DEAR DOCTOR K: I'm a 75-year-old man who recently underwent prostate cancer surgery. I've begun to have what I think are hot flashes. I'm baffled because I felt hot flashes were a female problem. Could I have male hot flashes?
DEAR READER: In short, the answer is yes. As with hot flashes in women, sex hormones are to blame.
Women get hot flashes at menopause when their estrogen levels drop. In men, the problem is testosterone, a type of hormone called androgen. More specifically, declining testosterone levels can lead to hot flashes in men.
In women, estrogen levels drop dramatically after age 50. But for men, declining testosterone levels start as early as age 30 and slowly fall throughout a man's life. By age 70, more than half of men are testosterone-deficient.
This deficiency is responsible for menopause-like symptoms in some men, and these can include hot flashes. It's difficult to predict which men will have these symptoms, though.
Some men with what appear to be low levels of testosterone don't have symptoms, although many men with low testosterone levels have hot flashes. And some men with what appear to be normal levels do have hot flashes. So the correlation is not perfect.
Other symptoms besides hot flashes are caused by low levels of testosterone sometimes called low T. If in addition to the hot flashes you also have little energy, low sex drive, poor-quality erections, and your muscles seem to be shrinking, you may have low T.
As a prostate cancer patient, you're at higher risk for hot flashes. This is especially true if you are receiving androgen deprivation therapy as part of your treatment because it lowers your testosterone levels. Testosterone spurs the growth of many prostate cancer cells. Therefore, medications that lower testosterone levels are often given to men with prostate cancer.
Your doctor can measure the testosterone in your blood to see if your hot flashes are caused by low testosterone or some other condition. If it turns out that they are due to low testosterone, there are a few treatments that might help you.
Testosterone replacement therapy can restore normal levels and reduce hot flashes. However, this is not an option for you. Because testosterone encourages prostate cancer cell growth, it should be used only by men without prostate cancer.
DEAR DOCTOR K: Most nights, I fall asleep feeling fine. But I wake up in the morning with a literal pain in my neck. What can I do?
DEAR READER: Without even realizing it, you may be putting stress and strain on your neck muscles at night. But there are steps you can take to prevent neck pain, even as you sleep.
If your neck could talk, what position would it tell you it wanted to be in while you slept? I can't tell you the answer from personal experience. But I think I know. It would say, please don't bend your head upward or sideways. Let it fall straight back a little.?
If you don't use a pillow, try using one: You need one to give your neck muscles support. Specifically, use a pillow that supports the natural curve of your neck. If
you sleep on your back, choose a rounded pillow directly under your neck, with a flatter pillow under your head.
You can achieve this by tucking a small neck roll into the pillowcase of a flatter, softer pillow. Or use a pillow that has built-in neck support with an indentation for the head.
Another option is a traditionally shaped pillow with memory foam that molds to the curve of your head and neck. Even better, some memory foam pillows are made, especially for the neck. A more massive hump of the pillow is in front. That supports your neck and encourages your head to fall backward. A smaller hump of the pillow is in back.
When you're lying on your back, your head fits in the dip between the bumps. I use one of these, and it works great.
If you sleep on your back, avoid pillows that are too high or stiff. These will keep your neck flexed overnight and can cause morning pain and stiffness.
- Low Semen Count Success Stories; What Makes Seminal Fluid: How to Increase Semen Volume and Count - February 8th, 2021
- Aging Gracefully With Testosterone Injections - January 28th, 2021
- Behavioral and Health Changes Decrease Levels of Testosterone - January 5th, 2021
- Testosterone Replacement Therapy Might Be Legal, but It's Still Cheating in Professional Sports - November 15th, 2020
- Testosterone Replacement - Video - October 26th, 2020
- Ensuring The Safety of Testosterone Replacement Therapy for Men - October 18th, 2020
- Testosterone Creams for Low Testosterone Treatment and Andropause - August 10th, 2020
- The History, Myths and Misconceptions of Testosterone - May 13th, 2020
- Is Testosterone Good or Bad for Your Heart? Or is Estradiol the Real Culprit? - May 7th, 2020
- Book - What You Need to Know About Low Testosterone - February 8th, 2020
- The Dangerous Hyperbole Surrounding Testosterone Replacement Therapy - July 16th, 2019
- Safety of Testosterone Replacement Therapy | The Medical ... - June 29th, 2016
- Testosterone Replacement Therapy Resources - Fabulously ... - June 15th, 2016
- Testosterone Replacement Therapy - cpt.sagepub.com - May 14th, 2016
- Prostate cancer: Testosterone therapy 'does not increase aggressive ... - May 11th, 2016
- Testosterone Replacement Therapy | Low Testosterone | Low T - April 28th, 2016
- Low Testosterone, Low T, E.D. | Andrologix.com - April 21st, 2016
- Low Testosterone Treatments - Testosterone Replacement Therapy - April 21st, 2016
- Testosterone Therapy Side Effects - DrugWatch - April 10th, 2016
- Side Effects of Testosterone Replacement Therapy (TRT) - April 10th, 2016
- Testosterone Replacement Therapy: Myths and Facts - April 5th, 2016
- Testosterone Replacement Therapy - Bottar Leone, PLLC - February 8th, 2016
- Heart Attack Risk from Testosterone Replacement Therapy - February 8th, 2016
- Testosterone Replacement Therapy in Torrance, CA - November 2nd, 2015
- Male Hormone Replacement | Low Testosterone Treatment - August 19th, 2015
- Hormone & Testosterone Replacement Therapy - August 15th, 2015
- testosterone replacement therapy cost , low testosterone therapy , buy testosterone online - Video - May 5th, 2015
- natural testosterone supplement , natural testosterone , natural testosterone replacement therapy - Video - May 3rd, 2015
- Greater Than 40 Fitness Testosterone Replacement Therapy Update - Video - April 17th, 2015
- Testosterone therapy: Potential benefits and risks as you ... - April 13th, 2015
- Testosterone Replacement Therapy - Risk Myths - Video - April 11th, 2015
- Does Testosterone Replacement Therapy Increase the Risk of Prostate Cancer? - Video - April 11th, 2015
- ALC - Testosterone Replacement Therapy - Video - April 11th, 2015
- TRT - 6 Week Update / Beware Arimidex! (Testosterone Replacement Therapy) - Video - April 9th, 2015
- TRT - 1 Month Bloodwork Results / Protocol Adjustment (Testosterone Replacement Therapy) - Video - March 29th, 2015
- Testosterone Replacement Therapy Final - Video - March 21st, 2015
- Testosterone Replacement Therapy - Dr. G - Video - March 19th, 2015
- Living Well: Testosterone therapy good idea or not? - March 14th, 2015
- New studies fail to find cardiovascular risk with testosterone therapy - March 10th, 2015
- Testosterone Replacement Therapy for Men | AAG Health Gains - March 9th, 2015
- AM I HIDING SOMETHING? Where's My Blood work? | TRT Update - Video - March 6th, 2015
- Andropause and Testosterone Replacement Therapy - Video - March 5th, 2015
- Treat Low T Symptoms w/ Testosterone Replacement Therapy - February 23rd, 2015
- The LIFE*MOD Podcast With Dr. Gonzalez - Testosterone Replacement Therapy Part 1 - Video - February 12th, 2015
- Is testosterone replacement therapy safe? Take a look at ... - February 7th, 2015
- Introduction to Testosterone Replacement Therapy (TRT) - Video - February 1st, 2015
- what is testosterone replacement therapy | Find what is testosterone replacement therapy - Video - January 31st, 2015
- From Wellness and Prevention to Testosterone Replacement Therapy - Video - January 31st, 2015
- Testicular cancer - Testosterone replacement therapy - yourprivates.org.uk - Video - January 31st, 2015
- Testosterone Replacement Therapy testimonial - Dr. Retzler Portland Oregon - Video - December 25th, 2014
- Dr. Allens Device Boost Mens Wellbeing by Treating Enlarged Prostate & Chronic Prostatitis, While Testosterone ... - December 10th, 2014
- Carey Danis & Lowe Weighs in on Testosterone Gel Safety - November 26th, 2014
- Testosterone Replacement Therapy (TRT) - Danger & Play - November 7th, 2014
- Testosterone Replacement Therapy for Women | eHow - November 4th, 2014
- Testosterone Replacement Therapy For Young Men - Thumotic - October 30th, 2014
- Lipocine Announces Positive Top-line Results From Phase 2a Study Of LPCN 1111 - October 13th, 2014
- Cleveland Clinic: Testosterone Replacement Therapy - October 1st, 2014
- Strict Limitations May Be Coming for Low Testosterone Treatment - October 1st, 2014
- Testosterone Replacement Therapy (TRT) Update - New Test Results - Video - September 28th, 2014
- It's Time To Cross The T's... - September 19th, 2014
- Endocrine Society Tells FDA Testosterone Therapy Should Only Be for Men with Hypogonadism - September 18th, 2014
- Warning over risks associated with testosterone replacement therapy - August 15th, 2014
- Is testosterone replacement therapy right for you? | Fox News - August 7th, 2014
- Do you need low T therapy? - August 7th, 2014
- Testosterone replacement therapy |Mens Medical New York PC ... - July 9th, 2014
- Low sex drive - or erectile dysfunction? - June 25th, 2014
- 1513 Hormone Replacement Therapy for Men - Video - June 13th, 2014
- Seen At 11: Testosterone Replacement Therapy Could Come With Serious Side Effects - Video - May 11th, 2014
- Are Low-T Drugs Putting Patients At High Risk? - May 10th, 2014
- Seen At 11: Experts Urge Caution When Using Popular Hormone Replacement Therapy - May 10th, 2014
- Viewer Mail - Testosterone Replacement Therapy/TRT Not Natty, Balls Busted, etc. - Video - May 4th, 2014
- NJ-Based Law Firm Exploring Potential Legal Claims from Side Effects of Testosterone Replacement Therapy - May 1st, 2014
- Testosterone Replacement Therapy in Men - myVMC - April 30th, 2014
- Acrux falls 15% on sales warning - April 28th, 2014
- Low Testosterone Claims: Options in a Growing Class Action Suit - Video - April 26th, 2014
- Reclaim Your Energy and Sex Drive | Testosterone ... - April 14th, 2014
- Testosterone Replacement Therapy - Video - April 12th, 2014
- FGSW - Weekly Weigh In & Update 15: Still Working On Mobility 03.31.14 - Video - April 7th, 2014
- FGSW Weekly Weigh In & Update 15 Still Working On Mobility 03 31 14 - Video - April 5th, 2014
- Discover the risk of prostate cancer with testosterone replacement therapy - Video - April 5th, 2014
Word Count: 699