MEN’S YOUROLOGY

Hormones play a fascinating and complex role in male sexual function, particularly in the process of ejaculation. This review reveals that our body's chemical messengers are like intricate conductors orchestrating a delicate symphony of sexual response. Oxytocin emerges as a key player, actively regulating orgasm and ejaculation through multiple pathways in the body - from the brain to the spinal cord and peripheral systems.

Interestingly, thyroid hormones also have a significant impact, with studies showing links between thyroid conditions and sexual performance. For instance, hypothyroidism can contribute to delayed ejaculation, while hyperthyroidism might lead to premature ejaculation. The research suggests that understanding these hormonal interactions could open up new treatment possibilities for men experiencing sexual difficulties.

WOMEN’S YOUROLOGY

The study, which surveyed over 2,000 women, found that the most common reason women masturbate is simply sexual pleasure and satisfaction - no big surprise there! About 64% of women cited this as their primary reason, with 87% including it as a contributing factor. Interestingly, stress relief and decreasing sexual tension were also significant motivations. The study found that women engage in a variety of masturbation activities, with clitoral stimulation being the most common (97%), followed by vaginal stimulation (45%) and using erotic enhancements (41%) (

What's really cool is that the study revealed masturbation isn't just about sexual pleasure - it can be a way of managing stress, anxiety, and sexual dissatisfaction. Women who masturbated more frequently were more likely to report ongoing anxiety or depression, suggesting that masturbation might serve as a form of emotional and psychological self-care

This study is significant because it helps normalize conversations about women's sexual experiences, breaks down stigmas around masturbation, and provides a more comprehensive view of women's sexual health and well-being. By exploring masturbation not just as a physical act, but as a complex psychological and emotional experience, the research offers valuable insights for understanding women's sexuality.

This week, someone asked me, “I realized of late that I don’t always ejaculate. I have an elevated PSI reading and the last time I visited a urologist the doctor said I need to ejaculate more to get the swelling down. Does this require a deep medical intervention or is there alternative non-invasive procedures to try?”. It's completely understandable to feel concerned when your PSA is elevated. First, an elevated PSA can be a risk for prostate cancer it can also be elevated due to enlargement or inflammation of the prostate. Regular ejaculation has been shown in some studies to help prevent prostate cancer, there's no strong evidence that ejaculation is going to reduce your PSA. I would discuss rechecking your PSA with your doctor, and if it's still elevate,d discuss what the appropriate next step might be.

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 talked about why hot flashes mess with your sleep during menopause and what you can actually do about it, all from the comfort of your home. “Research shows that keeping your bedroom cool can dramatically reduce both the frequency and intensity of night sweats.”

Here are some quick takeaways:

• Try keeping your bedroom between 62-65°F to help cut down night sweats.

• Cooling devices and fans can help you stay comfortable and get back to sleep faster.

• Deep breathing and stress reduction (like meditation) can make hot flashes less frequent.

You don’t have to suffer through sleepless nights. Small tweaks to your environment and routines can make a real difference! Check out the full episode to find more tips you can start using tonight.

HIGHLIGHTS FROM MY PODCAST

I had such an eye-opening conversation with Dr. Seema Anand, an expert on ancient erotic literature, about reigniting passion and connection in our relationships — no complicated advice, just timeless, practical tips. “What you need for a really good sex life is a desire to want to be with each other.”

Here are three quick gems from our chat:

• Ancient wisdom says pleasure, not just sex or orgasms, is at the heart of great intimacy.

• Simple acts like kissing, cuddling, and using scents or jewelry can make a huge difference.

• Taking sex off the table sometimes actually builds more desire and closeness.

Curious? Listen on Apple Podcasts, Spotify, or here for a whole new way to think about pleasure and connection, and see why people are commenting, “Memorable .Every woman is sacred.Both Dr Seema Anand and Dr Malik Stay blessed ameen”.

NEW MEDIA

Over half of women will get a UTI in their lifetime, and many face bladder leaks too. Check out my NEW Substack: Getting Ahead of UTIs: Doctor-Backed Strategies for Female Pelvic & Bladder Health.

In this article, I, break down the biggest myths about UTIs, explain why menopause and conditions like diabetes can make things worse, and share evidence-based strategies every woman (and man) should know to protect their bladder and pelvic health.