The Dr. Fisch Blog

Expert Mens Health Care

Man watching porn on internet in bedroom
The Latest from the Blog

Watching porn: a harmless diversion or a dangerous epidemic?

It’s now been more than 20 years since pornography began migrating to the Internet, and boy, has it taken off. Statistics from one of the major porn websites indicate nearly 30 billion visits in a recent year, which translates to more than 80 million visits every day. And that’s just for a single website. (Of course, porn has been around a lot longer than the Internet. But online access made porn easily and immediately accessible to anyone with online access.)

It’s estimated that about 75 percent of this porn audience is men, although some people think this is a low estimate. Likewise, men of all ages watch porn — and those who do, often watch a lot of it. … MORE

Signs of Low Testosterone and What to Do About It

Symptoms Of Low Testosterone

If you’re having trouble getting an erection or maintaining an erection, it’s possible that you have low testosterone. Starting during puberty, testosterone is what causes male bone and muscle development, hair growth, a deeper voice, and sperm production. Low testosterone — a condition in which the testicles don’t produce enough of the male sex hormone testosterone — affects almost 40% of men aged 45 and older. Also known as hypogonadism, low testosterone can affect men of any age.

For most men, testosterone production naturally slows down as part of the male biological clock. However, some men experience more significant testosterone decreases than others. Here are some of the other possible symptoms of low testosterone: … MORE

Young couple enjoying breakfast foods in bed before sex

Best Foods to Eat to Improve Sexual Performance

As the longstanding cliché goes, “You are what you eat;” and as a man, this extends to even your sexual performance. I tell my patients that if they’re looking to maintain or boost their sexual health, one of the best things they can do is to simply eat right – with moderation as a good guideline — and everything improves. Yet, when it comes to hitting peak sexual performance, there are a few clear links of key food ingredients that impact your sex organs specifically.


Vasectomy Success Rates

Vasectomy Success Rates: Ensuring Your Best Chance for Success

How reliable is a vasectomy?

When a man gets a vasectomy, two tubes called the vas deferens are cut or blocked. This has the result of keeping sperm out of your semen. After a vasectomy, sperm cells stay in your testicles and are absorbed by your body. There’s no effect on hormone levels, sexual pleasure, or a man’s ability to ejaculate or stay erect. So what about vasectomy success rates? … MORE

Couple talks to Doctor about varicocelectomy surgery

Varicocelectomy: Understanding the Procedure and Costs

What’s a varicocelectomy?

If you’ve been diagnosed with a varicocele or if you suspect that you have one, then you’re probably wondering: what do I do now? Varicoceles (swollen veins in the scrotum) can be a concern, especially if they cause discomfort or if you’re struggling with infertility. Varicoceles can interfere with male fertility by warming your testicles, which reduces sperm quality and quantity.

In most cases, a varicocele can be treated by surgical procedure called a varicocelectomy. During the surgery, the swollen veins are cut and closed off. Other veins then take over carrying the blood supply. … MORE

Couple enjoying coffee in bed

The Male Libido: A Timeline of Testosterone

A lot of men are afraid about losing their sex drive as they age — and for good reasons. A low sex drive can reduce self-esteem, strain relationships, and even cause depression. Because of this, it’s helpful to know what to expect from your body as you get older.

Both men and women typically experience a drop in sex hormones as they age. With women, this drop can happen relatively quickly, during menopause. It’s generally a more gradual process with men and their levels of testosterone, which is the sex hormone that causes a lot of the bodily changes that happen during puberty — things like body hair, sex organ development, a deeper voice, and sperm production. … MORE

Man with doctor at his annual health checkup

Is it Important for Men to Get an Annual Health Checkup?

On average, women all over the world live longer than men. In the U.S., women have a life expectancy of 81.1 years, while men’s life expectancy is 76.33 years. In other parts of the globe, this number can vary even greater. Although there are multiple factors that contribute to this trend, such as men typically having more dangerous jobs and being bigger risk takers than women, there are some steps men can take to increase their chances of living a healthier, longer life. … MORE

Male doctor and patient discussing prostatitis and the various treatments and causes

Prostatitis: Explaining the Causes and Treatments

Prostatitis explained

If you’ve got prostatitis, you know it’s not fun. Even in mild cases, inflammation or infection of the prostate can cause painful urination or ejaculation disorders. In more serious cases, you may also experience muscle aches, fever and chills. Prostatitis can also cause urinary urgency and frequency, as well as pain in the prostate (located behind the penis) or in the lower back or the genital area. In some cases, there are no symptoms at all — just an inflamed prostate that may not even require treatment.


A glass bowl of gummy worms sitting on table

Varicocele Causes and Symptoms: What You Need to Know

Varicose veins of the scrotum

If you have a varicocele or you think you might have one, then you probably have a few questions. If you’re wondering what exactly a varicocele is, picture a varicose vein — one of those twisty, swollen-looking veins that you can see just under the skin. While varicose veins usually appear in the legs, varicocele (pronounced var-i-co-SEEL) is a similar condition that occurs in the scrotum. More specifically, varicoceles occur in the spermatic cord, which carries blood to and from your testicles. When the blood in these veins gets backed up, it causes the veins to widen, which can damage the testicle and cause other problems.  … MORE