Pelvic Health
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.
Anal Trauma in Men: A Restorative and Trauma-Informed Approach
Anal trauma in men is an often hidden and under-discussed issue, yet it can have profound impacts on physical function, sexual health, and psychological well-being. Whether the result of consensual sexual activity, a medical procedure, an athletic injury, or assault, anal trauma can lead to long-term symptoms such as rectal pain, bleeding, bowel dysfunction, and pelvic floor dysfunction. Men may avoid seeking care due to embarrassment, fear of judgment, or previous dismissive experiences in healthcare settings.
Resolving Chronic Scrotal Pain: A Comprehensive, Non-Surgical Strategy
Scrotal pain, also known as orchialgia, is a distressing and often misunderstood condition that affects men of all ages. While acute causes such as testicular torsion or infection require urgent evaluation, many men suffer from chronic or intermittent scrotal pain that has no clear surgical target. In these cases, the pain may persist for months or even years, impacting physical comfort, emotional well-being, and sexual function.
Phimosis: A Non-Surgical Approach to Promote Retraction and Restore Function
Phimosis is a condition in which the foreskin cannot be fully retracted over the glans penis. While this is common in children and typically resolves naturally by adolescence, in adults it can cause pain with erections, hygiene problems, and recurring inflammation. In more severe cases, phimosis may progress to paraphimosis, a urologic emergency where the retracted foreskin becomes stuck behind the glans, restricting blood flow and risking permanent injury.
TriMix Therapy: A Temporary Tool for Long-Term Erectile Function
Erectile dysfunction (ED) is a multifactorial condition that can result from hormonal imbalance, vascular insufficiency, nerve injury, or chronic illness. While many patients respond to first-line oral medications like tadalafil or sildenafil, others require more direct interventions. TriMix, an intracavernosal injection therapy, is a powerful short-term solution used in select cases. At the Performance Medicine Institute, we view TriMix not as a lifelong therapy, but as a transitional tool, one used to restore penile tissue responsiveness while working to correct the underlying causes of ED.
Understanding Post-Finasteride Syndrome: Causes, Symptoms, and Treatment Approaches
Post-finasteride syndrome (PFS) is a poorly understood but increasingly recognized condition characterized by persistent physical, neurological, and sexual symptoms that continue long after discontinuing finasteride. Finasteride is a 5-alpha reductase inhibitor commonly prescribed for androgenic alopecia and benign prostatic hyperplasia. Although effective in reducing dihydrotestosterone (DHT) levels, its systemic effects can disrupt hormonal and neurosteroid balance, resulting in long-term adverse outcomes in a subset of users.
Innovative Treatment for Hard Flaccid Syndrome: A Multimodal, Regenerative Approach
Hard flaccid syndrome is a distressing and poorly understood condition that primarily affects men between the ages of 20 and 40. It is characterized by persistent penile discomfort, a semi-rigid flaccid state, perineal tension, and erectile dysfunction that cannot be attributed to typical organic or psychological causes alone. Because it overlaps with both pelvic floor dysfunction and neurovascular dysregulation, treatment requires a nuanced, multidisciplinary approach. At the Performance Medicine Institute, we combine pelvic rehabilitation with regenerative therapies and metabolic support to offer a comprehensive strategy for recovery.
Rehabilitation After Prostate Cancer Surgery: Optimizing Recovery and Long-Term Outcomes
Prostate cancer surgery, most commonly a radical prostatectomy, is a critical intervention for treating localized prostate cancer. However, it can lead to substantial changes in urinary, sexual, and pelvic function. Many patients are unprepared for the downstream effects of surgery, which may include incontinence, erectile dysfunction, pelvic pain, and impaired core strength. Rehabilitation is not just supportive care, it is a proactive, evidence-based approach that improves quality of life and accelerates functional recovery.
PEMF Therapy for Erectile Dysfunction, Bladder Disorders, and Pelvic Pain
Pulsed Electromagnetic Field (PEMF) therapy is an emerging non-invasive treatment that has shown promise in addressing pelvic health conditions, including erectile dysfunction (ED), bladder disorders, and chronic pelvic pain syndrome (CPPS). By enhancing circulation, nerve function, and tissue healing, PEMF therapy offers a natural and effective alternative to traditional treatments for pelvic floor dysfunction.
Apomorphine for Erectile Dysfunction: Understanding the Neuroscience
Erectile dysfunction (ED) affects millions of men worldwide, impacting quality of life and psychological well-being. While phosphodiesterase type 5 (PDE5) inhibitors like sildenafil are commonly used treatments, apomorphine offers a unique alternative by acting on the central nervous system to enhance sexual arousal and erectile function.