The severity of apnea is related to decreased testosterone secretions in patients with OSA.¹¹ Obesity is strongly linked to low testosterone levels in men, especially abdominal fat. Generally, middle-aged men have lower morning testosterone levels than healthy younger men, due to a decline in nocturnal testosterone secretion and the amount of nighttime sleep in older men.⁹ ⁸Īging is an important factor associated with the morning testosterone level. Typically, testosterone levels begin to rise upon falling asleep, peak at about the time of the first episode of REM sleep and remain at the same level until awakening.⁷ Sleep fragmentation, or interrupted sleep, disrupts the testosterone rhythm with considerable decline or cessation of the nocturnal increase in testosterone. Patients with OSA have less REM sleep, reduced deep sleep time, increased nighttime awakenings, sleep fragmentation and reduced sleep efficiency leading to low testosterone level.¹⁰ Treatment of OSA may help improve hypogonadism and sexual function.⁶īoth the quantity and quality of sleep affect testosterone levels. Obstructive sleep apnea represents a frequent complication among patients with obesity and has been associated with neuroendocrine changes, including hypogonadism.⁴ Testosterone has shown to be lower in men with OSA. Hypogonadism occurs when the sex glands produce little or no sex hormones. There is also a confirmed correlation between OSA and low testosterone. Untreated OSA has been shown to be an independent risk factor for increased rates of death, cardiovascular disease including hypertension, coronary heart disease, congestive heart failure, arrhythmias, heart attacks, stroke, pulmonary hypertension, sudden death, insulin resistance, gastroesophageal reflux disease and neurocognitive difficulties associated with poor memory and lack of concentration. This obstruction often is not perceived while we sleep, but results in oxygen desaturation (low oxygen), sleep fragmentation (interrupted sleep) and daytime sleepiness or non-restorative sleep.¹ Men with OSA also are more prone to suffering from associated complications like low libido, impotence and erectile dysfunction (ED). If you are suffering from obstructive sleep apnea, ask your health care provider for a referral to UT Health East Texas or call 90 to begin the referral process.Obstructive sleep apnea (OSA) is a common chronic sleep disorder characterized by recurrent episodes of complete or partial upper airway obstruction during sleep. Ninety percent of bed partners report no or soft snoring by their partner. You are unable to use or get consistent benefit from CPAP.Ī significant decrease in snoring has been found as a secondary effect of the Inspire device.You have moderate to severe obstructive sleep apnea.The user turns on the device with the sleep remote before going to sleep and turns it off upon awakening. The Inspire system is controlled by a small handheld sleep remote. Inspire delivers gentle stimulation to key airway muscles helping keep the airway open for better breathing during sleep. How does Inspire Sleep Apnea Innovation work? Inspire allows you to breathe normally, without a CPAP mask, hose or machine. This new treatment option helps sleep apnea patients who cannot use continuous positive airway pressure (CPAP). Inspire is a small device that is surgically inserted just under the skin during an outpatient procedure. Inspire is the only Food and Drug Administration (FDA) approved obstructive sleep apnea treatment that works inside your body to treat the root cause of sleep apnea with the click of a button.
0 Comments
Leave a Reply. |