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.

Rectal delivery systems: Understanding the clinical role of suppositories in men’s health

Rectal delivery systems: Understanding the clinical role of suppositories in men’s health

Dr. Alexander Grant, MD, PhD avatar
Dr. Alexander Grant, MD, PhD: Urologist & Men's Health Advocate
Dec 05, 2025 · 12 min read

Rectal suppositories deliver medication through the highly vascular rectal mucosa, partially bypassing first‑pass liver metabolism so some drugs (such as anti‑inflammatories) can reach effective levels within 30–60 minutes while targeting pelvic tissues with fewer stomach side effects than oral pills. Here’s when they’re clinically useful for men (constipation, hemorrhoids, pelvic/prostate pain, even certain erectile treatments) ...

Semen retention meaning and the science behind the hype

Semen retention meaning and the science behind the hype

Dr. Alexander Grant, MD, PhD avatar
Dr. Alexander Grant, MD, PhD: Urologist & Men's Health Advocate
Dec 05, 2025 · 12 min read

Semen retention is deliberate abstinence from ejaculation, and research suggests it doesn’t produce a sustained testosterone boost—one study found a modest rise around day 7 of abstinence that drifted back toward baseline despite continued retention. Here’s what the evidence says about how “holding semen” affects hormones, mood, sex, and long‑term health. “Your body is not ...

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

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

Dr. Alexander Grant, MD, PhD avatar
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 ...

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

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

Dr. Alexander Grant, MD, PhD avatar
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 ...

Bioidentical hormone replacement therapy for men: Science, safety, and real-world results

Bioidentical hormone replacement therapy for men: Science, safety, and real-world results

Dr. Alexander Grant, MD, PhD avatar
Dr. Alexander Grant, MD, PhD: Urologist & Men's Health Advocate
Nov 28, 2025 · 14 min read

Most prescription testosterone replacement used in men is already “bioidentical” — the hormone molecule is chemically identical to what the testes produce, even as levels commonly decline about 1% per year after age 30–40. The real question is whether you have symptomatic, consistently low testosterone and how to dose and monitor therapy to restore a ...

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