How does testosterone worsen sleep apnea
Book an Appointment. Testosterone is a hormone. Men mostly produce testosterone through their testicles, and most of theri testosterone is released while they sleep. Testosterone helps in building bone and muscle mass and stimulates the sex drive. Sleep apnea is a chronic condition that often leads to sleep deprivation. These pauses can last anywhere from a couple seconds to minutes. Generally, you start breathing normally again, sometimes with a choking sound or loud snort.
Sleep apnea symptoms may include insomnia, excessive daytime sleepiness, snoring, sleep deprivation or episodes of no breathing. The below statistics reveal how prevalent both conditions are. Research has confirmed that there is a relationship between sleep apnea and low T. During sleep, changes in testosterone levels in both men and women occur naturally. The highest levels of the hormone happen in your REM sleep.
When you have a sleep disorder like sleep apnea, your amounts of REM sleep are reduced which often leads to low-T levels.
Evidence shows a strong relationship between low testosterone and a sleep breathing disorder like sleep apnea. This evidence shows that low-T levels often occur in men with OSA. These men are also more prone to suffering from associated complications like low libido, impotence, and erectile dysfunction. Like men, women also have a chance of OSA affecting their sexual lives negatively. And as the sleep apnea gets worse, sexual function problems like decreased desire and sensation do as well.
Published research studied men who were around the age of 44 and had sleep apnea. They were separated into four groups based on how severe their sleep apnea was. Both the quantity and quality of sleep affect testosterone levels. Testosterone products have also been shown in other studies to increase the risk of death, heart attack or stroke. Since OSA is also linked to heart attack and stroke, men who suffer from both low testosterone and OSA face double the complications if they proceed with hormone therapy.
Some men may not even realize they have low testosterone levels until they visit a doctor with complaints of fatigue. In these cases, doctors should review sleep issues as well as take blood tests to determine root cause for the fatigue if other explanations aren't obvious. If a man is diagnosed with both OSA and low testosterone, it's imperative that he be proactive about following through on therapy to treat the OSA first.
Treating low testosterone alone, without also treating OSA, has been shown to increase the severity and discomfort of preexisting, untreated sleep apnea. In fact, successful treatment of OSA has been shown to naturally cause a "rebound" in levels of testosterone as soon as adequate sleep was restored.
Thus, the solution seems simple enough: treat your OSA, and your body may come through with its own hormone reset and make hormone therapy completely unnecessary. Throw in some weight loss for good measure and Low T should no longer be a problem. Researchers suggest that doctors pay more mind to the possibility of undiagnosed OSA as an explanation for their low T.
A blood test, sleep diary, discussion of symptoms and medical history may all naturally point to the need for a sleep assessment. For those men who don't have OSA, or who still suffer from low testosterone even after successfully treating their OSA, further investigation by their physician will best determine whether they need a course of hormones. Topics: sleep apnea , low testosterone. He is the past founder and President of Alaska Sleep Clinic, touted as the most trafficked sleep center website in the world.
Who we are Problems we solve How can I get more traffic to my blog How can I leverage inbound marketing into my medical website? How are low testosterone and sleep apnea linked? The vicious cycle between poor sleep and low testosterone Poor sleep, poor T The obesity connection Low testosterone levels are a key reason for many sexual problems, such as flagging libido, erectile dysfunction, infertility and generalized fatigue.
Hormone therapy: the risks It's appealing to consider a hormone therapy approach for improving low levels of testosterone, as positive cardiovascular and metabolic outcomes have been reported for many who go this route. Treatment options for Low T Some men may not even realize they have low testosterone levels until they visit a doctor with complaints of fatigue.
But what about men with low testosterone levels who have not been diagnosed with OSA? J Androl. Disruption of the nocturnal testosterone rhythm by sleep fragmentation in normal men. Effects of acutely displaced sleep on testosterone. Middle-aged men secrete less testosterone at night than young healthy men. Penev PD. Association between sleep and morning testosterone levels in older men. Erectile dysfunction in a murine model of sleep apnea.
Evaluation of testosterone serum levels in patients with obstructive sleep apnea syndrome. Braz J Otorhinolaryngol. The new AASM criteria for scoring hypopneas: impact on the apnea hypopnea index. Testosterone levels in obese male patients with obstructive sleep apnea syndrome: relation to oxygen desaturation, body weight, fat distribution and the metabolic parameters.
J Endocrinol Invest. Altered luteinizing hormone and testosterone secretion in middle-aged obese men with obstructive sleep apnea. Obes Res. Prevalence and incidence of androgen deficiency in middle-aged and older men: estimates from the Massachusetts Male Aging Study.
Is there a correlation between testosterone levels and the severity of the disease in male patients with obstructive sleep apnea? Arch Ital Urol Androl.
Aromatase--a brief overview. Annu Rev Physiol. Effect of obesity and body fat distribution on sex hormones and insulin in men.
Gambineri A, Pasquali R. Testosterone therapy in men: clinical and pharmacological perspectives. Testosterone and obesity. Obes Rev. The association of testosterone levels with overall sleep quality, sleep architecture, and sleep-disordered breathing.
Reproductive hormone replacement alters sleep in mice. Neurosci Lett. Reversible reproductive dysfunction in men with obstructive sleep apnoea. Clin Endocrinol Oxf ; 28 — Neuroendocrine dysfunction in sleep apnea: reversal by continuous positive airways pressure therapy.
Infertility and obstructive sleep apnea: the effect of continuous positive airway pressure therapy on serum prolactin levels. Sleep Breath. Sexual function and obstructive sleep apnea-hypopnea: a randomized clinical trial evaluating the effects of oral-appliance and continuous positive airway pressure therapy.
J Sex Med. Endocrine effects of nasal continuous positive airway pressure in male patients with obstructive sleep apnoea. J Intern Med. Pituitary reactivity, androgens and catecholamines in obstructive sleep apnoea. Grossmann M. Low testosterone in men with type 2 diabetes: significance and treatment. Hanafy HM. Testosterone therapy and obstructive sleep apnea: is there a real connection. Effect of testosterone administration on upper airway collapsibility during sleep.
Influence of testosterone on breathing during sleep. J Appl Physiol ; 61 — Testosterone replacement in hypogonadal men: effects on obstructive sleep apnoea, respiratory drives, and sleep. Clin Endocrinol Oxf ; 22 — Outcomes of long-term testosterone replacement in older hypogonadal males: a retrospective analysis.
Effects of testosterone therapy on sleep and breathing in obese men with severe obstructive sleep apnoea: a randomized placebo-controlled trial. Clin Endocrinol Oxf ; 77 — The effects of testosterone on ventilatory responses in men with obstructive sleep apnea: a randomised, placebo-controlled trial. J Sleep Res. Association of serotonin transporter gene polymorphism with obstructive sleep apnea syndrome. Effects of testosterone on hypoxic ventilatory and carotid body neural responsiveness.
The short-term effects of high-dose testosterone on sleep, breathing, and function in older men. Does obstructive sleep apnea increase hematocrit?
Severe, but not mild, obstructive sleep apnea syndrome is associated with erectile dysfunction. Sexual dysfunction in patients with obstructive sleep apnea: a systematic review and meta-analysis. Erectile dysfunction, obstructive sleep apnea syndrome and nasal CPAP treatment.
0コメント