From testosterone craze headlines to myths about prostate cancer, fertility, and aggression, men are getting a lot of confusing messages about their sexual health. Today, urologist and men's health expert Dr. Justin Dubin cuts through the noise with science-backed answers to the questions men are often too embarrassed to ask.

In this episode, Therese Markow and Dr. Justin Dubin discuss listener questions regarding men's sexual health. Dr. Dubin explains the nuances of testosterone levels, noting that normal ranges vary and can impact overall health. He highlights the importance of addressing low testosterone, which can lead to significant health issues, including all-cause mortality. He dives into the risks and benefits of testosterone replacement therapy, emphasizing the need for proper medical guidance. Additionally, Justin addresses the stigma around men's health, the role of direct-to-consumer testosterone sales, and the impact of prostate cancer treatments on sexual function.

Key Takeaways:

• Health is not just about living longer; it should also be about living better.

• There are different forms of testosterone. The majority of it, about 98%, is bound to other proteins. Free testosterone is what can bind to your receptors.

• There is really good data suggesting that men with low testosterone die at a younger age; they have a higher all-cause mortality. It's not just a mood; it's not just a sex thing. It is an overall marker for your health.

• If you are interested in future fertility and you have low testosterone, do not take real testosterone replacement therapy; there are alternative options.

• Before you go on any medication, you should know the risks and benefits of what you are thinking of taking.

"If I can stop making men think with their penises and start making them think about their penises, I think we can get a lot more guys healthier, a lot more guys happier, and a lot more guys doing the things that they want to be able to do inside and outside the bedroom." — Dr. Justin Dubin

Episode References:

• Guideline-Discordant Care Among Direct-to-Consumer Testosterone Therapy Platforms: https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2799297

Connect with Dr. Justin Dubin:

Professional Bio: https://baptisthealth.net/doctors/justin-dubin/5921802

Website: https://www.themanuppod.com/

Man Up Podcast: https://open.spotify.com/show/1FkEhH04XdxruNg1xxsEdo

YouTube: http://youtube.com/@themanuppod

LinkedIn: https://www.linkedin.com/in/justin-dubin-m-d-9a9b7917/

Instagram: https://www.instagram.com/justindubinmd/?hl=en

Linktree: https://linktr.ee/JustinDubinMD

Connect with Therese:

Website: www.criticallyspeaking.net

Bluesky: @CriticallySpeaking.bsky.social

Instagram: @criticallyspeakingpodcast

Email: theresemarkow@criticallyspeaking.net

Audio production by Turnkey Podcast Productions. You're the expert. Your podcast will prove it.