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General
Started by Anonymous at 09-27-2007 7:51 PM. Topic has 1 replies.
 
 
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09-27-2007, 7:51 PM
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Anonymous
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Nicotine & skin health / nicotine & sexual health
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Dear THR: I wonder if you could address the effects of nicotine on male sexual health and on skin health.
A large number of websites state that nicotine can cause softer erections and even cases of impotence. Most seem to suggest that nicotine causes both (1) a reversible condition in terms of reduced blood flow to the sexual organ when nicotine is in the blood stream, and also (2) a permanent condition whereby very tiny blood vessels within the organ are progressively destroyed. While several websites attribute the latter effect to the carbon monoxide from smoking, the vast majority attribute it to nicotine use. Since I've noticed substantial differences in sexual performance when using ST vis-a-vis times when I've abstained from ST for several days, I'm concerned that I might be doing permanent damage.
If you would also address the damage to skin that is commonly attributed to nicotine, I'd appreciate it. The Mayo Smith Clinic website notes two mechanisms by which smoking damages facial skin. One, of course, is the actual smoke surrounding the face, and the pursed lips that accompany smoking. The other relates to the destruction of small blood vessels near the skin's surface via the constricting effects of nicotine; the Clinic claims this effect is probably irreversible. Would any nicotine product -- patch, cigarette, ST, etc. -- produce the latter condition?
Thank you for your time and advice.
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10-01-2007, 12:24 PM
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admin
Joined on 12-06-2005
Posts 114
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Re: Nicotine & skin health / nicotine & sexual health
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There is a lot of conflation of nicotine, tobacco, and smoking in some of the popular information out there, and some of it appears intentionally designed to mislead people. Smoking is terrible for you, but tobacco (when it is not on fire) and nicotine have only minor health effects. There is actually very little known about the effects of nicotine in the absence of tobacco, so most any claim about long-term effects of nicotine, apart from tobacco, is either speculative or completely made up -- we simply have not had a large population of long-term nicotine users, other than tobacco users, to study.
Most any stimulant (nicotine, caffeine, decongestant pills) increases pressure on blood vessels (as does exercise, stress, dehydration, and other conditions), and so can damage those that are already weak. But there are a lot of other effects from smoking (you mention carbon monoxide, and there is also damage to the blood vessels that is not entirely understood).
No one in our research group has specific expertise on the effects of tobacco on sexual function, so we can only repeat what appears in the literature. According to one recent review of the existing literature
(British Journal of Nursing, 2001), it is an increase in nitric oxide levels (a byproduct of smoking) and not nicotine that affects sexual function. It is well known that male smokers suffer greater levels of dysfunction (impotence or softer erections) than nonsmokers. There is some indication that nitric oxide may also be responsible for some permanent damage as well. Since nicotine is not the cause of this condition, it provides one more good reason to switch to alternative sources of nicotine whether traditional nicotine replacement therapies or smokeless tobacco.
We are not aware of any clear science about the effect of nicotine on the skin. Smoking causes lots of combustion products to circulate in your body, many of which are damaging most anywhere they happen to land (skin, penis, wherever), and there is little doubt that smoking damages skin. Nicotine itself has not been determined to be negative or positive for the skin; both are possible.
It is certainly possible that nicotine would cause some of the capillary damage that you have read about, but there is no solid science backing that claim. The effects are almost certainly small, small enough to never have been measurable. However, all else equal, it is better to avoid nicotine (and coffee, and soft drinks, and trans-fats, and riding in cars, etc.). If you do not care whether you use it, don't! Nicotine, cars, and all of these are somewhat bad for you. But if you are going to use them because you get enough benefit to justify the cost, we encourage you to do so in the lowest harm way that is practical (e.g., wear your seatbelt and do not drive under the influence; use smokeless tobacco rather than smoking, do not eat too much junk food, etc.).
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