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 · 11 min read

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 the kidneys from fetal development. Here’s how to tell a simple contusion from a true emergency and what to do right away to recover ...

Does nicotine increase testosterone or quietly wreck it?

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

Nov 20, 2025 · 9 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 · 13 min read

Testosterone replacement can change energy, mood, strength, and sex drive — but it also shifts blood, skin, fertility, and prostate health. Here is a clear, evidence-based guide to TRT side effects and how to manage them safely. “Most problems blamed on TRT are preventable. The real risk is starting testosterone in the wrong man, at ...

Top 3 erectile dysfunction causes

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

Nov 01, 2025 · 14 min read

The three most common drivers of erectile dysfunction that persists for weeks to months are reduced penile blood flow from vascular disease, pelvic floor dysfunction that can’t “lock in” pressure by trapping blood, and a stress/anxiety loop that activates the sympathetic “fight-or-flight” response and shuts erections down. Because ED can be an early “check engine” ...

Top 3 ways to increase testosterone naturally

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

Oct 30, 2025 · 11 min read

The most reliable natural ways to raise testosterone in men are to reduce abdominal fat (losing ~10% of body weight typically increases total testosterone by ~80–100 ng/dL, and ~15% can add ~200–250 ng/dL), prioritize consistent sleep, and lower chronic stress that suppresses the brain–testicle (HPT) axis. Here’s how to apply those levers safely, what “low ...