MEN’S YOUROLOGY

Have you ever heard of Small Penis Syndrome or Penile Dysmorphic Disorder? This review dives deep into why some men—despite having completely average-sized penises—still seek penile enlargement surgeries. What’s driving this? Anxiety, distorted body image, and societal pressure seem to play a major role. The literature shows that these men usually fall within the normal range for size, yet still pursue surgical options, many of which are experimental and lack long-term data. Techniques like suspensory ligament release and tissue grafting have become more popular, but complications are common and satisfaction is often low. That’s why experts strongly recommend psychological counseling as a first step.

Body image struggles aren’t just a “female” issue. Men are quietly grappling with them too—and the consequences go deeper than you might think.

WOMEN’S YOUROLOGY

Did you know that some women can’t pee after giving birth?

This study looked into what puts postpartum women at risk of urinary retention—that uncomfortable (and sometimes painful) inability to fully empty the bladder after a vaginal delivery. Out of 234 women studied, 19 experienced this issue, and researchers identified several major risk factors: a longer second stage of labor, having an episiotomy, perineal tears, and giving birth to a baby over 4,000 grams (that’s nearly 9 pounds!).

Postpartum recovery is already tough enough—and knowing who’s at risk could help prevent complications that often go unnoticed.

This week, someone asked me, “Hello Doctor, I’ve been masturbating regularly for the past year. During that time, I had not had any sexual experience with a woman. Recently, I had sex for the first time, but I didn’t find it as pleasurable or “warm” as people usually describe. I also noticed that I couldn't maintain an erection for a second round, and the first round lasted only about a minute help me”. When you've been masturbating regularly, especially with certain habits like high speed, strong grip, or frequent porn use, your brain and body can get used to a very specific kind of stimulation. So when you finally have sex, it can feel different or even underwhelming, both physically and emotionally. The short duration and difficulty with a second erection are also totally normal, especially with first-time nerves and performance anxiety. The good news is, this can absolutely improve. Try focusing less on performance and more on connection and communication with your partner. You may also want to adjust your solo habits—slowing down, using less pressure, or taking a break for a while can help retrain your sensitivity. If it continues to worry you, a urologist or sex therapist can guide you further. You're just at the beginning, and this doesn’t define your future experiences.

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!

WHAT I’VE BEEN UP TO LATELY

Connected with Fellow YouTube Health Creators

Last Friday, I had the chance to attend a YouTube Health event with several incredible health creators. It was inspiring to connect with others who are just as committed to fighting medical misinformation and using YouTube to educate and empower people to improve their health.

HIGHLIGHTS FROM MY CHANNEL

I just shared a really interesting look at what kinds of sexual activities people across the US are actually into—and trust me, a few of these might surprise you! Quote: "Bottom line, guys, people are interested in a variety of different things and there is no single normal way to express your sexuality."

Here are some quick takeaways:

• The top three activities are vaginal sex, masturbation, and oral sex—super common!

• Things like sending nudes, reading erotic stories, and even sex in public made the top 10.

• Whatever you’re into, communication and consent with your partner are key.

Remember, there’s no “normal” when it comes to sex—what matters is that you and your partner feel safe and comfortable. Curious about the details? Give this episode a listen for all the stats and tips!

HIGHLIGHTS FROM MY PODCAST

This July AMA episode, I broke down some big topics like menopause, painful sex, and what cloudy urine really means—without making it confusing. Here’s one really reassuring thing I said: “Sex should never be painful. So if having pain with sex, it is worth getting investigated to identify what the cause is because there's a variety of different causes.”

Here are my top takeaways:

• Early menopause signs include irregular periods, irritability, and even brain fog—blood tests don’t always help!

• Pain with sex is never normal; pelvic floor dysfunction, not enough arousal, or hormonal issues could be the reasons.

• Cloudy urine? Drink more water—if there’s no pain or other symptoms, it’s usually not a big deal.

Seriously, I made these tough topics feel easy to talk about. So listen on Apple Podcasts, Spotify, or here if you want answers, not medical jargon!