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 Medicines such as sildenafil and tadalafil can be appropriate for many men with stable cardiovascular disease, but they are not safe for everyone. The most important warning is clear: phosphodiesterase type 5 inhibitors (PDE5 inhibitors) must not
By Gregory S. Parries, MD, PhD. | Medically Reviewed by Christopher W. Boelter, MD | Last updated 2026-07-14 Ejaculation is not a switch located in the penis, prostate, spinal cord, or brain. It is a sequence. Sensory information must be detected, interpreted, and integrated. Autonomic nerves then move sperm and glandular fluids into the urethra.
The Science of Ejaculation: How Serotonin, Nerves and the Pelvic Floor Control Climax Read More »
By Gregory S. Parries, MD, PhD. | Medically Reviewed by Christopher W. Boelter, MD | Last updated 2026-07-14 Premature ejaculation (PE) is often described as though it were one condition with one cause. Clinically, that is not accurate. A man who has ejaculated earlier than desired since his first sexual experiences presents a different diagnostic
Lifelong vs Acquired Premature Ejaculation: Causes, Symptoms and Clinical Differences Read More »
By Christopher W. Boelter, MD | Medically Reviewed by Gregory S. Parries, MD, PhD | Last updated 2026-07-15 The Immediate Answer for U.S. Patients A medicine can contain sildenafil or tadalafil and still be treated differently under the laws of two countries. The reason is simple: regulators do not approve an ingredient in the abstract
By Lori A. Pinke, MD | Medically Reviewed by Christopher W. Boelter, MD |Last updated 2026-06-17 Addyi 100 mg: What This Medication Is Used For Addyi is a prescription medication containing flibanserin. It is used for women with hypoactive sexual desire disorder, also called HSDD, when low sexual desire is persistent, causes personal distress and is not better explained
Addyi 100 mg: Flibanserin Review, Price and Prescription Guide Read More »
What if a pill is not the answer? For the past twenty years, when a man came to me with erectile dysfunction (ED), I usually reached for my prescription pad. Phosphodiesterase type 5 inhibitors, or PDE5 inhibitors, drugs like sildenafil, tadalafil, and vardenafil, have helped millions of men. They are safe, effective, and easy to
Shockwaves, Ultrasound, and Magnets – A New Hope for Men with Erectile Dysfunction Read More »
The Hidden Cost of Prostate Cancer Surgery Prostate cancer is one of the most common cancers in men. The good news is that when caught early, it is often curable. The standard treatment for localized prostate cancer is surgery to remove the prostate gland. For many men, this surgery saves their lives. Two common side
The problem nobody talks about Erectile dysfunction or ED, as doctors call it is one of those topics that men prefer to ignore. They hope it will go away on its own. They feel embarrassed. They avoid bringing it up, even with their own doctor. But here is the truth that might surprise you: ED
Erectile Dysfunction Is Not a Life Sentence – How Modern Medicine Restores Men’s Health Read More »
When electricity meets medicine Erectile dysfunction affects nearly half of all men between the ages of 40 and 70. That is millions of men worldwide. For most of them, the first line of treatment is a pill. PDE5 inhibitors like sildenafil, tadalafil, and vardenafil work well for about 70 percent of men who try them.
Electrical Stimulation for Erectile dysfunction – Can Small Pulses Solve a Big Problem Read More »