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Obesity is more common among men and can affect fertility

Obesity is more common among men and can affect fertility

Obesity rates among men doubled between 2003 and 2019, rising from 9.6% to 22.8%. Furthermore, when it comes to food, men (18.4%) consume fewer fruits and vegetables than women (27.2%), according to data from the Chronic Disease Telephone Inquiry Risk and Protective Factor Surveillance System (Vigitel). Vegityl 2019.

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In men, obesity increases the risk of cancer and can lead to infertility and a series of urinary dysfunctions, including impotence.

This is because the production of testosterone in men, the main hormone responsible for developing and maintaining masculine characteristics – and which controls normal sexual performance and functions – decreases significantly. “People with obesity suffer from an imbalance in hormones, which may lead to changes in the reproductive system. Moreover, obese patients experience an increase in oxidative stress, which is also responsible for the deterioration of sperm quality,” he explains. Dr. Bruno Bertoni Ferraz, urologist and infertility physician. Specialist at the Environmental Medical Center of Curitiba.

According to the expert, testosterone is produced by specialized cells located in the testicles, but the stimulus for this production comes from other hormones, coming from the pituitary gland, according to the special requirements of the organism in the face of different conditions. Situations and moments in the life of every human being… “Normally, a small part of testosterone is transformed into a female hormone called estradiol. But when a man suffers from being overweight, this transformation process is exacerbated, which impairs sperm formation, reduces sexual desire in males and even causes difficulties.” In erection,” explains Dr. Bruno.

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Urologist Dr. Vinicius Bruce explains that in addition to obesity, excess body fat can cause joint problems, cardiovascular problems and even be linked to various types of cancer.

“Obesity can also cause slowed metabolism, genetic predisposition, endocrine dysfunction and psychological impact, such as anxiety, depression and other conditions that cause eating disorders,” Dr. Bruce explains.

Treating obesity or impotence?

It is important to understand that it is necessary to treat the cause of impotence, in this case, obesity. Ideally, the patient should undergo hormonal correction therapy, and in this way, it is possible to correct hormone production and leptin resistance.

In addition to hormonal treatment, it is necessary to make lifestyle changes, including new eating habits, seeking the help of a nutritionist and psychotherapist, so that cases of eating disorders can be treated, in addition to establishing a routine with physical activities and exercises. To achieve weight loss.

If impotence persists, despite weight loss, it may be necessary to seek help from a urologist to conduct a new evaluation of the condition and advise on the most appropriate treatment.

Urinary tract treatment:

Echo Medical Center has a urology team and laboratory capable of performing any diagnostic tests for urology, radiological tests, CT scans, MRI, urodynamic studies (for urinary incontinence), as well as urological endoscopy.


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