23.05.2014
I explained to both of them that instead of getting another testosterone level, I wanted to get a sleep study.
Unfortunately, although weight loss is a simple yet crucial treatment for sleep apnea, folks who have sleep apnea are in a bit of a catch-22. To add insult to injury, sleep apnea is one cause of secondary hypogonadism through the mechanisms related to the above (e.g. There are a few other mechanisms that are out of the scope of this article, but in essence: excess weight can cause both low testosterone and sleep apnea.
We diagnose sleep apnea based on your medical and family histories, a physical exam, and results from sleep studies. If you're a parent of a child who may have sleep apnea, tell your child's doctor about your child's signs and symptoms.
A sleep study is often done in a sleep center or sleep lab, which may be part of a hospital. Obstructive sleep apnea is diagnosed based on the number of apneas (cessation of breathing) or hypopneas (shallow breathing) observed per hour.
Apneas, hypopneas, and RERAs (respiratory effort related arousals) are different types of sleep disturbances. In order to accurately determine the frequency and severity of sleep disturbances, our practice will prescribe a sleep test, called a polysomnogram.


A polysomnogram (poly-SOM-no-gram), or PSG, is the most common study for diagnosing sleep apnea. Our office reviews the results of your PSG to see whether you have sleep apnea and how severe it is.
Your main sleep problem is daytime sleepiness and self-help hasn’t improved your symptoms. Severe respiratory related sleep fragmentation with a Respiratory Disturbance Index (RDI) of 55.6 per hr.
In the morning questionnaire, the patient stated that he woke up 2 times for the restroom, did not remember any dreams, and that his sleep was the same as usual, including waking up at his usual time. We discover that low testosterone is only part of the picture — the other part involves diet and sleep.
Nadolsky volunteered to work on a regular case study feature with us, we jumped at the chance. I explained to both of them the results of the tests, and that he truly does have low testosterone.
I decided to verify his self-assessment with another morning total testosterone and he was to follow up in another month, going with the same sleep and diet plan, plus a small workout program I gave him. Let your doctor know if anyone in your family has been diagnosed with sleep apnea or has had symptoms of the disorder.


You will go to sleep as usual, except you will have sensors on your scalp, face, chest, limbs, and finger.
The patient is connected to a device that monitors all respiratory activity including blood oxygen saturation, heart rate, sleep position, and breathing effort. An Epworth Sleepiness Scale score of 15 does indicate the presence of daytime somnolence. I told him to only sleep on his left side for this week, then call and tell me how it went.
Some folks might not be as lucky as Cameron; in their case, changing sleep position alone may not be enough. An overnight unattended polysomnogram is indicated to rule out the clinical impression of obstructive sleep apnea.
A physical exam and medical history may be all that's needed to diagnose sleep apnea in children.



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