The Dr. Fisch Blog

Expert Mens Health Care

Patient and doctor discussing prostate cancer
The Latest from the Blog

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.)


treatment of low sperm count

Checking Your Plumbing: Diagnosis and Treatment of Low Sperm Count

What does “low sperm count” mean?

When a couple has been unable to get pregnant for a year, that’s the medical definition of infertility. It’s an issue that affects about one in every six couples. While you might automatically think infertility has something to do with your partner’s “plumbing,” you might want to have your own checked. In about 30% of cases, infertility is at least partly the result of a male condition. This is called male infertility, and it can be related to oligospermia, which is the medical term for low sperm count. This is what it’s called when your sperm count is less than 15 million sperm per milliliter of sperm. If your sperm count is low, your chances of getting your partner pregnant are reduced, but as discussed in this article, there is treatment of low sperm count.


Tape measure next to jeans

Penis Size and Enlargement Methods – What Works and What Doesn’t

How big is big enough?

Are you worried about how you measure up?

It’s a common question. In fact, as many as two-thirds of all men are concerned about the size of their penis, according to one study that involved 200 men.

If you’re wondering about penis size, you may be interested to know that the average is just over five inches when erect, according to a study conducted in 2015. Almost all men’s penises are within an inch of this average length. And despite what you may have seen online, penises longer than 8 inches are pretty rare. As for girth (the distance around, or the circumference), the average is a little less than 5 inches when erect. … MORE

vasectomy side effects

Vasectomy Side Effects: Short Term Effects and the Long-Term Benefit

As I’ve discussed before, the myths and misinformation about vasectomies unfortunately have a way of influencing a man’s consideration of a vasectomy. But the reality is that in most cases, this elective procedure can be accomplished as a short outpatient procedure with a quick recovery time, with the positive long term benefits of a vasectomy far outweighing the short-term vasectomy side effects that men can experience. … MORE

low sperm count

Causes & Symptoms of Low Sperm Count and When You Should See the Doctor

Low sperm count is a condition that affects many men; however, because it is not routinely tested, and typically lacks obvious signs, those affected may not be aware of their sperm’s health. Understandably, most men only begin to think about their sperm count when experiencing difficulty in achieving conception and are concerned about male infertility. And while many men with a low sperm count may still be able to father children, the chances of achieving a successful conception decrease if you have a low sperm count. Not only is conception a concern, but low sperm count can sometimes be a sign of a bigger problem associated with the male reproductive system.



Are you Superman or Clark Kent in the Bedroom? Sexpert on Male Sexuality Dr. Harry Fisch Weighs In

When it comes to a man’s performance in the bedroom, most men either don’t realize they have a problem, they are just too embarrassed to talk about it, or they don’t understand that the problem they have, a lot of people have it. By openly talking about your sexual experiences with your partner(s) or your healthcare provider, you can explore male sexuality and performance concerns, and seek the necessary follow up. While many men may not feel comfortable doing so, it’s well worth the conversation as the good news is, with proper treatment, I can help most men and couples resolve their issues. … MORE

Hand picking up nuts

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