Category: News

Male Infertility: Can A Urologist Help?

Male infertility is both common and treatable. If you are in a relationship and ready to start a family, but are having no success, it might be time to find out the cause.

Actually It’s 50/50

When a couple can’t get pregnant, in the past the woman was usually tested first. Today it makes better sense for both partners to be tested at the same time. Either one can be the cause of the problem or both could have issues delaying pregnancy.

Let’s talk about male infertility here.

What Is Male Infertility?

Male infertility is any health issue that lowers a man’s chance of getting a woman pregnant, and is related to making or moving healthy sperm. If there is a problem and a man is unsuccessful in these two main areas, sperm cannot reach the egg.

Causes of Male Infertility

Male infertility can be the result of the following:

  • Decreased sperm production, also known as low sperm count
  • Blockage of ducts that carry sperm
  • Sperm quality like an abnormal shape, also known as poor morphology
  • Poor sperm motility
  • Hormone imbalance
  • Ejaculation disorders due to conditions including thyroid disease, testicular cancer, and depression
  • Side effects from certain medications for arthritis, depression, digestive problems, high blood pressure, and cancer

How a Urologist Can Help

If you are having trouble getting pregnant and take any of the above medications, contact the urologists at Nashville Men’s Health for an appointment in Nashville, TN.

Your urologist will do a thorough physical examination. Nashville Men’s Health will also take a sperm sample to analyze the quantity of seminal fluid, the sperm count, sperm motility, and any morphology.

In addition, sometimes blood tests are performed to identify any hormonal issues. Supplements and hormonal therapy may be the recommended treatments.

Lifestyle issues can also be contributing to male infertility. Smoking and obesity can increase the risk as can excessive alcohol consumption and drugs. Your urologist will make recommendations about lifestyle issues and how to lower your risk factors.

Finding the root cause is the first step to solving your infertility.

Multiple Treatment Options

Treatments include anything from medications, counseling, hormone treatments, with or without surgery. There is in vitro-fertilization (IVF), intrauterine insemination (IUI), and other assisted reproductive techniques available.

Contact Nashville Men’s Health at 615-250-9370 if you are experiencing difficulty with fertility.

How Does An Enlarged Prostate Affect Urination?

An enlarged prostate, or benign prostatic hyperplasia (BPH) can affect men in several ways including how and when he urinates. Learn how an enlarged prostate affects urination.

Just The Facts

By the time a man turns 60, he has a 50/50 chance of having an enlarged prostate. Men turning 85 years of age can expect that percentage to rise to 90%.

This tiny gland is important because it expels the semen during ejaculation. It starts out being the size of a walnut, but begins to grow larger around middle age. It can grow to the size of an apricot or even a lemon.

Since it is located just below the bladder where it connects with the urethra, its size begins to interfere with the urethra, which not only carries semen, but also urine. The larger the prostate becomes, it presses against the urethra and the bladder wall thickens. At some point the bladder can weaken, and it can lose the ability to fully empty.

Although many men will have an enlarged prostate, not all men will have the symptoms around urination.

Common Symptoms Of BPH

An enlarged prostate affects urination several ways.

If you notice any of the following symptoms talk to The urologic surgeons at Nashville Men’s Health:

  • Difficulty starting to urinate
  • A weak or interrupted urinary stream
  • Frequent urination sometimes several times an hour and during the night
  • The inability to completely empty the bladder
  • Feeling that you need to urgently “go”

Unless you begin some treatment for BPH symptoms, it can affect your life in significant ways. Many men avoid social situations for fear they may not make it to a bathroom. Urge incontinence can become a constant part of a man’s life causing depression and loneliness.

Although having an enlarged prostate does not increase your risk for prostate cancer, other serious complications can occur, including urinary tract infections, bladder and kidney damage, bladder stones, or a sudden inability to urinate.

There are multiple treatments available for the symptoms of BPH including medications, non-invasive procedures and surgery.

If you are experiencing the symptoms of an enlarged prostate, contact Nashville Men’s Health at (615) 250-9395 to schedule a visit at our our men’s health clinics throughout Nashville office.

The Relationship Between Peyronie’s, Low T, and Erectile Dysfunction

There seems to be a link between Peyronie’s disease, low T, and erectile dysfunction, but it’s not entirely clear which comes first. The decreased rigidity, which naturally comes with ED, may be a risk factor for penile fractures, trauma, and Peyronie’s disease. Let’s learn more about the relationship between Peyronie’s, low T, and erectile dysfunction.

Some Definitions

Urologists report that Peyronie’s disease, low T, and erectile dysfunction are three of the most common issues that they treat.

Low T refers to low testosterone. This sexual hormone deficiency is a condition which affects many men. There are ways to treat it, and the urologists at Nashville Men’s Health can help.

Erectile dysfunction, or ED, is the inability for a man to get and maintain an erection strong enough and long enough to have sexual intercourse. Many men report they have ED prior to Peyronie’s disease. Millions of men suffer from this, and it usually is associated with age, although young men can have it as well.

Peyronie’s disease is a condition where fibrous scar tissue and plaque develops on the penis leading to a curved painful erection possibly from an injury. In many cases you can feel it under the skin as flat lumps or a band of hard tissue. Peyronie’s disease symptoms may appear suddenly or develop gradually. The penis may become shorter or bend to the right, left, downward, or upward.

Causal Relationships

Can any one of these conditions lead to one or the other two? In some cases, yes.

Erectile dysfunction and/or low T can result in Peyronie’s disease. When you have ED and it is difficult to maintain a rigid penis during sexual intercourse, it is possible to injure the penis leading to Peyronie’s. In addition, low T can contribute to difficulty maintaining an erect penis.

ED and low T can exacerbate Peyronie’s disease if someone already has it.

Low testosterone and Peyronie’s disease can eventually lead to erectile dysfunction. When a man does not have sufficient testosterone, it lowers his sex drive. Peyronie’s disease makes sexual intercourse painful, so the combination may cause a man to find sex less desirable.

There are multiple physical, psychological and emotional issues at play here. It takes an expert to sift through the causes of each, diagnose the condition(s), and decide upon a successful treatment plan.

Visit Nashville Men’s Health to determine the cause or causes of ED, low T, or Peyronie’s disease and develop a plan to improve the quality of your sexual life. Call (615) 250-9395 to schedule an appointment at our office in our men’s health clinics throughout Nashville.

Recognizing the Early Signs of Prostate Cancer

Prostate cancer is one of the most common cancers in men, but when detected early, it is often treatable, with many patients going on to live long, healthy lives. Understanding the early signs of prostate cancer, recognizing the risk factors, and knowing when to seek medical advice are essential steps in improving the chances of successful treatment.

Below, we take a look at the key symptoms of prostate cancer, the risk factors involved, and the diagnostic tests that can help detect the condition early.

What is Prostate Cancer?

Prostate cancer is cancer that begins in the prostate, a small walnut-shaped gland that produces seminal fluid, which nourishes and transports sperm. Prostate cancer is typically slow-growing and may not cause significant symptoms in its early stages, which is why early detection is so important. There are different types of prostate cancer, but most cases are adenocarcinomas, which begin in the glandular cells of the prostate.

While prostate cancer can be serious, especially when it spreads beyond the prostate, many men with early-stage prostate cancer can be successfully treated with surgery, radiation, or other therapies.

Early Symptoms of Prostate Cancer

Recognizing the early signs of prostate cancer can help ensure that you seek medical attention sooner, potentially leading to better outcomes. Some of the most common symptoms associated with prostate cancer include:

  • Frequent Urination: This is especially noticeable at night, a condition known as nocturia. Frequent urges to urinate may indicate an enlarged prostate or other issues related to prostate health.
  • Difficulty with Urination: Men with prostate cancer may experience trouble starting or stopping urination. The urine stream may be weak or interrupted, and it may take longer to empty the bladder fully.
  • Painful Urination or Ejaculation: Pain or a burning sensation while urinating or during ejaculation can be a sign that the prostate is affected.
  • Blood or Semen In Urine: Blood or semen in the urine is a concerning symptom that should be investigated immediately.
  • Persistent Pain in the Lower Back, Hips, or Pelvis: Pain in these areas can sometimes indicate that the cancer has spread beyond the prostate, but it can also occur in the early stages. Any unexplained or persistent pain should be taken seriously.

Risk Factors for Prostate Cancer

Certain factors can increase a man’s risk of developing prostate cancer. Understanding these risk factors can help guide decisions about screenings and preventive measures:

  • Age: Prostate cancer is most commonly diagnosed in men over the age of 50. The risk increases significantly with age, with men over 65 at higher risk.
  • Family History: A family history of prostate cancer can increase your chances of developing the disease. If a father or brother has had prostate cancer, you may be at greater risk.
  • Genetics: Some inherited genetic mutations, such as BRCA1 and BRCA2 gene mutations, have been linked to an increased risk of prostate cancer.
  • Race: African American men are at higher risk for prostate cancer, and they tend to be diagnosed at younger ages and with more aggressive forms of the disease.

When to See a Urologist

If you experience any of the symptoms listed above, or if you fall into a higher risk category, it’s important to consult with a board-certified urologist like Nashville Men’s Health. Early detection of prostate cancer is key to successful treatment, so don’t hesitate to seek medical advice.

Even if you don’t have noticeable symptoms, it’s still important for men over the age of 50 (or younger if they have risk factors) to discuss screening options with their doctor. Regular screening can help detect cancer before symptoms appear, potentially leading to earlier, more effective treatments.

Diagnostic Tests for Prostate Cancer

Several diagnostic tests are used to confirm the presence of prostate cancer and assess its severity:

  • PSA Test (Prostate-Specific Antigen): The PSA blood test measures the level of PSA, a substance produced by the prostate. Elevated PSA levels can be a sign of prostate cancer, although other conditions, like benign prostate enlargement, can also cause high PSA levels.
  • Digital Rectal Exam (DRE): In a DRE, the doctor physically examines the prostate by inserting a gloved finger into the rectum to feel for any abnormal lumps or hard areas on the prostate.
  • Biopsy: If the PSA test or DRE suggests prostate cancer, a biopsy may be performed. During this procedure, small tissue samples are taken from the prostate and examined under a microscope to confirm the presence of cancer.

Prostate Cancer Screening in Nashville, TN

Recognizing the early signs of prostate cancer and understanding the risk factors involved can make a significant difference in the outcome of treatment. If you experience symptoms like changes in urination, pain, or blood in urine or semen, don’t wait to contact the urologists at Nashville Men’s Health, at (615) 250-9370.

Regular screenings and consultations with a urologist are key to early detection, which is crucial for the successful management of prostate cancer. If you are at higher risk for prostate cancer, be proactive in discussing your screening options and potential next steps.

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