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

Getting kicked in the cb: What ball shots really do to your body and how to recover safely

Nov 20, 2025 · 12 min read

Testicular trauma (getting hit in the groin): what happens, warning signs, and safe recovery A direct blow to the scrotum can cause anything from a painful bruise to internal bleeding or testicular rupture, and the nausea/abdominal pain happens because the testes share nerve pathways with structures near the kidneys from fetal development. Here’s how to ...

Does nicotine increase testosterone or quietly wreck it?

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

Nov 20, 2025 · 10 min read

In observational studies, male cigarette smokers average about 15% higher total testosterone and 13% higher free testosterone than non-smokers, likely because nicotine alters liver hormone metabolism and slows testosterone breakdown. That “smoker’s paradox” can still coincide with erectile dysfunction and infertility as smoking damages blood vessels and testosterone-producing Leydig cells, so higher lab numbers don’t ...

TRT side effects. Facts and myths.

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

Nov 14, 2025 · 14 min read

TRT side effects most often include acne or oily skin, higher hematocrit, fluid retention, and reduced fertility, and they are usually manageable with appropriate dosing and monitoring. Here is a clear, evidence-based guide to testosterone replacement side effects and how to manage them safely. “Most problems blamed on TRT are preventable. The real risk is ...

Erectile dysfanction in men: The causes doctors look for and a plan that works

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

Nov 01, 2025 · 15 min read

Erectile dysfunction is most often treatable, and in many men it is driven by blood flow problems, pelvic floor muscle issues, or a stress anxiety loop rather than “low testosterone” alone. The bigger point is that new erectile dysfunction can also be an early warning sign of cardiovascular risk, so a real workup is worth ...

Veedma and testosterone: What raises levels naturally and when treatment makes sense

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

Oct 30, 2025 · 12 min read

The most reliable ways for men to raise testosterone naturally are to lose excess abdominal fat, protect consistent sleep, and reduce chronic stress. This guide explains what “low T” means on labs, how to test correctly, and how to discuss fertility-preserving options before considering injections. “Testosterone is not a mystery lottery. In most men, extra ...