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This podcast is for you, the
Modern Man. I'm Dr Anne Truong,

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your host. I'm an intimate
health medical doctor and best

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selling author of the book,
Erectile Dysfunction Fix. I'll

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do a deep dive into sexual
health and performance and how

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it affects men of all ages and
backgrounds. So let's get

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started, and be sure to visit my
website at

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sexualhealthformenpodcast.com
for more information and

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resources from the show. See you
on the inside.

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In this episode, we're going to
talk about sleep and how it can

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affect your health, and
especially your sex life. And

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stay tuned for this eye opening
discussion. It will change how

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you think about your sleep.

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So what is sleep apnea? Sleep
apnea is more common than you

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think. About a third of adult
age between 30 to 70 have sleep

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apnea, according to the most
recent estimate. And the

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prevalence of obstructive sleep
apnea, or called OSA, is about

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10% to 30% in the general adult
population at this point. And it

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gets higher as you get older,
and it gets higher as women and

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men get into the andropause or
menopause years. And it also

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increases with age as well too.
And approximately right now, 22

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million Americans are suffering
with this, and about 1 billion

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adult worldwide, and that's
probably an underestimate.

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So how is sleep apnea diagnosed?
What are some of the symptom

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that you should be noticing? And
you're thinking, well, do I have

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this? Am I the 1/3 people that
have sleep apnea? Well, Sleep

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Apnea is defined as interruption
in your sleeping pattern at

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night that make you choke or
stop breathing. So what it is is

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that if you have these type of
symptoms, you may have sleep

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apnea. Sleep Apnea include
breathing pauses lasting more

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than 30 seconds, multiple times
throughout the night, loud

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snoring that is indicated by
like gasping or choking sound

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like that. And in fact, the
reason why I'm talking about

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this because my husband probably
have sleep apnea, and I'm gonna

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get him tested, and I will
probably go test it myself,

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because I'm over 50, I should
get tested. Also, another

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symptom is daytime sleepiness
and fatigue morning headaches

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and dry mouth upon waking, and
sleepless night and frequent

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nighttime awakening, and even
for men, frequent urination, you

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get up in the morning, you're
constantly tired and it's hard

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for you to concentrate. And the
more severe the sleep apnea, the

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more the fatigue, and it has a
lot of serious consequences,

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like it put you at risk for high
blood pressure, heart disease,

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erectile dysfunction, sexual
dysfunction for women, stroke

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and also diabetes. So if you
think you have one of these

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symptoms, you need to go see the
doctor and get a sleep study you

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can do now this at home. You can
get a sleep study test at home,

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which is called home sleep study
test, and now it's pretty good.

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It's pretty accurate. And
there's another test where you

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go to the sleep lab and they
look at how you sleep and

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measure your oxygen level and
all your breathing. That's more

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accurate. But the home test is
getting to be pretty accurate as

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well, so go see the doctor and
have the sleep study done.

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What are the risk factors for
sleep apnea? Well, the risk

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factor is age. It gets higher
when you're over 60 years old,

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and men are two to three times
more likely to develop sleep

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apnea than women. And if you
have a family members with sleep

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apnea, then it increases your
risk of physical characteristic.

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If you are overweight and your
BMI is over 28 then you're at

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risk for sleep apnea. You have a
large next of conference that's

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also correlated with increased
risk, and that if you have a

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small lower jaw or large tongue
and also facial configuration

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that will put you at risk as
well.

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Now the lifestyle factors that
are important, smokers have a

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higher risk of sleep apnea.
Increased alcohol consumption,

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especially at bed tine, can
worsen your sleep apnea. So when

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do we socialize? Usually at
night. When do we drink? Usually

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at night. And you have heard me
talk about alcohol, too much

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alcohol, more than 14 drinks a
week, can affect your sexual

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function. Now, alcohol can also
affect your sleeping pattern,

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putting you at risk for sleep
apnea, which, when you have

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sleep apnea, you get decreased
oxygen to the brain, and you

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have inflammation, and that's
what is affecting your sexual

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function. Another lifestyle
factor is sedentary, lack of

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physical activity increases the
risk as well. Also, medical

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conditions such as chronic nasal
congestion is associated with

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twice the risk of sleep apnea.
Hormone disorders, conditions

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such as high full thyroid or low
thyroid and acromegaly also

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increase your risk. High blood
pressure increased your risk.

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Diabetes will increase your risk
of sleep apnea as well other

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factors. Menopause, post
menopausal women have an

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increased risk compared to pre
menopause women, and certain

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drugs will put you at risk for
this. So if you are over 60, and

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if you're noticing that your
partner is snoring a lot and

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almost like a choking when
they're sleeping, then you need

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to get sleep tests.

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So how does this relate to your
sex life? ED is highly common

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among individuals with sleep
apnea. The research has shown a

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significant correlation between
the two. The prevalence of ED in

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patient with sleep apnea ranges
from 40% to 80%. Some studies

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show that 92% of people with
sleep apnea also have ED. 92%,

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you didn't hear that
incorrectly. These numbers are

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substantially higher than the
general population where ED

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approximately affects 52% of men
over 50. So what I'm trying to

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say is that if you have sleep
apnea, you have a high chance of

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having ED, and if you have ED,
you should be screening to see

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if you have sleep apnea.
Correcting your sleep apnea will

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also help with your ED as well.
So that's very, very important.

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So we talked about what sleep
apnea is. We talked about how

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that relates to ED. Now, how
does sleep apnea really cause

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ED? If you're like, Well, how
does my breathing affect my

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penis? Well, how it happens is
that when you have sleep apnea,

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you have interrupted sleep,
you're feeling tired, you're not

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getting enough oxygen. Well,
there are several things that

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happens when you have sleep
apnea. Sleep apnea can reduce

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testosterone level, which is
essential for getting an

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erection. It also affects the
hormone that's being released in

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your brain, which then regulates
your testosterone. It disrupt

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that cycle. Number two, for the
vascular or blood vessels, it is

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inflammatory and inflammatory to
the blood vessels, and therefore

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you have less blood flow. It
also will decrease your nitric

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oxide level as well, and will
also increase constriction of

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the blood vessels. So the blood
vessel get inflamed and swollen,

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the blood vessel becomes smaller
and also decreased nitrous

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oxide, kind of like a triple
whammy, almost. So you got the

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hormone, and now you got a blood
vessel, and then you got the

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nerve. So sleep apnea will lead
to nerve damage and the penis as

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well because of the decrease in
REM sleep, or REM sleep. And

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because of this, it will lead to
erectile dysfunction. On top of

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that, sleep apnea can cause
stress, fatigue, mood disorder,

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which then will exacerbate your
sexual function, and it's also

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associated with depression and
anxiety, and you can get a test

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at home to diagnose sleep apnea.
You can go to the sleep lab, and

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it can be easily treated with a
home system that is probably the

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size of, like a little box like
this. It used to be big, but now

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is about the size, like about
four by six box. It's very

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quiet. It's called the
Continuous Positive Airway

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Pressure Therapy Machine, and
that you wear either a mask or a

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nasal cannula, and that little
machine will give you more

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pressure and more oxygen while
you're sleeping. It's called a

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CPAP machine, and it's covered
by your insurance, the

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conditions easily diagnosed. And
CPAP, when you have the machine,

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it improves oxygen, it improves
blood flow, and it improve your

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erection by helping you have a
better night sleep. It also

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raises your testosterone level
and it raises your oxygen level

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as well as your nitrous oxide
level. Now, there are other

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things that you can do aside
from getting the CPAP machine,

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but you should get the CPAP
machine. But if you combine this

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with other lifestyle factors,
which then help with treating

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sleep apnea, and one of that is
exercise. So if you exercise, it

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will help you with weight loss,
and the weight loss itself, it

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will help with incidence of
sleep apnea, stop smoking,

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moderate your alcohol, less than
14 drink. Maybe when you're

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drinking at night time, maybe
don't drink more than two. And

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talk about physical activity,
alcohol and smoking, those are

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the main three factors.

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So the point I'm trying to drive
home is this, if you have ED,

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get a sleep study test. If
you're feeling fatigued, and if

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you're feeling that you're
trying to lose weight, you're

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not able to lose weight, and
you're not able to focus, and if

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somebody says you snore, you
need to get a sleep study test.

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It's so easily done and it's so
easily treated with the CPAP

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machine, and it just makes a lot
of difference, not only in your

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health, but also help with your
sex life, and it helps prevent

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heart attacks and stroke and
possibly even dementia as well.

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So I'm telling you this because
I'm gonna go get a sleep study

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test as well as my husband,
because I believe in

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preventative care and not wait
for things to get worse. It's

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almost like taking care of your
car. So if you have problem in

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your car and you bring it to the
mechanic early, it can be fixed,

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but if you keep having the
problem linger, it's just going

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to be more difficult to fix
that, and you may have some

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irreversible consequences as
well. So I hope you enjoyed this

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episode. I try to give you as
much information as I can about

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sleep apnea because I feel this
is important, and I'm going to

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be screening a lot more sleep
apnea with the sleep study test

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with my patient as well. So let
me know what do you think about

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this episode. Let me know if you
have sleep apnea and or ED. Let

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me know what other topic you
like me to talk about. It will

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mean the world to me. If you get
notification, subscribe, and

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share this with somebody that
you care about that may benefit

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from this episode. And just know
that you do not have to suffer

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in silence. If you have ED, or
even women if you have sexual

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dysfunction, there are treatment
available, such as getting a

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sleep study test and that you do
not have to be alone. Together,

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we can create a sexual
revolution. We can get you out

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of ED into sexual confidence.
And that is why I created the

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Modern Man Club. It's a safe and
discreet space where we get you

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out of ED, to sexual confidence
without medication or surgery,

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maybe with the CPAP machine.
Check out the modern man club at

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noedman.com. And also just know
that you can have your sex life

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until the day you die. You do
not have to give it up. You will

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have sex span. I'll see you in
the next episode, Modern Man.

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Thanks for listening to the
Sexual Health for Men Podcast.

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If you love this episode, then
please take a screenshot on your

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phone and post it on Facebook,
Instagram, or wherever you post,

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00:13:58,200 --> 00:14:01,470
and be sure to tag me and let me
know why you like this episode

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00:14:01,650 --> 00:14:04,560
and what you like to hear in the
future. That will help me know

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what's great for you and I would
love to give you the most

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incredible free gift designed to
help you improve performance

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00:14:10,620 --> 00:14:16,530
quickly. Go to my website at
sexualhealthformenpodcast.com to

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get the book, The Five Common
Costly Mistakes Men Make When

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Facing ED. I would appreciate if
you subscribe, leave a review on

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00:14:24,330 --> 00:14:28,260
Apple podcasts or wherever you
listen. And just know that you

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can have sexual vitality for
life. I appreciate you until

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next time.