Can Ejaculating More Often Lower Your Risk of Prostate Cancer?

In this study, researchers from Harvard followed over 30,000 men for 18 years, tracking how often they ejaculated at different points in their lives — in their 20s, their 40s, and the year before the study began. They then recorded who went on to develop prostate cancer. By the end, 3,839 men had been diagnosed, giving the researchers a huge amount of data to work with.

Men who ejaculated 21 or more times per month in their 40s had a 22% lower risk of getting prostate cancer compared to men who ejaculated only 4-7 times per month. For men in their 20s, the same high frequency was linked to a 19% lower risk. The benefit was strongest for low-risk, early-stage prostate cancer — the kind that's most common and most often overtreated.

So what does this mean in real life? Ejaculation may help "flush out" potentially harmful buildup in the prostate gland — a concept researchers call the "prostate stagnation hypothesis." The study was careful to rule out other explanations, like differences in diet, exercise, smoking, or how often men got screened for cancer. Even after accounting for all of that, the link held strong.

One important note: this benefit was mainly seen for less aggressive forms of prostate cancer, not the most dangerous or fast-spreading types. The study also had limits — it relied on men remembering their past habits, and the group was mostly white health professionals. Still, this is currently the largest and longest study of its kind, and its findings suggest that a simple, everyday behavior may play a meaningful role in one of the most common cancers in men.

The Hidden Bladder Problem That Doctors Are Missing in Diabetic Patients

Did you know that having Type 2 diabetes more than doubles your chances of developing a bladder problem — and most doctors aren't even checking for it? In this study, researchers surveyed over 1,000 adults in China with Type 2 diabetes and found that nearly 1 in 7 (13%) had overactive bladder (OAB) — a condition where the bladder squeezes too often, causing sudden urges to urinate, frequent bathroom trips, and nighttime wakings. That's more than twice the rate seen in the general Chinese population (6%).

The researchers split OAB into two types: "dry OAB" (urgency and frequency, but no leaking) and "wet OAB" (urgency plus accidental urine leakage). Both types seriously hurt patients' quality of life — both physically and mentally. Wet OAB was harder on mental health, causing more worry, social discomfort, and emotional strain. But even dry OAB — the kind without leaking — damaged patients' physical quality of life almost just as much as wet OAB.

OAB hurt patients' daily lives more than other well-known diabetes complications like nerve damage (neuropathy) or eye damage (retinopathy). Yet doctors rarely screen for it, often dismissing bladder symptoms as "just part of diabetes." This study makes it clear — bladder problems deserve the same attention as blood sugar checks.

The study does have limits: it was done at one hospital in China and relied on self-reported answers, so results may not apply to everyone. Still, the message is powerful — if you or a loved one has diabetes and struggles with bathroom urgency or frequent nighttime urination, bring it up with your doctor. It's not something you have to quietly live with.

This week, someone asked me, “Mild Erectile” Mild erectile dysfunction is very common, and the good news is it’s often reversible, especially in the early stages. It can be related to stress, fatigue, anxiety, alcohol use, medications, or early changes in blood vessel health or hormones. Think of it as your body’s early “check engine light.” The best approach is to address lifestyle factors first—regular exercise, improving your diet, good sleep, reducing alcohol, and managing stress—while also considering medical options like PDE5 inhibitors if needed. If this is new or progressing, it’s also worth checking blood pressure, blood sugar, and testosterone with your primary care doctor or a urologist.

I love hearing from you, so if there’s a question you’ve been wanting to ask, just let me know. Who knows? Your question might be the one I dive into next!

For those of you who have been following along, I’m happy to share that my recovery is going well. I’m incredibly grateful for all of the support, encouragement, and well wishes I’ve received.

I’m also excited to share that my upcoming book, The Hard Truth, is available for pre-order. I poured my heart into this project, and I truly believe it’s a book every man—and everyone who loves a man—can benefit from. It covers the essentials of men’s sexual and urologic health in a practical, evidence-based way, helping readers better understand their bodies, their health, and how to maintain a healthy sex life throughout the years.

If you’ve been thinking about picking up a copy, I’d be honored to have you read it. Pre-orders are incredibly meaningful—not only because they help bring the book to more readers, but also because they may allow me to spend less time traveling and doing press and more time at home with my family during this season of recovery.

If you're interested in ordering copies for friends, family, or a group, please let us know. We have a wonderful fulfillment team that can ship books to multiple addresses and even includes a personalized note for you. I can’t wait to share this book with you.

Let’s talk about something almost nobody brings up—why morning erections (aka "morning wood") actually matter for your health. "I think of it like a check engine light... it just means, hey, we got to work this up and investigate before something serious happens."

Here are a few quick takeaways:

I want you to know: if you start noticing changes, talk to your doctor and get a heart checkup. Prevention is key, and taking small steps now could make a big difference later!

I had a really fun and eye-opening conversation with Dr. Nicole McNichols about what “better sex” actually means, why Gen Z is having less (but rougher) sex, and easy ways to bring more pleasure and connection into our relationships. She had so many practical tips, but this quote stood out to me: “Pleasure is foundational. It has this cognitive effect of helping us think more creatively, increase our ability to connect with other people.”

Some quick takeaways for you:

Give this episode a listen if you’re ready to upgrade your sex life. So listen on Apple Podcasts, Spotify, or here and see why people are commenting, “Thanks. People need more of this”.

Think penile strangulation is too rare to worry about? Check out my new Substack: Penile Strangulation Explained: Urologist’s Guide to Safe Sexual Health & Emergency Prevention.

In this article, I break down how everyday objects can turn into a medical emergency, why quick action matters, and the key safety tips everyone should know to protect their sexual health.