DHEA Supplements for Men's Health and Aging Issues - Urology

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Nutritional Supplements and Maintenance


In recent years, my physical condition has deteriorated.
In addition to experiencing widespread aches and pains, I have also been unable to achieve proper blood flow and function, which has left me quite confused.
Recently, I learned about dietary supplements that may improve aging and functional disorders.
I am unsure whether I should consider taking them.
(Pharmaceutical companies often promote their products as superior, and most patients are unaware of their actual effects, potential side effects, or other pros and cons.) I would like to seek your medical expertise, Dr.
Hsu, to clarify these issues.
I have attached some online information for your reference.
I hope you can provide guidance.
Thank you.
The Untold Secret: Discussing Male Sexual Function Issues
Published on PC Home News, 2009-05-04 08:00:00 KingNet
http://news.pchome.com.tw/healthcare/kingnet/20090504/index-12413952002608664012.html
Uses of DHEA:
* May prevent breast cancer and alleviate menopausal symptoms (relieving menopausal syndrome including hot flashes, night sweats, insomnia, and anxiety).

* DHEA is considered a fountain of youth that helps maintain youthful skin and is a key player in anti-aging.

* Supplementing DHEA can enhance bone density and sexual desire in women.

* DHEA alleviates male menopause and psychosomatic syndromes (treating aging caused by testosterone deficiency in men).

* Supplementing DHEA can significantly improve natural erectile function in men.

* DHEA supplementation may relieve depression that commonly occurs after middle age.

* DHEA can noticeably increase rapid eye movement (REM) sleep, improving sleep quality.

* DHEA has beneficial effects on fertility in patients with declining ovarian function.

* DHEA may inhibit the formation and proliferation of prostate cancer tumors (patients with prostate cancer have lower levels of DHEA in their blood compared to healthy individuals).
Not all "DHEA formulations" are safe and effective. An article published in 2002 in the Journal of Sex and Marital Therapy tested various DHEA brands available in the U.S.
market.
While affirming the efficacy of DHEA, it also pointed out the differences in effectiveness among brands, so careful selection is advised when purchasing.
Generally, such products vary in quality, and one should consider quality, ingredient labeling, and sourcing standards.
Dehydroepiandrosterone (DHEA) is currently regulated as a dietary supplement rather than a drug, so different brands may have varying purity and effects.
Not all DHEA products are safe and effective, and men should use male-specific formulations while women should use female-specific formulations.
It is recommended to choose products approved by the Department of Health and listed by the FDA (U.S.
Food and Drug Administration) or PDR (Physicians' Desk Reference) or those recommended by medical centers or physicians for greater safety and efficacy, thereby achieving the practical significance of preventive health care.
Puu Deng Pharmaceutical Co., Ltd.

Pharmacist Zhao
Address: 5th Floor, No.
207-1, Section 3, Beixin Road, Xindian City, Taipei County (Taipei Silicon Valley Technology Park)

Yú Wēng, 60~69 year old female. Ask Date: 2009/06/27

Dr. Xu Weikai reply Urology


Fisherman: Hello, DHEA and similar health supplements do not have sufficient clinical evidence to support their effectiveness in improving bodily functions.
Therefore, they can only be classified as dietary supplements and cannot be considered medications.
As for their therapeutic effects, I believe there may be some improvements, but it could take a long time, and the percentage of effectiveness may not be high.
If there are any unclear points, feel free to ask again, and we can further discuss and research this together.
Department of Urology, Taitung Hospital, Ministry of Health and Welfare, Taiwan.
Director, Hsu Wei-Kai.
Response.

Reply Date: 2009/06/27

More Info


DHEA, or Dehydroepiandrosterone, is a hormone produced by the adrenal glands that serves as a precursor to both testosterone and estrogen. In recent years, it has gained popularity as a dietary supplement, particularly among men experiencing age-related health issues, including erectile dysfunction and decreased libido. However, the efficacy and safety of DHEA supplements remain subjects of ongoing debate within the medical community.


Understanding DHEA and Its Effects
DHEA levels naturally decline with age, which has led to the hypothesis that supplementing with DHEA could help mitigate some of the effects of aging. Some studies suggest that DHEA supplementation may improve sexual function, enhance mood, and even support bone density in older adults. For men, there is evidence indicating that DHEA can potentially improve erectile function and overall sexual health, particularly in those with low testosterone levels.
However, it is essential to note that while some individuals report benefits from DHEA supplementation, clinical evidence supporting these claims is not robust. The effects can vary significantly from person to person, and not all formulations of DHEA are created equal. Variability in product quality, purity, and concentration can lead to inconsistent results.


Potential Benefits and Risks
1. Potential Benefits:
- Improved Sexual Function: Some studies indicate that DHEA may enhance libido and erectile function in men, particularly those with low testosterone levels.

- Mood Enhancement: DHEA has been associated with improvements in mood and reductions in symptoms of depression, particularly in older adults.

- Bone Density: There is some evidence suggesting that DHEA supplementation may help improve bone density in postmenopausal women and older men.

2. Potential Risks:
- Hormonal Imbalance: Since DHEA is a precursor to sex hormones, excessive supplementation can lead to hormonal imbalances, which may result in side effects such as acne, hair loss, and mood swings.

- Prostate Health: For men, there is concern that DHEA supplementation could exacerbate prostate issues, including benign prostatic hyperplasia (BPH) or even increase the risk of prostate cancer, particularly if taken in high doses.

- Quality Control Issues: As DHEA is classified as a dietary supplement rather than a medication, it is not subject to the same rigorous testing and regulation as pharmaceuticals. This can lead to significant variability in product quality and effectiveness.


Recommendations for Use
If you are considering DHEA supplementation, it is crucial to consult with a healthcare provider, particularly one knowledgeable about hormone therapy. They can help assess your individual health needs, conduct necessary tests (such as hormone level assessments), and determine if DHEA is appropriate for you.

When selecting a DHEA supplement, look for products that are:
- Third-party tested: This ensures that the product has been independently verified for quality and purity.

- Manufactured by reputable companies: Choose brands that have a good reputation and are transparent about their sourcing and manufacturing processes.

- Tailored to your needs: Men should use formulations designed for men, while women should opt for those specifically formulated for women.


Conclusion
DHEA supplements may offer potential benefits for men experiencing age-related health issues, but they are not a panacea. The evidence supporting their use is mixed, and the risks associated with supplementation should not be overlooked. A balanced approach that includes a healthy diet, regular exercise, and stress management is often more effective for maintaining overall health and well-being as one ages. Always consult with a healthcare professional before starting any new supplement regimen to ensure it aligns with your health goals and conditions.

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