The effect of sleep on men’s health

madman

Super Moderator
Abstract: Sleep has increasingly been found to play a role in the overall health of an individual, but sleep quality has also been decreasing with the invasion of technology into the bedroom, “always-on” lifestyles, and increasing demands on one’s time when awake. We have herein reviewed the literature to assess the impact of sleep on erectile dysfunction, lower urinary tract symptoms, hypogonadal symptoms, low testosterone, and male infertility. We find that erectile dysfunction, lower urinary tract symptoms, and hypogonadal symptoms all have a linear relationship with sleep, as worse symptoms occur with poorer sleep. Male infertility, interestingly, has an inverse U-shaped relation to sleep in which men with too little and too much sleep seem to be more at risk for infertility than those with 7–8 hours of sleep. Finally, the literature has not demonstrated a significant clinical relationship between hypogonadal symptoms or testosterone levels and sleep. Overall, a large number of men experience poor quality sleep. Given the impact that poor sleep can have on general health and men’s health, in particular, screening for poor sleep quality and recommending interventions to improve sleep are becoming imperative during clinical evaluation and treatment.


*Sleep and erectile function
*Sleep and lower urinary tract symptoms
*Sleep and hypogonadism
*Sleep and male fertility
*Potential treatments and screening for sleep deficiency



Conclusions

In this review of the literature, we investigated the effect of sleep on men’s health conditions, including ED, LUTS, hypogonadism, and male infertility. In all cases, poor sleep has been demonstrated to impact the symptoms that these men experience negatively. Sleep deficiency is a common but often missed diagnosis in men presenting for urologic care. Sleep wellness is an important and modifiable risk factor for providers to identify in men as several interventions can improve sleep quality and possibly alleviate some presenting symptoms.
 

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Figure 1 Sleep functioning as a moderator of clinical symptoms.
 

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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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