Sex & Infertility Expert: You Need To Grow Your Sex Span! This Is Killing Your Fertility!
Added: Jan 9, 2025
In this podcast episode, Dr. Mohit Khera, a board-certified urologist and professor specializing in sexual dysfunction and infertility, delves into the critical concept of "sex span" and its implications for sexual health and fertility. Dr. Khera's extensive experience in treating both male and female sexual dysfunction highlights the importance of addressing these issues openly and proactively.
Understanding Sex Span
Dr. Khera introduces the term "sex span," which refers to the duration and quality of an individual's ability to engage in satisfying sexual activity throughout their life. He emphasizes that both men and women desire their sex span to align with their lifespan, ideally lasting as long as they live. However, various factors can significantly impact this span, including diet, exercise, sleep, stress, and hormonal levels, particularly testosterone.
The Prevalence of Sexual Dysfunction
Dr. Khera reveals alarming statistics regarding sexual dysfunction, noting that approximately 43-48% of women in the U.S. experience female sexual dysfunction, while 30% of men globally suffer from premature ejaculation. Additionally, he points out that 40% of men over 40 will experience erectile dysfunction (ED), which often serves as an early warning sign for other serious health issues, such as cardiovascular disease and depression. The link between obesity and low testosterone levels is also discussed, as excess weight can lead to decreased sexual function in both men and women.
The Importance of Open Communication
A significant barrier to addressing sexual dysfunction is the stigma surrounding it. Dr. Khera stresses the need for open communication between partners, as many individuals suffer in silence, fearing judgment or embarrassment. He encourages couples to discuss their sexual health openly, as this can lead to better understanding and treatment options. The podcast highlights that sexual dysfunction is not just a personal issue but often a couple's issue, requiring both partners to be engaged in the conversation.
Lifestyle Modifications for Improved Sexual Health
Dr. Khera outlines several lifestyle modifications that can enhance sexual health and prolong sex span. He advocates for a Mediterranean diet rich in whole grains, fruits, and vegetables, which has been shown to improve erectile function. Regular exercise is also crucial, with studies indicating that 160 minutes of moderate to vigorous exercise per week can significantly enhance sexual function. Furthermore, adequate sleep—ideally 7 to 8 hours per night—is essential for maintaining hormonal balance and overall sexual health.
Hormonal Influences on Sexual Function
Testosterone plays a pivotal role in sexual function for both men and women. Dr. Khera explains that low testosterone levels can lead to decreased libido, erectile dysfunction, and other health issues. He discusses the importance of testosterone replacement therapy (TRT) for men with low levels, emphasizing that it can improve not only sexual function but also overall health. Unfortunately, women have fewer approved treatment options for low testosterone, despite its importance in their sexual health.
The Impact of Trauma and Psychological Factors
The podcast also touches on the psychological aspects of sexual dysfunction, including the impact of trauma. Dr. Khera notes that many patients may not disclose their trauma during initial consultations, but it can significantly affect their sexual health. He emphasizes the importance of addressing both the physical and psychological components of sexual dysfunction, often requiring the involvement of sex therapists.
Innovative Treatments and Future Directions
Dr. Khera discusses emerging treatments for erectile dysfunction, including shockwave therapy, which aims to improve blood flow and promote the growth of new blood vessels in the penis. He also mentions the potential of stem cell therapy and hyperbaric oxygen therapy as future avenues for treating sexual dysfunction. These innovative approaches reflect a shift away from merely masking symptoms with medications like Viagra towards seeking more permanent solutions.
The Role of Infertility in Sexual Health
Infertility is another critical topic addressed in the podcast. Dr. Khera explains that sexual dysfunction can significantly impact fertility, with conditions like varicocele (enlarged veins around the testicle) being a common cause of male infertility. He emphasizes the importance of lifestyle changes in improving fertility, as healthier individuals are generally more fertile. The podcast highlights the need for men to undergo semen analysis to assess their fertility potential, as low sperm counts can indicate broader health issues.
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