How can I make sure I have enough, but not too much Creatine?

Creatine doesn’t just come from supplements. You can increase the level of creatine in your diet by consuming various types of meat. Lamb, chicken, and turkey are good sources of creatine, offering 2 to 3 grams per serving cooked. Organic and free-range meats tend to have higher creatine levels than other domestic meats. A three-ounce serving of fish is another good source of creatine, with wild-caught fish having the most. Wild game also has naturally high levels of creatine, so if you consume venison and duck, for example, you’re already getting decent amounts of creatine.

Vegetarians have a bit harder time improving natural levels of creatine, but they can do so by consuming foods high in the amino acids that make up creatine: argine, glycine, and methionine. Oats, peanuts, and soybeans are good sources for these amino acids, as are spinach, seaweed, and sesame seeds.

The phenomenon of “too much of a good thing” applies to creatine. While it’s necessary for good muscle performance and bodily energy use, too much can stress the kidneys, quash sex drive, and even result in erectile dysfunction. Your best bet is to ensure you get sufficient creatine through the foods you eat, and if you choose to take supplements, be sure to inform your doctor, particularly if taking creatine causes any of the side effects listed above.

How can I make sure I have enough, but not too much Creatine?

Creatine doesn’t just come from supplements. You can increase the level of creatine in your diet by consuming various types of meat. Lamb, chicken, and turkey are good sources of creatine, offering 2 to 3 grams per serving cooked. Organic and free-range meats tend to have higher creatine levels than other domestic meats. A three-ounce serving of fish is another good source of creatine, with wild-caught fish having the most. Wild game also has naturally high levels of creatine, so if you consume venison and duck, for example, you’re already getting decent amounts of creatine.

Vegetarians have a bit harder time improving natural levels of creatine, but they can do so by consuming foods high in the amino acids that make up creatine: argine, glycine, and methionine. Oats, peanuts, and soybeans are good sources for these amino acids, as are spinach, seaweed, and sesame seeds.

The phenomenon of “too much of a good thing” applies to creatine. While it’s necessary for good muscle performance and bodily energy use, too much can stress the kidneys, quash sex drive, and even result in erectile dysfunction. Your best bet is to ensure you get sufficient creatine through the foods you eat, and if you choose to take supplements, be sure to inform your doctor, particularly if taking creatine causes any of the side effects listed above.

I am taking Viagra to help me get an erection. What other steps could I take to improve erectile function without taking a prescription drug?

Your best strategy to improve erectile function is to live as healthy a life as possible. It can’t be emphasized enough that what you eat provides the foundation for your overall health. If you can’t resist the siren call of fast food’s high fats and empty calories, that foundation will be a very weak one indeed.

Eating plenty of fresh fruits and vegetables and minimizing your intake of red meat are good first steps. If you crave animal products, try to satisfy that hunger with poultry and fish that are rich in healthy fats.

You can further reinforce your healthy foundation by staying active. According to WebMD.com, “Sedentary men may be able to reduce their risk of erectile dysfunction by adopting regular physical activity at a level of at least 200 calories a day, which corresponds to walking briskly for two miles.”

If you’re overweight, which puts unnecessary stress on your overall body, take sensible steps to lose those excess pounds. Smokers need to kick the habit, and all men should take care to use alcohol in moderation. Following these steps can significantly improve a man’s health and promote optimal erectile function.

Why did my Urologist measure Creatinine levels? Is that related to Creatine?

Your doctor may test your blood for creatinine, which is a waste byproduct of creatine.

If you should visit a urologist because of concerns about erectile dysfunction, he or she will probably do a test for something called creatinine. Creatinine, which is a byproduct of creatine usage, is a waste product in the blood that is filtered by the kidneys and passes out of the body in urine. Creatine, whether generated naturally by the liver, or consumed in foods (meat and fish are good sources) or supplements, is necessary for bodily function, but creatinine doesn’t perform a critical function and must be eliminated from the body so levels don’t build up dangerously.

People who are more muscular will produce more creatinine. However, high creatinine levels can also be caused by kidneys that aren’t functioning well and can’t filter creatinine out of the blood sufficiently. Therefore, urologists often check for creatinine levels because it can give clues about how well kidneys function. Kidney function is intricately tied in with how well the heart functions and how well the body processes glucose (which is why diabetics are prone to kidney disease). And as you may already know, diabetes and heart disease are associated with erectile dysfunction.

Whether or not your doctor checks your creatinine levels, it’s important to mention if you take creatine supplements, and if so how much and how often.

Why did my Urologist measure Creatinine levels? Is that related to Creatine?

Your doctor may test your blood for creatinine, which is a waste byproduct of creatine.

If you should visit a urologist because of concerns about erectile dysfunction, he or she will probably do a test for something called creatinine. Creatinine, which is a byproduct of creatine usage, is a waste product in the blood that is filtered by the kidneys and passes out of the body in urine. Creatine, whether generated naturally by the liver, or consumed in foods (meat and fish are good sources) or supplements, is necessary for bodily function, but creatinine doesn’t perform a critical function and must be eliminated from the body so levels don’t build up dangerously.

People who are more muscular will produce more creatinine. However, high creatinine levels can also be caused by kidneys that aren’t functioning well and can’t filter creatinine out of the blood sufficiently. Therefore, urologists often check for creatinine levels because it can give clues about how well kidneys function. Kidney function is intricately tied in with how well the heart functions and how well the body processes glucose (which is why diabetics are prone to kidney disease). And as you may already know, diabetes and heart disease are associated with erectile dysfunction.

Whether or not your doctor checks your creatinine levels, it’s important to mention if you take creatine supplements, and if so how much and how often.

What is Creatine?

Creatine is produced naturally by the liver and is known as a nitrogenous organic acid. It is used throughout the body, but particularly by muscle cells to generate energy. Creatine is made up of three amino acids:

• L-arginine
• Glycine
• L-methionine

The parts of the body that have high energy demands, like the brain and skeletal muscle, are the main users of creatine, and the vast majority of creatine is stored in skeletal muscle.

Most creatine is stored in skeletal muscle tissue.

Creatine can also be taken as a supplement. Athletes sometimes use it in high-intensity training periods. Indeed, there’s evidence that creatine supplements improve athletic performance, with one study suggesting that it increases the maximum performance of high-intensity anaerobic work (life weight-lifting) by up to 15%. It is associated with higher body mass and a total body water volume.

A study out of Australia, along with one done in the UK, found that creatine supplementation can improve memory and brain power, preventing a decline in attention that can occur during oxygen deprivation. Researchers are interested in whether it might be used to improve brain function in elderly people.

This all sounds terrific, right? So why aren’t we all taking creatine? Well, too much creatine can cause problems, and even normal supplementation can cause side effects like nausea and stomach pain. People who have kidney disease need to avoid creatine supplements, as do people with diabetes. There’s also some concern that excess creatine can affect erectile function, and not in a good way.

Is Viagra or Other ED Drugs Covered Under a Person’s Health Care Prescription Drug Plan?

Q. After getting a prescription from my doctor, I recently began taking Viagra, which is working just fine for me. However, the pills are more expensive than I can readily afford. Are Viagra and the other oral ED drugs usually covered under health care insurer’s prescription drug plans?

A. If your health care insurance includes reimbursement for prescription medications, you’ll have to check to determine whether ED drugs such as Viagra are covered. Be warned that many plans do not offer such coverage. Medicare’s Part D prescription coverage doesn’t reimburse for ED drugs. However, some relief from high prices is just around the corner. The arrival of generic competition beginning in December 2017 will help to bring prices down. The more generics that enter the market, the lower the average price for the drug will drop. In the meantime, you may be able to reduce what you pay for the drug by using manufacturer discounts and coupons.

What are some of the treatments for premature ejaculation?

Some doctors will prescribe drugs called selective serotonin reuptake inhibitors (SSRIs) to treat premature ejaculation. Though these are antidepressants, they’re prescribed “off-label” for premature ejaculation because of their common side effect of dampening sexual stimulation. Another medical treatment option is an anesthetic cream, like lidocaine.

Some men have had luck treating the problem with a drug called Tramadol, but this drug can potentially be addicting, so doctors are cautious about prescribing it.

Certain drugs can help men address premature ejaculation.

Newer research is finding that drugs in a class known as PDE-5 inhibitors (which include Viagra, Cialis, Levitra, and other erectile dysfunction drugs) are helpful in men whose premature ejaculation results from erectile dysfunction. In some men, a PDE-5 inhibitor plus an SSRI works better than either of those two options alone.

There is a small subset of men with primary premature ejaculation who have a short frenulum, which is the elastic band of tissue that connects the penis to the foreskin. Normally the frenulum is long and supple enough that it doesn’t cause problems, but when it’s too short, premature ejaculation can be a result. Fortunately, frenulectomy (removal of the frenulum) can successfully treat these cases.

Pelvic floor exercises can strengthen weak pelvic floor muscles, and a weak pelvic floor can impair a man’s ability to delay ejaculation. You can find instructions on doing helpful Kegel exercises on many reputable medical websites. Another exercise recommended by some doctors is known as the pause-squeeze technique. Here’s how you do it:

Start sexual activity as usual and continue until you are almost ready to ejaculate

At this point, have your partner firmly (but not painfully) squeeze the end of your penis where the head joins onto the shaft, squeezing for a few seconds, until the urge to ejaculate abates.
Repeat as necessary. Keep in mind that the pause-squeeze technique requires practice.

A 2015 meta-analysis of behavior therapy, drug therapy, and combination therapy found a small, but statistically significant improvement in results when drug therapy for premature ejaculation is combined with behavioral therapy (like the pause-squeeze technique, masturbating an hour or two before sex, or strengthening the pelvic floor).

Premature ejaculation happens on occasion to just about all men. It’s only considered a disorder if it happens consistently and causes personal distress. Though it’s not the easiest topic to broach with your doctor, talking to a professional is the first step in treating premature ejaculation. Left untreated, it can cause greater personal stress and even relationship problems. For couples trying to conceive, premature ejaculation can cause problems if ejaculation doesn’t occur intravaginally.

Fortunately, there are a number of ways to treat premature ejaculation, from the mechanical (condoms) to the behavioral to the pharmacological. There’s simply no reason to suffer in silence if premature ejaculation is a problem. Solutions exist, and you deserve a satisfying sex life as much as anyone else!

What are some of the treatments for premature ejaculation?

Some doctors will prescribe drugs called selective serotonin reuptake inhibitors (SSRIs) to treat premature ejaculation. Though these are antidepressants, they’re prescribed “off-label” for premature ejaculation because of their common side effect of dampening sexual stimulation. Another medical treatment option is an anesthetic cream, like lidocaine.

Some men have had luck treating the problem with a drug called Tramadol, but this drug can potentially be addicting, so doctors are cautious about prescribing it.

Certain drugs can help men address premature ejaculation.

Newer research is finding that drugs in a class known as PDE-5 inhibitors (which include Viagra, Cialis, Levitra, and other erectile dysfunction drugs) are helpful in men whose premature ejaculation results from erectile dysfunction. In some men, a PDE-5 inhibitor plus an SSRI works better than either of those two options alone.

There is a small subset of men with primary premature ejaculation who have a short frenulum, which is the elastic band of tissue that connects the penis to the foreskin. Normally the frenulum is long and supple enough that it doesn’t cause problems, but when it’s too short, premature ejaculation can be a result. Fortunately, frenulectomy (removal of the frenulum) can successfully treat these cases.

Pelvic floor exercises can strengthen weak pelvic floor muscles, and a weak pelvic floor can impair a man’s ability to delay ejaculation. You can find instructions on doing helpful Kegel exercises on many reputable medical websites. Another exercise recommended by some doctors is known as the pause-squeeze technique. Here’s how you do it:

Start sexual activity as usual and continue until you are almost ready to ejaculate

At this point, have your partner firmly (but not painfully) squeeze the end of your penis where the head joins onto the shaft, squeezing for a few seconds, until the urge to ejaculate abates.
Repeat as necessary. Keep in mind that the pause-squeeze technique requires practice.

A 2015 meta-analysis of behavior therapy, drug therapy, and combination therapy found a small, but statistically significant improvement in results when drug therapy for premature ejaculation is combined with behavioral therapy (like the pause-squeeze technique, masturbating an hour or two before sex, or strengthening the pelvic floor).

Premature ejaculation happens on occasion to just about all men. It’s only considered a disorder if it happens consistently and causes personal distress. Though it’s not the easiest topic to broach with your doctor, talking to a professional is the first step in treating premature ejaculation. Left untreated, it can cause greater personal stress and even relationship problems. For couples trying to conceive, premature ejaculation can cause problems if ejaculation doesn’t occur intravaginally.

Fortunately, there are a number of ways to treat premature ejaculation, from the mechanical (condoms) to the behavioral to the pharmacological. There’s simply no reason to suffer in silence if premature ejaculation is a problem. Solutions exist, and you deserve a satisfying sex life as much as anyone else!