Is Lack of Sleep Disrupting Your Hormones?

The question of how much sleep one should get and its relevance to hormone balance, is a complicated one with no defined value.  First, multiple sleep studies define the amount of sleep necessary varies first on age, with infants, toddlers, adolescents requiring more sleep than that of adults.  On average, most adults require anywhere from 7 to 8 hrs of sleep, with a very small subset that require only 6.  In addition there is the concept of sleep debt, which implies when one has not had the sleep necessary previously, one will require additional sleep to make up for the amount that was missed. The primary indicators that you are not getting enough sleep is daytime drowsiness during the day and microsleeps.    

Multiple studies done shows that chronic sleep deprivation and interruption of the circadian rhythm has multiple effects on hormone balance and regulation.  The effects ranges from the endocrine system, what we typically think as hormones, to the autonomic nervous system, the fight or flight response system.  The whole interaction between sleep and hormones is still being worked out and it gets pretty complicated fast.  For a brief overview, it effects levels of the stress hormone cortisol, the thyroid axis, growth hormone secretion, appetite control via leptin and ghrelin, and the pituitary-gonadal axis (the production of sex hormones).  If you need further specifics on these, feel free to ask.  I can go into further detail.  The results of these disturbances affects weight, glucose metabolism, aging parameters, and sexual performance both in the desire and ability.

Sleep has other effects on the body that directly influence the sex drive.  To repeat the hormonal issue before, when the pituitary-gonadal axis is interrupted, the end result is a decrease in testosterone level.  Low testosterone has a direct effect on libido and normal functioning penile tissue.  In addition, a reduction in Nitric Oxide has been demonstrated.  Nitric Oxide is a well known modulator of endothelial function and smooth-muscle relaxation in the penis, leading to erections.  Loss of wakefulness is known to affect mood and cause irritability which is often a psychogenic cause of ED.

Eric Rottenberg, MD

Urologist located in Manhattan, New York, NY

A life-long New Yorking and urological expert dedicated to your health, Dr. Rottenberg was born and raised in New York city and Long Island. His current practice is located in Midtown West neighborhood of Manhattan.

Dr. Rottenberg attended Johns Hopkins University for his undergraduate degree, where he earned a BA in Biology. Dr. Rottenberg received his medical degree from the Temple University School of Medicine in Philadelphia, Pennsylvania in 1997. He went on to complete his post-doctoral training at The Brookdale University Hospital and Medical Center in New York, first as a resident in General Surgery, and later as Chief Resident in Urology.

Dr. Rottenberg is a New York licensed physician who has been in practice for over 10 years. He is board certified by the American Board of Urology and he holds an American Urology Association (AUA) certification in Ultrasound. Dr. Rottenberg has hospital appointments at numerous hospitals around New York City, including Mount Sinai Medical Center, New York University Langone Medical Center, Beth Israel Medical Center, and New York Methodist Hospital.

When not practicing medicine, Dr. Rottenberg loves spending time with his two kids and their dog, a Great Briard named Arwen. He is also an amateur craft beer brewer, and enjoys practicing Krav Mga.

Read more
Eric Rottenberg, MD

A life-long New Yorking and urological expert dedicated to your health, Dr. Rottenberg was born and raised in New York city and Long Island. His current practice is located in Midtown West neighborhood of Manhattan.

Dr. Rottenberg attended Johns Hopkins University for his undergraduate degree, where he earned a BA in Biology. Dr. Rottenberg received his medical degree from the Temple University School of Medicine in Philadelphia, Pennsylvania in 1997. He went on to complete his post-doctoral training at The Brookdale University Hospital and Medical Center in New York, first as a resident in General Surgery, and later as Chief Resident in Urology.

Dr. Rottenberg is a New York licensed physician who has been in practice for over 10 years. He is board certified by the American Board of Urology and he holds an American Urology Association (AUA) certification in Ultrasound. Dr. Rottenberg has hospital appointments at numerous hospitals around New York City, including Mount Sinai Medical Center, New York University Langone Medical Center, Beth Israel Medical Center, and New York Methodist Hospital.

When not practicing medicine, Dr. Rottenberg loves spending time with his two kids and their dog, a Great Briard named Arwen. He is also an amateur craft beer brewer, and enjoys practicing Krav Mga.


Read less

Our Office

Our office is located in Midtown West across the street from the Time Warner Building on Columbus Circle.

Amenities:

  • Private, upscale location
  • In office lab collection
  • In office sonograms performed by Dr. Rottenberg
  • Advanced diagnostic imaging located in the building
Read more

Major Insurance Plans

Please Note: Dr. Rottenberg is an out of network physician, however we work with the insurances listed. Please contact our office if you have any questions.

  Regence Blue Cross Blue Shield
Aetna
American Republic Insurance
Anthem Blue Cross Blue Shield
Anthem Blue Cross of California
Assurant Health
Blue Cross Blue Shield
Blue Cross Blue Shield of Florida (Florida Blue)
Blue Cross Blue Shield of Illinois
Blue Cross Blue Shield of Massachusetts
Blue Cross Blue Shield of Texas
Blue Cross of Idaho
Blue Cross of Northeastern Pennsylvania
Blue Shield of California
Blue Shield of Northeastern New York
Capital Blue Cross
Testimonials

Words from our patients

  • Patient Fusion

    "Dr Rottenberg is a real professional and very talented in his field."

    Dan O.
  • City Search

    "Dr. Rottenberg was patient, thorough, and upbeat in explaining and performing the procedures. One of the best office visit experiences I've ever had. Highly recommend."

    Stephen S.
  • Vitals

    "I was passed around among other Urology doctors in Brooklyn (NYC). It took Dr. Rottenberg's ability to listen to diagnose and relieve my overactive bladder symptoms."

    Anonymous
Ask us

Feel free to email us regarding any scheduling or general questions!

Name
Email Address
Comments
Follow Us
Hours

Eric Rottenberg, MD
330 W. 58th Street
Suite 610
New York, NY 10019