Sleep, Sleep Disorders, and Sexual Dysfunction

madman

Super Moderator
CONCLUSIONS

The relationship between sexual dysfunction and sleep disorders is a highly relevant topic for research and for the clinician. While additional research is needed to elucidate the mechanisms by which sleep disorders cause sexual dysfunction, there is evidence that ED can be a consequence of several sleep disorders. We suggest that andrologists, urologists, and other physicians at clinic consider sleep disorders when they see patients with sexual dysfunction, especially given the fact that many sleep disorders are underdiagnosed. There are brief questionnaires that can help determine whether the patient is likely to have one of the common sleep disorders, and these can help in the diagnosis. If the patient is presumed to have a sleep disorder, referral to sleep medicine specialists should be considered to improve modifiable risk factors of ED.
 

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Predict estradiol, DHT, and free testosterone levels based on total testosterone

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Understanding Your Hormones

Estradiol (E2)

A form of estrogen produced from testosterone. Important for bone health, mood, and libido. Too high can cause side effects; too low can affect well-being.

DHT

Dihydrotestosterone is a potent androgen derived from testosterone. Affects hair growth, prostate health, and masculinization effects.

Free Testosterone

The biologically active form of testosterone not bound to proteins. Directly available for cellular uptake and biological effects.

Scientific Reference

Lakshman KM, Kaplan B, Travison TG, Basaria S, Knapp PE, Singh AB, LaValley MP, Mazer NA, Bhasin S. The effects of injected testosterone dose and age on the conversion of testosterone to estradiol and dihydrotestosterone in young and older men. J Clin Endocrinol Metab. 2010 Aug;95(8):3955-64.

DOI: 10.1210/jc.2010-0102 | PMID: 20534765 | PMCID: PMC2913038

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