatment really obtain informed consent? Isnt the measure inherently coercive, if its a condition of parole? In medical ethics, a vulnerable population cannot consent to a procedure not explicitly performed for their benefitand it would require a leap of logic to claim involuntary hormone treatment is strictly beneficial. Incarcerated persons are a uniquely vulnerable group, with little to no power of self-determination, whose bodily integrity Tennessee already has an abysmal track record of respecting. Subjecting them to this humiliating practice as a condition of reentry into society further deprives them of their humanity.

That kind of cowboy approach to public safety is par for the course for Representative Griffey, who has already made a name for himself in his brief yet storied tenure in the Tennessee legislature. He has pushed for other demeaning aspects of the national Republican agenda as well. In March of last year, he filed a bill that would restrict welfare benefits in Tennessee only to those who could prove United States citizenship, including, per the bills abstract, each applicant 18 years of age or older, who applies for prenatal care administered by the department of health and the special supplemental food program for women, infants and children administered by the department of health. The bill ultimately failed, evidently considered too heartless even for Republicans.

Griffeys ire isnt confined to poor, pregnant women. He also introduced a bill this month, along with state Senator Joey Hensley, that would subject resettlement of refugees in Tennessee to the approval of both local governments and the state legislature, a two-step process clearly designed to hinder resettlementthis after Governor Bill Lee recently agreed to statewide resettlements for the second year in a row.

In the realm of personal ethics, Griffey is in no position to play the moral police. In September of last year, he was revealed to have engaged in backdoor dealings that led to the resignation of a Carroll County attorney, Jennifer King, so that Tennessee Governor Bill Lee could appoint Griffeys wife, Rebecca, in her place (which he declined to do). It turned out that one of the reasons Rebecca Griffey was not selected may have been her claim to the interview panel that a tax lien had not been placed on the Griffeys home, despite documents provided by the IRS that showed the couple had failed to pay $240,060 in 2015 and $23,030 in 2016.

When contacted, Representative Griffeys office declined to comment for this story.

Even among Tennessee Republicans, Griffey is certainly a figure in state government to keep tabs onand to thwart at every turn, at least for anyone who wants to keep politicians roving hands out of their metaphorical pants.

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Tennessee's Chemical Castration Bill Shows Local Republicans Have One Thing on Their Minds - The Nation

A new study, published in medical journal Fertility and Sterility in November 2019, found that trans men have no more trouble getting pregnant via assisted reproductive technology than their cis woman counterparts do, even trans men who had already begun taking testosterone. In an interview with Medscape Medical News on Tuesday, one of the co-authors of the study said she hopes her teams findings encourage trans men and their providers to feel more empowered to seek out fertility options post-transition, if they wish.

"Transmales [sic lmao] worry that they've thrown in the towel, and by committing to testosterone have started on a pathway with no return, but these data suggest they still have options," Resetkova told Medscape.

While this might be the first formal study to show that trans men can still conceive via assisted reproductive technology, even after starting HRT, previously 'moned-up trans men having babies is nothing new. That aspect of this news is not all that surprisingat least not for anyone whos spent enough time around trans people to know that trans men can and often do get pregnant. To echo what journalist Katelyn Burns wrote in a 2018 them story about trans women and breastfeeding: Whats more surprising is that it took this long for a medical journal to document the process.

Its important to note that all the trans men on hormones who participated in the Fertility and Sterility study stopped their HRT while trying to conceive. Resetkova and her co-authors dont rule out the possibility of trans men conceiving while continuously taking testosterone, though further investigation needs to be performed. Community knowledge tells me that conception under those circumstances is unlikely, but who knowsIm not a doctor. All I know is that assisted reproductive technology sounds really expensive and probably extremely cost-prohibitive for the vast majority of trans men who might want to make use of it.

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Trans Men Don't Have to Choose Between Transitioning and Having Kids - VICE

Staff ReporterJan 22, 2020 07:57 PM EST

As people age, their bodies start to change. This includes issues related to hormones. One of the most common hormonal issues that men face has to do with low testosterone, also called low T. As a common male health issue, there are many people who would like help addressing this issue. For those who would like to learn more, read more about testo boosters and some of the signs of low T.

One of the most common signs that someone has low levels of testosterone is sexual dysfunction. Testosterone is the main male sex hormone and controls factors such as libido and the ability to both achieve and sustain an erection that is suitable for intercourse. When someone has low levels of testosterone, they are going to notice issues with their reproductive system. Men will notice that they just don't "feel" like having sex. Their libido has dropped due to a lack of testosterone. They will also notice that they don't have spontaneous erections like they used to. This can be incredibly frustrating and can lead to serious mental health issues. Therefore, the issues of low testosterone need to be addressed.

Next, men with low testosterone are going to notice that they don't have as much lean muscle mass as they used to. Testosterone plays a key role in someone's ability to put on lean muscle by working out. Even though someone puts in the hours at the gym and eats a healthy, well-balanced diet, they just can't seem to put on the same amount of lean muscle they used to. One of the possible reasons why is that someone has low testosterone. Testosterone is required for the body to respond to the stimulus produced by working out regularly. Without testosterone, lean muscle is not going to stick.

In addition, another common sign of low testosterone is hair loss. Testosterone is responsible for keeping hair follicles healthy and full. If someone has low levels of testosterone, people may notice bald spots starting to appear on the scalp. Hair may also fall out when someone uses a comb or brush. Finally, men may also notice more hair on the floor of the shower. Addressing low testosterone can help someone prevent hair loss.

Finally, one of the most important signs of low testosterone is reduced bone mass. Bones are made up of a calcium network that gives bones their strength and durability. Without testosterone, the bones are going to start to weaken. While this might lead to pain and discomfort, it may also cause someone to be more susceptible to bone fractures. This presents a serious health complication that might land someone in the hospital. In order to avoid this, those who have low testosterone need to make sure this problem is treated.

Anyone who thinks they might have low testosterone should know that there are treatment options available. This comes in the form of testosterone boosters. This is a great way for someone to restore their testosterone levels back to normal. Then, they can enjoy life just as they did during their younger years.

See the article here:
The Signs a Testosterone Booster is Needed - Science Times

DEAR DR. ROACH: My husband and I are very fortunate to have had a happy relationship for many years. Our lovemaking has always been a pleasure for both of us. Now, we have to add Viagra to the mix. Sometimes it works; sometimes it doesnt, which is a disappointment to both of us. Is there anything we can do to enhance its effectiveness? Or is there something else you can recommend that would do what we wish Viagra would do consistently? Anon.

ANSWER: Sildenafil (Viagra) and similar medicines have been very effective treatment for many men who have difficulty achieving and maintaining adequate erections for sexual intercourse. However, they are not effective for all men, and many people have a misunderstanding about how they work.

Most importantly, Viagra does not increase libido, the desire for sexual contact, in men or women. It works by changing the way blood flows in and out of the penis. Erectile dysfunction can be caused by circulation problems such as blockages in the arteries; neurological problems; endocrine problems, especially low testosterone; and relationship issues. Viagra helps to some extent for men with any of these problems, but its worth reconsidering whether there is an underlying medical issue going on, both before prescribing it and periodically while taking it, especially if it doesnt seem to be working as well.

Still, oftentimes the problem with Viagra working intermittently is that it is affected by food, which many men dont appreciate fully. Food slows down absorption of the medication, making the optimal time of administration more difficult to determine. I have often repeated the advice I heard from a urologist: Take Viagra at 6, have dinner at 7, and you are good until midnight. Viagra does become progressively less effective in some men, requiring higher doses to have the same results. Or, your husband could switch to one of the other Viagra-like drugs, which have greater flexibility with timing and food. They work better for some men.

DEAR DR. ROACH: I am a 69-year-old male in good health except for a low testosterone count of 109 on a recent test. I am wondering about the benefits and risks of therapy. I have read that injection can lead to very high and then very low counts, but the patch can be potentially dangerous to my spouse. Can you clarify these issues for me? A.D.

ANSWER: Testosterone is an important hormone for men and women, although men have much higher levels. It has many critical functions. This includes promoting bone and muscle strength, and generally favorable effects on blood cholesterol types and levels. Plus, it is necessary for healthy sexual function.

Although very high levels of testosterone, such as those taken illegally by athletes, are associated with significant risks, replacement of testosterone in a man with low levels and symptoms of low testosterone has not been shown to be risky, and most evidence suggests an overall benefit from getting the testosterone back into the normal range. There are oral forms, injection and transdermal (patch and gel) formulations. Early injections showed problems with high levels after the injection followed by low, but there are better formulations to minimize that risk. Most men now prefer the gels or patches, which tend to have pretty consistent levels.

Women and children should not handle the medication directly. Your spouse is at low risk if you wash your hands carefully after application and avoid skin contact until it has dried completely, such as by wearing clothing. You should avoid getting the area of application (usually the shoulder) wet for five hours after application.

Dr. Roach regrets that he is unable to answer individual letters, but will incorporate them in the column whenever possible. Readers may email questions to ToYourGoodHealth@med.cornell.edu or send mail to 628 Virginia Dr., Orlando, FL 32803.

2020 North America Syndicate Inc.

Read more here:
To Your Good Health | Timing and food can be important in effectiveness of Viagra - Kilgore News Herald

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