Causes Of Male Infertility

Today we’re talking about causes of male infertility. Male infertility can be due to a variety of conditions. Some of these can be found and corrected, while others cannot be corrected. Most problems with male infertility occur when there are low numbers of sperm or abnormalities in their movement or shape. This can result from abnormalities in the production, transport, or delivery a sperm.

Varicocele is a common potentially correctable cause of male infertility. A varicocele is a collection of enlarged veins in the scrotum that can affect sperm production and its characteristics. Varicocele occurs in about 15 percent of all men in as many as 40 percent of those who are infertile.

The tricky thing with that areas is there a lot of fertile men who were found with varicocele. So what do you do with that when you find a small one in the infertile male? This is when a male might first want to consult with the urologist before acting on, taking care of varicocele which sometimes might require surgery.

About 10 to 15 percent of men with low sperm counts have an abnormality in the white chromosome which affects the development of sperm. Others may be born without critical parts of the sperm transport process such as the vas deferens which connects the testes to the male urethra.

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Vasectomy is a common surgical cause of male infertility in men who have changed their minds about fertilization. But men who have had other surgery in or near the reproductive tract also can have problems. Injury to the nerves supplying and/or obstructions of the transport system can affect sperm production.

For some men, fertility is affected by abnormal hormones too. Too much estrogen and/or too little testosterone can negatively affect the development and maturation of sperm. Other hormones may be involved as well.

Temperature also plays a critical role. Sperm can only mature at temperatures lower than the whole body temperature. This is why the testes normally lie in the scrotum outside of the body. Heat exposure or conditions where the testes have not descended into the scrotum can affect sperm production.

Male infertility can also be due to infections, certain medical conditions, and exposure to toxins such as chemotherapy or radiation.

If you want to increase your sperm count naturally, you can take supplements with Zinc. Zinc has been shown in numerous studies to significantly improve sperm count and motility while decreasing DNA damage in structural abnormalities of sperm. If you decide to take supplemental zinc, the recommended dose based on the studies of male fertility is around 60 milligrams of zinc citrate, taking every single day with food.

You also can take sperm enhancement pills. That’s going to have everything that you need; it can have all the supplements, antioxidants, and herbs that you need to support sperm, health, healthy libido, and male fertility. So that is what I would suggest.

Tips To Stop Premature Ejaculation


The absolute most important, valuable tool that I can give you to control your orgasm and build stamina is to breathe. Most people, especially men people, hold their breath or they breathe very shallow as they approach orgasm. So this is exactly the opposite of what you need to do. You want to be breathing steadily, deeply, as much as possible even in the initial stages of your arousal. And the most important time to be breathing deeply is at the edge that seven out of ten zones. So you pause and you breathe. Take three long steady deep breaths and aim for a four-count inhale and a four-count exhale. When you have subsided to a six or five, then you can resume thrusting, stroking and do this for at least three rounds. So you get close to your edge, and then you stop, and you breathe. As you practice, you’ll find that your edge gets higher and higher. So if you started at seven, was your arbitrary edge, then you can get to a 7.5 and then you can get to an 8.

Did you know that it’s possible to hover at your edge for hours? And I mean literally hours. You can get higher and higher and higher. Then you can let yourself come if you like. You’ll notice that you feel energized after having sex instead of tired and needing to have a nap after you come. This is actually normal. It’s not normal to be exhausted and depleted after you have sex. And if you practice this breathing technique, then you will indeed feel revitalized after you have sex.

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If you pay attention that you probably have a tendency to tighten up your body, especially as you get close to orgasm, in fact, this kind of spastic convulsive epileptic fit orgasm and body face is quite common. And then pass out. Instead, I want you to loosen, and relax, and open, let go of the tension in your legs, and your buttocks, this is where most guys tend to really clinch up and just release it. So the tightening up when you do that, you might feel instinctively like that’s leading you to orgasm and it probably is, but it’s getting you there faster. And so if you tighten to try to prevent it, that’s going to have the opposite effect. So this orgasm faces we want to instead practice relaxation and serenity. And, you know, it’s an all too familiar face when I do that at my retreats, and I make that face and that clinching epileptic fit kind of thing all the guys kind of go like this and the women just laugh because they are well-versed in that phase.

So practice, pause, breathe and relax. If you incorporate these techniques into your sexual regimen what you’ll also notice in addition to your partner wanting to have sex with you and her having regular multiple orgasms is that you will also have stronger, longer, and more powerful and intense orgasms. Plus you’ll feel energized after sex. aAd ancient Taoist and Tantric traditions also advised against men ejaculating too much, they said that it would deplete them emotionally, mentally, and physically. So there is a way to have the best of both worlds.

You can learn how to orgasm without ejaculation. And no, they aren’t the same thing, you can separate them. You can have even better orgasms and not ejaculate. You can go for hours and hours; you can give your woman every possible orgasm on the planet, and any man can learn how to do this.

Antidepressants And Female Sex Drive

I want to talk with you today about female sexual disorder caused by antidepressants. Few really important things that I want to share with you. First, we know that about 1 in 6 women in the United States is on an antidepressant. And antidepressants are major culprits of sexual dysfunction side effects.

We know the most common sexual side effects for women are:

  • difficulty with sexual desires  (a low sexual desire),
  • difficulty with sexual arousal,
  • and orgasmic difficulty.

A trick piece of this is these side effects appear about 1-3 weeks after the patient starts taking the medication. So if in one to three weeks she’s experiencing these sexual side effects and not getting any benefit of the medication at that point, it takes about 2-4 weeks to the benefit of the medication. Because of this wack in ot this discrepancy in the amount of time to feel benefits we know that about fifteen percent of women are (at least according to one study) just stopped taking her antidepressants because of these sexual side effects. And half of those women didn’t even tell the provider why they stopped.

It’s really important as a provider that you know how to treat these patients that you’re seeing, these women; how to treat their sexual side effects because these are very treatable. There are a number of options.

Most importantly before you put a patient on an antidepressant or if you start seeing a patient has already on an antidepressant, ask if she’s experiencing any sexual health concerns. Do a really brief assessment, and there are a couple of easy ways to do this. First is just to simply ask one question “Do you have any problems with sexual life?”. And that’s my favorite question to ask. Just one question and then each follow-up visit asking “Have you had any bothersome sexual health changes?”. So asking at the beginning at the onset and then at each following visit.

And the reason that’s important is we know that depression in and of itself can cause sexual dysfunction. So you may have a patient coming in, and she’s already have sexual dysfunction, and she gets on the medication, and then she blames the sexual dysfunction on the medication, but in fact, she was experiencing that sexual dysfunction before she even got on the antidepressant. But if you take that assessment data at the beginning point of putting on the medication, you can look back at that when she returns to the next visit and say “Oh, wait, actually, you know, this is where it was before you came in and it’s surprisingly, it’s even better than it was now”. So being able to give your patients an actual data to show how the sexual function is changing.

We also know from one study that the reduction in depression even, if a patient’s on an antidepressant that causes sexual side effects, the power of that reduction of depression can make it to the sexual function gets better, even if she’s on an antidepressant. So doing that assessment is really important to give your patient information and to give you good information.

What Is the Difference between Viagra and Its Natural Alternatives?

Viagra, which many men found it is useful, comes with a cost. Indeed. There are many side effects it may bring. Headaches are the most common side effect associated with Viagra. This happens because it causes a sudden change in blood flow due to the increased levels of nitric oxide.

Another side effect includes body aches and pains. A lot of people experienced these side effects. Some of them feel muscle aches and pains throughout their bodies, while some others experienced specific pain their lower back.

Other side effect being also reported includes digestive system problems. The most common being indigestion and diarrhea.

The difference

Fortunately, you can get the benefits of medication like Viagra without the side effects. How? By choosing the natural alternatives. Indeed. What makes Viagra and its natural alternatives different is that the natural alternatives bring benefits without the side effects. And since they are natural, you need not worry about safety. If you are still unsure, however, you can always talk to your doctor about it.

Now, if you are looking for a booster for your erection, here are some herbs that work just as well, if not better.


Derived from Paulina, Yohimbe bark, this herb has been proven to be useful in treating erectile dysfunction. Yohimbe works as a sexual stimulant. It blocks alpha-2 adrenergic receptors as well as improves blood flow to the penis. Moreover, Yohimbe helps in the production of norepinephrine, which helps in getting an erection.

Note: a drug known as yohimbine hydrochloride has been approved by the FDA for treating erectile dysfunction.

Saw Palmetto

A wonder herb used to treat many ailments, Saw Palmetto is also used in urinary tract infections and prostate enlargement. While the efficacy of Saw Palmetto as an impotence drug has yet to be established, many people considered it as good for sexual health. After all, ailments such as urinary tract infections and prostate enlargement do hamper a man’s sexual desire and performance.


Ginseng is a herb that is used in Chinese medicine for centuries. It contains ginsenoside. This compound has a similar effect as Viagra but it doesn’t cause any adverse reactions. As a matter of fact, one study conducted in 2002, men who take this herb for 2 months reported that their erections improved a lot. Although it does not act as fast as Viagra does, if you take Ginseng for some time, you will see great results.

Horny Goat Weed

Horny Goat Weed or Epimedium is a herb that is found only in China. It has approximately 50 varieties. It is thought to have aphrodisiacal properties. A flavonoid presents in Horny Goat Weed, known as icariin, is known to boost sexual performance. It is not a surprise that it is in many herbal supplements. Just as Viagra, Icariin acts by suppressing a PDE5 enzyme in the manhood.

As you can see, these herbs have similar benefits that Viagra brings without the side effects. However, unlike Viagra, they take the time to work. That being said, the benefits they bring are worth waiting since they carry no side effects.

How To Enlarge Penis With Exercises

So when I retired from urology, my initial goal was to learn everything that there was to learn about penis enlargement surgery and use the skills that I had accumulated over practicing  25  years of urology and translate those skills into the penis enlargement arena. It turns out that there are two types of procedures that are generally employed for penis enlargement. One of those is designed to increase the length of the penis. And so most penis enlargement surgeries perform what is called a ligament to lysis or division of the suspensory ligament. The suspensory ligament attaches the penis under the symphysis pubis. It turns out that approximately fifty percent of your total penis length is inside of your body. And so the thought is that by dividing this ligament one can pull the penis out.

The unfortunate true is that by performing this procedure, which is a division of the suspensory ligament, there can be a change in the angle of erections. The reason that we have suspensory ligament is to support the erect penis and provide a certain angle which is favorable for penile-vaginal intercourse; and when you take that ligament down, when you disrupt that ligament, you’re changing the angle of the erection.

The another problem with that procedure is that sometimes when you cut that ligament subsequently one can develop scar tissue and the penis can then retract back into the body.

The third problem of that operation is that even in very experienced hands the usual gain in length is 1 inch. And that one inch is very reliant upon postoperative physiotherapy where one stretches the penis in with some mechanism postoperatively. And most surgeons agree that if you don’t do that postoperative physiotherapy, you will lose whatever length you gain. So the overall patient satisfaction rate for penis enlargement surgery is approximately thirty to thirty-five percent. So about two-thirds of patients who have the operation even in very experienced hands will regret having the procedure.

Having learned that I felt dissapointed, this does not seem to be a great route to pursue. Is it something else that we can do that gives us better or equal results with less trauma to the patient? Is there something simple we can do? Clearly, the overall trend in medicine is to become less invasive. Patients want less risk; they would prefer to avoid large open operations. Minimally invasive is the preferred route.

It turns out that if you really review the literature, there have been devices which are called penis extenders, which have been around since the 1990-s. These have undergone some evaluation or approximately 10 results that reviewed in the peer-reviewed literature.

None of the studies have a huge number of patients, but the studies are fairly consistent in that patients do consistently benefit to some degree. In addition, the thing that really makes the penis extenders very enviable is that the side effect profile is fantastic. There are very very few complications from the use of the device especially if one follows the recommendations of the manufacturer. So penis extenders are very safe, they have been studied, and they do provide evidence that they do work. And I think that penis extenders are certainly one component of most non-invasive interventions for penis enlargement.

Now I will tell you a few words about some penis enlargement exercises.

The two handed sequential Jelq

Initially, warm up the penis. Apply adequate lubrication. Start with an ok overhead grip at the base of the penis. Apply gentle to moderate pressure. Over a period of two to three seconds stroke from the base stopping at the level of the glans penis. As the initial hand reaches the level of the glance, start the same motion with an overhand ok grip using the contralateral hand.

Dry Jelq

Start with an overhand ok grip at the base of the penis with the foreskin retracted. Over a period of two to three seconds stroke towards the glans penis.

Compression exercise

Start with an overhand ok grip at the base of the penis. Place the second hand with an overhand ok grip at the distal shaft. Bring both hands slowly together compressing the shaft and creating increased pressure within the corpora.

Basic stretch

There should not be any pain. Start with an overhand grip just appproximal to the glans penis. Pull straight up and hold for 10 to 30 seconds. You can find more penis enlargement exercises at