Male fertility and sperm health: what the numbers mean and what changes them
A semen analysis is not a pass or a fail, the reference values changed and most of the internet hasn’t noticed, and nothing you do today shows up for three months.
When ED treatment isn’t working: what to check before giving up
Before you conclude that nothing works, it is worth knowing how often ‘nothing works’ turns out to mean ‘four tablets, taken wrong, after dinner’.
Vardenafil and avanafil: how they differ from sildenafil and tadalafil
Four medicines, one mechanism, and a surprisingly small number of real differences. The ones that exist are onset, duration and what you had for dinner.
Penile implants: what they involve, and why the decision is permanent
The treatment with the highest satisfaction figures in erectile dysfunction, and the only one you cannot undo. Both of those need saying in the same breath.
Alprostadil cream and pellets: the needle-free routes explained
Less effective than injecting, considerably less daunting. The trade-off is the whole story, and the partner warnings are the part most pages leave out.
Alprostadil injections: how they are started, dosed and monitored
The most effective medical treatment for erectile dysfunction, and the one with the most rules attached. Both of those facts matter.
Vacuum pumps for erectile dysfunction: how they work and who they suit
Unfashionable, mechanical, and quietly one of the few ED treatments that works without needing your blood vessels to cooperate chemically.
Lasting longer: how the stop-start and squeeze techniques actually work
Two techniques that are taught everywhere and tested almost nowhere. Here’s how to do them properly, and the check that should come first.
Alcohol and sexual function: the short night and the long run
Alcohol raises the intent and lowers the capability, which is an unhelpful combination. Over years it does something quieter and harder to reverse.
Cycling and erectile dysfunction: what the evidence actually says
The scare headline doesn’t survive the data. What does survive is a specific problem, in specific riders, with a genuinely fixable cause.