W8MD’s Men’s Health is focused on helping men deal with many health issues related to the hormonal changes that happen due to aging such as low testosterone (low T), decreased libido or erectile dysfunction, and male pattern baldness to name a few using evidence based measures.
What are the common issues that men deal with as they age?
Men have unique health issues that often times can benefit from trained and experienced staff at W8MD weight loss, sleep & medspa’s. W8MD weight loss, sleep & medspa provides testosterone replacement, fertility, andropause and erectile dysfunction.
What solutions and treatment options are available to treat erectile dysfunction(ED)?
It’s estimated that erectile dysfunction (ED) affects more than 20 million men in the United States alone. The majority of those men are over 40 years old, but it can strike no matter what your age. Sometimes ED is an unfortunate side effect of a disease.
For instance, men who have diabetes, decreased testosterone levels, high blood pressure, an enlarged prostate, or some other health conditions may get ED. Often times after prostate surgery men experience ED due to nerve damage or other trauma to the male body. Sometimes smoking, alcohol use, or certain medications can all cause ED. It can even be the result of everyday pressures such as stress, anxiety, or just nervousness. Fortunately, no matter what the cause, Erectile Dysfunction can be successfully treated.
What options are available to treat ED?
While some men respond well to oral ED treatments such as Viagra or Cialis, others do not respond to these treatments or have uncomfortable or even dangerous side effects to these medications.5 In those cases custom compounded medications can often be used successfully to treat ED.
The injectable medications Papaverine, Phentolamine, Alprostadil (Prostaglandin E1), and or Atropine are used individually or in combination. While an injectable ED medication may sound intimidating or even painful, the truth is, the treatment involves very little discomfort and is an easy and very effective way to treat ED.
What Orally Disintegrating Tablet (ODT) are available to treat ED?
An orally disintegrating tablet or orally dissolving tablet (ODT) differ from traditional tablets in that they are designed to be dissolved on the tongue rather than swallowed whole. An ODT is a solid dosage form that disintegrates and dissolves in the mouth (either on or beneath the tongue or in the buccal cavity) without water within 60 seconds or less.
Penile self injections to treat ED
Papaverine is particularly known as a smooth muscle relaxant and vasodilator. Its principle pharmacological action is as a non-specific vasdilator of the arterioles and capillaries. Major side-effects include priapism and corporal fibrosis. These side-effects are greatly reduced when papaverine is used in very low dosages and combined with phentolamine and alprostadil.
Phentolamine may provoke a reflex, increasing sympathetic outflow and the release of norepinephrine. When phentolamine is used for the treatment of ED, it is often used in combination with other agents (e.g. papaverine) to enhance its efficacy. The combination of phentolamine and papaverine for the treatment of ED has been studied extensively. This combination can be efficacious and may induce erections sufficient for sexual intercourse in over 90% of cases.
Prostaglandin E1 (Alprostadil) binds with PGE receptors, and the resultant relaxation response in the smooth muscle is mediated by cAMP. Little is known about the pharmacokinetics of PGE1 but it is believed that as much as 80% may be metabolized in one pass through the lungs. In all probability, this rapid degradation by the lungs accounts for its lack of any significant cardiovascular system side-effects when administered intracavernosally. It can also be metabolized in the penis. Alprostadil has also been used in combination with other agents, such as papaverine, and the combination was superior to only alprostadil. Alprostadil is available as an intraurethral pellet (MUSE), intraurethral gel with penetration enhancers, or intracavernosal injection. Numerous studies show that the injection is more efficacious.
Atropine is a non-selective muscarine agonist that functions by competitively binding to muscarine receptors, a class of acetylcholine receptor involved in the contraction and relaxation of smooth muscle and epithelial tissue throughout various parts of the body. These receptors, when activated locally in the penis by acetylcholine molecules, cause the corpus cavernosum to contract by inhibiting the absorption of acetylcholine by these receptors into cells in the vasculature of the penis, Atropine effectively relaxes the vessels in the penis and helps in achieving erection. While atropine’s efficacy when used alone is relatively insignificant and it’s use in combination with other injectables does not improve the success rates of a mixture without atropine, it can help reduce the pain26 PGE1 can cause.
Injectable ED Medications
- BiMix: A combination of Papaverine & Phentolamine
- Super BiMix: A highly concentrated version of the standard BiMix Injection
- TriMix: A combination of Papaverine, Phentolamine & Prostaglandin E1
- Super TriMix: A highly concentrated version of the standard TriMix Injection
- QuadMix: Super TriMix with Atropine added
- Super QuadMix: A highly concentrated version of the standard QuadMix Injection
Custom combinations and concentrations as recommended by the W8MD physicians
- BI-MIX INJECTION
- TRI-MIX INJECTION
- QUAD-MIX INJECTION
- PHENYLEPHRINE HCL INJECTION
- ARGININE/LYSINE CREAM
- OXYTOCIN NASAL SPRAY
- OXYTOCIN TROCHE
- SILDENAFIL ODT
- TADALAFIL ODT
- VARDENAFIL ODT
How do you treat low testosterone, can testosterone replacement help?
Testosterone is responsible for normal growth and development of male sex organs and maintenance of secondary sex characteristics. It is the primary androgenic hormone. When the testes fail to produce normal levels of testosterone, testosterone deficiency results. There are now a variety of products available to treat testosterone deficiency. Successful management of testosterone replacement therapy requires appropriate evaluation and an understanding of the benefits and risks of treatment.
List of testosterone replacement products offered at W8MD’s Mens Health Clinic
- TESTOSTERONE CYPIONATE INJECTION
- TESTOSTERONE ENANTHATE
- TESTOSTERONE PROPIONATE INJECTION
- TESTOSTERONE CYPIONATE / PROPIONATE INJECTION
- TESTOSTERONE CREAM
- TESTOSTERONE NASAL GEL
- HCG INJECTIONS
- ANASTROZOLE CAPSULES
- TAMOXIFEN CITRATE TABLETS
- TOREMIFENE CITRATE CAPSULES
- CLOMIPHENE CITRATE CAPSULES
- DANAZOL CAPSULES
- DHEA CAPSULES
- DHEA CREAM
How do you treat infertility in men?
In the United States, approximately one in 10 couples, or 6.1 million men and women of reproductive age, are affected by infertility. It is a highly specialized field that involves great physiological detail but also has a strong emotional component. Infertility is defined by the inability to conceive after one year of unprotected heterosexual intercourse or the inability to carry a pregnancy to term. Infertility may be caused by male factors, female factors, or a combination of both.
List of some of the male fertility enhancement products offered at W8MD
- HCG INJECTIONS
- FOLLICLE STIMULATING HORMONE (FSH) INJECTION
- FSH INJECTION
- CLOMIPHENE CITRATE CAPSULES
- TAMOXIFEN CITRATE TABLETS