Author: Nannan Thirumavalavan, MD

Dr. Thirumavalavan explores the physiological and psychological aspects of male sexual climax, addressing common misconceptions and providing insights into the complexity of male sexual health. Topics include the role of the brain and nervous system in achieving orgasm, the variability in duration and intensity of orgasms, and the impact of factors such as age, health, and emotional state. The article also highlights that orgasms can have benefits beyond pleasure, such as stress relief and improved mood.

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A vasectomy is intended as a permanent form of male sterilization. Although reversals are possible, their success rates are not guaranteed. Dr. Nannan Thirumavalavan explains that microsurgical techniques improve reversal success, particularly if done within ten years. Alternatives like sperm aspiration and sperm banking are available for those who might want children in the future. It is advised not to rely on reversals but to consider the decision as permanent.

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The article explores the concept of “male menopause,” more accurately termed testosterone deficiency or hypogonadism. Unlike female menopause, which happens abruptly, testosterone levels in men decrease gradually with age, leading to symptoms like fatigue, low libido, and mood changes. Dr. Nannan Thirumavalavan explains that lifestyle changes and, if necessary, testosterone replacement therapy can help manage symptoms. However, such therapy isn’t suitable for everyone, particularly those with a history of prostate cancer, and it can affect fertility. Psychological support may also be beneficial for related issues.

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The article discusses whether sperm counts are declining, citing mixed opinions among experts. While some studies indicate a significant drop due to factors like environmental chemicals and lifestyle choices, others argue improved testing methods might account for perceived declines. Dr. Nannan Thirumavalavan from University Hospitals notes that overall health impacts sperm quality, with obesity, smoking, and testosterone therapy being notable factors. A healthy diet and lifestyle improvements can help. Couples struggling to conceive are advised to seek medical evaluation after a year of trying, or six months if the woman is over 35.

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