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Sleep Apnea and Erectile Dysfunction

jwmorrice

Gentleman by Profession
Jun 30, 2003
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In the laboratory.
In the study, it took one poor mouse eleven hours to cum. Persistent little bastard!

jwm

Erectile Dysfunction Related To Sleep Apnea May Persist, But Is Treatable

ScienceDaily (Sep. 14, 2008) —
For sufferers of sleep apnea, erectile dysfunction (ED) is often part of the package. New research indicates that ED in cases of obstructive sleep apnea syndrome (OSAS) may be linked to the chronic intermittent hypoxia—oxygen deprivation— (CIH) that patients with OSAS experience during episodes of obstructed breathing.

In the first model to address this possibility experimentally, researchers from the University of Louisville found that after one week of being exposed to CIH similar to that which a human with PSAS would experience, mice showed a 55 percent decline in their daily spontaneous erections. After five weeks of CIFH exposure, the "latency to mount" period— the average interval between mounting a mate— increased 60-fold.

"Even relatively short periods of CIH...are associated with significant effects on sexual activity and erectile function," wrote David Gozal, M.D., professor of pediatrics at the University of Louisville.

The study examined the behavioral and physiological effects in mice exposed to CIH for anywhere from five to 24 weeks. Control mice were kept under identical conditions, but were not subjected to nocturnal CIH. The mice were evaluated on a series of complex sexual behaviors, including erection frequency and mating behavior and measured associated biomarkers of sexual function that may be affected by CIH, such as testosterone and estradiol levels, and also the expression of endothelial and neuronal nitric oxide synthase (eNOS and nNOS respectively). eNOS, which is increased by drugs such as sildenafil (Viagra), plays a major role in male sexual drive and activity.

After just five weeks exposure to CIH, not only did latency-to-mount time increase by 60-fold, latency to intromission increased by 40-fold. Latency to ejaculation was also severely affected. In five out of seven mice tested, ejaculation did not occur at all, but in one mouse, latency to ejaculation was 660 minutes—eleven hours—whereas in control mice the median time to ejaculation was "only a few minutes, said Dr. Gozal. Interestingly, one mouse appeared to be unaffected in this respect.

"The disparity in responses among mice is very similar to the heterogeneity of the magnitude of end-organ morbidity in sleep apnea among patients, and shows that not everyone will be affected to the same extent," said Dr. Gozal.

While there were no differences in testosterone and estradiol levels, there was also a significant reduction in eNOS expression with mice exposed to CIH for eight weeks.

Even after six weeks' recovery time with standard oxygen levels, mice exposed to CIH for as little as one week only recovered 74 percent of their original erectile function. "[T]his could suggest either chronic residual deficits after CIH or that full recovery would require longer periods," wrote Dr. Gozal.

Despite the lingering negative effects of CIH on sexual behavior in mice, the researchers did find that it was largely reversible. In the second phase of the experiment, Dr. Gozal administered tadalafil, which increases the availability of nitric oxide through PDE5. Treatment with tadalafil improved erectile and sexual functioning in CIH-exposed mice to near-normal levels in almost all cases.

"In the present study, tadalafil restored CIH-induced impairments of latencies to mounts, intromissions and ejaculations, significantly improving performance during spontaneous erections and during mating and noncontact activity," wrote Dr. Gozal. "The effects of tadalafil were not limited to the erectile tissue but extended to behavioral components, suggesting a possible role for PDE5 in central nervous system mechanisms that control sexual behavior."

"Further studies are needed to explore the effects of sleep disruption and episodic hypoxia during sleep on the central nervous system that mediates sexual drive," said Dr. Gozal. "Exploration of alternative interventions aiming at preventing and treating this infrequently spoken of, yet extremely frequent complication of OSA, will certainly require improved understanding of the complex mechanisms affecting sexual activity and how it is affected by diseases such as sleep apnea."

"These findings add sexual dysfunction to a long list of disorders associated with – and probably caused by – OSA," stated John Heffner, past president of the ATS. "Although this study was performed in research animals, chronic intermittent hypoxia has profound effects on multiple organ systems and a strong biologic plausibility exists that similar findings will be observed in humans. Early identification and effective therapy of OSA is critically important especially considering the high prevalence of this disorder."

The results appeared in the second issue for September of the American Journal of Respiratory and Critical Care Medicine, a publication of the American Thoracic Society.
 

gdog

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Jun 17, 2005
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I cannot sleep without mine either... now there is a reason to use it EVERY night!!! Great incentive
 
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Shades

Shades of .....
Feb 8, 2002
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My sleep has not been that great...with these obvious side effects.
What is CPAP machine?
 

OddSox

Active member
May 3, 2006
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Ottawa
How the hell do you tell when a mouse has an erection? And who masterbated a mouse for eleven hours? Some of these scientists are just a little too weird...
 

evilsgood

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Aug 19, 2006
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sleep disorder clinics can measure whether or not your sleep is interrupted with difficulties breathing, etc. if so, they recommend getting a cpap machine which basically provides extra air (through the nose) so you get the oxygen you need for a proper sleep.

http://en.wikipedia.org/wiki/CPAP
 

gdog

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Jun 17, 2005
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There was s study done by some British Drs, who claim that playing a didgeridoo actually helped strengthen the throat & muscles thereby decreasing sleep apnea... honest
 

Shades

Shades of .....
Feb 8, 2002
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evilsgood said:
sleep disorder clinics can measure whether or not your sleep is interrupted with difficulties breathing, etc. if so, they recommend getting a cpap machine which basically provides extra air (through the nose) so you get the oxygen you need for a proper sleep.

http://en.wikipedia.org/wiki/CPAP
Thanks for this info. I will look into it.
 

K Douglas

Half Man Half Amazing
Jan 5, 2005
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I have OSA (obstructive sleep apnea) and recently got a CPAP machine. I can't get used to the damn thing. Anyone got tips?
 

gdog

New member
Jun 17, 2005
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K Douglas said:
I have OSA (obstructive sleep apnea) and recently got a CPAP machine. I can't get used to the damn thing. Anyone got tips?
stick with it, after a couple of weeks you'll hardly notice it. make sure you adjust the straps ( they tend to stretch a bit after a while)... The store in Oakville where I purchased mine let me try a variety of masks ( free of charge ) until I found the one that was right for me.

Good luck
 
O

OnTheWayOut

mask alternatives

They also make tubes that can be inserted in the nose instead of a mask if you can't get used to it. Most people can adjust and the mask is more efficient so first try to see if you can get used to a mask before considering alternatives.

BTW, sleep apnea is more than just interrupted breathing. The effect of those interruptions is a lot of stress placed on the heart (mostly) and other organs which in time can contribute to health issues. If you snore loudly and/or stop breathing during sleep (your partner would be the best to tell you) be sure to get your MD to get you a sleep analysis to see if a CPAP device can help.

After using a CPAP I feel much more energetic (way better sleep) and my partner sleeps better without me snoring. I didn't have a lot of problems getting used to a mask. If I fall asleep without it on I wake up about every hour or so ....
 

evilsgood

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Aug 19, 2006
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K Douglas said:
I have OSA (obstructive sleep apnea) and recently got a CPAP machine. I can't get used to the damn thing. Anyone got tips?
Hopefully you have the ramp setting to maximum so it takes longer to get to the proper setting. This comes as less of a shock to the system.

I've got a mask similar to those you see used in hospital; it places directly into the nostrils. I like that much more than the full mask. It gives me more movement and I can sleep on my side much better.

It was a shock to me too at first, took a few days to adjust. You probably won't wear it a full night for the first week. Don't panic. It takes time to adjust.
 
O

OnTheWayOut

goodtime said:
Don't need a partner, plenty feedback from the neighbors. Sometime wake myself up from it.:eek:
a trip to the doc is in order it would appear ............ it's all painless, except for when they remove the wires from your skin. That adhesive they use is pretty stubborn *lol*
 

K Douglas

Half Man Half Amazing
Jan 5, 2005
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Room 112
evilsgood said:
Hopefully you have the ramp setting to maximum so it takes longer to get to the proper setting. This comes as less of a shock to the system.

I've got a mask similar to those you see used in hospital; it places directly into the nostrils. I like that much more than the full mask. It gives me more movement and I can sleep on my side much better.

It was a shock to me too at first, took a few days to adjust. You probably won't wear it a full night for the first week. Don't panic. It takes time to adjust.
Thanks for the advice. I have the ramp set at 20 minutes. My problem is I have a hard time breathing through my nose due to sinus issues and I automatically open my mouth when I'm asleep. That wakes me up during the night and I have to take the mask off. I know there are masks that go over your mouth as well I may try that instead.
 

evilsgood

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Aug 19, 2006
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Are you using the humidifier attachment? This could help break through the sinus issues. Or you could consult an ears, nose and throat specialist.
 

sting

Member
May 10, 2005
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Ask your doctor for a Flonase or Nasacort prescription. It is a spray that clears sinuses. I have the same problem and it works for me when my nose gets stuffed up.
 

shaved

Member
Jun 23, 2005
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I have a CFLEX the CPAP didn't work for me. THe only problem I have is that lately I walk up and the mask is on the floor anyone have this problem. So much for smoking and limp dicks " Erectile Dysfunction "
 
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