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SSRI-Induced Sexual Dysfunction Is Common and Underreported Sexual side effects are among the most prevalent adverse effects of antidepressant therapy, yet they remain one of the most underreported — partly because clinicians often don’t ask, and partly because patients don’t connect the change to their medication. Estimates of sexual dysfunction in women taking SSRIs or… continue reading »
The Testosterone-Sleep Connection Is Not Optional Testosterone secretion is tightly governed by sleep architecture. The majority of daily testosterone release occurs in pulses during slow-wave (deep) sleep and REM. Studies using total sleep deprivation models show that healthy men experience testosterone suppression of 10–15% after a single night of restricted sleep (five hours or less)…. continue reading »
The Conversation That Changes Everything Erectile dysfunction doesn’t happen in isolation — it happens in the context of a relationship, a bed, a partner who lies awake wondering what they’re not providing. The silence that most couples maintain around ED is understandable: it’s an emotionally loaded topic where misreading is easy and vulnerability is high…. continue reading »
The Care That’s Been Missing — Now Available Without the Awkward Office Visit Female sexual health care has historically been poorly served by the traditional healthcare system. Sexual concerns are often dismissed, given insufficient appointment time, or referred to specialists with months-long waiting lists. The result: millions of women manage silently rather than seek help…. continue reading »
A Part of Recovery That Oncologists Rarely Address For women who have been through cancer treatment — chemotherapy, radiation, surgical procedures, or hormonal therapies — sexual health changes are among the most significant and least addressed quality-of-life impacts. Studies consistently show that sexual dysfunction affects 40–100% of women after cancer treatment, depending on diagnosis and… continue reading »
The Condition That Affects Fertility and Testosterone — and Sometimes ED A varicocele is an abnormal enlargement of the pampiniform venous plexus in the scrotum — essentially varicose veins of the testicle. It’s the most common structural cause of male infertility and is present in roughly 15% of all men and 40% of men presenting… continue reading »
When First-Line Treatment Falls Short PDE5 inhibitors — sildenafil, tadalafil, vardenafil — are the most effective oral treatments for erectile dysfunction and work well for the majority of men who try them. But not every man responds fully to oral medication alone. Men with severe vascular disease, post-prostatectomy ED, uncontrolled diabetes, or significantly low testosterone… continue reading »
What DHEA Has to Do With Your Sex Life After Menopause DHEA (dehydroepiandrosterone) is a hormone produced by the adrenal glands that serves as a precursor to both estrogen and testosterone. As the “mother hormone” for sex steroids, its decline with age — and particularly at menopause — has downstream effects on estrogen and testosterone… continue reading »
The Sexual Side of Prostate Cancer Treatment Nobody Talks About Enough Radical prostatectomy — surgical removal of the prostate — is one of the most common treatments for localized prostate cancer. It’s also the most consistent cause of post-treatment erectile dysfunction. Studies report ED rates of 60–80% after open prostatectomy and 50–70% after robotic-assisted prostatectomy… continue reading »