Hormonal Problems
by Christopher Pick, N.D. D.C.N. D.H.H. D.L.I (Inst)
Naturopathic Physician, Clinical & Sports Nutritionist
Member of Health Practitioners Association
Impotence
There are two types of impotence, the inability to orgasm and the far
more common inability to get or maintain an erection. The mechanism
by which an erection is instigated and maintained is extremely complex.
It revolves around initial desire or brain stimuli, hormonal levels
and flow, blood vessel and nerve function, etc.
Impotence can be chronic or recurring and for many men it may consist
of just a single incident. There are many causes of this condition,
among these are, diabetes, smoking, circulatory problems, poor diet,
severe atherosclerotic obstruction in the iliac arteries, high cholesterol,
heart disease, thyroid problems, excess alcohol consumption, recreational
and many prescriptive drugs and various psychological factors. Regarding
prescriptive drugs, there are over 200 of these that cause or contribute
to impotence, such as antihistamines, diuretics, antidepressants, stomach
acid inhibitors and anti-hypertensives (to lower blood pressure). The
latest figures I have seen show that one in ten males in the U.K. over
the age of twenty-one years suffers from impotency! It was always assumed
that the majority of cases of impotence were psychological in origin,
however it is now considered that as many of 85% of cases have a physical
basis. This physical basis, in turn, is created by severe nutritional
deficiencies.
Nutritional or dietary factors are of great importance in the whole
sexual process for both females and males. For instance, in males,
low testosterone equates with little or no sexual desire. The body
requires amongst others, dietary essential fatty acids as a precursor
to the manufacture of cholesterol from which testosterone is manufactured.
This manufacturing process has many steps and needs to be fuelled by
the adequate supply of many other different dietary substances. Essential
fatty acids also keep the arteries and veins soft and pliable, in this
situation blood-flow to the penis is optimised. On the other hand if
the arteries are clogged with cholesterol, blood-flow will be diminished
– seriously in some cases, lack of blood flow into the arteries and
capillaries equals lack of an erection!
Yohimbine, which is extracted from the bark of the West African yohimbehe
tree, has been used successfully for centuries in many parts of the
world to treat impotence. Such was Yohimbine's success in the USA that
a synthetic (drug) version was produced so that it could be patented
and made available on prescription only. This drug is not available
in the U.K. Natural Yohimbine was banned in the U.K. in 1995. I wonder
why?
Several herbs are known to help this condition such as wild yam, ashwagandha,
schizandra, sarsaparilla, Siberian ginseng, gotu kola and hydrangea.
It would be a matter of experimentation to see what works for you.
An American urologist who reviewed the clinical trial literature* on
the active substance present in Yohimbine made the following interesting
observation “My own guess is that yohimbine probably affects in a positive
way the many little valves, called arterial sphincters, that regulate
blood flow within the penis. The neurological control of those sphincters
is critical. That's the bottom line on whether there will be an erection
or not. You may be getting plenty of blood flow in the large arteries
and into the smaller arterioles branching out from them-and yet you
may not be getting any blood into the network of tiny capillaries (in
the penis), simply because the precapillary sphincters have never opened
up.”
“Actually, the precapillary sphincters, which control blood flow into
the capillaries of the penis, are still a mystery. And these capillaries
- spongy areas where blood sort of pours in and out are extremely complicated.
There are still many unknown areas in the microcirculation of the penis.
But one thing seems certain to my mind, -if yohimbine is producing erections,
as we know it does, it must be by affecting all these little valves
or sphincters that have to open up to let the blood into the penis,
and others that have to close down to keep it inside, if there's to
be an erection. Only that I don't think that there's anybody today
who knows exactly by what mechanism yohimbine is able to accomplish
this.”
Source -: *Formula for Life; Ebherd Kronhausen, Phyllis Kronhausen
& Dr H.B. Demopoulos. Quill, William Morrow, New York.
I would not be surprised if we see a synthetic version of yohimbine
available in the U.K. in the near future.
Many cases of Impotence can be reversed, by dealing with some or all
of the factors listed above. Attending to high cholesterol levels and
nutritional-dietary factors is of prime importance in my view. If the
main artery supplying the penis becomes partially blocked by fatty deposits,
no matter what else is done, it will be very difficult for an erection
to take place.
Infertility
It has been traditionally thought that infertility is normally a female
problem. Over the last twenty or thirty years it has become a male
problem every bit as much, if not more so, than a female one. The problem,
sorry to say it again, is one of nutritional lack and toxic overload.
In 1996 a Horizon documentary 'Assault On The Male', shown by the BBC,
highlighted the problems (obviously, most of these men would be on a
standard western diet). Below are some of the latest statistics regarding
their fertility:-
Against expectation, forty-plus year old males generally have a higher
sperm count than twenty-plus year old.
A substantial fall in overall sperm counts over the last fifty years.
In 1950 there was an average of 100 million sperm per millilitre of
ejaculate, in the 1970's, it was down to 75 million per millilitre and
has continued to fall at the rate of two per cent per year since then.
Up to fifty per cent of sperm are deformed. It is common to find sperm
with no tail, two tails, no head, two heads, very little motility (movement)
etc.
The volume of semen has declined by fifty per cent in the same period.
Testicular cancer rates have trebled in Britain and the USA in the
last thirty years and become the most common cause of cancer in young
men.
The incidences of undescended testes have also trebled in the last
thirty years.
An increasing number of babies (and animal offspring) are being born
with mixed sexual characteristics.
This excellent programme went into detail about the reproductive problems
caused by certain chemicals acting as synthetic estrogens. The chemicals
mentioned are, nonyl phenol, DDT, DDE, kelthane, Heptachlor, kepone,
methoxychlor, toxaphane, endosulfan, dieldrin, phenyl phenol, BHA, DES,
PCBs, Bisphenol A, and Butyl benzyl phthalate.
Further, it was stated that “the fact that changes in diet in the last
fifty years, such as the increased intake of fat (saturated) and protein
and the decrease in grain consumption has changed the balance of the
gut environment, allowing estrogens to be re-absorbed”. I have been
preaching this message for some years - please refer to Chapter Four
- Toxic Bowel for helpful hints.
Products and foods that are contaminated by these chemicals/synthetic
estrogens, include dental resins and sealants, food wrapping, aluminium
wrapping, bleach, bleached toilet paper, bleached coffee filters, bleached
or dioxin treated tampons, kitchen roll, (non- bleached alternatives
can be purchased for most of theses products), pesticides and herbicides,
chocolates, crisps, pies, cheeses and most dairy foods. According to
the Ministry of Agriculture, high levels of synthetic estrogens are
found in some foods.
Dr Richard Sharpe of the MRC Reproductive Biology Unit in Edinburgh,
who featured throughout the programme stated, with reference to the
problem that "dietary changes look (?) to be very important".
Surprised?
This toxic assault on the male reproductive system will be mirrored
in the female and vice versa. It is not surprising therefore, that
for many couples, conceiving a baby, will be almost impossible under
these circumstances. Given that there are no internal structural problems
with either party and by adhering to the nutritional principles set
out in this book, it is highly probable that this situation can be reversed.
Notes: Scientists at the Jessop Hospital for Women in Sheffied, England,
have shown that supplementation with vitamin E can significantly improve
the sperm function of sub-fertile males.
The production and storage of sperm within the scrotum is maximally
dependent on a lower than normal body temperature. This is controlled
by the muscles in the scrotum that contract to bring the testes closer
to the body (warmer) or relax to take them further away (colder). Wearing
tight underwear keeps the testes close to the body, and therefore too
warm. This has been found to negatively effect sperm counts.
Further reading: The Feminisation of Nature - Deborah Cadbury. Published
by Hamish Hamilton. A 'must' read.
Excess estrogens - estrogen Dominance
The term estrogen Dominance coined by John Lee, M.D., refers to excessive
serum blood levels of this predominately female hormone. This condition
affects both females and males in these times.
The body, due to their extremely powerful effects, normally tightly
regulates hormonal production and secretion. Certain deactivatory and
excretion mechanisms exist to deal with normal or slightly abnormal
levels of these types of substances. However, in many instances these
mechanisms can no longer cope with the extreme overload.
Until the industrial revolution came into being, it was all but impossible
to obtain excessive estrogen's by dietary, environmental, or any other
means.
Around seventy-five per cent of breast cancers are estrogen dependent.
In other words, the cancer cells are literally fed by estrogenic hormones.
So, where are we all getting these excessive amounts from? These are
some of the answers; certain pesticides and insecticides that are now
an integral part of our food chain and water supply, act as synthetic
versions of the natural form. Some industrial chemicals such as Nonylphenol
and PCBs act similarly. Plastic food containers can leech synthetic
forms of them, certain car exhaust fumes do the same thing. Poisons
from a toxic bowel can reactivate deactivated estrogens, substantially
increasing their blood levels. Prolonged use of HRT and the contraceptive
pill also increase estrogen blood levels.
Fibre, of which most people are desperately short, binds with estrogens
and carries them out of the body in the stools. The more fibre we get
in our diet (within reason) the more deactivated estrogen we are capable
of expelling.
estrogens deposit fat in the breasts. The more fat we have in our
bodies, the more the potential for an oxidation process to take place.
This causes damage from free radical attack. Fats also accumulate excess
estrogen and store toxins such as pesticides, which can be strongly
carcinogenic (cancer causing).
The body manufactures both estrogens and progesterone, these hormones
must be in balance, or inevitably, problems will occur. John Lee M.D.,
in an effort to highlight the problems caused by increased levels of
estrogen in relation to progesterone, lists among others, the following
effects of the hormones:-
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estrogen
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Progesterone
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Breast stimulation
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Protects against breast fibrocysts
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Increased body fat
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Helps use fat for energy
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Salt & fluid retention
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Natural diuretic
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Depression & headaches
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Natural anti-depressant
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Decreases sex drive
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Restores sex drive
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Impairs blood sugar control
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Normalises blood sugar levels
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Increased risk of breast cancer
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Helps prevent breast cancer
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Slightly restrains the breakdown
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Stimulates new bone building of 'old' bone
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Other notable symptoms of an excess of estrogen include pre-menstrual
tension, fibrocystic breast disease, endometriosis, painful and or heavy
periods.
It must be understood by both the public and medical practitioners
that synthetic (drugs) estrogens and progesterones do not work in
the body in the same manner as those produced by the body. The
synthetic versions can often have the opposite effects of natural
hormones! I therefore urge all medical practitioners to read Dr
John R. Lee's book, Natural Progesterone.
To highlight this situation, I reproduce an abbreviated list of potential
problems from the Physicians Desk Reference (PDR) in the U.S.A., for
the commonly prescribed synthetic progesterone (progestin) Medroxyprogesterone
Acetate.
Warnings:
- Increased risk of birth defects such as heart and limb defects,
if taken during the first four months of pregnancy.
- Beagle dogs given this drug developed malignant mammary nodules.
- Discontinue this drug if there is a sudden or partial loss of vision.
- This drug passes into breast milk, consequences unknown.
- May contribute to thrombophlebitis, pulmonary embolism and cerebral
thrombosis.
Contraindications:
Thrombophlebitis, thromboembolic disorders, cerebral apoplexy, liver
dysfunction or disease, known or suspected malignancy of breast or genital
organs, undiagnosed vaginal bleeding.
Precautions:
- May cause fluid retention, epilepsy, migraine, asthma, cardiac or
renal dysfunction.
- May cause breakthrough bleeding or menstrual irregularities.
- May cause or contribute to depression.
- The effect of prolonged use of this drug on pituitary, ovarian,
adrenal, hepatic, or uterine function is unknown.
- May decrease glucose tolerance, diabetic patients must be carefully
monitored.
- May increase the thrombotic disorders associated with estrogens.
Adverse reactions:
- May cause breast tenderness and galactorrhea.
- May cause sensitivity reactions such as urticaria, puritus, oedema.
or rash.
- May cause acne, alopecia and hirsutism.
- Oedema, weight changes (increase or decrease).
- Cervical erosions and changes in cervical secretions.
- Cholestatic jaundice.
- Mental depression, pyrexia, nausea, insomnia, or somnolence.
- Anaphylactoid reactions and anaphylaxis (severe acute reactions).
- Thrombophlebitis and pulmonary embolism.
- Breakthrough bleeding, spotting, amenorrhea, or changes in menses.
- When taken with estrogen's, the following have been observed:
- Rise in blood pressure, headache, dizziness, nervousness, fatigue.
- Changes in libido, hirsutism and loss of scalp hair.
- Decrease in T3 uptake values.
- Premenstrual-like syndrome, changes in appetite, etc.
Enough said?
HRT (Hormone Replacement Therapy) & The Contraceptive Pill
There is increasing scientific evidence (The New England Medical Journal
- U.S.A.) that taking HRT over a long period of time can increase the
risk of getting cancer by four times. One of the main reasons for prescribing
HRT is that it is touted as a preventative measure for osteoporosis.
The same Journal reported the Framingham study results on HRT and osteoporosis
in Massachusetts, U.S.A. The conclusion was that HRT does not protect
women from osteoporosis. So, if it doesn't work AND there is a huge
increase in the risk of breast cancer, why are women still being actively
encouraged to use it?
There have been many conflicting studies undertaken with reference
to The Pill and a possible increased risk of breast cancer. I do not
want to jump on the scare-mongering wagon, and therefore, I reserve
judgement on this issue. However, caution should be exercised, as the
combined oral Pill contains synthetic estrogen. Both natural and synthetic
estrogen cause more activity in breast tissue. This additional estrogen
load must add to the condition of estrogen Dominance at the least.
It would be wise to have a period of 'rest' from taking the pill, for
a minimum of three months or so, every couple of years. Your doctor
should be able to advise you on this.
Reference
Natural Progesterone - John R. Lee, M.D. Available from ION Press.
(Institute Of Optimum Nutrition, Fulham London).
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