Making Mapping Matter

She approached the microphone slowly from the back of the room, appearing to float, wrapped in her colorful hijab. A doctor from Pakistan, she had some questions and a comment after hearing my talk. A Kind Interrogation “Your Sperm Mapping™ technique for azoospermic men” she stated softly, “is it done under just local anesthesia?” “Yes,” I […]

A Toast to the Jewels on World Vasectomy Day

You might think that publicly celebrating vasectomies is like celebrating root canals! But think about it. You have a root canal to relief pain and to be able to eat again, but you have vasectomy not only for you, but also for others, like family, and for the world at large. It’s taking one for […]

Getting Men Over the Infertility Hump

You’ve heard of gene therapy right? What ever happened to it? Born back in the 1990’s, the same decade that Viagra was introduced to the world, gene therapy has not fared nearly as well as the little blue pill. Why not? First of all, gene therapy, in which DNA is put into cells to treat […]

MicroTESE vs. FNA Mapping: Medieval or Modern?

Put two experts in a room and give each of them the same problem to solve. What you’ll find is that they typically use similar “knowledge structures” and “heuristic strategies” (i.e. organized and principled thinking) and then proceed to break the problem into smaller, more digestible ones to solve it. But, despite similar cognitive approaches, the […]

Care = Knowledge + Gut = Babies

There is a lot of “information” out there nowadays. It all started way back when we humans started talking. Then came the written word, and then television, and now it’s the world-wide-web, that great wellspring of all things knowable. Thomas Jefferson considered information the “currency of democracy,” and Ronald Reagan termed it the “oxygen of […]

Fact, Theory and Truth in Science

I am giving a talk to a large gathering of Kaiser docs from Southern California this week on whether a relationship exists between male infertility and the later development of cancer. We have published some of the most convincing data to date to suggest that they are linked. But is it really, absolutely true? What […]

Are Urologists Losing It?

Let me get this straight. Twenty-five years ago, Urologists popularized a blood test for the early detection of a silent but very common and deadly cancer. With this tool in hand, called the PSA test, hundreds of millions of men have been screened worldwide since, changing the face of this cancer on the planet as we know it. What used to be a near fatal disease on presentation, prostate cancer is now curable in most men. And trust me, it’s not because more men decided to jump up and offer to have routine rectal exams over the last several decades!

Let me get this straight. Twenty-five years ago, Urologists popularized a blood test for the early detection of a silent but very common and deadly cancer. With this tool in hand, called the PSA test, hundreds of millions of men have been screened worldwide since, changing the face of this cancer on the planet as we know it. What used to be a near fatal disease on presentation, prostate cancer is now curable in most men. And trust me, it’s not because more men decided to jump up and offer to have routine rectal exams over the last several decades!

Testosterone, Sex and You

H More Is Not More But there’s also a corollary: “more is not always better.” We believe it’s the case for testosterone and erection issues and, now, a well-done study suggests that it may also be true for sex drive. Sure having enough testosterone is like putting gas in the tank instead of water. Things just run […]

Fertility in the Modern Day

Are We Less Fertile Today?

Could our sleepless and stress-filled lifestyles, our haphazard, airport-driven diets and rambunctious social habits be making us less fertile? Might the 87,000 known chemicals, endocrine disruptors and just plain old pollution hovering over our post-industrial environment finally be rearing their ugly heads and affecting reproduction? And exactly what risk does this bring to bear on future generations?

Could our sleepless and stress-filled lifestyles, our haphazard, airport-driven diets and rambunctious social habits be making us less fertile? Might the 87,000 known chemicals, endocrine disruptors and just plain old pollution hovering over our post-industrial environment finally be rearing their ugly heads and affecting reproduction? And exactly what risk does this bring to bear on future generations?

Can Nature and Nurture Work Together?

I’m sorry, but after delivering hundreds of lectures worldwide over the past two decades, this invitation is different. It’s from the Feds, the National Institutes of Health (NIH) to be exact. They want me to speak at a think tank in Washington about the future of men’s health. It’s a great honor, but a very […]