The Dr. Fisch Blog

Expert Mens Health Care

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The Latest from the Blog

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.)


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