The Dr. Fisch Blog

Expert Mens Health Care

Vasectomy Success Rates
The Latest from the Blog

Vasectomy Success Rates: Ensuring Your Best Chance for Success

How reliable is a vasectomy?

When a man gets a vasectomy, two tubes called the vas deferens are cut or blocked. This has the result of keeping sperm out of your semen. After a vasectomy, sperm cells stay in your testicles and are absorbed by your body. There’s no effect on hormone levels, sexual pleasure, or a man’s ability to ejaculate or stay erect. So what about vasectomy success rates?

Sounds pretty foolproof, right? Facts on vasectomy success rates.

The truth is, although vasectomies are considered permanent and reliable, they’re not 100% effective. About one in every 2,000 vasectomies is unsuccessful … which means that in that one out of 2,000 cases, a man who’s had a vasectomy will get a woman pregnant. … MORE

Couple talks to Doctor about varicocelectomy surgery

Varicocelectomy: Understanding the Procedure and Costs

What’s a varicocelectomy?

If you’ve been diagnosed with a varicocele or if you suspect that you have one, then you’re probably wondering: what do I do now? Varicoceles (swollen veins in the scrotum) can be a concern, especially if they cause discomfort or if you’re struggling with infertility. Varicoceles can interfere with male fertility by warming your testicles, which reduces sperm quality and quantity.

In most cases, a varicocele can be treated by surgical procedure called a varicocelectomy. During the surgery, the swollen veins are cut and closed off. Other veins then take over carrying the blood supply. … MORE

Couple enjoying coffee in bed

The Male Libido: A Timeline of Testosterone

A lot of men are afraid about losing their sex drive as they age — and for good reasons. A low sex drive can reduce self-esteem, strain relationships, and even cause depression. Because of this, it’s helpful to know what to expect from your body as you get older.

Both men and women typically experience a drop in sex hormones as they age. With women, this drop can happen relatively quickly, during menopause. It’s generally a more gradual process with men and their levels of testosterone, which is the sex hormone that causes a lot of the bodily changes that happen during puberty — things like body hair, sex organ development, a deeper voice, and sperm production. … MORE

Man with doctor at his annual health checkup

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.

… MORE

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