The Dr. Fisch Blog

Expert Mens Health Care

Variocele recurrence and causes in men
The Latest from the Blog

What Causes Varicocele Recurrence in Men?

If you have a varicocele or if you’ve had one in the past, you probably won’t be happy to learn that they can reappear after treatment. But recurrence is one of the most common complications associated with varicocele repair.

Varicocele basics: a quick review

As a quick review, veins carry blood from the testicles back to the heart. These veins have valves that keep the blood from flowing backward. If any of these valves fail, some of the blood flows in reverse. This causes the veins to swell. These swollen veins are called varicoceles, and they occur for about 15% to 20% of all men. … MORE

The Keto diet and men's health

Is the Ketogenic Diet Safe for Men’s Sexual Health?

Just a few months ago, People magazine highlighted 16 celebrities who have tried the ketogenic diet, a “high-fat, low-carb diet that’s taking Hollywood by storm.” The list included a few men, including Mark Consuelos, Al Roker and Tim Tebow.

While most of the celebrities on the list praised the diet, some people have even claimed that the ketogenic diet boosted their sex drive, the diet’s benefits have been debated for many years. Some experts have even called the ketogenic diet harmful to overall health: The ketogenic diet was named as the “worst fad diet” in an annual US News and World Report list. … MORE

Smoking cigarettes and fertility

Smoking, Sex and Fertility: Three Negative Effects for Men

Looking for answers

If you’re having difficulty getting your partner pregnant, you’re probably looking for answers. However, the answer could be pretty simple if you’re a smoker or you’re exposed to second-hand smoke: Smoking can reduce your fertility. In fact, infertility rates in both male and female smokers are about twice as high as for nonsmokers. The risk of fertility problems increases with the number of cigarettes smoked every day. Here are three reasons why: … MORE

The age limit for a vasectomy reversal

Is There An Age Limit for a Vasectomy Reversal?

Many men decide to get a vasectomy as a way to permanently prevent any unwanted births. It’s a relatively common surgery. But for about one out of every 20 men who has a vasectomy, unexpected life events result in a decision to have a vasectomy reversal procedure.

This decision often raises a few questions — such as whether there’s an age limit for a vasectomy reversal. The short answer is that a man can get a vasectomy reversal at any age. … MORE

The effects of alcohol on prostate cancer

The Effects of Alcohol on Prostate Cancer

A lot of guys drink alcohol and a lot of guys get prostate cancer. Is there a connection between the two? There’s been a lot of research done to find out, and there are some possible links.

Before I get into that, I should explain what the prostate is and why prostate health is important. The prostate is part of the male reproductive system. It helps to create semen, and it’s located just below the bladder. It surrounds the urethra, which is the tube that carries urine out of the body. Prostate cancer is the most common cancer in men in the United States, after skin cancer. … MORE

Varicocele symptoms and treatment options for adolescents

Varicocele Symptoms and Treatment Options for Adolescents: What You Need to Know

Separating the boys from the men

I’ve written before in my blog about varicoceles, which are swollen veins next to the testicles. But I generally write about varicoceles from the perspective of grown men. Although the likelihood of developing a varicocele increases with age, a varicocele can develop any time after puberty, which means that they can occur in adolescents. So this blog is mainly for young men and their parents. … MORE

The male biological clock and maintaining sexual health as you age

Maintaining Sexual Health as you Age: 10 Suggestions for Slowing the Male Biological Clock

As a man ages, a lot of changes happen to his body. It’s a gradual process that starts to pick up speed around the age of 40. In middle age and beyond, men are more likely to experience low testosterone, erection problems or an enlarged prostate, as well as heart disease, diabetes and certain kinds of cancer. Normal aging often means an increase in body fat, lower muscle mass, and decreases in hormonal levels. All of these factors can affect your ability to have an active and fulfilling sex life. … MORE

Vasectomy reversal and chronic testicular pain - man upset with hand against wall
Doctor consulting patient about varicocele treatment options

Three Varicocele Treatment Options to Consider

If you’ve been diagnosed with varicoceles or you think you may have them, then you may be wondering how they’re treated. At this point, you probably already know that varicoceles are enlarged veins right next to your testicles. They’re fairly common — especially as you get older — and they can be uncomfortable. They can also cause your scrotum to look larger and lopsided, and they can heat up your testicles, which can reduce your fertility and your testosterone levels. These are all reasons why men may want to explore varicocele treatment options. By sealing off any malfunctioning veins, varicocele treatment can relieve discomfort, return blood flow to normal, and improve your fertility. … MORE

Exercise and male fertility - man running on a path

Exercise and Male Fertility: What’s The Connection?

When It’s Time To Man Up

One of the most common conversations I have with my patients has to do with the difficulty in getting their partners pregnant. Many men assume that when a pregnancy doesn’t occur, it’s because of a problem with their wife or girlfriend’s reproductive system. Other men do research and find out that in one in five cases of infertility, the problem is entirely with the male. These men often come into my office asking about male infertility issues such as sperm disorders, hormone imbalances or, if they’re over 40, age-related infertility. … MORE