By Jerome P. Keating, MD | Medically Reviewed by Christopher W. Boelter, MD | Last updated 2026-07-15 The Most Important Point About the IPSS The International Prostate Symptom Score (IPSS) is a structured way to describe the frequency of seven urinary symptoms during the previous month. It converts the answers into a total from 0 […]
By Gregory S. Parries, MD, PhD. | Medically Reviewed by Christopher W. Boelter, MD | Last updated 2026-07-14 Men often come to a urology visit knowing that something is wrong but not knowing what to call it. “I lose control too quickly.” “I cannot stay hard.” “I rush because I am afraid the erection will
By Gregory S. Parries, MD, PhD. | Medically Reviewed by Christopher W. Boelter, MD | Last updated 2026-07-14 The first visit for premature ejaculation (PE) usually begins with a private conversation, not a complicated procedure. The urologist will want to understand when the problem began, how much control you feel, whether erections are reliable, and
Your First Urology Visit for Premature Ejaculation: What to Expect and How to Prepare Read More »
By Gregory S. Parries, MD, PhD. | Medically Reviewed by Christopher W. Boelter, MD | Last updated 2026-07-14 When a Urinary Infection Comes Back, the Important Question Is Why A man develops burning with urination and needs to go every hour. He receives an antibiotic and feels better. A few weeks later, the same symptoms
Recurrent Urinary Tract Infections in Men: Why Recurrence Needs a Urologic Evaluation Read More »
By Jerome P. Keating, MD | Medically Reviewed by Christopher W. Boelter, MD | Last updated 2026-07-15 If You Cannot Urinate, Read This First A sudden complete inability to urinate, especially with a painful or swollen lower abdomen and a strong urge to go, requires emergency medical care now. Go to the nearest emergency department.
Acute Urinary Retention in Men: What to Do When You Cannot Urinate Read More »
By Gregory S. Parries, MD, PhD. | Medically Reviewed by Christopher W. Boelter, MD | Last updated 2026-07-14 A Semen Report Is a Starting Point, Not a Verdict Men often open a laboratory report and look for one word: normal. If every result sits inside the reference column, they feel relieved. If one number is
Semen Analysis Explained: What Male Fertility Testing Can and Cannot Tell You Read More »
The Old View of Psychological Erectile Dysfunction Organic erectile dysfunction (ED) was the real kind. Caused by physical problems like clogged blood vessels, damaged nerves, or low testosterone. This was serious. This needed medical treatment. Psychogenic ED was the other kind. Caused by anxiety, depression, stress, or relationship problems. This was all in the head.
Why Would a Cholesterol Drug Help With Erections? Most men have heard of statins. These are the drugs that doctors prescribe to lower cholesterol. Atorvastatin, simvastatin, rosuvastatin. Millions of people take them every day to reduce their risk of heart attack and stroke. But here is something many men do not know. Statins may also
Do Statin Drugs Improve Erectile Dysfunction? An Umbrella Review of Current Evidence Read More »
The Bidirectional Relationship Between Male Sexual Dysfunction and Mental Health There is a secret that many men keep. Their sexual problems are not just physical. They are also mental. A man who cannot get an erection starts to worry. Will it happen again? What will she think? This worry makes the next attempt even harder.
Chinese Herbal Medicine for Male Sexual Dysfunction – Anxiety and Depression Read More »
The Big Picture: How Common Is Erectile Dysfunction? Erectile dysfunction is not a niche problem. It affects millions of men around the world. In 1995, about 152 million men suffered from ED. Experts predict that number will jump to 322 million by 2025. That is a lot of men. And it is not just older