Men’s health

About the programme

Sexual health, metabolic support and recovery of physical fitness

Reduced libido, changes in erections, more frequent night-time urges to urinate and a sense that familiar activities have become harder may be interconnected. CALENDULA’s Men’s health programme helps assess these changes in the context of vascular health, metabolism, hormones, sleep and stress.

Blood supply and nervous system function are important for erections; testosterone, medicines and emotional wellbeing also affect sexual health. Frequent urges, a weak stream, a feeling of incomplete emptying and night-time urination may be associated with changes in the prostate, bladder or metabolism, medicines or disturbed sleep. The programme therefore does not focus on a single symptom. Urological and andrological care is combined with personalised nutrition, work on muscular tension and restorative methods from Ayurveda and traditional Chinese medicine.

We aim to understand what is causing your symptoms, find the care you need and give you a clear plan for looking after your health once you are home.

Who the programme is for

• For reduced libido and changes in erection quality.
• For frequent urges, a weak stream, pelvic discomfort and night-time urination.
• For an increased waist circumference, reduced endurance and muscle tone.
• When these concerns occur alongside overload, tension and disturbed sleep.

Medical assessment and strategy

Consultation with a urologist-andrologist. The doctor reviews your symptom history, cardiovascular risk factors, lifestyle and medicines. Urinary symptom severity and its impact on quality of life may be assessed using IPSS/QoL (a questionnaire about urinary symptoms and their effect on quality of life); sexual health may be assessed using IIEF or SHIM (questionnaires assessing erections and sexual function; SHIM is the abbreviated version). This helps distinguish possible hormonal, vascular, neurological, urological and psycho-emotional factors.

Hormonal and metabolic profile. When indicated: morning total testosterone, calculated or free testosterone, SHBG (sex hormone-binding globulin, which helps assess testosterone availability to tissues), LH (luteinising hormone, involved in regulating ovarian and testicular function), FSH (follicle-stimulating hormone, involved in egg maturation and sperm production), oestradiol, prolactin, a lipid profile, glucose, insulin and HbA1c. The latter reflects average glucose levels over the preceding months.

Prostate and urination assessment. Urinalysis, bladder ultrasound with residual urine measurement, prostate examination and uroflowmetry are prescribed according to symptoms. A three-day bladder diary helps with night-time urges; blood sugar, blood pressure, medicines and the likelihood of sleep apnoea are also assessed. PSA, additional laboratory tests and transrectal ultrasound are used according to age and individual risk when the result could influence further management.

What the programme includes

Treatment and herbal support. Management depends on the established diagnosis and symptom severity. The doctor may consider suitable medication for urinary problems, inflammation or erectile dysfunction. CALENDULA laboratory formulations and herbal remedies are considered as additions to the main treatment after assessing their composition, evidence, tolerance and interactions. Dosage adjustments depend on medical findings.

The body and recovery. Attention is given to the lumbosacral region, pelvic floor function, nutrition and sleep. Ayurvedic constitutional assessment and the TCM approach are used to personalise supportive methods, work on muscular tension and recovery.

The 7-, 14- and 21-day courses are self-contained: each begins with an examination and ends with recommendations. The precise tests and treatments are determined at the initial examination. Internal Panchakarma methods require a separate assessment and are not presented as proven treatments for prostate conditions or for restoring testosterone.

Diagnostics and initial care

A one-week course to assess men’s health, select care for sexual and urological concerns and support recovery after strain. The main focus is to understand the causes of changes and choose a justified approach.

Diagnostics. Consultation with a urologist-andrologist, symptom assessment using IPSS/QoL and IIEF or SHIM, hormonal and metabolic tests when indicated, urinalysis and blood pressure assessment. Urinary problems may require bladder ultrasound with residual urine measurement, uroflowmetry and prostate examination. A three-day bladder diary is used for night-time urges.

Medical support. Selection of treatment and individual herbal formulations, with monitoring of tolerance.

Body treatments. Abhyanga is warm-oil massage; Kati-vasti is a local oil application to the lumbosacral region. Gua sha massage, gentle manual therapy and post-isometric muscle relaxation may be included. Pelvic floor work considers whether strengthening or relaxation is needed.

Ayurveda and TCM. Acupuncture, moxibustion — local warming — marma therapy, foot reflexotherapy and suitable Zalmanov baths. Virechana, a laxative procedure, and Matra-vasti, oil micro-enemas, are discussed separately, taking account of contraindications.

Nutrition and rest. A personalised menu considering carbohydrate metabolism, qigong, suitable pelvic floor exercises and walks. Shirodhara, Padabhyanga foot massage, sound therapy and a salt room complement recovery.

Course goals and final consultation. Clarify possible causes of symptoms and assess the response to treatment. You receive an explanation of the results and a plan for treatment, nutrition, activity and further urological follow-up with clear review dates.

Men’s health and metabolism

Two weeks dedicated to sexual wellbeing, urinary concerns, weight changes and physical fitness. The programme includes its own diagnostic assessment; you do not need to complete a seven-day programme first.

Diagnostics and treatment. A full initial andrological and urological assessment, necessary tests and an individual plan. During the course, the doctor reassesses symptom severity, bladder diary findings, blood pressure and treatment tolerance. Follow-up laboratory tests and equipment-based investigations are performed only when clinically necessary.

Nutrition and movement. A diet tailored to you, work on eating habits, qigong and exercises adapted to the lower back and pelvic floor. Before exercise, the need for muscle strengthening or relief of excessive tension is assessed. The aim is to establish a routine supporting muscle function and metabolism.

Body treatments. Abhyanga, Udvartanam herbal powder massage, pressotherapy, gentle manual work, post-isometric relaxation and gua sha. Kati-vasti and foot reflexotherapy complement the individual plan.

Traditional support. Acupuncture, moxibustion, suitable balneotherapy, personalised herbal formulations and Rasayana. The suitability of internal Ayurvedic treatments is assessed separately.

Rest. Shirodhara, foot massage, sound therapy, halotherapy and advice on sleep routines.

Course goals and final consultation. Assess sexual and general wellbeing, urination and tolerance of nutrition and exercise. The result is a self-contained plan for further treatment and recovery, with no requirement to move to a longer course.

Comprehensive recovery and sleep

A three-week course combining urological and andrological care, metabolic support and more in-depth work on rest routines. The course includes its own initial examination and takes you through to a final strategy within one stay.

Diagnostics and treatment. A full initial assessment, necessary hormonal, metabolic and urological tests, and monitoring of symptoms and treatment tolerance. Longer observation allows assessment of the response to the selected treatment, nutrition, physical activity and restorative procedures.

Nutrition and activity. An individual menu, manageable exercise, qigong, gentle yoga and suitable pelvic floor exercises, with instruction for continuing at home.

Body support. Abhyanga, Udvartanam, Kati-vasti, gua sha, manual therapy and muscle relaxation, pressotherapy and balneotherapy follow an individual plan. Acupuncture, herbal formulations and Rasayana are coordinated with medical treatment.

Sleep and recovery. Night-time urination prompts a separate review of fluid intake, blood sugar, medicines and signs of sleep apnoea. Shirodhara, warm herbal baths, Padabhyanga, yoga nidra, sound therapy, a salt room and suitable Kneipp hydrotherapy complement recovery. Aromatherapy and Nasya are selected separately; snoring with pauses in breathing requires medical investigation.

Course goals and final consultation. Review wellbeing, urination, sleep, activity and examination results together. You receive a strategy for further urological or andrological follow-up, a schedule for repeat tests and a home programme. Symptom changes vary individually; continuation of medication is determined by medical indications.