Vasectomies, ED, Fertility & Post-Nut Clarity (ft. Dr. Jed Kaminetsky)

Sexologist Alexa Andre (@sexwithalexa) gets back in bed with urologist Dr. Jed Kaminetsky to unpack everything you need to know about men's sexual health: from vasectomies, erectile dysfunction, testosterone, fertility, sperm count, pornography, performance anxiety, lifestyle habits, microplastics, prostate health, post-nut clarity, and why great sex is about so much more than penetration.

In this episode, Dr. Jed shares insights from performing over 6,000 vasectomies, explains why vasectomies don't affect erections, orgasms, ejaculation, libido, or masculinity, and discusses who should (and shouldn't) get one. We also dive into why more young men are experiencing erectile dysfunction, the difference between psychological and physical ED, performance anxiety, refractory periods, Viagra vs. Cialis, low testosterone, healthy ways to increase testosterone naturally, pornography's impact on arousal, penis pumps and rings, fertility, declining sperm counts, microplastics, prostate health, ejaculation frequency, steroids, testosterone therapy, men's fears around penis size, micro-penis stigma, post-nut clarity and more.

Topics discussed:

• ​Dr. Jed's experience performing 6,000+ vasectomies
• ​Why vasectomies don't affect erections, orgasms, ejaculation or libido
• ​Who should and shouldn't get a vasectomy
• ​Vasectomy reversals and success rates
• ​More childfree men choosing vasectomies
• ​Psychological vs. physical erectile dysfunction
• ​Performance anxiety and first-time sex nerves
• ​What erectile dysfunction actually means
• ​Lifestyle causes of ED (sleep, obesity, smoking, alcohol, exercise)
• ​Stress, anxiety and blood flow to the penis
• ​Refractory periods and why they change with age
• ​Viagra, Cialis and how they work
• ​Daily Cialis vs. as-needed dosing
• ​Testosterone testing and common misconceptions
• ​Natural ways to increase testosterone
• ​Weightlifting vs. endurance running for hormone health
• ​Penis pumps and cock rings
• ​Pornography, masturbation habits and sexual conditioning
• ​Low libido vs. erectile dysfunction
• ​Fertility, declining sperm counts and modern lifestyle
• ​Microplastics and male fertility
• ​Sauna use, heat exposure and sperm health
• ​Prostate enlargement, prostate cancer and ejaculation research
• ​Steroids, bodybuilding and infertility
• ​Testosterone replacement therapy risks
• ​Women's testosterone and libido
• ​Post-nut clarity explained
• ​Why men's physiology isn't an excuse to neglect a partner's orgasm
• ​Communication, sex therapy and relationship dynamics
• ​Micro-penis myths and penis size insecurity
• ​Why erectile dysfunction is a symptom, not a disease

Follow Dr. Jed:Instagram: @drjedkaminetsky

Follow Alexa Andre:Instagram: @sexwithalexa

Patreon: https://patreon.com/sexwithalexa

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