Improving Male Sexual Health, Function & Fertility | Dr. Michael Eisenberg

This podcast episode discusses a wide range of topics related to male sexual health, fertility, and function. The experts cover issues like erectile dysfunction, prostate health, declining fertility quality, and hormone screening. They also explore advanced tools for fertility evaluation and optimizing testosterone levels. The impact of lifestyle factors and drug use on reproductive health is examined, as well as the role of the pituitary gland and the relationship between sleep and sexual health. The importance of baseline analysis for male health and the impact of paternal age on autism risk are also discussed. The experts delve into specific issues such as penile length trends, dehydrated testosterone, finasteride usage, and treatment options for erectile dysfunction and delayed ejaculation. Other topics include the impact of hormones on male reproductive health, varicocele and Peroni's disease, testicular health screening, and the importance of support for men's reproductive health research. Overall, this episode provides valuable insights into male sexual health, fertility, and function, highlighting the importance of understanding, maintaining, and enhancing these aspects of men's health. Takeaways • Erectile dysfunction primarily stems from vascular and neural issues rather than hormone dysfunction. • Declining fertility quality may be influenced by environmental exposures, changes in behavior, and the obesity epidemic. • Advanced tools for fertility evaluation have improved the understanding of fertility and male infertility. • Lifestyle factors such as body weight, sleep quality, substance use, and physical activity can impact testosterone levels and overall health. • Drug use, including benzodiazepines, opiates, and THC, can have negative effects on reproductive health, while over-the-counter medications like non-steroidal anti-inflammatory drugs are generally safe. • The pituitary gland plays a crucial role in controlling testosterone levels and reproductive health. • Cycling and prolonged heat exposure may negatively impact male reproductive health and testosterone levels. • Testosterone therapy should be approached with caution, as it can affect fertility and reproductive abilities. • Sleep quality, including adequate amounts of slow wave deep sleep and rapid eye movement sleep, is important for sexual health and vitality. • Baseline analysis of male health, including hormone and lipid profiles, can provide valuable information for reproductive potential and overall health. • Paternal age can influence the risk of autism in children, and understanding DNA mutations and their effects on individuals is essential in family planning. • Prostate health, urinary function, and pelvic floor health are important considerations for male reproductive health. • Treatment options for erectile dysfunction, delayed ejaculation, and penile conditions like varicocele and Peroni's disease are available. • Testicular health screening, including measuring testicular size and seeking medical attention for any changes, is important for early detection of potential issues. • Support for men's reproductive health research and awareness is crucial for advancing understanding and improving outcomes.