The Dr. Fisch Blog

Expert Mens Health Care

Man with doctor at his annual health checkup
The Latest from the Blog

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

Couple running on the beach for weight loss
Doctor and patient discussing diagnosis of varicocele
Young, happy parents together with child after vasectomy reversal success

Vasectomy Reversal Success Rates after 5, 10 and 15 years

When the time is right

I’m sure you’ve heard the saying, “The only thing that is constant is change,” or some other saying along those lines. It’s one of the things that comes to my mind when a man comes to me asking about a vasectomy reversal.

When most men get a vasectomy, they’re not thinking that they might get it reversed someday. Yet situations change, and many men come to me years later saying that they want another child. This change of heart can be due to a remarriage, a change in financial situation, or to relieve the uncommon but dreaded post-vasectomy pain syndrome. … MORE

Patient and doctor discussing prostate cancer

Ten Things Men Need to Know about Prostate Cancer

What is prostate cancer?

The prostate is a gland located below your bladder. It’s only found in men, and it makes some of the fluid in semen. In younger men, the prostate is about the size of a walnut, but it can be much larger in older men. Prostate cancer occurs when cells in the prostate grow out of control. This kind of cancer kills hundreds of thousands of men around the world every year, but if detected early, it is usually 100% treatable. … MORE

Young man sleeping in bed. Low testosterone levels and sleep connection.

Can Sleep Affect Testosterone Levels?

In my book, The Male Biological Clock, there’s a whole chapter about testosterone, which is the hormone that stimulates sexual development in men. Testosterone has a big effect on a man’s body, including bone density, muscle strength and mass, facial and body hair, sex drive, and sperm production.

If you’re like most men, testosterone levels generally peak during your teens and 20s, and then gradually decline starting in your 30s. Testosterone levels can also fall for men of all ages, and for reasons that are unrelated to aging. … MORE

Low testserone levels and varicoceles

Can Varicoceles Affect Testosterone Production?

Low testosterone: more common than you think

It’s been estimated that almost 13 million men in the United States have abnormally low levels of testosterone, the main male sex hormone. Low testosterone can cause a whole range of side effects, including a low sex drive, weight gain, reduced energy levels, and trouble sleeping. No one wants any of those, right? Yet nine out of every ten men will not seek treatment, often because they’re in denial, they’re embarrassed, or they think these symptoms are an ordinary sign of aging.

It’s important to remember that a lot of men struggle with this condition, and that it’s treatable. … MORE

Movember prostate cancer awareness

Get Moving for Movember

Mustache + November = Movember

Have you heard of Movember? It’s an annual event to raise awareness of men’s health issues, including prostate health, testicular concerns and men’s suicide. Ever since 2004, the Movember Foundation has run events to raise awareness and funds for men’s health. Many of the men who get involved in Movember grow a mustache for the month. (In case you’re stumped by the name, in some parts of the world, “mo” is short for mustache. So … Movember.)