The Dr. Fisch Blog

Expert Mens Health Care

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The Latest from the Blog

The Impact of Eating More Nuts on Your Sperm Quality

In previous blog posts on male infertility, I’ve mentioned many factors that could have a negative impact on sperm count, quality and viability, but many men are surprised to hear the next tip to help increase your fertility  – eat more nuts. Because sperm use the components derived from different food sources to divide and grow adequately, fortifying your meal plan with a diet rich in proteins and vegetables can help decrease your chances of infertility.  And given the results of the most recent research study, while you’re making your grocery list, you should also consider adding more nuts to the list. … MORE

male fertility increasing chances

4 Ways to Increase Male Fertility

Infertility is a problem which affects 10 to 15% of couples. It is a health problem which many patients are not initially aware of because male fertility problems may go unnoticed for years; until they decide it is time to try for a pregnancy. Many factors such as age, genetics and lifestyle choices can affect the health of your sperm and predispose you to infertility. While you can neither alter your genes or roll back the years, there are certain habits that can help increase male fertility. … MORE

Wife and husband talking to Doctor about vasectomy reversal failure

What if Your Vasectomy Reversal Fails

With relatively recent advances in microsurgical techniques, instruments and suture materials, reverse vasectomy success rates have greatly increased. In general, success rates with vasectomy reversal range from about 40% to over 90%, with numerous factors influencing the outcome, such as the time since a vasectomy and the surgeon’s experience. And while success rates have risen, there are cases where the procedure does not result in conception, however, that is not to say that your road to fatherhood has reached its end.


acute prostatitis

Acute Prostatitis: Why Should It be Treated Immediately?

Acute prostatitis is the inflammation of the prostate, usually caused by a relatively fast-developing bacterial infection in the male urinary tract. It should be treated immediately because the scarring that can develop from the infection can block the ejaculatory ducts, which are the tiny “ports” that allow sperm to mix with semen during ejaculation.


Young man with mouth open, surprised about peyronie's disease

Is it Possible to Break Your Penis?

It’s fairly common for an erect penis to curve slightly one way or another. But if the bend is extreme, causes pain, or makes intercourse impossible, then the condition is called Peyronie’s disease, after François Gigot de la Peyronie, the French surgeon who first described the disease in 1743. … MORE

Testosterone and weight loss. Man measuring waist with tape measure.

The Test for Testosterone — Your Waistline

Recently at my office, a friend of mine came by. His pants were definitely too tight… and he wears his pants at the “one yard line” – translation, his pants are worn too low on his hips – way below his belly.

I told him I was going to measure his waist. One of the most important tools I have at my office is a simple tape measure. This is very, very important. Your waist size should be half of your height. This proportion helps to objectively determine men who are overweight. Men who are overweight – who have a big belly – may have a lower testosterone level. … MORE

Husband kissing baby after learning about vasectomy reversal alternatives

Testicular Sperm Extraction: An Alternative to Vasectomy Reversal

So, you (or your partner) had a vasectomy. No more kids. You are sure of it. Your doctor told you that vasectomy is a permanent procedure. But now, something in your life has changed, and you would like to have more children.

It’s a fact. Men who have a vasectomy sometimes want to have more children.  And while vasectomy is a permanent procedure, there are two options for men to try to reverse the effects of their vasectomy. … MORE

Man recovring from vasectomy reversal

Vasectomy Reversal Recovery: What You Can Expect

If you can remember your recovery period after vasectomy, you can expect a similar experience after your vasectomy reversal procedure as far as the pain and discomfort goes. Although a vasectomy reversal is a minimally invasive procedure, I realize that the idea of surgery in that area of your body can be alarming. However the incisions I use for a vasectomy reversal are quite small, contributing to the brief recovery period you can expect after surgery.


Man in car - road to fatherhood

Vasectomy Reversal: The Road to Fatherhood

It happens, you have decided to have children after your vasectomy. If you are like most men in this situation, you probably already had children years in the past and now, perhaps your life is going in a new direction and you want to have a child together with your partner. The good news is that this is certainly a possibility. There are many factors at play when it comes to vasectomy reversal success, some of which you can influence while others are outside of your control. … MORE

Couple laying on one another having a vasectomy reversal discussion

How to Discuss Vasectomy Reversal with Your Partner

It’s true, a vasectomy can be surgically reversed. In fact, the vast majority of men can successfully have their vasectomy reversed even if it has been decades since the original procedure. This is great news for couples who decide they want to have a child together naturally. However, like deciding to have a child, a vasectomy reversal is a major choice. You will need to talk with your partner, and here are some things to keep in mind during that discussion. … MORE