Your Daily Habits Might Be Damaging Your Sperm!

This review examined how everyday habits and environmental exposures — smoking, alcohol, stress, obesity, heat, air pollution, plastics, and even carrying your phone in your pocket — are harming male fertility.

Nearly every harmful factor studied leads to the same internal damage: oxidative stress — a kind of cellular "rusting" that breaks down sperm DNA, lowers sperm count, and reduces motility. Obesity was especially alarming, as it not only tanks testosterone and sperm quality, but can pass damaged genetic patterns down to future children due to epigenetics

What Actually Works to improve sperm health? The strongest evidence pointed to a combined approach: quitting smoking (which directly improved sperm count and volume), correcting insulin resistance with metformin, and taking high-dose oral vitamins C and E reduced sperm DNA damage and improved IVF success rates.

Many of these causes are preventable, but timing is everything. This review makes clear that the longer these factors go unaddressed, the harder the damage is to reverse.

There's a Shot That Could Bring Back a Woman's Sex Drive — And It's Already FDA-Approved

Most people have never heard of Hypoactive Sexual Desire Disorder (HSDD) — but for millions of women, low or absent sexual desire isn't just a mood. It's a real medical condition that causes genuine distress. In this study, two large Phase 3 clinical trials tested a self-injectable drug called bremelanotide (1.75 mg) to see if it could actually help.

Over 3,000 women were screened across both studies, with more than 1,200 randomized to receive either the drug or a placebo. Women used an autoinjector pen before anticipated sexual activity — only when they wanted to want. Both trials showed statistically significant improvements in sexual desire and reductions in personal distress compared to placebo.

The biggest side effect was nausea, occurring after about 14% of injections — versus less than 0.1% with placebo. The upside: 99% of cases fully resolved, most were mild, and the median duration was only about 2.4 hours. Serious adverse events were rare at just 1.1%.

The real takeaway? Women with HSDD now have a non-hormonal, on-demand option they control themselves and it works!

This week, someone asked me, “I'm curious, is it possible to increase the size of my penis? Do pumps and traction devices work or are they a waste of time and money? I ask this because the last time my wife and I made love was over 10 years ago. At that time, she said to me "give me more, is that all you have?" Needless to say, I was devastated to hear those words. My 5.5" was not able to satisfy her. HELP me PLEASE!!!”. Hearing something like that from someone you love can stay with you for years and deeply affect confidence. But I want you to know that a 5.5-inch penis is actually within the normal average range, and most sexual satisfaction comes from arousal, emotional connection, foreplay, and communication—not size alone. In terms of increasing size, traction devices do have medical evidence showing modest permanent length gains when used consistently for several months, while vacuum erection devices (VEDs or pumps) are more helpful for improving blood flow, erection quality, and temporary fullness rather than permanent enlargement. Neither is a magic fix, but they are not a waste of money if used correctly with realistic expectations. I also have videos about both VEDs and traction devices that walk through what they can realistically do, how to use them safely, so I’d definitely encourage you to watch those to help you decide.

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!

I just returned from the Webby Awards in New York City, where I had the incredible honor of accepting my Webby Award! None of this would have been possible without each and every one of you—your support, encouragement, and willingness to engage in these important conversations means everything to me. It was such a surreal and exciting experience to celebrate this milestone together.

Check out my five-word speech here. It was epic!

Let’s talk about pelvic floor problems—most people just live with them, but you don’t have to! "These are not just annoyances that you have to live with and they are definitely not just a normal part of aging. They are signs that your pelvic floor might be having a problem."

Here are some quick takeaways:

Remember, you really don’t have to accept discomfort as your “new normal.” Ask for help—there are solutions! Check out the full episode for much more practical advice on taking care of your pelvic health.

I had an amazing conversation with Dr. Anna Maria Giraldi about sexuality as we age, breaking free from shame, and why sexual health matters at every stage of life. She really put things in perspective when she said: “We need to deconstruct all these shameful perceptions of… I’ve masturbated, I watch pornography.”

Here’s what really stood out:

Honestly, Dr. Giraldi’s message is all about embracing our evolving sexuality, dropping shame, and remembering that pleasure and connection are important, no matter how old we are!

So listen on Apple Podcasts, Spotify, or here and see why people are commenting, “Great topic! ❤ when you address the boomer crowd. Physical activities, healthy eating, positive thinking and enjoying sex at any age (whatever this may be) should be a priority in the winter of our life. Hormone Therapy is definitely a must. ❤❤👍🏽”.

Ever wondered what actually happens inside the female body during orgasm? Check out my new Substack: What Really Happens to a Woman’s Body During Orgasm? A Urologist Explains.

In this article, I break down the science of female arousal and orgasm—from heart rate changes and pelvic floor contractions to why every woman’s experience is different, normal, and deeply connected to overall pelvic and sexual health.