Is it safe to undergo testosterone replacement therapy when diagnosed with sleep apnea?
Sleep study / Testosterone
Your doctor is following standard practice guidelines because testosterone should not be prescribed in severe untreated sleep apnea, as treatment with testosterone can worsen it.
Although the evidence for this is not very strong and in fact on the contrary, treating sleep apnea well can result in improvements in testosterone levels to normal.
But I follow your point that it may seem like too much is being done. However, we live in a litiginous society and best practices are typically encouraged.
That being said, I would like to highlight the testosterone matter at your age. There is age related decline in blood testosterone levels. Whether this is significant and worth treating is best handled by an endocrinologist who will need to the opportunity to examine you in person.
There are complex and subtle details to be kept in mind while assessing testosterone. For example. the blood levels must be checked in the morning time before 9 am preferably, for
25 hydroxy Vitamin D
Some of these tests are done on sequential manner based upon results of previous tests but for convenience sake I have lifted them all together above.
If testosterone is low it must be confirmed on a second occasion to be indeed low before further extensive evaluations are undertaken.
A genital examination including that of the testicles and penis is also relevant.
I seem to be in limbo. My wife is very comforting and seems to able to work out our sexual compatibility. My question is: are there other solutions e.g., over the counter testosterone, vitamin, etc. that may help? I know you hear athletes use these to increase performance abilities. This is not a typical case of ED. Without sounding gross, I think you understand.
I do understand your point.
No over-the-counter medication or supplement is suitable for this purpose.
Taking prescription testosterone helps ED when there is a genuine low testosterone state to begin with.
Have you discussed medications like Viagra or Cialis with your doctor to see if you are a candidate for those?
Furthermore, there are 'metabolic' conditions that need to be controlled for best erectile function. I am referring to blood pressure, glucose and cholesterol.
And finally there are some medications that hamper erectile function. It appears you are not those such as beta blockers for example.
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