Dr. Alexander Grant, MD, PhD: Urologist & Men's Health Advocate

TRT before and after: What the clinical data actually promises for your body

Dec 04, 2025 · 13 min read

In men with symptoms and consistently low testosterone (total testosterone under ~350 ng/dL, or free testosterone under ~100 pg/mL), TRT that restores levels to the mid‑normal range (~400–700 ng/dL) can increase lean muscle, reduce fat mass, and improve sexual function, with modest improvements in mood and vitality. The viral “before and after” transformations are often ...

Dry skin on penis or eczema on the pennis? Causes, symptoms, and fixes

Dr. Alexander Grant, MD, PhD: Urologist & Men's Health Advocate

Dec 02, 2025 · 14 min read

Most cases of dry, flaky, or itchy penile skin are irritant contact dermatitis from barrier breakdown in the penis’ thin stratum corneum (often triggered by friction, sweat, soaps, detergents, or condoms), not an STI. Here’s how to tell simple irritation from eczema, psoriasis, yeast, or balanitis—and what actually helps the skin heal. “Most dry skin ...

Hot flush in males: Why it happens and how to stop the heat

Dr. Alexander Grant, MD, PhD: Urologist & Men's Health Advocate

Dec 01, 2025 · 13 min read

Most male hot flushes are triggered by a drop in testosterone that narrows the hypothalamus’ thermoneutral “comfort zone,” causing sudden heat-dumping responses like flushing and sweating (rates reach 70%–80% on androgen-deprivation therapy). Here’s how to tell whether low testosterone, medications, or another hormone problem is driving yours—and which treatments actually work. “When a man tells ...

Why no morning wood happens and what it reveals about your vascular health

Dr. Alexander Grant, MD, PhD: Urologist & Men's Health Advocate

Dec 01, 2025 · 14 min read

Losing morning erections for many weeks often means nocturnal penile tumescence is being blunted by reduced penile blood flow, impaired nerve signaling, or poor sleep — and it can flag vascular problems even when testosterone is normal. Here’s how to interpret the change and when it should prompt a closer look at diabetes and cardiovascular ...

AI in healthcare: How the new medical revolution changes your next doctor visit

Dr. Alexander Grant, MD, PhD: Urologist & Men's Health Advocate

Dec 01, 2025 · 10 min read

AI is already changing routine care by augmenting—not replacing—clinicians: in a 2025 American Medical Association survey, about two-thirds of physicians reported using AI tools (a 78% jump in one year) to analyze imaging and automate tasks like documentation. That means your next visit may include algorithms spotting patterns humans can miss and giving your doctor ...