Pelvic Health
Optimizing Fertility on Testosterone Therapy: Maintaining Testicular Function, Size and Sperm Production
Testosterone therapy can be life-changing for men with symptomatic testosterone deficiency. It can improve energy, mood, libido, sexual function, body composition, training response, and overall quality of life when used appropriately. However, testosterone therapy also changes the normal hormonal signaling between the brain and the testes.
Innovative Treatment Options for Frequent Urination
Frequent urination is one of the most common urinary symptoms. Some patients notice that they urinate too often during the day. Others are most bothered by waking up at night to urinate. Many patients have both. This can affect sleep, work, exercise, travel, sexual health, and quality of life.
Pudendal Nerve Entrapment Syndrome: A Commonly Missed Cause of Pelvic, Genital, Urinary, Bowel, and Sexual Pain
Pudendal nerve entrapment syndrome is a condition where the pudendal nerve becomes irritated, compressed, or mechanically sensitive as it travels through the deep pelvis. The pudendal nerve is one of the major nerves of the pelvic floor. It carries sensation from the perineum, external genital region, anus, and parts of the pelvic floor, and it also helps control muscles involved in bowel, bladder, and sexual function.
Ischiofemoral Impingement: A Commonly Missed Cause of Hip and Pelvic Pain
Ischiofemoral impingement is a condition where the space between the ischium, which is part of the pelvis, and the lesser trochanter of the femur becomes too narrow. The quadratus femoris muscle sits in this space. When the space becomes compressed, the quadratus femoris can become irritated, painful, swollen, or weakened.
Low Dose Naltrexone (LDN): A Novel Approach to Chronic Pain, Inflammation, and Recovery
Naltrexone is a medication that has been used for decades at higher doses, typically 50 mg, for the treatment of opioid and alcohol use disorders. At these doses, it works by blocking opioid receptors, which reduces the reinforcing effects of addictive substances. Low dose naltrexone, usually defined as doses between 0.5 mg and 4.5 mg, works very differently. Instead of sustained opioid blockade, it produces a brief and partial receptor blockade that appears to trigger downstream regulatory effects in the nervous system and immune system.
Tibial Nerve Stimulation for Premature Ejaculation and Erectile Dysfunction
Tibial nerve stimulation is a form of neuromodulation that uses electrical stimulation near the ankle to influence nerve pathways that connect back to the sacral nervous system.
Treating Overactive Bladder, Incontinence, and Pelvic Pain with Tibial Nerve Stimulation
Tibial nerve stimulation is a form of neuromodulation used to influence the bladder and pelvic floor through the nervous system.
Type 2 Diabetes and Erectile Dysfunction
Erectile dysfunction (ED) is one of the most common complications of type 2 diabetes, and it is rarely "just a plumbing problem." Diabetes impacts erections through reduced nitric oxide signaling and endothelial function, accelerated atherosclerosis, and diabetic neuropathy, often years before someone develops obvious cardiovascular symptoms.
Different Types of Testosterone: Cypionate, Enanthate and Undecanoate
Testosterone replacement therapy (TRT) is not a one size fits all treatment. Even when two products deliver the same hormone, the ester attached to testosterone changes how quickly it is released from the injection site, how smooth levels feel between doses, and how often you need to dose.
Inhibin B: A Reliable Marker of Sperm Production
Inhibin B is a peptide hormone secreted primarily by Sertoli cells in the seminiferous tubules of the testes. It plays a critical role in the regulation of the hypothalamic-pituitary-gonadal (HPG) axis and serves as a negative feedback signal to the anterior pituitary to suppress follicle-stimulating hormone (FSH) secretion. Clinically, inhibin B has emerged as a valuable biomarker for assessing spermatogenic activity and testicular function in men.