You may have seen the
enticing drug advertisements on television advising men who suffer from low
energy and low sexual interest to talk to their doctors about "Low T"
or low
testosterone. Since those ads have been on the air, testosterone
replacement therapies have gone flying off the shelves. But now the FDA warns
that these testosterone therapies increase the risk of stroke and heart attack.
In March of 2015, the FDA required that all manufacturers of testosterone drugs
add a warning to their labels. This warning is finally trickling down to small
town newspapers, such as the Lompoc Record which ran an edited reprint of a Los
Angeles Times article on April 23.
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As one might already know,
few people get the box. Everyone who goes to the pharmacy gets a typical
pharmacy container. The warnings will have to be added to the information
handed to the customer, or by adding a sticker next to the label. This may not
be an effective way of transmitting the information to those who are desperate
for what they see to be the positive effects of raising their testosterone. Why
care about the risk of heart attack when a man can take a pill and feel young
again? "People are looking for the fountain of youth," said FDA
advisory panel member Dr. Aaron Katz, a urologist in Mineola, N.Y.
The FDA currently has only
approved testosterone therapy for men who suffer from disorders which cause
hypogonadism. Those disorders might stem from the testicles, the loss of the
testicles, or from an under-functioning pituitary gland. The FDA recommends
that low testosterone ought to be confirmed with laboratory testing before
prescribing the medications.
This warning ought to
extend to women. Testosterone patches are often used in conjunction with
assisted reproductive technologies like invitro fertilization. The running
theory is that women who have trouble conceiving may have lower levels of
androgens from under-functioning pituitary glands. However, this is often not
confirmed with laboratory testing. Most insurance companies do not cover
testosterone therapy for women in conjunction with any ART, so the out of
pocket cost can be quite high.
Sylvia Jenkins*, who underwent IVF in hopes of expanding her
family told Examiner.com, "My doctor said I needed testosterone patches as
part of IVF. I looked at my blood tests later, and I didn't see a test for
that." She continued, "I felt totally wired on those patches. In a
way, I liked it, but in another way, it was really uncomfortable and expensive.
And IVF didn't even work."
For men, there may be
other ways they can ignite the fires of their younger years which don't involve
supplementing their level of testosterone. The wisest route to feeling more
energetic is to quit smoking, eat a healthy diet, get 8
hours of restorative sleep per night, and to exercise since the greatest health
factors for erectile dysfunction are diabetes, heart disease, and hypertension.
Special attention should be paid to strengthening the core muscles, which tend
to weaken with age. The core muscles include the pelvic floor muscles which
control bladder and rectal function. A healthy pelvic floor can also help men
to have a better sex life and can help men with erectile dysfunction and painful
sex.
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