Dr. Michael Eisenberg: Improving Male Sexual Health, Function & Fertility
This episode explores various aspects of male sexual health and fertility, including erectile dysfunction, sperm quality, testosterone levels, lifestyle factors, and more. It highlights the importance of addressing male reproductive health and provides insights into maintaining overall well-being. The episode also discusses the impact of paternal age on offspring and explores the topic of penile length. Overall, it aims to raise awareness about male reproductive health and encourage proactive care.
Male sexual health and fertility are often overlooked topics.
This episode sheds light on the importance of addressing male reproductive health and highlights various aspects of male sexual health and fertility.
Lifestyle factors can significantly impact male reproductive health.
The episode emphasizes the role of lifestyle factors such as smoking, alcohol consumption, and drug use in affecting sperm quality and fertility.
Regular check-ups and screenings are crucial for maintaining overall health.
The episode emphasizes the importance of regular check-ups and screenings to address any potential issues related to male reproductive health and overall well-being.
- Male Sexual Health and Fertility
- Testosterone Levels and Aging
- Impact of Lifestyle Factors on Male Reproductive Health
- Erectile Dysfunction and Prostate Health
- Paternal Age and Reproductive Health
- Penile Length and Other Considerations
Male Sexual Health and Fertility
00:00 - 19:55
- Dr. Michael Eisenberg specializes in urology and male sexual function and fertility.
- Topics discussed include erectile dysfunction, prostate health, urinary health, fertility, and penile length.
- Most cases of erectile dysfunction are caused by vascular or neural issues rather than hormone dysfunction.
- Common myths about male sexual health are debunked.
- Sperm quality is assessed through semen analysis, which includes parameters like ejaculate volume, sperm count, motility, and morphology.
- Controversy surrounds the decline in sperm quality over time, but a recent meta-analysis supports the decline.
- Possible reasons for the decline include environmental exposures to chemicals and the obesity epidemic.
- Male infertility is often overlooked compared to female infertility.
Testosterone Levels and Aging
19:26 - 38:12
- Testosterone levels tend to decline with age, but there are outliers who maintain high levels even in their later years.
- Obesity is a risk factor for lower testosterone levels and sperm quality.
- Low testosterone levels and poor semen quality have been associated with increased risks of heart disease, diabetes, and mortality.
- Lower testosterone levels in men are associated with higher risks of heart disease, diabetes, and mortality.
- Appearance alone cannot accurately predict testosterone levels or testicular function.
- To optimize sperm quality and testosterone levels, individuals should avoid external heat sources to the scrotum and take care of overall health.
Impact of Lifestyle Factors on Male Reproductive Health
37:49 - 51:18
- Lifestyle factors such as smoking, alcohol consumption, and drug use can negatively impact sperm quality and fertility.
- Cannabis use may have negative effects on sperm quality.
- Traumatic head injuries or pituitary injuries from contact sports may impair reproductive health and testosterone production.
- Being more active is associated with higher testosterone levels.
- Cycling for long periods of time may lead to a decline in sperm production due to heat exposure.
- Good diet and exercise are beneficial for fertility.
- Smoking has been linked to lower sperm quality and longer time to conceive.
Erectile Dysfunction and Prostate Health
57:15 - 1:10:49
- Erectile dysfunction is primarily caused by blood flow issues.
- Treatment for erectile dysfunction often involves addressing the underlying cause and improving blood flow.
- There are various treatment options available, including oral therapy using phosphodiesterase inhibitors like Viagra or Cialis.
- Pelvic floor health is important for both men and women.
- Regular erections during sleep are important for maintaining prostate health and blood flow to the penis.
- Getting adequate amounts of quality sleep is important for overall health and sexual function.
Paternal Age and Reproductive Health
1:16:39 - 1:29:53
- The age of the father plays a role in fertility and can impact the risk of certain conditions in offspring.
- Older fathers have a higher likelihood of passing on mutations in their sperm DNA.
- There is evidence suggesting a small but statistically significant increase in the number of autistic births when the father is over 40 at the time of conception.
- Investing in a sperm analysis can provide valuable information about reproductive potential.
- The rates of autism are estimated to be between 1 in 60 to 80 male births.
Penile Length and Other Considerations
1:33:14 - 1:48:52
- A study on changing trends in penile length found that penises were getting longer over time.
- Some individuals take dihydrotestosterone and low levels of growth hormone in attempts to increase penile length.
- Post-finasteride syndrome is a condition where sexual dysfunction persists even after discontinuing the drug.
- Pelvic floor therapy can help with a variety of symptoms related to the pelvic floor muscles.
- Testicular size and volume should be monitored, as changes may indicate potential health concerns such as tumors or cancer.
- Male sexual health and fertility are important topics that often go overlooked.
- Lifestyle factors can have a significant impact on male reproductive health.
- Regular check-ups and screenings are important for maintaining overall health and addressing any potential issues early on.