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 should know

Celebrity penises and the big penis myth: What men should know

Dr. Alexander Grant, MD, PhD avatar
Dr. Alexander Grant, MD, PhD: Urologist & Men's Health Advocate
Dec 15, 2025 · 10 min read

The average erect penis length is about 13 cm, and “celebrity” size claims are usually meaningless because flaccid photos, camera angles, and nonstandard methods (vs. bone-pressed erect length) can’t reliably indicate true erect size. Here’s how to measure accurately, stop misleading comparisons, and focus on what actually improves performance and confidence (like erection quality and ...

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 · 11 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 fluctuation—like the often‑misread ~145% spike on day 7 of abstinence—and what that means (and doesn’t) for muscle, mood, and long‑term health. ...

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 · 13 min read

Wondering what happens if we release sperm daily? For most healthy men, frequent ejaculation is safe and does not drain testosterone, kill muscle gains, or 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 ...

How to measure testosterone accurately in men

How to measure testosterone accurately in men

Dr. Alexander Grant, MD, PhD avatar
Dr. Alexander Grant, MD, PhD: Urologist & Men's Health Advocate
Dec 10, 2025 · 13 min read

Accurate testosterone measurement in men requires a morning serum (blood) testosterone test using validated lab methods, confirmed on at least two separate days before diagnosing “low T.” Here’s how timing, test type (total vs free), and common at-home kits can skew results and lead you toward the wrong next step. “If you get testosterone testing ...

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