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Low Test

Low Test

June 25, 2014

Is Male Menopause Real?

Low Test symptoms may be to blame for a sluggish sex drive, fatigue, and erectile dysfunction (ED).

Are you feeling tired and cranky, and your sex drive isn’t doing much for you? You may even have some issues with ED, also known as erectile dysfunction. It is possible you could be going through “the change?” Turns out, midlife hormonal fluctuations aren’t just a “woman issue.” Mature males can have menopause as well — in the form of low testosterone (Low T).

Low Test can bring down your self esteem.

The word “male menopause” — which also goes by andropause or, as some have dubbed it,”men-o-PAUSE” — is a bit of a misnomer, but the physical state of being is very real.

What does Low Test mean?

Whereas women experience a sudden drop in hormones that signals a change in their ability to reproduce, with male menopause the result is a gradual decline in testosterone. Because it happens slowly (over a period of years), the symptoms of male menopause (e.g., fatigue, sluggish sex drive, irritability, depression, muscle loss, and erectile dysfunction) may be subtle and hard to detect.

Men’s testosterone levels fall naturally as we age — on average, about 1% a year after age 30. By the time you reach 70 years of age, your testosterone levels may drop more than half its peak. Though aging is the main cause of Low Test, there are other conditions and medications, such as testicular cancer, a scrotum injury, chemotherapy, radiation treatment, and mumps, are all possible culprits.

How can I know if it is Low Test?

Are you tired, irritable, and/or disinterested in all the things that once brought you joy, including sex? If you think  you may have Low T, Core Medical Group can order a blood test, but only after ruling out other causes, such as depression. Symptoms of Low Test, such as fatigue and erectile dysfunction, may also mimic depression. It can also present as a side effect of heart disease, obesity, or other health condition. Core Medical Group will help you figure out if an underlying medical condition, such as an autoimmune disorder, is causing your Low Test results.

Once we review your completed Medical History forms, we will schedule you to get required blood work plus acomprehensive medical evaluation. We have a national network of labs and will locate one close to you or schedule a Core Medical Group phlebotomist to come to your Dallas location. If you already have blood work and it has all of the necessary tests required and is less than one year old we may opt to use it if the proper biomarkers meet our medical criteria.

Core Medical Group
3333 Lee Parkway Suite 600 • Dallas, TX 75219
214-414-9891
866-641-CORE (2673)




Male Hormone Replacement Therapy

Male Hormone Replacement Therapy

August 5, 2011

Men can benefit from hormone replacement therapy as part of a comprehensive and natural anti-aging program.

As men age, the male hormones decline, referred to as “andropause”. Symptoms of andropause include decrease in muscle mass and muscle strength, increased body fat and lowered libido, accompanied by decrease in mental sharpness and decrease of overall energy levels.

Replacing men’s testosterone as it declines can protect men from a variety of age-related conditions, including:

  1. Preventing the decline of sexual ability or re-invigorating sexuality if it has already begun to diminish.
  2. Preventing atherosclerosis, heart attacks, and high blood pressure.
  3. Minimizing loss of muscle mass and strength common to aging.
  4. Keeping the prostate gland healthy.
  5. Prevention of osteoporosis—a common problem for men in their 70s.
  6. Normalizing blood sugar, cholesterol, and HDL (“good”) cholesterol.



Drugs that Cause Erectile Dysfunction / Male Impotence

Drugs that Cause Erectile Dysfunction / Male Impotence

December 3, 2010

Here is a list of drugs that cause Erectile Dysfunction / Male Impotence

Drug Class

Generic

Brand

Antihypertensives
and Diuretics

Hydrochlorothiazide

Esidrix, Hydrodiuril, Inderide, Moduretic, Oretic, Lotensin

Triamterine

Maxide, Dyazide

Furosdmide

Lasix

Chlorothalidone

Hygrotone

Bumetanide

Bumex

Guanfacine

Tenex

Methyldopa

Aldomet

Clonidine

Catapres

Verapamil

Calan, Isoptin, Verelan

Nifedipine

Adalat, Procardia

Hydralazine

Apresoline

Captopril

Capoten

Enalapril

Vasotec

Metoprolol

Lopressor

Propranolol

Inderal

Labetalol

Normodyne

Atenolol

Tenormin

Phenoxybenzamine

Dibenzyline

Spironolactone

Aldactone

Antidepressants,
Anti-Anxiety Drugs
and Anti-Epileptic Drugs

Fluoxetine

Prozac

Tranylcypromine

Parnate

Sertraline

Zoloft

Isocarboxazid

Marplan

Amitriptyline

Elavil

Amoxipine

Asendin

Clomipramine

Anafranil

Desipramine

Norpramin

Nortriptyline

Pamelor

Phenelzine

Nardil

Buspirone

Buspar

Chlordiazepoxide

Librium

Clorazepate

Tranxene

Diazepam

Valium

Doxepin

Sinequan

Imipramine

Tofranil

Lorazepam

Ativan

Oxazepam

Serax

Phenytoin

Dilantin

Antihistamines

Dimenhydrinate

Dramamine

Diphenhydramine

Benadryl

Hydroxyzine

Vistaril

Meclizine

Antivert

Promethazine

Phenergan

Non-Steroidal Anti-Inflammatory Drugs (NSAIDs)

Naproxen

Anaprox, Naprelan, Naprosyn

Indomethacin

Indocin

Parkinson’s Disease Medications

Biperiden

Akineton

Benztropine

Cogentin

Trihexylphenidyl

Artane

Procyclidine

Kemadrin

Bromocriptine

Parlodel

Levodopa

Sinemet

Anti-Arrythmics

Disopyramide

Norpace

Histamine H2-Receptor Antagonists

Cimetidine

Tagamet

Nizatidine

Axid

Ranitidine

Zantac

Muscle Relaxants

Cyclobenzaprine

Flexeril

Orphenadrine

Norflex

Prostate Cancer
Medications

Flutamide

Eulexin

Leuprolide

Lupron

Chemotherapy
Medications

Busulfan

Myleran

Cyclophosphamide

Cytoxan




Erectile Dysfunction (ED) Treatment & Diagnosis.

Erectile Dysfunction (ED) Treatment & Diagnosis.

Core Clinic takes a multi-faceted approach to treating erectile dysfunction (ED) / Male Impotence.  The first step is an evaluation by one of Core’s highly-trained physicians to identify what is causing erectile dysfunction.  Upon completing our evaluation, an individualized treatment regimen is then created by a Core physician. Besides eliminating an underlying cause such as potassium deficiency or arsenic contamination of drinking water, the first line treatment of erectile dysfunction typically consists of a prescription for a PDE5 inhibitor medication (the first of which was sildenafil or Viagra, followed by Cialis and Levitra). In some cases, however, the PDE5 inhibitor is ineffective or prescribed use of a PDE5 inhibitor is contraindicated because of a patients’ health.

Our physicians will then explore treatment options ranging from Hormone Replacement Therapy (HRT) to prostaglandin tablets in the urethra or intracavernosal injections with a fine needle into the penis that can cause an erection.  The most widely used of these injectable treatments is Trimix which is an injectable three-drug cocktail used to treat erectile dysfunction. The active ingredients in the mixture are usually alprostadil, papaverine, and phentolamine.  In beginning the use of Trimix, it is critical that our physicians find the correct dosage as it does vary from patient to patient.  Additionally, we provide education to our patients on the least invasive way to administer the treatment.

Diagnosis of ED

A doctor will do a thorough examination that will include the following: medical/ sexual history, medication history, surgical history, physical exam, blood work, and an international index of ED questionnaire that will assess quality of erectile function and sexual intercourse.

Click here for a list of Drugs that cause Erectile Dysfunction (ED)




Erectile dysfunction (ED, “male impotence”) – What is it?

Erectile dysfunction (ED, “male impotence”) – What is it?

Erectile dysfunction (ED, “male impotence“) is a sexual dysfunction characterized by the inability to develop or maintain an erection of the penis sufficient for satisfactory sexual performance.

An erection occurs as a hydraulic effect due to blood entering and being retained in sponge-like bodies within the penis. The process is most often initiated as a result of sexual arousal, when signals are transmitted from the brain to nerves in the penis. Erectile dysfunction is indicated when an erection is difficult to produce. The most important organic causes are cardiovascular disease and diabetes, neurological problems (for example, trauma from prostatectomy surgery), hormonal insufficiencies (hypogonadism) and drug side effects

Please click here to view a list of drugs That Cause Erectile Dysfunction.

Psychological impotence is where erection or penetration fails due to thoughts or feelings (psychological reasons) rather than physical impossibility; this is somewhat less frequent but often can be helped. Notably in psychological impotence, there is a strong response to placebo treatment or counseling sessions with a qualified psycho-therapist. Erectile dysfunction, tied closely as it is about ideas of physical well being, can have severe psychological consequences if left untreated.  In many cases, anxiety stemming from the uncertainty of an individuals’ ability to develop an erection can further exacerbate psychological impotence.

Click here for Erectile Dysfunction Treatment information




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