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    Shoot Your Best Shot with Dr. Josh Gonzalez

    enJuly 23, 2024
    What has caused the decline in sperm counts since the 1970s?
    How can men proactively address fertility issues today?
    What are the benefits of hormone replacement therapy for women?
    Why is there a stigma surrounding men's sexual health?
    How do environmental factors like microplastics affect reproductive health?

    Podcast Summary

    • Decreasing Sperm CountsSince the 1970s, sperm counts have been decreasing by 50%. By 2060, most people might not be able to have children naturally. Men can take proactive steps like freezing sperm for future use.

      Sperm counts have been decreasing by 50% since the 1970s, and it's estimated that most people might not be able to have children naturally by 2060. This alarming trend is not widely known or discussed. Urologist Dr. Josh Gonzalez, a guest on the Sex with Emily podcast, emphasized the importance of understanding this issue and being proactive about fertility. Men can freeze their sperm for future use, which is easier and cheaper than freezing eggs. The conversation also touched on hormone replacement therapy, sexual dysfunctions, and the benefits of using UT123 for urinary tract health. Another key takeaway is the rising trend of going alcohol-free, and Vaya's THC gummies can be a great alternative for unwinding and enhancing mood and arousal.

    • Sexual health diagnosis and treatmentAccurate pain descriptions are vital for proper diagnosis and treatment of sexual health issues. Healthcare professionals may recommend alternative contraceptives or hormone replacement therapy for hormonal imbalances. Regenerative therapies, such as low-intensity shockwave therapy and CO2 laser treatments, offer promising solutions for sexual health concerns by promoting tissue regeneration.

      Accurate descriptions of pain symptoms are crucial for proper diagnosis and treatment. For instance, a woman experiencing pain during sex may have hormonal imbalances or dyspareunia, which can be caused by oral contraceptive pills. These pills can elevate a protein called sex hormone binding globulin (SHBG), leading to hormone deficiency even after discontinuation. To address this, healthcare professionals may recommend alternative contraceptive methods or hormone replacement therapy, such as testosterone, to restore normal hormonal levels and alleviate pain. Additionally, advancements in regenerative medicine offer promising solutions for sexual health issues, including low-intensity shockwave therapy for men with erectile dysfunction and CO2 laser treatments for women experiencing pain or dryness. These therapies promote tissue regeneration and improve overall function. It's essential to consult healthcare professionals for proper diagnosis and treatment of sexual health concerns.

    • Therapy for ED and MenopauseMany individuals with ED or women going through menopause can benefit from various therapies like shockwave therapy and HRT with minimal risks, considering individual circumstances. HRT, once considered risky, is being reevaluated, and vaginal estradiol offers health benefits beyond sexual function. Testosterone treatment for women is off-label but effective for managing menopause symptoms.

      Many individuals, particularly those with ED or women going through menopause, can significantly benefit from various forms of therapy, including shockwave therapy and hormone replacement therapy (HRT), with minimal risks. However, it's essential to consider individual circumstances, such as blood flow and response to treatments. HRT, once thought to be risky due to the Women's Health Initiative study, is now being reevaluated, with estrogen potentially safer for most women. Vaginal estradiol can offer health benefits beyond sexual function, such as reducing urinary tract infections. Testosterone treatment for women remains off-label, but it can be an effective option for managing symptoms of menopause. Overall, comprehensive care that includes diagnosis, treatment, and partnership with various healthcare providers is crucial for addressing these complex health issues.

    • Male and Female Sexual Health DisparitiesDespite societal disparities, both male and female sexual health deserve acceptance and education. Men with ED are often dismissed, while women with low desire are misunderstood. Urgent attention is needed for declining male reproductive health, and normalizing conversations around sexual health is essential.

      There is a significant disparity in societal acceptance and education surrounding male and female sexual health issues. Men, particularly those experiencing erectile dysfunction, are often dismissed or not believed, leading to shame and further complications. On the other hand, women, especially those with low sexual desire, are also frequently misunderstood or misdiagnosed. Both genders deserve proper education and acceptance when it comes to their sexual health. Additionally, there is a global decline in men's sexual and reproductive health, with decreasing testosterone levels and sperm counts. This issue requires urgent attention and education for men to understand the importance of their reproductive health and take proactive steps to improve it. Environmental factors, such as the accumulation of microplastics, may also play a role in these declines. Overall, it's crucial to normalize conversations around sexual health, believe individuals when they discuss their concerns, and prioritize education and research to address these issues.

    • Sperm health preservationMen should prioritize their sperm health by getting a semen analysis earlier in life, considering freezing sperm for potential future use, and making lifestyle changes to promote sperm health.

      Men should prioritize their sperm health by getting a semen analysis earlier in life and considering freezing their sperm if they wish to preserve it. Sperm production peaks in a man's early twenties, and delaying family planning could lead to potential issues. Freezing sperm is a simple and cost-effective solution, especially with the availability of at-home collection kits. Moreover, men can take supplements and make lifestyle changes to promote sperm health. The process of freezing sperm is less invasive compared to women's egg retrieval. Additionally, there's a product called Pop Star, which offers a volume and taste enhancer for men. The product aims to address the physiological phenomenon that the intensity of orgasms is often related to the amount of fluid expelled. By focusing on these aspects, men can improve their ejaculatory health and overall sexual experience.

    • Male Sexual Health SupplementsThere's a growing demand for products that enhance male sexual health. Pups, a daily supplement, contains ingredients like zinc and arginine to promote sperm health and improve erections, desire, and overall sexual function. Preventative care and early education about sexual health are essential.

      There is a growing demand for products that focus on improving fertility and sexual health, as many people are struggling with these issues. Pups, a daily supplement, aims to address this need with a formula specifically designed to enhance sperm health. The supplement contains ingredients like zinc and arginine, which promote male sexual health and have been reported to improve erections, desire, and overall sexual function. The founders believe that open conversations about sex and sexual health are essential, especially in light of societal changes like the overturning of Roe and the increasing use of assisted reproductive technologies. They advocate for early education about sexual health and the importance of taking care of one's body to prevent issues from arising. Additionally, they address common concerns, such as the stigma surrounding uncircumcised penises, and emphasize the importance of proper care and education to prevent potential complications. Overall, the focus is on promoting preventative care and empowering individuals to take charge of their sexual health.

    • Body acceptanceEmbrace your body, regardless of age or physical changes, and understand that foreskin or hormone therapy choices are personal. Prioritize healthy lifestyle choices to prevent or slow down aging effects.

      Individuals should embrace their bodies, regardless of their physical characteristics or changes that come with age. For men, there should be no shame attached to having a foreskin, as it functions the same way as a circumcised penis and can provide additional sensitivity. For women, starting hormone replacement therapy depends on individual symptoms and age, with some experiencing perimenopause symptoms in their 30s. As we age, our bodies undergo changes, including shrinkage of genitalia due to declining hormonal and cardiovascular functions. Prevention and maintenance through healthy lifestyle choices can help stave off these changes. Regarding semen retention, it's essential to be aware of potential misconceptions and focus on the importance of self-expression and pleasure rather than misguided notions of male power or virility.

    • Sexual EnergyAncient practices suggest holding sexual energy for increased power, but modern research indicates frequent ejaculation may reduce prostate cancer risk and improve overall sexual satisfaction

      The idea of abstaining from ejaculation for extended periods to increase energy or power is a controversial topic without solid scientific evidence. While some ancient practices suggest holding onto energy, modern research indicates that ejaculating more frequently may actually be better for your health, potentially reducing the risk of prostate cancer. Ultimately, the most important thing is to find what feels good for you in your sexual experiences and not to shy away from making adjustments to improve your satisfaction. Dr. Josh Gonzalez, a sexual health expert, encourages open communication, education, and a non-judgmental approach to sexuality. You can connect with him on social media or through his website for more information.

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