MEN’S YOUROLOGY

Did you know that chronic urticaria (those stubborn hives and flares) doesn’t just affect the skin—it’s strongly linked to sexual dysfunction? A review of 14 studies found that patients with poorly controlled CU often struggle with intimacy, alongside issues like poor sleep, body image concerns, and declining mental health.

It highlights that treating chronic urticaria isn’t just about calming the skin—it’s about addressing the whole person, including their sexual health. This study reminds us that comprehensive care should always consider quality of life beyond the obvious symptoms.

WOMEN’S YOUROLOGY

How accurate are the hormone tests doctors rely on

A recent perspective found major challenges with commonly used hormone tests, especially at low levels. The findings raise urgent questions about how results are interpreted — and what it means for women’s health. The CDC is promoting a more precise testing method called LC-MS/MS to replace some of the current testing methods that aren't as reliable. They're also working to establish standard "normal ranges" for these hormones, particularly testosterone levels in postmenopausal women.

The goal is simple: when your doctor orders hormone tests, the results should be more accurate and consistent no matter where the test is done. This means better diagnosis and treatment decisions for patients who need hormone testing.

This week, someone asked me, “The frequent leaks post THuLEP and subsequent need for depends, are leaving my junk wet all the time and resulting in redness/severe itching on my scrotum/penis. What can I do to alleviate that?”. Frequent leaks and the constant moisture from pads or Depends can cause skin irritation, redness, and itching around the scrotum/penis. One of the best things you can do is change pads as soon as they feel wet to limit how long your skin is exposed to moisture. When you clean the area, use gentle, fragrance-free wipes or just warm water and mild soap, then pat dry carefully (don’t rub, since the skin there is delicate right now). Applying a barrier cream—like zinc oxide, A&D ointment or petroleum jelly—can really protect the skin and help it heal, acting as a shield against moisture. Make sure to wear loose, breathable underwear to reduce further irritation, and if the redness or itching isn’t improving or you notice open sores or signs of infection (like increased pain, a foul smell, or pus), please reach out to your doctor.

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

Donate to #TeamWater and Help Solve the Global Water Crisis

One in ten people worldwide lacks access to clean water, leading to illness, missed school, and daily struggles for families—especially women and girls. #TeamWater is raising $40 million to bring sustainable, long-term water solutions to two million people across more than 25 countries.

Partnering with WaterAid, GivePower, DigDeep, and the Alok Institute, this campaign will build and maintain water systems that change lives for decades. Every drop counts—let’s make history together. Learn more and donate here: teamwater.org

HIGHLIGHTS FROM MY CHANNEL

I had such an interesting conversation about how long a female orgasm lasts—and the answer may surprise you! “The average orgasm isn’t short at all: it typically lasts 20–30 seconds, though there’s a lot of individual variation.”

• Most women guess 12 seconds, but it’s usually closer to 20–30.

• Orgasms can last just a few seconds or nearly two minutes—and longer doesn’t always mean better.

• Arousal, stimulation, hormones, and mental focus all play a role.

Remember, it’s not about duration—it’s about quality and satisfaction.

HIGHLIGHTS FROM MY PODCAST

I just released a new Ask Me Anything episode, and one listener asked about vaginal dryness during sex, and I reminded everyone: it doesn’t mean something is “wrong”—it’s a normal change that can happen due to hormones, medications, or even genetics.

• Vaginal dryness can affect anyone, not just older women.

• Lubes (water, silicone, or oil-based) and moisturizers can make intimacy more comfortable.

• Blood in your urine should never be ignored—see your doctor right away.

These conversations don’t have to feel intimidating. So listen on Apple Podcasts, Spotify, or here and see why people are commenting, “This is such a refreshingly honest and important conversation! 🌸✨ So many women silently struggle with vaginal dryness, thinking it’s just something they have to live with — but that’s far from the truth.”

NEW MEDIA

Think wet dreams are only for teenagers? Think again. Check out my NEW blog: Wet Dreams, Demystified: What Every Adult Should Know About Nocturnal Emissions.

In this article, I break down the myths and facts about wet dreams—why they happen, who they affect, and why there’s absolutely nothing to be ashamed of.