What’s going on with your erection? Even though you're still able to get erections — and you’re thankful for that — your penis is now bent upward, downward, or to the side. And sex hurts. You may have Peyronie’s disease. What do you do now?
T. Mike Hsieh, MD
Director of Male Fertility and Men’s Health at the department of Urology, UC San Diego
Couples are delaying childbirth, why should men worry about their biological clock?
More educated couple, more likely to delay childbirth
Not a new concept for men’s health specialists
Reproduction isn’t immune to aging
Harder to father children
No consensus on “advanced paternal age” – ASRM rec sperm donor <40
What are consequences of “advanced paternal age”?
Decrease semen parameters & DFI
Endocrine abnormalities
Genetic mutations: acondroplasia (1/15k), down synd(1/1200), childhood leukemia (1/25k)
Psych disorders rx risk for Schizophrenia (if father>45), autism (>50)
5:1 ratio of female fertility specialists vs. male specialists. Why is male fertility evaluation important?
“Women are to blame for infertility”
“IVF is a cure all for infertility”
Rare but potential malignant diagnosis
Are there natural ways to boost a man’s fertility?
Weight loss/exercise (except long distance cycling)
Smoking
Diet exposure to pesticide/chemical
Hot tub/sauna
Stress reduction/sleep
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