Seven Medication Types That Can Impact Male Sexual Health

Erectile dysfunction (ED) is a complex condition with numerous potential causes. While many are familiar with factors such as age, lifestyle, and chronic health conditions, one often overlooked cause is the impact of medications on sexual functioning. As a Nurse Practitioner specializing in hormone balancing, I have encountered numerous patients who are unaware that their hormone levels but also, their prescription drugs could be contributing to their sexual health issues. Here, we’ll explore some common classes of medications that are known to have negative effects on sexual functioning in men.

Medications and Their Impact on Sexual Health

1. Cardiovascular Medications

   – Diuretics (e.g., Hydrochlorothiazide) and Beta Blockers (e.g., Metoprolol):  These medications are essential for managing cardiovascular conditions but have been shown to cause erectile difficulties and reduced sexual desire. Diuretics can decrease blood flow to the penis, making it harder to achieve an erection, while beta blockers can interfere with the nervous system’s ability to respond to sexual stimuli.

2. Medications for Benign Prostatic Hypertrophy (BPH)

  – Terazosin: Often prescribed to relieve symptoms of BPH, terazosin can contribute to low sexual desire, difficulties with erections, and problems with ejaculation, including pain during ejaculation.

   – Tamsulosin (Flomax): This medication relaxes the smooth muscle around the prostate and bladder neck, which can lead to retrograde ejaculation, where semen enters the bladder instead of exiting through the penis.

   – Finasteride: Used for both BPH and male pattern baldness, finasteride has been associated with impotence, decreased sexual desire, and reduced ejaculate volume.

3. Lipid-Lowering Agents

   – Simvastatin: Statins, while effective in managing cholesterol levels, can cause erectile difficulties. The exact mechanism isn’t fully understood, but it is believed that these medications may reduce testosterone levels or affect blood flow.

 4. Antidepressants and Antipsychotic Medications

   – These medications are critical for mental health but often have side effects that include decreased sexual desire, difficulties with erections, ejaculation problems, and, in some cases, painful ejaculation. Common examples include selective serotonin reuptake inhibitors (SSRIs) and certain antipsychotics.

5. Sleep and Anti-Anxiety Medications

   – Medications like benzodiazepines and sleep aids can also negatively impact sexual desire and erectile function. These drugs can dampen the central nervous system, which in turn can affect sexual arousal and performance.

6. Gastrointestinal Medications

   – Prilosec and Zantac: Used for acid reflux and heartburn, these medications can sometimes cause sexual health issues, although this side effect is less commonly discussed.

7. Non-steroidal anti-inflammatory Drugs (NSAIDs)

   – Advil, Aleve, and Aspirin: Frequent use of these medications has been linked to sexual health difficulties. While they are effective for pain relief, their impact on sexual function should not be underestimated.

Are you taking any of the above?

Understanding that medications can play a role in your sexual health is crucial. However, it is important not to make any changes to your medication regimen without first consulting your healthcare provider. If you suspect that your medications are affecting your sexual health, discuss this with your prescribing doctor. Additionally, consider speaking with a specialist in sexual medicine who can provide tailored advice and treatment options.

Medications are just one piece of the puzzle when it comes to sexual health. Each individual’s response to medication can vary, so professional guidance is essential in managing these side effects effectively. By being informed and proactive, you can better manage your sexual health and overall well-being.

Citations and Further Reading

 1. Mayo Clinic: Erectile dysfunction:

2. Harvard Health Publishing: 6 All Natural Sex Tips for Men:

3. Cleveland Clinic: Erectile Dysfunction:


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🌟New Insights on Menopause Treatment!🌟

🔍 Recent updates from top health institutions reveal safer and more personalized approaches to hormone therapy for menopause. Whether you’re struggling with hot flashes, night sweats, or other menopausal symptoms, there’s new hope for relief tailored just for you.

👩‍⚕️ The latest guidelines emphasize a tailored approach, considering each woman’s health history and symptoms to determine the best type and dosage of therapy. This personalized strategy aims to maximize benefits and minimize risks.

💡 Key Points:

  • Hormone therapy is now considered safe for many, with transdermal patches and lower doses reducing risks of complications like blood clots.
  • Ongoing discussions with healthcare providers are crucial to adjust treatments as your needs and the latest science evolve.
  • Hormone therapy can significantly improve quality of life for women experiencing severe menopausal symptoms.

🌐 For a deeper dive into the latest research and recommendations on menopausal hormone therapy, check out the full article

#MenopauseAwareness #WomenHealth #HormoneTherapy #MenopauseTreatment



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PCOS? CUSHING’s? POI? A Round-Up of Common PCOS Misdiagnosis

We have found that Polycystic Ovary Syndrome (PCOS) can be misdiagnosed or confused with other conditions due to overlapping symptoms. We’ve rounded up the common conditions that can be misdiagnosed instead of PCOS. 

  • Hypothyroidism: Both PCOS and hypothyroidism can cause irregular menstrual cycles, weight gain, and fatigue.

  • Cushing’s syndrome: This condition involves excess cortisol production and can cause weight gain, irregular menstrual cycles, and hirsutism (excessive hair growth), which are also common symptoms of PCOS.

  • Adrenal hyperplasia: This condition affects the adrenal glands and can cause symptoms such as irregular menstrual cycles, hirsutism, and infertility, similar to PCOS.

  • Ovarian tumors: Some ovarian tumors can cause symptoms similar to PCOS, such as irregular menstrual cycles and pelvic pain.

  • Endometriosis: While not directly related to hormonal imbalances like PCOS, endometriosis can cause pelvic pain, irregular menstrual cycles, and infertility, leading to potential misdiagnosis.

  • Hyperprolactinemia: Elevated levels of prolactin, a hormone that stimulates milk production, can cause irregular menstrual cycles and infertility, symptoms that overlap with PCOS.

  • Primary ovarian insufficiency (POI): Formerly known as premature ovarian failure, POI involves a loss of normal ovarian function before the age of 40, leading to irregular menstrual cycles and infertility, which can mimic PCOS.

At Rocco’s Remedy, we conduct a thorough evaluation, including medical history, physical examination, and appropriate diagnostic tests, to accurately diagnose PCOS and differentiate it from other conditions with similar symptoms.

Do you struggle with any of the above symptoms or have you been diagnosed with any of the above? Come into Rocco’s Remedy for lab work to learn more!

A Holistic Approach to Hashimoto’s

Welcome to the first in our Hormone Health blog post series!

 We are highlighting Hashimotos this month as we have seen patients who have been diagnosed incorrectly or prescribed thyroid medication that does not suit their needs. This article hopes to provide you with insights on Hoshimotos and potential treatment options.

What is Hashimoto’s?

Hashimoto’s Thyroiditis, also known as chronic lymphocytic thyroiditis, is an autoimmune disorder that is the most common cause of hypothyroidism (underactive thyroid) in the United States. It occurs when the immune system mistakenly attacks the thyroid gland, leading to inflammation and an inability to produce sufficient thyroid hormones.

Key Characteristics of Hoshimotos

  • Autoimmune Nature: The body’s immune system targets thyroid cells as if they were foreign invaders, causing inflammation and damage to the thyroid tissue.
  • Thyroid Hormone Production: As the thyroid gland becomes increasingly damaged, it’s less able to produce the hormones thyroxine (T4) and triiodothyronine (T3), leading to symptoms associated with hypothyroidism.
  • Symptoms: These can include fatigue, weight gain, sensitivity to cold, constipation, dry skin, hair loss, muscle weakness, depression, and slowed heart rate, among others.
  • Diagnosis: Hashimoto’s is diagnosed through blood tests that look for elevated levels of thyroid-stimulating hormone (TSH) and antibodies against thyroid peroxidase (TPO antibodies), which indicate an autoimmune attack on the thyroid.
  • Treatment: While there is no cure for Hashimoto’s, treatment typically focuses on managing symptoms through thyroid hormone replacement therapy to normalize hormone levels.

Who is impacted by Hashimoto’s?

The condition can affect anyone but is most common in middle-aged women. The exact cause is unknown, but factors such as genetics, gender, and possibly infections and environmental exposures may play a role in its development.

How can I manage Hashimoto’s? 

Management of Hashimoto’s focuses on monitoring thyroid function and maintaining balanced thyroid hormone levels through medication, addressing symptoms, and improving quality of life. 

Diet plays a crucial role in either alleviating or exacerbating symptoms. Based on various studies and expert recommendations, certain foods are commonly advised to be avoided to help manage the condition effectively:

  1. Dairy and Soy Products: Both dairy and soy can interfere with thyroid function and are suggested to be avoided. Soy, in particular, is considered goitrogenic and may inhibit thyroid hormone production.
  2. Gluten: Gluten consumption is linked to autoimmune diseases, including Hashimoto’s, due to potential cross-reactions between gliadin and thyroid antigens.
  3. Processed and Ultra-Processed Foods: These foods can increase inflammation, which could worsen Hashimoto’s symptoms. It’s recommended to limit processed meats and other highly processed fast foods.
  4. Alcohol: Alcohol harms the thyroid gland and liver, which is crucial for thyroid hormone conversion. Limiting or avoiding alcohol is advised.
  5. Refined Sugars and High-Sugar Foods: Consuming high amounts of added sugars can promote inflammation and potentially exacerbate symptoms of Hashimoto’s disease.
  6. Certain Fats and Oils: Industrial seed oils and vegetable cooking oils, like soybean, corn, and canola oil, are recommended to be avoided due to their potential to cause inflammation.

A Mediterranean diet is a great way to incorporate food groups that improve your thyroid health. This includes:

  1. Lean Proteins like chicken and fish
  2. Seeds and Nuts 
  3. Olive Oil
  4. Cooked Vegetables
  5. Fruits 
  6. Beans 

Rocco’s Remedy can support you in incorporating these dietary changes. 


Hashimoto’s thyroiditis is an autoimmune condition where the immune system attacks the thyroid gland, leading to chronic inflammation and often hypothyroidism. Low-Dose Naltrexone (LDN) has emerged as a potential off-label treatment option for managing this condition, despite the primary use of naltrexone being for alcohol and opioid dependence in higher doses. In lower doses, LDN is believed to act as an immunomodulator, potentially offering benefits for those with autoimmune conditions like Hashimoto’s.

The proposed benefits of LDN for Hashimoto’s include its anti-inflammatory properties, which may help reduce the severity of symptoms associated with the condition. It’s thought to suppress inflammatory cytokines and decrease autoimmune responses, potentially allowing the thyroid gland to function more normally. Although scientific studies directly linking LDN to improvements in Hashimoto’s are lacking, anecdotal evidence suggests it may help reduce symptoms such as fatigue, pain, and lethargy, and possibly lower thyroid peroxidase (TPO) antibodies.

However, LDN is not considered a cure for Hashimoto’s, and its use is still considered off-label, meaning it is not FDA-approved for this specific condition. Most healthcare providers prescribe it alongside thyroid hormone replacement therapy and recommend lifestyle and dietary modifications for comprehensive management of Hashimoto’s. The side effects of LDN are generally mild and may include headaches, stomach upset, insomnia, anxiousness, dizziness, and fatigue, although they are considered rare.

An article from Towne Lake Pharmacy elaborates on the benefits of LDN for Hashimoto’s Thyroiditis, highlighting its role in reducing inflammation, improving endorphin function, decreasing inflammation-causing cytokine concentration, inhibiting cells causing autoimmune processes, and potentially increasing the remission rate of Hashimoto’s thyroiditis when combined with probiotics and appropriate Vitamin D supplementation. They also note improved quality of life for patients using LDN, such as decreased thyroid antibodies, mood enhancement, increased energy, pain reduction, and improved immune system function.

Before considering LDN, it’s important to consult with a healthcare provider to discuss its potential benefits and risks based on your health profile and to ensure that it fits within your overall treatment plan for Hashimoto’s thyroiditis.



Nourish. (n.d.). 8 Foods to Avoid with Hashimoto’s Disease (And What To Eat Instead). Retrieved from

Towne Lake Pharmacy. (n.d.). 5 Benefits of Low-Dose Naltrexone for Hashimoto’s Thyroiditis. Retrieved from

Paloma Health. (n.d.). Low-dose naltrexone for Hashimoto’s. Retrieved from

SingleCare. (n.d.). The best Hashimoto’s diet: 7 foods to eat and 5 to avoid. Retrieved from

Westin, W. (n.d.). Don’t eat these 10 foods if you have Hashimoto’s Thyroiditis. RestartMed. Retrieved from



If you are struggling with: stubborn weight gain, fatigue and brain fog, signs of a hormonal imbalance, chronic inflammation, and chronic pain. Why simply taking medication may not be enough; and what really works for controlling chronic health problems like fatigue and brain fog. This fun, informative, and useful lecture will focus on the underlying reasons that men and women struggle with inflammation.

Presentation hosted by Kari Rocco, Nurse Practitioner

Location: Eugene Natural Grocers

201 Coburg Road

Call us today to reserve your spot! 


SEMINAR: Hormone Balances and Weight Loss



How lifestyle, nutrients, hormones, and food can impact our hormone levels. It’s not just diet or exercise or supplements that may be impacting your inability to lose weight, focus, exercise, sleep, or keep up with your day! There are so many other factors that come into play. Knowing and addressing these imbalances can make a huge impact on your quality of life. Come learn more at this educational seminar.

Presentation hosted by Kari Rocco, Nurse Practitioner

Location: Eugene Natural Grocers

201 Coburg Road

Call us today to reserve your spot! 


Stress, Hormones, and Health Webinar

Are you stressed out over the holidays!? Maybe it’s your hormones. In this short 20 min video you will learn about: Hormone Balancing, Weight Loss, and Nutrition. As an added bonus, I’m offering a Free 10-day hormone balancing and weight loss challenge. 

During this challenge, I’m inviting everyone to join me and invite their friends and family to join them too because I want everybody to support each other. I will be supporting you throughout this because I know doing these types of things can be challenging but it’s a lot more fun when we challenge ourselves together! 

I’m offering education and coaching with this free 10-Day Challenge for 50 folks! Sign up by clicking HERE OR call us for a free 15-discovery call at 541-818-8289.



Don’t Do It Alone! Why We All Need to Have People on Our Team to Be Successful!

Have you tried the latest diet, pill, gummy, patch, injection, supplement, or exercise plan to try to lose weight? Did you gain it all back? Do you want your New Year’s Resolution to work for the rest of your life not just for January? Learn how and what supplements are right for you. Learn how to find out what your micronutrient deficiencies and/or hormone imbalances are that are making it so hard to lose weight.

Presentation hosted by Kari Rocco, Nurse Practitioner

Location: Eugene Natural Grocers

201 Coburg Road

Call us today to reserve your spot!