MEN’S YOUROLOGY

Should men under 50 be screened for prostate cancer—and if so, how?

This study looked at over 500 men aged 45–50 with elevated PSA levels and compared two methods of prostate biopsy: MRI-targeted and traditional systematic biopsy. Results showed that using MRI-guided biopsy in addition to systematic biopsy provided the greatest benefit.

So MRI works best when combined with systematic biopsy—especially in younger men.

WOMEN’S YOUROLOGY

Can pelvic floor exercises really beat technology when it comes to vaginal laxity?

This study compares pelvic floor muscle training (PFMT) to radiofrequency (RF) treatments in women experiencing vaginal looseness, a concern reported by up to 38% of women. After just 30 days, both groups showed improvements in sexual function, urinary symptoms, and pelvic floor strength. But here’s the catch: after 6 months, the women doing PFMT had better pelvic floor contraction and overall outcomes than those who had RF treatments.

It shows that consistent pelvic floor training—not just tech-based procedures—can lead to longer-lasting improvements in sexual health, bladder control, and vaginal support. If you're dealing with vaginal laxity, this is a strong case for trying PFMT first.

This week, someone asked me, “What would be the best thing too do to increase your girth and length permanent for your penis? With out the pill scams.”. The most reliable and safest option backed by science for increasing length, and to a smaller extent girth, is using a medical-grade penile traction device. These devices gently and consistently stretch the tissue over several months, with studies showing a modest but real gain in length (about 1–2 centimeters if used as recommended). If you're curious about how these devices work and which ones are popular, I’ve reviewed several in a YouTube video about traction devices, where you'll also find links to the ones I mention.

For girth specifically, hyaluronic acid fillers are being used more often and can offer some temporary increase, but they come with potential risks and require repeat treatments since they aren’t permanent. Surgical options can lead to more dramatic changes but also bring the highest risks for complications and disappointment, so they’re only worth considering for very select cases. Honestly, before getting too caught up in all these options, I’d urge you to focus on your overall health—losing excess weight, eating well, and exercising can make a real difference in how you feel about yourself and actually improve the appearance of your penis.

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

I’m working on something exciting: a brand-new course on Erectile Dysfunction and Testosterone – and we want you to help shape it!

Join the waitlist by answering these short survey forms:

• 👉 ED Course Survey Link

• 👉 Testosterone Course Survey Link

Your responses will help us create a course that’s not only informative and practical, but also tailored to exactly what you want to learn.

HIGHLIGHTS FROM MY CHANNEL

I broke down a super common question: Should you be waking up with morning erections, and what does it mean if you’re not? Quote: “Morning erections are an indicator. They are a biomarker of your health and if they are declining, it is a signal for you to take stock and look at what you can do to improve your overall health.”

Here are the quick takeaways:

• Morning “wood” shows good blood flow, hormones, and nerve function.

• It’s normal for erections at night to decrease a bit as you age, but you should still notice them well into later years.

• If you suddenly stop getting them, it could be your body’s early warning sign—time to check on things like testosterone, exercise, stress, sleep, and general health.

Think of it as your body’s little check engine light. Listen to it! Check out the full episode to learn more.

HIGHLIGHTS FROM MY PODCAST

I had an eye-opening conversation with Dr. Jim Pfaus all about how our brains learn pleasure, how attraction works, and why post-orgasm cuddling can be such a game-changer for relationships. Dr. Pfaus put it perfectly when he said, "You can hypnotize people to have orgasms. An orgasm is a state that your brain learns when you have the first few of them."

Here are the big takeaways:

• Our brains actually learn what we find attractive (and it’s shaped by our first experiences).

• Cuddling after sex can help bond us to our partners and deepen that connection.

• It’s totally normal for desire to change over time—and with a little creativity, you can keep things exciting!

Listen on Apple Podcasts, Spotify, or here if you’re curious about the neuroscience of love and pleasure, or just want simple ways to feel more connected. Dr. Pfaus really shows it’s never too late to build more intimacy, so check out why people are commenting, “This was actually much more interesting than I thought. It would be nice to see him again talking about specific stuff in even more details”.