eHealth Radio by

Recent Posts


ED Archive

December 27, 2010 @ 7:23 am

What exactly are bio-identical hormones?


Natural Health Practitioner specializing in natural anti-aging and sexual issues James Occhiogrosso joins the show. He discusses bio-identical hormones, progesterone as being protective against cancer and strokes...

Note: Refer to audio player below to listen to this episode.


James Occhiogrosso is a Natural Health Practitioner specializing in natural anti-aging and other male and female health issues and author of the book "Your Prostate, Your Libido, Your Life." He maintains an active practice helping both men and women overcome hormonal and sexual issues associated with aging, including erectile dysfunction, lack of libido, PMS and menopausal problems, and often acts as an advisor for men with prostate cancer whose doctors recommend a "watchful waiting" or “active surveillance” approach. Salivary home hormone test kits as well as bio-identical hormone creams are available at his website, via phone at 239-498-1547, or via email to You can also sign up for his free “Health Naturally” newsletter on his website.


Transcript of Interview with Dr. Jim Occhiogrosso

Eric Michaels: In the recent past, appearances by Suzanne Somers and other celebrities have sparked a lot of interest in bio-identical hormone replacement for anti-aging, but conventional medical practitioners dispute its safety. What exactly are bio-identical hormones? And, are they safe?

Dr. Occhiogrosso: The term “bio-identical” refers to substances that are identical to those produced by the human body.  Prescription hormone replacement therapy is produced either synthetically or from animals and is not bio-identical.  The human body has difficulty recognizing non bio-identical substances hence they create problems.  This is one of the reasons pharmaceutical drugs have more side effects than natural substances.  For example: red yeast rice can lower cholesterol levels nearly as effectively as prescription cholesterol lowering drugs.  But, red yeast rice has mild side effects when compared to the prescription drugs.

Prescription hormone replacement therapy (HRT) consists of synthetic estrogens and synthetic progesterone, otherwise known as progestin.  These artificial estrogens have been implicated in the development of breast and other cancers, and synthetic progestin has been linked to an increased risk of a  stroke.  The Women’s Health Initiative study—which was supposed to prove the benefits of prescription hormone replacement therapy for women—was terminated early due to the increased risk of breast cancer and stroke in the study participants.

Bio-identical hormones, on the other hand, have not been linked to any of these problems. In fact, according to Dr. John R. Lee, M.D., bio-identical progesterone is somewhat protective against both stroke and cancer.

Eric Michaels: You mentioned progesterone as being protective against cancer and stroke, what about estrogen?

Dr. Occhiogrosso: When we talk about estrogen, you must realize that there are several different types of estrogenic hormones.  The three most prominent are Estradiol, Estrone, and Estriol.  Estradiol is the strongest and most active and the one that is most likely to cause problems, and estriol is the weakest and least likely to cause problems.  Estradiol is the most prominent estrogen in prescription HRT and appears to be the most dangerous.

When women are experiencing symptoms of menopause like hot flashes, night sweats, and/or PMS, it is usually not needed to replace estrogen.  The exceptions are women who have had their ovaries removed and menopausal women experiencing severe vaginal dryness.  Most other symptoms can be relieved with a little bio-identical progesterone cream applied daily.

When bio-identical progesterone does not do the job, a small amount of estriol cream, which is very safe, is quite effective.  Generally, most women (and men) have too much estrogen in their body because of poor diets and synthetic estrogens that find their way into our bodies through the environment.  Men, particularly older men, usually have estrogen levels that are too high, so they should not use estrogen in any form.

Eric Michaels: Can men use bio-identical hormone replacement too?

Dr. Occhiogrosso: Certainly!  Normal aging in both men and women causes certain hormone levels to drop, particularly testosterone in men and estrogen in women.  Also, aging causes both sexes to have lower levels of progesterone and DHEA.  These reduced levels cause symptoms like hot flashes, night sweats and low libido in both men and women, and are associated with sexual dysfunction in both sexes.  Restoring more youthful hormone levels can often eliminate these problems.  In addition, both progesterone and testosterone can help offset the negative effects of estrogen.

Eric Michaels: Men always worry about testosterone, but I have heard that raising testosterone levels can cause men to develop prostate cancer or women to develop muscles or grow facial hair.  Is this really true?

Dr. Occhiogrosso: According to the latest research, a healthy man that is free of prostate cancer does not increase his risk of developing it by enhancing his testosterone level—as long as he keeps it within the normal biological range. When testosterone levels drop due to aging, a man can experience depression, loss of libido, erectile dysfunction, and in extreme cases, osteoporosis or muscle wasting.  Restoring a man’s testosterone level to its biological norm can have a major impact on his quality of life.  As far as women, they also need correct testosterone levels to feel well and maintain good health.  As long as a women keeps her testosterone level within normal limits, there is little risk of any side effects — except, of course — increased libido.

Eric Michaels: So how does one know which hormones to take, and how much of them to use?

Dr. Occhiogrosso: Well, the best way is to use a simple home saliva test (like the ones on my website) prior to starting any hormone replacement therapy to measure your levels.  Then, based on a professional evaluation of the results, you can balance your levels as needed.  After about two to three months or so, you can re-measure to insure that you are on the right path.  The important thing with hormones for both men and women is to achieve normal balance — more is not better!  In fact, using more than is needed can be detrimental.

Many bio-identical hormones like DHEA, estriol and progesterone are available over-the-counter without a prescription, but bio-identical testosterone can only be obtained by prescription from a compounding pharmacy.  This is because testosterone has a history of abuse by the “muscle building” crowd.  And overusing testosterone can cause serious health problems.  However, herbal testosterone creams designed specifically for men and women provide the raw ingredients to help your body produce more testosterone.   I use several of them in my practice.  They are very safe and I have found them to be very effective.  Both men and women with low libido — and men with erectile dysfunction can use them to improve their sexual functioning.

Conclusion Tip: The first is to get your hormones tested and evaluated by a professional before starting any therapy. This is imperative!  Without testing, you won’t know which hormones or how much of them to use and a professional can help evaluate your results.  Second, don’t try to raise your hormone levels beyond the biological normal values.  This can be very counterproductive!

Want the entire audio version of this eHealth Radio Episode?

Save this to your iPod/mp3 player or the desktop on your computer and listen to it again for your convenient guide or simply subscribe to this feed and never miss another episode on eHealth Radio - powered by Refer to audio player and links below.

Note: The views expressed do not necessarily reflect the opinions or beliefs of the show host or it's owners.

Filed under Health, Performance, ED, Sexual Health · Comments

December 17, 2010 @ 12:24 pm

Most Men Feel That It Is Psychological


Dr. Michael A. Werner a urologist in New York who specializes in male sexual dysfunction and infertility joins the show. He discusses ED, and its most common treatments and more.

Note: Refer to audio player below to listen to this episode.

Michael A. Werner, M.D. is a board-certified urologist who received his specialized fellowship training in male infertility and sexual dysfunction at Boston University Medical Center. His private practice in New York City, Westchester and Fairfield, CT are limited to his two areas of specialization: male infertility and male and female sexual dysfunction. In addition to his own private practice, Dr. Werner serves as the Medical Director of the Medical Center for Female Sexuality. He lectures and writes extensively on these topics in medical journals and books.

Dr. Werner is also the founder and medical director of M.A.Z.E. Labs, a semen analysis lab where semen is analyzed and often prepared for insemination or stored.  He is also the founder and clinical director of M.A.Z.E. Cord Blood Laboratories, a company that stores umbilical cord blood stem cells.

Dr. Werner completed his Urology residency at Mount Sinai Medical Center in Manhattan.  He performed his surgical residency at Beth Israel Medical Center in Manhattan and completed his internship at St. Luke’s Hospital in New York City.  He earned his medical degree at the University of California at San Francisco. He graduated cum laude with a degree is in Biology from Harvard College where he received the John Harvard and Detur Awards for academic achievement.


Partial Transcript of Interview with Dr. Michael Werner

Eric Michaels: Is there a particular or common age range in men where they begin to experience ED issues?

Dr. Werner: Most men feel that it is psychological and they worry that it is something in their head. For most men that are over thirty-five, 90% of the time it is a physical problem. If it's going to be physical, 90% of the time it is a circulation problem, having a hard time getting the blood into the penis and having a hard time holding on to it. The main risk factors are the same risk factors for men having a heartache or a stroke. For example, high blood pressure or diabetes or high cholesterol or smoking. So we see that a lof of these men really have vascular issues. Another issue could be neurologic for example if they have...

Eric Michaels: What are the most common treatments for ED?

Dr. Werner: The most common treatment of course is one of the PDE5 inhibitor (i.e. Viagra, Levitra, or Cialis). Viagra came out in March of 1998 and revolutionized the entire field and American men began to talk about its erection issues and how often and how common it was. All these medications are different but act in the same way. Basically when a man gets excited he sends chemicals to the smooth muscle of the penis which causes it to relax so it activates the trapping mechanism of the arteries. Our body says it doesn't want an erection forevereven if most of us want an erection forever and so we send an enzyme that breaks...


Want the entire version of this eHealth Radio Episode?

Dr. Michael Werner discusses & answers:

- Talk to us about recent advances in ED Treatment.

- Tell us about the importance of Testosteron.

Contact Information:
Personal Site & Male Sexual Health Info:
Female Sexual Health Site:

Save this to your iPod/mp3 player or the desktop on your computer and listen to it again for your relationship guide or simply subscribe to this feed and never miss another episode on eHealth Radio - powered by Refer to audio player and links below.

Note: The views expressed do not necessarily reflect the opinions or beliefs of the show host or it's owners.

Filed under Men, ED, Sexual Health · Comments

December 10, 2010 @ 12:20 pm

Can Sexual Activity Help Prevent Sexual Dysfunction?


Dr. Marcus Laux joins the show to discuss sexual health and sexual dysfunction in men, in a informational packed entertaining episode.

Note: Refer to audio player below to listen to this episode.

Dr. Marcus Laux is a licensed naturopathic physician who earned his doctorate at the National College of Naturopathic Medicine in Portland, Oregon. He has been clinically trained in acupuncture, homeopathy, physical medicine, among other healing modalities.

With 15 years of private family practice, Dr. Laux also stepped out of his office and began searching the world for natural medicines. He has spent 20 years searching the South and Central American jungles, Siberian steppes, across Asia to the European Alps, and Mediterranean laboratories for the most effective therapies nature has to offer. He also presents continuing education lectures for medical doctors and pharmacists worldwide.

Dr. Laux has appeared regularly in the media—including CNN, BBC, and Fox. He has served as the chairman for several scientific advisory boards for leading companies in the field of natural medicine, nutrition, and nutritional supplements. He is the coauthor of Natural Woman, Natural Menopause, published by HarperCollins, and Top Ten Natural Therapies, published by Basic Health Publications.


Partial Transcript of Interview with Dr. Marcus Laux

Eric Michaels: Where does a man begin in being sexually healthy?

Dr. Laux: Job #1 is the relationship with themselves. A person has to have a solidarity a sexual core - a liking themselves and they have to have a good relationship with their wife as well but it always starts with their person first. I go back when I deal with men and their relationship to how they feel about life, how they feel about sex, where they come from in their relationship with their parents, how did they get along as they were growing up - those things will set the stage for being sexually healthy. Once we get past the interpersonal stuff and the interpersonal relationship then it is about lifestyle, it is going to matter what you eat and how you conduct your life, whether you are getting enough sleep, whether junk food dominates your life, what is your weight - so it is an inside job and it's about how you conduct your life as you go forward.

Eric Michaels: Is sex really good for you, for me, for anyone?

Dr. Laux: Absolutely YES IT IS! I think sex is as critical as breathing and eating for long term health. Sex should be satisfying, sex should be bonding, sex should be making our hearts stronger, relieving our stress hormones, helping tone our muscles, lowering our blood pressure - so I say all that as sex can be harmful if it's not in a loving relationship. Sex can be problematic if their are psychological issues associated with it that don't make this a loving, bonding event. But sex, in and of itself, regardless of religious background, regardless of overlays sex is incredibly important and I find in practice, men and women who have regular satisfying sex are the healthiest people - from heart conditions to joint problems to stress to sleep - it would be my opinion in my clinical experience that sex is mandatory and something to be worked on to have a satisfying sex life.

Eric Michaels: What is the number-one cause of ED?

Dr. Laux: I think it's pretty clear from all the literature whether we look at natural medicine or conventional medicine that ultimately, I would call it stress and inflammation. Inflammation which causes stress within the circulatory system this causes the body to create band-aids inside our arteries and veins those band-aids become what we call plaque, plaque ends up narrowing the blood vessels and the smaller blood vessels that go to the eyes and the ears, the brain and the toes and the penis and all the small areas of the body get compromised the most. When you have decrease in blood flow, you do not have the ability to have a spontaneous quick erection as much ans that is going to be a problem first and foremost for ED.


Want the entire version of this eHealth Radio Episode?

Dr. Marcus Laux discusses & answers:

- Can sexual activity help prevent sexual dysfunction?

- What are smart every day diet/habits that support a man's sexual health.

- And a Special Tip...

Web Site:

Save this to your iPod/mp3 player or the desktop on your computer and listen to it again or simply subscribe to this feed and never miss another episode on eHealth Radio - powered by Refer to audio player and links below.
Note: The views expressed do not necessarily reflect the opinions or beliefs of the show host or it's owners.

Filed under Performance, Men, ED, Sexual Health · Comments

eHealth Radio by
Loading Downloads





Podbean App

Play this podcast on Podbean App