The Metabolic Classroom with Dr. Ben Bikman

Contribution of Insulin Resistance to Male Infertility and Hormone Problems

11 snips
Mar 9, 2021
Metabolic disorders are often overlooked causes of male infertility. Insulin resistance is linked to low testosterone and erectile dysfunction, impacting young men's reproductive health. The discussion emphasizes improving lifestyle factors, like diet, rather than just relying on medication. By rethinking male health beyond testosterone supplementation, the conversation highlights the need for a holistic approach. With a light-hearted tone, the importance of open dialogue on these challenges is underscored, encouraging awareness and support.
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INSIGHT

ED Can Signal Systemic Insulin Resistance

  • Erectile dysfunction in young men often reflects insulin resistance impairing blood-vessel dilation.
  • Insulin-resistant endothelial cells make less nitric oxide, so vessels fail to dilate and erections fail.
ADVICE

Treat Insulin Resistance Before Other ED Therapies

  • Address insulin resistance first before pursuing invasive or niche ED therapies.
  • Improving insulin sensitivity can fix ED and also improve weight, diabetes, and blood pressure.
INSIGHT

Fat Converts Testosterone Into Estrogen

  • Low testosterone in men often follows excess fat rather than causing weight gain.
  • Enlarged fat cells express aromatase and convert testosterone into estrogens, lowering circulating T.
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