Flip Your Script

John J. Schessler, Wellness Coach/Personal Trainer

Male Sexual Health Awareness: What are some signs to look for?

Since the dawn of time, men’s sexual health has always been a topic of great importance for the person involved as well as their partners. From pills to tonics and beyond, we’ve always tried to improve on our sexual virility and potency. Since Viagra came on the scene, it’s been a ray of hope for men suffering from erectile dysfunction problems and has changed the way that men view their sexual health problems and now have treatment options to aid them in fixing whatever is giving them challenges. I’ve taken enough psychology courses in my lifetime, read many books and cited many resources on this subject both in college and beyond. What fascinates me about this subject is the simple question of “Why?” Why do we place so much importance on our sexual behaviors and our obvious physical endowments as men? The easy answer is that it’s how we’re built on a genetic level. Men are or at least consider themselves the dominant figures in their romantic relationships so taking the lead in the sexual realm is just nature taking over. Also, it’s how many men in society have been conditioned too. Images, articles and media have all adopted this trope that men need to be dominant, masculine and endowed enough to please a wide-range of partners. What happens though when a guy has a medical issue that prohibits him from satisfying his partner or more basically, himself? I’m going to take a look at this issue from a medical standpoint to figure some solutions and roadblocks to which therapies exist and what lengths men go to for seeking solutions for a rather trivial however important problem. If this kind of discussion makes you uncomfortable, perhaps you are one of the men that I’m targeting in this article. If it is, I hope this gives you options as to ho to move forward with some of these treatments.

Guys, think back to puberty and for some of us, that’s longer than we care to think back on, lol. When we were in the throes of it, what do you remember? Yup, that’s right….boners at all hours the day. Literally, a gust of wind blew the right way and there he was, staring right up at you again. The older we got though, the less that seems to happen, right? Well, there’s a few reasons for that. The first and most obvious is that after the age of 30 a man’s testosterone levels drop gradually, around 40-45% of all 30 year old men reported a drop in testosterone levels according to Healthline.com. This is one of the reasons that it’s so important for men in their 20s and 30s to have their T-levels checked every few years to make sure that things are where they need to be.

What gets checked in a Total Testosterone Blood Test?

A Total Testosterone blood test measures the total level of testosterone in the body, which is one of the factors responsible for regulating sex drive (libido), bone mass, fat distribution, muscle mass, and production of red blood cells and sperm. It’s also included in the CBC (Complete Blood Count) blood test as well.

Keep in mind there’s a few forms of testosterone that doctors can test for. There’s total and free testosterone. Free testosterone is the small percentage of your total testosterone concentration that is not bound to any protein—hence it is “free.” Normal testosterone rates for adult males should have anywhere between 240 and 950 ng/dL. According to the American Urological Association (AUA), low-T rates are indicated by less than 300 ng/dL in an adult male. That being said, what exactly is Low-T and what are some of the symptoms?

Low Testosterone or Low-T is when your testosterone levels in the body dip below 300 ng/dL. Low-T has varied symptoms from man to man and sometimes very subtle so you may not even suspect anything is wrong. Symptoms may include: tiredness/fatigue, mood swings, loss of libido, erectile dysfunction/impotence, excessive snoring, digestive issues and skin irregularities, just to name a few. If you do suspect something may feel ‘off’, make an appointment with you doctor right away so they can take the steps necessary to develop a treatment plan or refer you to an endocrinologist or urologist for further testing. As someone who suffers from low-T, trust me, it’s not a walk in the park. Back when I didn’t know what was causing me to be moody, irritable and just downright piss poor to be around, it was definitely frustrating because I didn’t realize that my manhood was slowly being depleted, unbeknownst to me. When I finally got my levels checked the first time, I discovered that my numbers were around 225 ng/dL, a prime number for being in the low-T group. I was around 32 at the time and hearing that I had levels consistent with an man in his 70s was disheartening. Luckily, a medication called clomiphene or Clomid for short was prescribed to me. In about a week and a half, my levels shot up from 225 to around 775 and boy did I ever feel the effects! I had more energy, my mood was definitely more positive and experienced more ‘manly’ reactions to visual stimuli than before, if you know what I mean.

As recent as last month, the FDA just approved use of an oral medication called Kyzatrex to aid in the treatment of adult males with Hypogonadism. However, testosterone replacement isn’t as new age as people may think as using testosterone medications and boosters goes as far back as 1942 but has gotten more press in the recent decades because more and more men are finding low testosterone a primary issue in their overall health and development. However, just because a doctor prescribes TRT as a means of boosting your testosterone levels doesn’t necessarily mean you’re in the clear. Hypergonadism can be a serious problem as well. This isn’t a common problem among most men, even those who experience above normal levels of testosterone for their age because most of the time, their bodies are able to regulate what is naturally created by the body. Every once in a while though, your body make be working overtime to compensate for the rising test. numbers, usually in negative ways. What happens when a man has too much test? Low sperm counts, heart muscle damage/risk for heart attacks/MI’s, enlargement of the prostate, liver disease, acne, insomnia, headaches, etc.

The bottom line is that if you suspect that your hormones are out of whack, make an appointment to see your doctor and have your blood levels checked. Even if you don’t suspect anything, it’s always a good thing to get those levels checked to keep on top of things! For more information on testosterone and approved TRT therapies, please log onto http://www.FDA.gov.

#lowtestosterone #fitness #personaltrainer #motivation #healthy #healthmotivation #actor #influencer #writer #blogger #sportsinjury #bodybuilding #menshealth #movement #lowt #TRT #testosteronetherapy #checkyourlevels #checkyourboys #motivationalspeaker #prostatehealth #hypogoadism #hypergonadism #pittsburgh

John J. Schessler is a Pittsburgh-based Personal Trainer, Wellness Coach Men’s Life Coach and host of the podcast, ‘ManAlive!’, available on Apple Podcasts. He also has certifications in Sports Injury and Rehabilitative Therapy. If you would like to contact me for online training inquiries or podcast information/guesting, please email: j.schessler@pghwellnesscoach.com. Thank you and stay fantastic!

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