Men’s Health

Are there any effective treatments for Peyronie’s disease?

DEAR DOCTOR K: I have Peyronie's disease. Are there any effective treatments for this condition?

DEAR READER: Peyronie's disease is, fortunately, relatively uncommon. About 5 percent of men in the United States may have it. The condition affects the penis. It causes inflammation and then scar tissue to form in the area of inflammation. The scar tissue accumulates and hardens, causing the penis to bend when it becomes erect, and potentially keeping it from becoming fully erect. This can make sexual intercourse difficult and painful. (I've put an illustration, below, showing the effect of Peyronie's disease.)

What can I expect during a prostate biopsy?

DEAR DOCTOR K: My last PSA test result was abnormal, so my doctor has scheduled a prostate biopsy. What can I expect? Is there anything I can do to make the procedure more comfortable and reduce the risk of complications? DEAR READER: An abnormal prostate-specific antigen (PSA) blood test result often leads to a prostate […]

What is the most effective way to treat premature ejaculation?

DEAR DOCTOR K: I've been experiencing premature ejaculation. What is the most effective way to treat this?

DEAR READER: Premature ejaculation (PE) occurs when a man reaches orgasm and ejaculates too quickly and without control. In other words, ejaculation occurs before a man wants it to happen. Several factors may contribute to this problem. Diabetes, problems with the thyroid gland or inflammation of the prostate are common culprits. Stress, depression and other emotional factors can also play a role. But most men with PE are healthy.

What should I know about testicular cancer?

DEAR DOCTOR K: I'm in my 30s. A friend of mine was recently diagnosed with testicular cancer. What should I know about this cancer? Should I be screened for it?

DEAR READER: Testicular cancer is the uncontrolled growth of abnormal cells in one or both testicles (testes). Nearly all testicular cancers start in germ cells. These are the cells that make sperm. The testicles are located in the scrotum, behind the penis.

Can a vasectomy be reversed?

DEAR DOCTOR K: I had a vasectomy many years ago. I've since remarried, and my new wife wants to have children. Can my vasectomy be reversed?

DEAR READER: A vasectomy is a minor surgical procedure that is done to make a man sterile (unable to father children). Normally, sperm -- the male reproductive cells that fertilize a woman's egg -- are made in the testicle. Sperm travel away from the testicle through a tube called the vas deferens.

What could cause male infertility?

DEAR DOCTOR K: My wife and I have tried to get pregnant for over a year. We're going to be tested soon to see if anything is wrong. I'm worried that the problem lies with me. What are some reasons for a man to be infertile?

DEAR READER: About one in seven couples in the United States is unable to conceive a child after trying for one year. The infertility is caused by either the man alone (about 40 percent of the time), by the woman alone (about 40 percent of the time) or by both partners (about 20 percent of the time). So it is possible that something about you is responsible for your wife's difficulty with becoming pregnant.

Is it ok that I’ve stopped ejaculating even when I orgasm?

DEAR DOCTOR K: For the past few months, I haven't been ejaculating, even when I have an orgasm. Why not? What's wrong?

DEAR READER: It sounds like retrograde ejaculation. To explain that, we need to talk about anatomy. There is one tube, the urethra, which leads from the bladder and through the center of the penis. The urethra carries urine out of the body. Two tubes, one on each side of the urethra, lead from the seminal vesicles and open into the urethra. The seminal vesicles are tiny glands that make semen. (The prostate gland helps make semen, too). Semen is a thick fluid that helps nourish sperm. Semen really has no other purpose: It is produced onlyto help sperm.

What are the differences in erectile dysfunction drugs?

DEAR DOCTOR K: Is there a difference between the drugs that are available for erectile dysfunction?

DEAR READER: Erectile dysfunction (ED) is a problem faced, to one degree or another, by many middle-aged and older men. Since sildenafil (Viagra) was launched in 1998, men have been turning to medication to help address this problem. There are currently four ED drugs on the market: sildenafil (Viagra), tadalafil (Cialis), vardenafil (Levitra) and avanafil (Stendra).

Why delay treatment for slow-growing prostate cancer?

DEAR DOCTOR K: I was recently diagnosed with prostate cancer. My doctor says my cancer is slow-growing and that we should just monitor it for now. Why not treat it right away?

DEAR READER: I know this will sound odd, but cancer is not always bad for your health. There are types of cancer that can cause no symptoms, that grow slowly (if at all) and that are unlikely to spread. There are types of cancer that you will never know you had. You will die with these cancers, but you won't die from them.