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 UK 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 fueled 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 optimized. 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
UK Natural Yohimbine was banned in the UK 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 UK 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 milliliter of ejaculate,
in the 1970's, it was down to 75 million per milliliter 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 program 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 reabsorbed". 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, aluminum
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 program 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.
Fiber, of which most people are desperately short, binds with estrogens
and carries them out of the body in the stools. The more fiber 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 MD, 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 antidepressant
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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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Normalizes 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 premenstrual
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
- USA) 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, USA 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 judgment
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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