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.

5. Sexual
health
issues
are
in)mately
related
to
overall
health
Sexual
Health

7.
Blog
Post:
“ The
Sound
and
the
Fury”

8. 40
45
50
Age
55
60
65
70
None
Mild
Moderate
Severe
0%
50%
100%
Source:
Massachuse9s
Male
Aging
Study
Probability

12. “Anybody
who
believes
that
the
way
to
a
man’s
heart
is
through
his
stomach
flunked
geography.”
-­‐
Robert
Byrne

17. The
usual
suspects…

19. Source:
NaIonal
Sleep
FoundaIon
Sleep
in
America
Poll

20. Album
cover,
Ben
Lee

21. Heart
Disease
Obesity
Thyroid
ErecEons
Depression
Diabetes
Low
Desire
ProlacEn
Sleep
Low
Testosterone
MedicaEons
Stress

25. The
Usual
Suspects…
Heart
Obesity
Disease
Alcohol
Surgery
&
Drugs
Cholesterol
Organ
Failure
High
Blood
Diabetes
Pressure
InferElity
ProlacEn
Low
Testosterone
Sleep
MedicaEons
Stress
Injury

28. Source:
Nudell
D
et
al.
Hum
Reprod.15:
1289,
2000.

30. 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

31. Male
InferIlity:
A
Biomarker
Of
Overall
Future
Health
etc
?
?
InferIlity

33. Facts:
• Risk
factors:
family
history,
undescended
tesIs,
pot
use
•
Curable
if
caught
early
•
TesIcular
self-­‐examinaIon
can
catch
it
Blog
post:
“Weed
worries”

34. 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

35. 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”

36. 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

37. STDs:
Syphilis
in
California
ReproducIve
Age
Men
Who
Live
in
the
Bay
Area
Source:
www.cdc.gov/std

38. STDs:
The
Best
Advice
PracEce
safe
sex.

39. 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

40. Heart Alcohol
Disease
&
Obesity
Drugs
Thyroid
ErecEons
Depression
Diabetes
Sexual
Health
ProlacEn
Low
Sleep
Testosterone
MedicaEons
Stress

41. 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”

42. “More
is
be9er”
curve
Outcome
“Here’s
the
truth”
curve
Testosterone
Level