Sexual health

Start with what matters: desire, function, and comfort. We explain libido, arousal, erectile function, orgasm, and sexual pain, and how medicines and hormones influence them. Clear language, evidence-based guidance, and practical steps to understand your body and improve sexual well-being.

Celebrity penises and the big penis myth: What men’s health science actually says

Celebrity penises and the big penis myth: What men’s health science actually says

Dr. Alexander Grant, MD, PhD avatar
Dr. Alexander Grant, MD, PhD: Urologist & Men's Health Advocate
Dec 15, 2025 · 11 min read

Celebrity penis rumors rarely reflect measurable reality, and a big penis is not a reliable predictor of sexual performance or sexual health. What matters far more is erection quality, hormone balance, blood flow, and confidence. This article breaks down what size science really shows, how to measure correctly, and what to do if you are ...

High estrogen on trt symptoms: What happens when your balance shifts

High estrogen on trt symptoms: What happens when your balance shifts

Dr. Alexander Grant, MD, PhD avatar
Dr. Alexander Grant, MD, PhD: Urologist & Men's Health Advocate
Dec 13, 2025 · 12 min read

On TRT, a portion of injected testosterone is converted by the aromatase enzyme into estradiol, and about 15-20% of men develop elevated estrogen levels that can cause symptoms like water retention, nipple/breast tenderness, mood changes, and sexual dysfunction. Here’s how to recognize the pattern, why it can mimic low-T, and what to adjust so your ...

Does masturbating lower testosterone? The science behind the myths

Does masturbating lower testosterone? The science behind the myths

Dr. Alexander Grant, MD, PhD avatar
Dr. Alexander Grant, MD, PhD: Urologist & Men's Health Advocate
Dec 12, 2025 · 10 min read

Masturbation does not permanently lower baseline testosterone because the hypothalamus‑pituitary‑gonadal (HPG) axis maintains homeostatic hormone production, and clinical studies show no statistically significant change in systemic testosterone after orgasm. The real story is short‑term fluctuations, such as the often‑misread ~145% spike on day 7 of abstinence, and what that means (and doesn’t) for muscle, mood, ...

What happens if we release sperm daily? What science says about testosterone, muscle, and men’s health

What happens if we release sperm daily? What science says about testosterone, muscle, and men’s health

Dr. Alexander Grant, MD, PhD avatar
Dr. Alexander Grant, MD, PhD: Urologist & Men's Health Advocate
Dec 11, 2025 · 14 min read

For most healthy men, ejaculating daily is safe and does not meaningfully lower long-term testosterone or impair muscle gains. Frequent ejaculation is unlikely to wreck long-term health, but there are a few important exceptions you should know about. “For the average healthy man, ejaculating every day is more of a lifestyle choice than a medical ...

How to measure testosterone accurately: The blood tests that actually matter

How to measure testosterone accurately: The blood tests that actually matter

Dr. Alexander Grant, MD, PhD avatar
Dr. Alexander Grant, MD, PhD: Urologist & Men's Health Advocate
Dec 10, 2025 · 14 min read

You measure testosterone most accurately with a morning blood test that reports total testosterone and free testosterone, ideally processed by a CLIA certified laboratory. The details matter, because timing, test type, and follow up labs can be the difference between useful data and a false alarm. “If you want to know how to measure testosterone ...

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