The Guy’s Guide To Maintaining Sexual Health By Paul J. Turek, MD

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There is a lot more to the field of men’s sexual health than simply fertility issues. In fact, erection problems in men are far more common than is male infertility. Dr. Paul Turek, an internationally …

There is a lot more to the field of men’s sexual health than simply fertility issues. In fact, erection problems in men are far more common than is male infertility. Dr. Paul Turek, an internationally renowned thought leader in male fertility treatment and research, was asked to do this lecture at Google by on June 15, 2010.

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  • Thanks a lot great presentation....

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  • That's very good presentation made by you. Guidance for maintaining sexual health is very needed. As you age up, there are more chances of getting erectile dysfunction. In that case the only hope for you get generic drugs like kamagra to cure it.
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  • Thanks for sharing these useful slide. it good effort about health.
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  • 1. Sexual  health  issues  are  in)mately  related  to  overall  health     Sexual  Health  
  • 2.          Blog  Post:  “ The  Sound  and  the  Fury”  
  • 3. 40   45   50  Age   55   60   65   70   None   Mild   Moderate   Severe   0%   50%   100%  Source:  Massachuse9s  Male  Aging  Study   Probability  
  • 4. “Anybody  who  believes  that  the  way  to  a  man’s  heart  is  through  his  stomach  flunked  geography.”   -­‐  Robert  Byrne  
  • 5. The  usual  suspects…  
  • 6. Source:  NaIonal  Sleep  FoundaIon  Sleep  in  America  Poll    
  • 7. Album  cover,  Ben  Lee  
  • 8. Heart  Disease  Obesity   Thyroid   ErecEons   Depression   Diabetes   Low  Desire   ProlacEn  Sleep   Low  Testosterone   MedicaEons   Stress  
  • 9. The  Usual  Suspects…   Heart Obesity    Disease   Alcohol   Surgery   &   Drugs   Cholesterol   Organ     Failure   High  Blood   Diabetes   Pressure   InferElity   ProlacEn   Low  Testosterone   Sleep   MedicaEons   Stress   Injury  
  • 10. Source:  Nudell  D  et  al.  Hum  Reprod.15:  1289,  2000.    
  • 11. TesEcular  Cancer  A.er  InferElity  FerElity  Status     No.  of  Men     SIR  (95%  CI)    All  Men   22,562     1.3  (0.9,  1.9)    Male  Factor   4,549     2.8  (1.5,  4.8)*    InferIlity    No  Male  Factor   14,557     1.1  (0.6,  1.7)    InferIlity    *P<0.05    
  • 12. Male  InferIlity:  A  Biomarker     Of  Overall  Future  Health   etc   ?  ?   InferIlity  
  • 13. Facts:    •  Risk  factors:  family  history,  undescended  tesIs,  pot  use  •   Curable  if  caught  early  •   TesIcular  self-­‐examinaIon      can  catch  it   Blog  post:  “Weed  worries”  
  • 14. Issues  in  your  body,     not  “in  your  head!” •  EjaculaEon  is  a  spinal  reflex  ( just  like  sneezing)   •  Completely  clinically  treatable   •  Early  (premature)  ejaculaIon   •  Late  (delayed)  ejaculaIon     •  Dry  (retrograde)  ejaculaIon   •  Absent  or  anejaculaIon  Source:  www.Ne9ers.com  
  • 15. ContracepEon  Guys,  here  are  your  choices:  Condoms         #1  for  STD  protecIon    Rhythm      Withdrawal         Not  as  bad  as  was  thought        AbsInence                    Vasectomy   #1  for  ease  and  compliance                 “Male  Pill”     Compliance,  effecIveness     and  trust  issues  Blog  Posts:  “Pulling  Out  is  In”  and  “ The  Ailing  Male  Pill”    
  • 16. STDs   The  STD  “Most  Unwanted”  list  in  the  U.S.:     Frequency   Perpetrator   Trend   #1   Genital  Warts  (HPV)*   ?   #2   Herpes  Virus  (HSV)   ?   #3   Chlamydia   Rise   #4   N.  Gonorrhea   Decline   #5   HIV   Decline   #6   Syphilis   Rise   *Has  a  vaccine:  Gardasil  Source:  www.cdc.gov/std  
  • 17. STDs:  Syphilis  in  California   ReproducIve  Age  Men   Who  Live  in  the  Bay  Area  Source:  www.cdc.gov/std  
  • 18. STDs:  The  Best  Advice  PracEce  safe  sex.  
  • 19. The  Male  Hormone  Testosterone  Blood-­‐clojng,  HDL   Behavior  /  mood  Heart-­‐vasodilaIon   Body  hair  Liver-­‐serum  proteins   Kidney-­‐erythropoieIn  Fat-­‐reducIon   Male  sex  organs-­‐      maintenance  Muscle-­‐anabolic    Bone-­‐growth,  density   Bone  marrow -­‐stem  cells   MaseraI  Ghibli  
  • 20. Heart Alcohol    Disease   &  Obesity   Drugs   Thyroid   ErecEons   Depression   Diabetes   Sexual   Health   ProlacEn   LowSleep    Testosterone   MedicaEons   Stress  
  • 21. Does  it  do  a  body  good?      Yes,  some  call  it  the  “elixir  of  life”…  Is  it  the  “root  cause”  of  your  sexual  problems?      Unlikely…  Is  testosterone  replacement  the  “holy  grail”  for  men?      No…    Blog  post:  ”Testosterone:  A  sword  with  two  edges”  
  • 22. “More  is  be9er”     curve  Outcome   “Here’s  the  truth”     curve   Testosterone  Level