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When conception stalls, the male partner is half the story. In this advanced, practical follow-up, Dr. Supatra Tovar continues her deep dive with Dr. Kian Asanad to map the male side of fertility, sexual function, and recovery—linking lifestyle, toxins, and treatment choices to real-world outcomes. You’ll learn why men are overlooked in fertility care, how stress, heat, chemo, and environmental exposures degrade sperm, and what modern urology can do—from onco-fertility preservation to in-clinic AI semen testing that returns results in minutes.

Dr. Asanad clarifies the numbers men should actually know (testosterone timing, LH/FSH context, 72–74-day sperm cycle) and explains why hot tubs/saunas can derail counts for a full three months. He details evidence-based preservation paths before cancer therapy (banking sperm, testicular sperm extraction when ejaculate is azoospermic, solutions for anejaculation after spinal injury) and how couples can choose between timelines, natural conception goals, and IVF/ICSI realities.

Shifting to sexual function, we unpack erection physiology—arterial inflow, veno-occlusion, nerves, hormones, and mindset—and how anxiety, diabetes, or pelvic surgery disrupt each domain. Dr. Asanad shares confidence-building protocols (low-dose daily tadalafil, short-term boosters, referral to sex therapy) that restore performance without chasing unnecessary “sky-high” testosterone.

You’ll also get a masterclass on Peyronie’s disease—what plaque is (and isn’t), why curvature isn’t just “bending,” and the treatment ladder:

• Traction therapy (e.g., RestoreX) 30–60 minutes/day for 3–6 months to straighten and regain length.
• Collagenase (Xiaflex) injection series (expect ~30% curvature improvement) to reach functional intercourse.
• Plication for quicker straightening (with small length trade-off).
• Plaque incision + grafting for severe deformity in men with strong baseline erections
• Combined penile prosthesis + straightening for men with significant ED and curvature—often a life-changing, definitive fix.
  

For men after prostate cancer surgery, Dr. Asanad outlines USC’s prehab/rehab: start daily tadalafil before surgery, maintain penile blood flow afterward, and escalate to intracavernosal injections at 3–6 months if needed. He addresses incontinence (most men dry by 12 months with pelvic-floor therapy), climacturia, and surgical options for persistent leakage (AUS, slings, adjustable balloons).

Finally, we look ahead at AI in men’s health: patient-friendly education that’s readable and up-to-date, direct-to-consumer AI semen analysis integrated into clinic flow (actionable metrics in ~10–15 minutes), and early attempts to guide sperm retrieval microsurgery—promising, if still maturing.

Who this episode is for: couples seeking clarity; cancer patients considering fertility; men navigating ED, Peyronie’s, or post-prostate recovery; clinicians wanting a crisp, evidence-aligned playbook.

What You’ll Learn

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Thank you for joining us on this journey to wellness. Remember, the insights and advice shared on the ANEW Body Insight Podcast are for educational and informational purposes only and do not constitute medical advice. Always consult with a healthcare professional before making any changes to your health routine. To learn more about the podcast and stay updated on new episodes, visit ANEW Body Insight Podcast at anew-insight.com. To watch this episode on YouTube, visit @my.anew.insight. Follow us on social media at @my.anew.insight on Facebook, Instagram, TikTok, and Threads for more updates and insights. Thank you for tuning in! Stay connected with us for more empowering stories and expert guidance. Until next time, stay well and keep evolving with ANEW Body Insight!