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Shift Work and Erectile Dysfunction

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Shift Work and Erections

Let’s face it – as men get older, there are already enough roadblocks in the way of having erections on demand. There is stress, anxiety (a pandemic), the effects of smoking or drinking – and a million other things. But if you are also putting your body through the highly demanding ordeal of shift work – it may be affecting your erections.

Men who have shift work sleep disorder could be at higher risk for erectile dysfunction (ED), according to new research. Scientists think disruptions to circadian rhythms, changes in testosterone levels, fatigue, and stress could be to blame.

Here’s what they discovered:

Shift work can be tough, especially when you’re trying to fit life around a schedule that not everyone follows. Scientists think for some men, shift work might take a toll on their sex lives, too.

A recent study in the Journal of Sexual Medicine suggests that men with shift work sleep disorder (SWSD) could be at greater risk for erectile dysfunction (ED).

People with SWSD often feel sleepy when they need to be on the ball. They might experience insomnia and fatigue. Concentration might be a challenge as well.

Researchers examined data from 754 men. Of these, 204 men worked nonstandard shift schedules (outside the 7 am to 6 pm time frame) or rotating shifts. All the men completed several questionnaires about their work schedules, erections, overall health, and depression symptoms. They also submitted blood samples for hormonal analysis and were screened for SWSD.

Among the 204 men doing shift work, 48 had SWSD.

Looking over the erectile function questionnaire results, the researchers determined that the men with SWSD had more trouble with erections than the men who did shift work but did not have SWSD. And men who worked night shifts tended to have poorer erections than men who worked during the day or evening.

What’s the connection? The authors noted that disruptions to circadian rhythms might come into play. Also, since men’s bodies produce testosterone – an important hormone for sexual function – during sleep, there might be some testosterone deficiency in men with SWSD.

There could be psychological explanations, too. SWSD can leave a person feeling fatigued and stressed, and that can lead to erection problems.

The authors recommended that doctors assess sleep and work routines in men with ED.

 

Resources

The Journal of Sexual Medicine

Rodriguez, Katherine M., MD, et al.

“Shift Work Sleep Disorder and Night Shift Work Significantly Impair Erectile Function”

(Full-text. Published: July 28, 2020)

https://www.jsm.jsexmed.org/article/S1743-6095(20)30712-8/fulltext#%20

National Sleep Foundation

“Shift Work Disorder Symptoms”

https://www.sleepfoundation.org/shift-work-disorder/symptoms

COVID-19 and Casual Sex

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Is the Coronavirus changing casual sex?

Has the COVID-19 pandemic changed casual sex encounters? A group of over 2,500 Israeli men who have sex with men answered this question in a recent study. About 40% of the men were still having casual sex. However, some had modified their activities.

We’re all social distancing right now. And that begs the question: how do you have sex in the era of COVID-19 self-isolation? Is it even safe to have sex during the pandemic?

 

First, the facts. COVID-19, the disease caused by the novel coronavirus, is spread by direct person-to-person contact or by people who are close to (within six feet) of each other—as it’s believed that the virus is expelled in respiratory droplets from a cough or sneeze, according to the Centers for Disease Control and Prevention (CDC), which you can then inhale. You can also pick it up from contaminated surfaces if you then touch your face without washing your hands properly first and therefore introduce the pathogen into your body.

 

So, yes, sex can contribute to spreading the coronavirus. You’re clearly close enough to someone when you’re naked on top of each other, and you are also probably kissing, or at least breathing heavily. (And, by the way, a team of Harvard doctors recommends that you avoid kissing and even wear a mask if you’re going to be having sex with someone with whom you are not self-quarantined.)

But let’s be clear: COVID-19 is not contracted directly from sex. “The coronavirus is a respiratory virus. It can be transmitted through your saliva and intimate contact, but it is not directly transmitted genitally,” Mark Surrey, MD, a clinical professor in the department of obstetrics and gynecology at UCLA’s David Geffen School of Medicine, tells Health. That distinction matters, because safe sex during the pandemic depends on your current relationship situation and, well, why you’re having sex in the first place.

 

For many of us, the COVID-19 pandemic has changed how we interact with others, professionally, socially, and even sexually.

A new study from Israel describes how COVID-19 has impacted men who have sex with men (MSM) in that country.

Researchers surveyed over 2,500 MSM in March and April 2020, when the Israeli government had declared a state of emergency and put social distancing rules into place. For example, people were not supposed to go more than 100 meters (about 328 feet) from their homes. They were also advised to keep 2 meters (roughly 6 feet) from people outside their household.

During this time, almost 40% of the men surveyed said they did were still having casual sex encounters. In this group, about 72% said they had fewer partners than they did before the pandemic. Many said they were less likely to kiss their partners or engage in anal or oral sex. They were more likely to use condoms or pre-exposure prophylaxis (PrEP) – medication that may prevent HIV transmission.

More participants perceived COVID-19 to be a bigger threat than HIV, the researchers reported.

They added that loneliness and the lack of emotional support and intimacy could be driving MSM to have casual sex during the pandemic.

“Social isolation defeated the fear of COVID-19,” one participant said.

 

Learn more about COVID-19 and sex with these links:

Sex and COVID-19

Semen Might Contain Coronavirus

Men and COVID-19: Are Androgens a Clue?

Impact of COVID-19 on Relationships: What Isn’t Being Talked About

Resources

Centers for Disease Control and Prevention

“PrEP”

(Page last reviewed: September 18, 2020)

https://www.cdc.gov/hiv/basics/prep.html

The Journal of Sexual Medicine

Shilo, Guy, PhD and Zohar Mor, MD, MHA, MPH

“COVID-19 and the Changes in the Sexual Behavior of Men Who Have Sex With Men: Results of an Online Survey”

(Full-text. Published: August 10, 2020)

https://www.jsm.jsexmed.org/article/S1743-6095(20)30836-5/fulltext

Boost Low Testosterone with Exercise

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Exercise might be the best way to fight ‘Low T’

Regular exercise might lower a man’s risk for low testosterone.

Scientists report that men who get over 1,000 MET minutes of physical activity each week are less likely to develop testosterone deficiency. (MET stands for “metabolic equivalent.”)

The Physical Activity Guidelines Advisory Committee (PAGAC) recommends that most people exercise for 500 to 1,000 MET minutes weekly.

Scientists may have found a link between the amount of exercise a man gets and his testosterone levels.

What is Testosterone?

Testosterone is the male sex hormone that is made in the testicles. Testosterone hormone levels are important to normal male sexual development and functions.

During puberty (in the teen years), testosterone helps boys develop male features like body and facial hair, deeper voice, and muscle strength. Men need testosterone to make sperm. Testosterone levels generally decrease with age, so older men tend to have low blood testosterone levels.

What is Low Testosterone?

Some men have low testosterone levels. This is called testosterone deficiency (TD) or often referred to as Low Testosterone (Low-T).

The American Urology Association (AUA) identifies low blood testosterone (Low-T) as less than 300 nanograms per deciliter (ng/dL) on two tests obtained in the morning. Several symptoms or conditions may accompany TD:

  • Low sex drive
  • Fatigue
  • Reduced lean muscle mass
  • Irritability
  • Erectile dysfunction
  • Depression
  • There are many other possible reasons for these symptoms, such as: opioid use, some congenital conditions (medical conditions you are born with), loss of or harm to the testicles, diabetes, and obesity (being overweight). See your doctor if you have any of these symptoms.

Exercise might help combat Low T.

Men who exercise more might be at reduced risk for testosterone deficiency, researchers reported last May at the American Urological Association’s 2020 Virtual Experience press conference.

Low testosterone can be a serious health issue for men. When levels of this hormone decline, they might feel weak, moody, and fatigued. They might also start having trouble with erections and low sexual desire.

The study included data from 7,597 men between the ages of 18 and 80. All of the men were participants in the National Health and Nutrition Examination Survey (NHANES) between 2011 and 2016. NHANES is a series of studies that focuses on the health of people in the United States.

The men answered questions about their physical activity and had their testosterone levels measured.

Physical activity was evaluated based on the recommendations of the Physical Activity Guidelines Advisory Committee (PAGAC). Activity was categorized according to metabolic equivalents (METs). The amount of energy a person exerts while at rest is valued at one MET. Brisk walking equals about 5 METs. Running at 7 mph is about 11.5 METs.

The PAGAC recommends that most Americans spend between 500 and 1,000 MET minutes on exercise each week.

The men in the study were divided into three groups depending on their activity level. About 9% of them got the recommended amount of exercise. Almost 59% exceeded the recommended amount, and 32% got less than the recommended amount.

Overall, 29% of the men had low testosterone levels.

After further analysis, the authors found that men who got more exercise than recommended had a “significantly decreased likelihood” of low testosterone compared to men who did not get recommended amounts.

More research is needed, the scientists said, as the results need to be confirmed. However, they added that “these data provide a basis for counseling patients regarding the positive association between exercise and [testosterone levels].”

 

Testosterone Resources

Healthline.com

Roland, James

“What Exactly Are METs, and What Should You Know About Them?”

(October 21, 2019)

https://www.healthline.com/health/what-are-mets#calculation

The Journal of Urology

Fantus, Richard, et al.

“The Association Between Exercise and Serum Testosterone Among Men in the United States”

(Abstract PD25-03. Presented May 15, 2020 at the American Urological Association’s 2020 Virtual Experience press conference)

https://www.auajournals.org/doi/10.1097/JU.0000000000000882.03

Renal and Urology News

Charnow, Jody

“Testosterone Levels Falling in Young Men”

(May 17, 2020)

https://www.renalandurologynews.com/home/conference-highlights/american-urological-association-annual-meeting/aua-2020-virtual-experience/testosterone-levels-declining-young-males/

Urology Times

Kahl, Kristie L.

“Exceeding exercise guidelines may reduce likelihood of low T in men”

(May 27, 2020)

https://www.urologytimes.com/view/exceeding-recommended-exercise-guidelines-may-lower-t-men

Severe Erectile Dysfunction Increases Cardiovascular Risk

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Cardiovascular Risk Greater in Men with Severe ED

Erectile dysfunction (ED) is a risk factor for cardiovascular disease. And now scientists say the severity of a man’s ED might tell us more about that risk.

Cardiovascular disease affects the heart and blood vessels.

After analyzing data from 108 men with ED, researchers determined that those with severe cases had a 34% higher risk for developing cardiovascular disease or high blood pressure within the next 10 years. Men with mild or moderate ED were at 5% higher risk. More research is needed, the authors said. But the findings might help doctors monitor cardiovascular health in men with ED. (The study was published online in April in the Journal of Sexual Medicine)

Men with severe erectile dysfunction (ED) are more likely to develop cardiovascular disease or high blood pressure in ten years than men with milder cases, according to a new study.

Cardiovascular disease affects the heart and blood vessels. Examples of cardiovascular issues include heart attack, coronary artery disease, angina, arrythmias, aortic aneurysm, stroke, transient ischemic attacks, and congestive heart failure.

High blood pressure (hypertension) occurs when the force of blood flow against artery walls is stronger than it should be.

Scientists have long studied the relationship between ED and cardiovascular diseases. In fact, ED is considered a risk factor for cardiovascular disease. In this study, researchers wanted to learn more about the connection.

They collected data from 108 men (median age 51) who had been treated for ED at one clinic between 2005 and 2011. When the study started, none of the men had cardiovascular disease or high blood pressure.

The researchers assessed the men’s overall health and asked them to complete a questionnaire called the International Index of Erectile Function (IIEF). This tool helped determine how severe the men’s ED was. At the beginning, 40% of the men were diagnosed with severe ED.

The men had follow-up appointments every six months for about seven or eight years.

Overall, the men had a 15% higher estimated risk for developing cardiovascular disease or high blood pressure during the next 10 years. However, this figure changed based on ED severity. Estimated risk was 5% for men with mild or moderate ED. For men with severe cases, the risk was 34%.

ED severity was linked to higher risk for shorter time spans, too. For example, men with mild to moderate ED were at 5% higher risk for developing cardiovascular disease within seven years. The figure for men with severe ED was 19%.

The authors called for further research, noting that their study focused on men from just one medical center. There was also no comparison group of men without ED, they added.

However, the results could help doctors determine which men should be watched for cardiovascular symptoms after an ED diagnosis.

“This will give physicians proper tools to offer more personalized and tailored medical assessment in terms of prevention and screening strategies to patients presenting with ED as their primary complaint,” they wrote.

Resources

The Journal of Sexual Medicine

Pozzi, Edoardo, MD, et al.
“Longitudinal Risk of Developing Cardiovascular Diseases in Patients With Erectile Dysfunction—Which Patients Deserve More Attention?”
(Article in Press. Published: April 24, 2020)
https://www.jsm.jsexmed.org/article/S1743-6095(20)30179-X/fulltext

Can Coronavirus spread through Semen?

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COVID-19 Virus Found in Semen

Chinese researchers have discovered SARS-CoV-2 (the virus that causes COVID-19) in semen samples. Researchers collected the samples from 38 men who were treated for COVID-19 earlier this year. They found that 16% of the samples contained the virus.

The virus that causes COVID-19 (SARS-CoV-2), has been discovered in men’s semen, according to a new report in JAMA Network Open.

Chinese researchers analyzed semen samples of 38 men who were treated for COVID-19 in January and February of this year.

The semen of 6 patients (16%) tested positive for the virus. Of these, 4 men were in the acute (quickly developing) phase of the illness, and 2 were recovering.

“Abstinence or condom use might be considered as preventive means for these patients,” the authors wrote.

They acknowledged that the study included a small number of participants and covered a short time frame. They recommended additional research.

“If it could be proved that SARS-CoV-2 can be transmitted sexually in future studies, sexual transmission might be a critical part of the prevention of transmission, especially considering the fact that SARS-CoV-2 was detected in the semen of recovering payments,” the authors added.

The coronavirus has been found in stool, saliva, urine, and the gastrointestinal tract, they noted.

COVID-19 – Another good reason to practice safe sex.

The fact that Coronavirus can exist in semen – and spread through semen – might come as a surprise to a lot of men. This should be yet another reason to practice safe sex if you’re not in a committed relationship.

While COVID-19 research is ongoing, there is still a lot that officials don’t know yet. Experts advise that people continue to wash their hands, wear face masks as recommended, and practice social distancing measures.

People should also be careful with sex. The virus can be spread through kissing and by touching infected surfaces, such as skin, bedding, and sex toys. Limiting your number of sex partners and using condoms and dental dams during every sex act might reduce your risk.

Learn more about sex and COVID-19 here.

Resources

CNN.com

Fox, Maggie

“Coronavirus found in men’s semen”

(Updated: May 11, 2020)

https://www.cnn.com/2020/05/07/health/coronavirus-semen-china-health/index.html

JAMA Network Open

Li, Diangeng, PhD, et al.

“Clinical Characteristics and Results of Semen Tests Among Men With Coronavirus Disease 2019”

(Research Letter. May 7, 2020)

https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2765654

Medscape Medical News

McCall, Becky

“SARS-CoV-2 in Semen of COVID-19 Patients?”

(May 7, 2020)

https://www.medscape.com/viewarticle/930127

PeyRonie’s Disease and CCH Injections

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Peyronie’s Disease – What can you do?

Men with Peyronie’s disease have several treatment options available, including traction devices to surgery. Over the years, injections of a substance called clostridium histolyticum (CCH) have become more popular. However, not all men respond well to this therapy, according to new research in the Journal of Sexual Medicine. The study involved with 67 men with Peyronie’s disease who had received CCH injections before coming to the researchers’ clinic. All of the men were having sexual difficulties. Almost half eventually had surgery. The researchers discovered that CCH didn’t appear as effective for men with severe penile curvature or deformities.

For men with Peyronie’s disease, treatment with collagenase clostridium histolyticum (CCH) has become more popular over the years. However, some men respond better to this therapy than others, a situation that prompted a recent Journal of Sexual Medicine study.

What is Peyronie’s?

One of the most common characteristics of Peyronie’s disease is a distinct curve that develops when the penis is erect. This curve is caused by areas of hardened scar tissue (plaques) that form just beneath the surface of the skin. In some cases, the plaques become calcified, hardening further.

With plaques present, the penis becomes less flexible, forming a curve. For some men, the penis takes on an hourglass shape or a “hinge” effect. Sexual intercourse can become quite difficult, and many men experience pain.

In addition to CCH injection therapy, Peyronie’s disease can be treated in several ways, including medications, traction (a device that straightens the penis), and surgery.

In this study, the researchers looked into some of the reasons men might not have success with CCH.

They analyzed information from 67 men with Peyronie’s disease who were patients at their clinic between October 2014 and October 2019. All of the men had received CCH treatments by other urologists before visiting the study clinic, but were having problems with sexual function.

The men had had Peyronie’s disease for an average of 28 months and their average curvature was 69 degrees. (For over 60%, the curve was greater than 60 degrees.) Over 75% of the men had “indent, narrowing, or hourglass” deformities, and about 39% had a hinge effect or instability. Thirty-nine percent of the men had calcifications.

Almost half of the men went on to have surgery. These patients had a greater average curvature than the rest of the group (83 degrees) and were more likely to have hinge deformities.

Overall, the researchers concluded that “patients presenting with persistent bother after CCH treatment had a relatively severe mean curvature of nearly 70 degrees and high rates of narrowing/indentation deformity and calcification.”

The findings may help doctors who counsel men with Peyronie’s disease who are considering CCH injections, the authors said.

The analysis was one of several SMSNA posters that explored treatments for Peyronie’s disease, which is characterized by a curving of the penis, caused by fibrous scar tissue that can make erections painful, and even prevent intercourse when the bend is significant.

“We only treat men with significant bother from the condition, or if they can’t have sex or if sex causes their partner pain,” urologist Tobias Kohler, MD, also of the Mayo Clinic, told MedPage Today.

An expensive option for  Peyronie’s Disease.

In 2013, CCH injections became the first FDA-approved drug treatment for Peyronie’s, indicated for men with palpable plaque and curvature of at least 30 degrees. The treatment costs around $4,000 per injection, with a standard therapeutic course involving eight total injections.

The treatment’s cost has been controversial in urology. Trost, who is now at the Male Fertility and Peyronie’s Clinic in Orem, Utah, suggested that the cost of the medical treatment favorably compares with surgery when surgical complications and rehospitalizations are factored into the equation.

 

RESOURCES

 

See more recent news about Peyronie’s disease:

Study: More Men Than Women Bothered by Peyronie’s Disease

Medication and Traction Help Men with Peyronie’s Disease

Peyronie’s Disease: More Men Receiving CCH Injections

Men With Both Peyronie’s Disease and Erectile Dysfunction Have Surgical Options

Resources

Johns Hopkins School of Medicine

“Peyronie’s disease”

https://urology.jhu.edu/peyronie/

The Journal of Sexual Medicine

Bajic, Petar, MD, et al.

“Characteristics of Men With Peyronie’s Disease and Collagenase Clostridium Histolyticum Treatment Failure: Predictors of Surgical Intervention and Outcomes”

(Full-text. Published online: February 29, 2020)

https://www.jsm.jsexmed.org/article/S1743-6095(20)30067-9/fulltext?dgcid=raven_jbs_aip_email

 

Male Abstinence

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male abstinence

Why Do Men Abstain From Sex?

Abstinence among younger men might be more common than you think. In a recent review of medical studies, scientists report that abstinence rates among men age 60 and under could be as high as 84%. They caution, however, that that figure depends on how other researchers define “sex.”

For example, one study might consider sex to be only penile-vaginal intercourse. Another might consider masturbation to be sex. 

Still, the review offered a number of reasons why men might abstain.

What is Abstinence?

Many Men Are Having No Sex At All

young men abstaining from sex

How many men around the world aged 60 and under abstain from sex? The answer may depend on how you define “sex,” but a recent review of studies suggests it could be up to 84%.

The researchers considered males between the ages of 10 and 24 “young” and those aged 25 to 60 as “middle-aged.”

They also distinguished between primary and secondary abstinence. Men in the first category have never had any sexual activity, alone or with a partner. Men with secondary abstinence were not having sex regularly at the time of the study.

Young men were more likely to be abstinent than middle-aged men.

Why Are Some Men Choosing Abstinence?

Some of the factors associated with abstinence included age, lack of a partner, less education, and lower socioeconomic status. Some men were abstinent because of their moral or religious beliefs. Others had less sex education and less knowledge about sexually-transmitted infections and birth control. And others were in unhappy relationships that made them less inclined to have sex.

The results should be interpreted with caution, the authors noted. Not all of the reviewed studies defined “sex” in the same way. For example, the term specifically meant penile-vaginal intercourse in some studies but did not include masturbation.

Also, the results can’t be applied to all men worldwide, the authors said. Fewer studies from Asia and Australia were available. None of the studies were done in South America.

 

 

Is Abstinence For You?

male birth control options

There is no correct amount of sex to have, and the ideal frequency will vary from person to person. Not having sex for a long time should not have negative side effects.

There is no right or wrong way to express sexual feelings as long as all parties consent. Likewise, no person should feel obligated to have a specific frequency of sex. Avoiding sex will not harm a person’s health, and it may even be healthy.

People who feel concerned about low sexual desire or the effects of infrequent sex on their relationship can talk about their concerns with a doctor or therapist. Medication, therapy, lifestyle changes, better relationship communication, and many other strategies may help.

 

see the top to increase semen

 

 

Medical Resources

The Journal of Sexual Medicine

Irfan, Muhammad, PhD, et al.

“Sexual Abstinence and Associated Factors Among Young and Middle-Aged Men: A Systematic Review”

(Full-text. Published online: January 16, 2020)

https://www.jsm.jsexmed.org/article/S1743-6095(19)31858-2/fulltext

Younger Men Have Less Testosterone

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low testosterone in men

Testosterone Levels Have Fallen in Younger Men

Testosterone levels have been dropping among adolescent and young adult males in the United States, according to new research in the Journal of Sexual Medicine. 

The findings are based on data from the National Health and Nutrition Examination Surveys (NHANES). 

During the 1999-2000 survey cycle, the average testosterone measurement for men aged 15 to 39 was 605.39 ng/dL. By the 2015-2016 cycle, that number had dropped to 451.22 ng/dL.

Testosterone is on the Decline

birth control for men

In the United States, testosterone levels have declined in adolescent and young adult men since 1999, according to a recent study.

The hormone testosterone plays an important role in men’s health. (Women’s bodies also produce testosterone, but in much smaller amounts.) Testosterone gives a man his masculine traits, like facial hair and muscle mass. It contributes to bone health.

And it’s critical for sexual function and fertility. Libido, erections, and sperm production are largely driven by testosterone.

When does male Testosterone go down?

Around age 30, a man’s testosterone levels start to fall. It’s a natural part of getting older, and the process is gradual. Typically, a man may be diagnosed with testosterone deficiency if his levels fall below 300 ng/dL and he has symptoms like low sex drive, fatigue, and moodiness.

While younger men usually don’t need to worry about age-related testosterone declines, researchers have noted that almost 20% of adolescent and young adult men do have testosterone deficiency.

Researchers set out to learn more about the average testosterone levels for men in this age group. They worked with data from the National Health and Nutrition Examination Surveys (NHANES), a large-scale study of adults in the U.S. In particular, they looked at information for men aged 15 to 39 over 5 survey cycles between 1999 and 2016.

Testosterone levels – At a Glance

Overall, 4,045 men had their total testosterone levels measured during these time periods. The researchers reported the following averages:

NHANES Cycle

Average Testosterone Measurements

1999-2000

605.39 ng/dL

2003-2004

567.44 ng/dL

2011-2012

424.96 ng/dL

2013-2014

431.76 ng/dL

2015-2016

451.22 ng/dL

The researchers also noticed that men with a higher body mass index (BMI) were more likely to have lower testosterone levels. The men’s average BMI increased from 25.83 in the 1999-2000 cycle to 27.96 in the 2015-2016 cycle. (Average BMI ranges from 18.5 to 24.9. People with a BMI of 25 to 29.9 are considered overweight. Obese people have a BMI of 30 or higher.)

However, even for men with normal BMI, average testosterone levels dropped from 664.79 ng/dL in the 1999-2000 cycle to 529.24 ng/dL in the 2015-2016 cycle.

The results “may have large ramifications as low testosterone has been linked to underlying comorbidities and potentially increased mortality risk,” the study authors explained.

The findings were presented in October 2019 at the 20th Annual Fall Scientific Meeting of the Sexual Medicine Society of North America (SMSNA), held in Nashville, Tennessee.

 

see the top to increase semen

 

 

Medical Resources

Resources

Centers for Disease Control and Prevention

“Defining Adult Overweight and Obesity”

(Page last reviewed: April 11, 2017)

https://www.cdc.gov/obesity/adult/defining.html

Medical News Today

Sissons, Claire

“Typical testosterone levels in males and females”

(September 17, 2018)

https://www.medicalnewstoday.com/articles/323085

The Journal of Sexual Medicine

Patel, P., et al.

“Trends in Serum Testosterone Levels Among Adolescent and Young Adult Men in the United States”

(Abstract. Published: January 2020, Volume 17, Issue 1, Supplement 1, Pages S3–S4)

https://www.jsm.jsexmed.org/article/S1743-6095(19)31529-2/fulltext

WebMD

McMillen, Matt

“Low Testosterone: How Do You Know When Levels Are Too Low?”

(August 31, 2016)

https://www.webmd.com/men/features/low-testosterone-explained-how-do-you-know-when-levels-are-too-low#1

Blue Chew Canada

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Is BlueChew available in Canada?

bluechew canada

 

(Spoiler Alert – NOPE!!)

Can I get BlueChew in Canada?

Many of my “guy friends” have been contacting me asking if I’ve ever heard of BlueChew male enhancement. Their next question is usually – “is BlueChew available in Canada?”

First of all, we should probably take a look at what BlueChew male enhancement is, whether it’s legit – and finally – is BlueChew actually available in Canada?

First off – BlueChew is not actually a product, but simply the name of the official website – which is BlueChew.com. Is BlueChew legit? Well, it is a legitimate website, although it is not actually legal in many states and countries. What exactly is BlueChew? Read on to find out what BlueChew is all about, whether it’s legit – and whether it’s something you should even consider.

BlueChew is a male enhancement website which sells generic sildenafil and tadalafil online through monthly subscriptions. Sildenafil, sold as the brand name Viagra among others, is used to treat male sexual function problems (impotence or erectile dysfunction-ED). In combination with sexual stimulation, sildenafil works by increasing blood flow to the penis to help a man get and keep an erection.

Tadalafil, sold under the brand name Cialis among others, is a medication used to also treat erectile dysfunction – as well as other conditions such as benign prostatic hyperplasia, and pulmonary arterial hypertension. It is a tablet taken by mouth.

There is a lot of confusion surrounding BlueChew – as most guys don’t understand if it’s a male enhancement supplement, a drug, a website, or what! BlueChew is essentially the “brand name” used in commercials (and on the website) to get men to sign up for a monthly shipment of either generic sildenafil or generic tadalafil.

It’s important to note that sildenafil and tadalafil are both pharmaceutical medications and are available by prescription only. The BlueChew website (BlueChew.com) states that every purchase of either drug includes a “FREE online consultation” which will include your medical history and health situation being reviewed by a licensed physician. If you are NOT approved for a prescription, then you will receive a refund on your purchase.

Should I consider Bluechew for male enhancement?

Well, the first thing to realize is that BlueChew is likely not available or legal in your area anyway.

You should know that BlueChew is NOT LEGAL in several states. It’s up to you to find out if BlueChew is even legal in your jurisdiction. Even if it is legal for you to use the BlueChew website – we don’t really recommend being prescribed pharmaceutical drugs via an online portal.

If you really want to try sildenafil or tadalafil – go see your doctor. Only your doctor can tell you if you’re a good candidate to try these prescription drugs. Keep in mind that both of these drugs can have serious side effects.

BlueChew – NOT AVAILABLE IN CANADA

If you’re a Canadian resident and you want to try BlueChew – you’re out of luck. BlueChew is NOT AVAILABLE IN CANADA – and is not likely to be available anytime soon. That being said – BlueChew is simply a website where you can buy generic versions of Viagra and Cialis. These drugs (called Sildenafil and Tadalafil respecively) ARE available in Canada – however they are prescription drugs that you should talk to your doctor about IN PERSON.

To learn more about these ED drugs, visit your doctor. To try safe and effective herbal ED supplements – see our reviews of many recommended sexual enhancers that are available in Canada. If you’re looking for a great male enhancement product that is very safe and extremely effective – check out our review of Prexil.

Prexil is a fantastic product from a company that has offices in both Canada and the USA. The bonus part is that if you’re ordering from Canada – they will usually ship your product from within Canada – meaning you don’t have to pay any extra duties or taxes. Visit the Prexil website.

 

BlueChew Safety and Consumer Warnings

Men should be aware that no one really knows who is behind the BlueChew website, or where they’re actually located. There is no contact information or address provided on the official website.

Both sildenafil and tadalafil are pharmaceutical medications available by prescription only. Both of these drugs have the potential to cause serious – sometimes even fatal – side effects.

It is for this reason that you require a doctor’s prescription to obtain them. We feel that the BlueChew ‘model’ is quite dangerous, in that men should not obtain prescriptions through an “online consultation” with a random stranger.

The medications you receive from BlueChew are generic – and according to information on WebMD – by some estimates, more than half of all ED drugs sold online are fakes.

If you’re not sure whether sildenafil or tadalafil are right for you, we advise you to consult your personal doctor.

 

BlueChew – Conclusion

BlueChew is currently not available to Canadian residents, and frankly it’s unlikely that BlueChew will ever be available in Canada. Frankly, here at LargerLoads, we’re pretty OK with that. We’re not big fans of ordering prescription drugs online. Here’s what the Health Canada website says about buying pharmaceutical drugs online:

“If you buy drugs on line, you may be putting your health at serious risk. This is especially true if you order prescription drugs without being examined in person by a health care practitioner. Do not take any prescription drug that has not been prescribed for you by a health care practitioner who has examined you in person.

Buying drugs from Internet pharmacies that do not provide a street address and telephone number may pose serious health risks. You have no way of knowing where these companies are located, where they get their drugs, what is in their drugs, or how to reach them if there is a problem. If you order from these sites, you may get counterfeit drugs with no active ingredients, drugs with the wrong ingredients, drugs with dangerous additives, or drugs past their expiry date. Even if these drugs do not harm you directly or immediately, your condition may get worse without effective treatment.”

We wholeheartedly agree with the statements above. Prescription drugs are not to be taken lightly, and should only be prescribed by a doctor who ACTUALLY knows you!

Besides, there are many safer and more effective herbal alternatives which will provide similar – or better – results, without the unnecessary risk and cost. All of the male enhancers we recommend on this site are 100% natural and have proven safe over a number of years.

The bottom line is that BlueChew is not available in Canada anyway – and even if it was – you should probably avoid it. For a more in-depth look at BlueChew and why you should avoid it – see our full BlueChew review.

For a product that works better, is far safer, and will transform your sex life – do yourself a favor and click the banner below.

 

BlueChew Review

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BlueChew Review

BlueChew Review

While we normally stick to ‘semen volume’ supplements, we get a ton of e-mails asking about BlueChew, so we felt it was high time to do a BlueChew review to answer all your questions.  We receive hundreds of e-mails every month asking “what exactly is BlueChew?”

BlueChew is a male enhancement website which sells generic sildenafil and tadalafil online through monthly subscriptions. Sildenafil, sold as the brand name Viagra among others, is used to treat male sexual function problems (impotence or erectile dysfunction-ED). In combination with sexual stimulation, sildenafil works by increasing blood flow to the penis to help a man get and keep an erection.

Tadalafil, sold under the brand name Cialis among others, is a medication used to also treat erectile dysfunction – as well as other conditions such as benign prostatic hyperplasia, and pulmonary arterial hypertension. It is a tablet taken by mouth.

There is a lot of confusion surrounding BlueChew – as most guys don’t understand if it’s a male enhancement supplement, a drug, a website, or what! BlueChew is essentially the “brand name” used in commercials (and on the website) to get men to sign up for a monthly shipment of either generic sildenafil or generic tadalafil.

It’s important to note that sildenafil and tadalafil are both pharmaceutical medications and are available by prescription only. The BlueChew website (BlueChew.com) states that every purchase of either drug includes a “FREE online consultation” which will include your medical history and health situation being reviewed by a licensed physician. If you are NOT approved for a prescription, then you will receive a refund on your purchase.

BlueChew – What you should know

One of the first things guy should know, is that BlueChew is actually illegal in several states in the USA, and is not available at all in Canada. You would need to check your local jurisdiction to see if BlueChew is even legal in your area.

Probably the most important thing to know is that you are considering a prescription-only medication which must be prescribed by a doctor. While the BlueChew website states that “all plans include digital physician consult.” This is a poor substitute for actually seeing your personal doctor, who actually knows your current physical condition, your medical history, and has a detailed record of any pre-existing medical conditions or other medicines you might be taking.

Having an online consultation is an extremely dangerous way to be prescribed a pharmaceutical medication. Both sildenafil and tadalafil can have serious side effects (and rarely – fatal side effects) – which include head pain, diarrhea, vomiting, gastroesophageal reflux disease, intense abdominal pain, pain in arm or legs, cough, backache, and throat irritation. Other side effects, although much more rare – include abnormally low blood pressure, high blood pressure, blurred vision, chest pain, difficulty swallowing, hearing loss, kidney disease, and heart attack.

 

How much does BlueChew cost?

It’s important to note that when you “join” BlueChew – you are subscribing to a monthly plan, and will be both charged and sent additional product every month until you cancel. It IS NOT possible to simply make a ‘one-time’ purchase on the BlueChew website.

The cheapest monthly plan on BlueChew.com is $20 per month for tadalafil (4 tablets) ranging up to $90 per month. The cheapest monthly plan for sildenafil is also $20 per month (6 tablets) and ranges up to $90 per month for 34 tablets.

Below you will find the complete BlueChew pricing structure for both sildenafil and tadalafil. (Prices in US Dollars)

 

BlueChew – Pricing Overview

Pricing of the various monthly packages on BlueChew.com:

Sildenafil

  • 6 x Sildenafil Chewables – $20 Per Month
  • 10 x Sildenafil Chewables – $30 Per Month
  • 17 x Sildenafil Chewables – $50 Per Month
  • 34 x Sildenafil Chewables – $90 Per Month

Tadalafil

  • 4 x Tadalafil Chewables – $20 Per Month
  • 7 x Tadalafil Chewables – $30 Per Month
  • 14 x Tadalafil Chewables – $50 Per Month
  • 28 x Tadalafil Chewables – $90 Per Month

BlueChew- Free Bonuses

There are no free bonuses available with any of the BlueChew monthly plans.

 

Is BlueChew guaranteed to work?

It is unclear whether or not BlueChew guarantees that either product will work for you. They say if their “service” was not satisfactory – they offer a full refund minus shipping – if requested within 30 days from the purchase date. This does not necessarily guarantee you a refund if the product itself does not work for you.

The BlueChew website has this to say if either product does not work for you:

“If you ordered Sildenafil, but it didn’t work out very well for you, please switch your subscription to Tadalafil and our medical team will review your chart again. If you ordered Tadalafil, switch to Sildenafil!”

In our opinion, BlueChew does not offer a true money-back guarantee like most herbal male enhancers do.

BlueChew – Actual Customer Testimonials

BlueChew restored my confidence and put a spring in my step and wind in my sails.
– Tommy O.

My girl and I have actually looked forward more to our sexual experiences.
– Michael F.

 

BlueChew Ingredients

“What are the BlueChew Ingredients?” This is a question we hear quite often. Remember – BlueChew isn’t an actual product – it’s really just the name of the website, where they sell you generic Viagra or generic Cialis. Depending on which product you choose, you will either receive 30MG sildenafil tablets ( generic Viagra) or 6 MG tadalafil tablets (generic Cialis).

bluechew ingredients

(image from the official BlueChew.com website)

BlueChew – The Good

  • No doctor appointment needed
  • Don’t have to swallow a pill (tablets are chewable)

BlueChew – The Bad

  • Possible serious (even fatal) side effects
  • Illegal in many states
  • Not available in Canada
  • Medical history reviewed online
  • May be reviewed by doctor or ‘medical professional’
  • High cost per tablet
  • Product quality is questionable
  • No one knows company behind BlueChew.com
  • No real Money-Back Guarantee
  • Must sign up for monthly subscription service
  • Will continually be sent product (and charged!) until YOU cancel
  • Company claims to be an “intermediary” between you and medical provider – claims no responsibility

 

BlueChew – Overview

The bottom line with is that ordering prescription medication online through BlueChew.com could be extremely dangerous and risky to your health. Both sildenafil and tadalafil are pharmaceutical medications available by prescription only. Both of these drugs have the potential to cause serious – sometimes even fatal – side effects.

It is for this reason that you require a doctor’s prescription to obtain them. We feel that the BlueChew ‘model’ is quite dangerous, in that men should not obtain prescriptions through an “online consultation” with a random stranger.

The BlueChew website states that they “are neither an online pharmacy, nor a medical practice – but rather a technology platform which enables registered users to connect with physicians and other health care providers”. If you check the BlueChew terms and conditions – you’ll find several warnings regarding the use of “tele-medicine” as they call it, and several other BlueChew disclaimers that most men should find very concerning! It should also be noted that BlueChew is NOT LEGAL in many parts of the USA, so make sure it’s legal where you live before you consider using this service.

The medications you receive from BlueChew are generic – and according to information on WebMD – by some estimates, more than half of all ED drugs sold online are fakes. This is yet another reason to avoid obtaining medications in this fashion.

If you’re not sure whether sildenafil or tadalafil are right for you, we advise you to consult your personal doctor. In the meantime, there are several natural male enhancers which are much safer and more effective than BlueChew. We strongly urge men to consider these natural alternatives rather than risk your health with BlueChew.

 

 

 

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