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Does winter increase testosterone?

With winter's shorter days and reduced sunlight, testosterone levels often decrease in men from November through April.

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By Jamin Brahmbhatt, MD, Urologist and Co-Director of The PUR Clinic at South Lake Hospital The same factors that drive seasonal depression also may be responsible for low libido in men. With winter’s shorter days and reduced sunlight, testosterone levels often decrease in men from November through April. This is in dramatic contrast to the increased testosterone levels of the warmer months — especially the long, sunny days of June, when a man has the highest likelihood of producing offspring. As an alternative to medication, a more natural solution for boosting testosterone may be available in the future. European researchers found that exposing men to light during winter months can boost testosterone and sexual satisfaction, just as light therapy helps many people deal with seasonal affective disorder. In the study, half of the male participants spent 30 minutes in front of a UV-filtered light box in the morning. The other half were exposed to a placebo light treatment. By the end of two weeks, men in the brighter light group reported triple the level of sexual satisfaction, increasing from a score of 2 to a score of 6 (on a 1-10 scale). Their testosterone levels also increased. Men in the placebo group didn’t experience any change in their testosterone levels or sexual satisfaction scores. Why is light therapy so effective? The answer may be biological. Researchers believe light therapy combats gland activity in the brain that depresses testosterone levels. Light therapy also may increase testosterone-boosting hormones in the body. That doesn’t mean men should spend all day out in the Florida sun. After all, overexposure to UV rays can be dangerous. It just means that for men dealing with low libido, light therapy could one day be an alternative to prescription medications. The operative word is “could” — much more research is needed to truly assess the benefits of light therapy for male libido.

To discuss sexual performance issues with a board-certified urologist, go to OrlandoHealth.com/Physician-Finder.

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Can a man perform after prostate surgery?

Most men who have normal sexual function and receive treatment for early prostate cancer regain erectile function and can have satisfying sex lives after robotic prostatectomy.

Most men who have normal sexual function and receive treatment for early prostate cancer regain erectile function and can have satisfying sex lives after robotic prostatectomy. However, it is a gradual process and may take up to a year. Very few of our patients experience erectile dysfunction, but we work closely with those who do. Penile rehabilitation can help you resume sexual functioning. Studies show that going for too long without blood flow to the penis can damage the muscle and tissue, which can affect your ability to have erections on your own. The goal of penile rehabilitation is to keep the penile tissue and muscles oxygenated and stretched to preserve erectile function while the nerves in the penis fully recover. We encourage our patients to start working on penile rehabilitation even before surgery. Pre-operative visits could include early evaluation, penile Doppler studies (a test of blood flow into and out of the penis), and testosterone level estimations, if our experts feel that your particular case could benefit from these evaluations. Occasionally, we start penile rehabilitation using medications a few weeks before surgery in order to enhance the blood supply to the penis and “jump start” sexual rehabilitation. Post-operative rehabilitation usually starts a few weeks later and may include the following treatment options to maximize your chances of recovery.

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