Tuesday, April 15, 2025
Subscribe to Dr. Mirkin's free FITNESS & HEALTH NEWSLETTER      

Testosterone Replacement for Older Men?

As men age from 50 to 70, their testosterone levels drop more than 40 percent, causing them to become fatter, and less sexual, muscular and assertive and have smaller, weaker bones (7,11). Twenty percent of men aged 60-80 years have testosterone levels below the lower limit of normal.

Permanent Birth Control Methods: Vasectomy or Tubal Ligation?

Will a vasectomy increase risk of prostate cancer? Whether the husband gets a vasectomy or the wife gets a tubal ligation is usually decided by who has the strongest will. Vasectomies and tubal ligations are safe surgeries, but the operation on a man is a simple cutting under the skin in an office, while the operation on a woman requires going into her belly in an operating room. Over the long haul, they both are safe and effective in preventing pregnancies.

PSA Test for Prostate Cancer

Many doctors recommend that every man over 40 get a blood test called Prostate Specific Antigen to check for prostate cancer. Prostate Specific Antigen is made by prostate cells and is released into the bloodstream. Large prostates have more PSA, so a rise in PSA means that the gland is enlarging rapidly, which can be a sign of cancer or that the prostate is irritated by infection.

Frequent Urination at Night

Several papers show that having to urinate frequently at night is often caused by low levels of antidiuretic hormone (1,2) and that taking that hormone can control this condition.

Male Infertility

Infection is the most common cause of male infertility and that standard tests for infertility often do not find the infection. When evaluating a male for infertility, doctors check sperm count and sperm mobility. If a man's ejaculate contains fewer than 50 million sperm, he is infertile, and the most common cause of reduced sperm count is infection.

Male Hair Loss and Heart Attacks

A depressing study from Harvard School of Public Health showed that loss of hair on the top of the head markedly increases a man's...

Baldness

Several years ago I reported that the present treatment for male-pattern baldness is not very effective and that male pattern baldness may be caused by insulin resistance, and that a diet high in sugar and flour may cause irreversible hair loss.

Prostate Biopsy Not So Benign

Doctors do not need to biopsy every man with a high PSA screening blood test for prostate cancer. Most patients become infected from the procedure, 20 percent suffer severe pain, 10 percent require strong pain medicines, and 15 percent of previously potent patients report that they can't get an erection one month later.

Swollen Testicles: Varicoceles and Hydroceles

Research has shown that most cases of swollen testicles do not need to be corrected by surgery. Swollen, painless testicles are usually caused by varicoceles, large veins full of blood on the outside of the testicles; or hydroceles, a sac of fluid around the testicles. Less common causes include infection or a tumor.

Bent Penis: Peyronie’s Disease

Three of 100 men suffer from Peyronie's disease, a bending of the penis during erection. The penis contains balloons that fill with blood to cause an erection. These balloons can develop a scar that prevents them from expanding normally during an erection, causing the penis to bend toward the scar.

Bicycling Does Not Raise PSA

A study from the University Hospital in Essen, Germany shows that riding a bicycle does not raise blood levels of PSA, the blood test...

Zinc and Prostate Cancer

A study from the National Cancer Institutes showed that taking more than 100 mg of zinc supplements a day doubles a man's chances of developing advanced prostate cancer. There are hundreds of products on the market today that contain zinc and they are advertised to help treat the prostate, help prevent prostate cancer, help treat an enlarged prostate, treat impotence, increase sexuality, increase ejaculation volume, and make a man more potent. All of these claims are unsupported by scientific data.

Fitness Prevents Impotence

A study in the Annals of Internal Medicine (August 2003) showed that lack of physical fitness is a major cause of impotence. Doctor Eric...