本期节目邀请了斯坦福大学泌尿科教授迈克尔·艾森伯格博士，他是男性性功能和生育领域的顶尖专家。节目讨论了睾酮水平及其影响因素、睾酮疗法、精子质量和数量、阴茎和睾丸的健康和功能、盆底、前列腺和泌尿道健康、勃起功能和障碍以及各种常见的男性性、激素和生殖挑战的原因和治疗方法。节目还探讨了服用非那雄胺后的综合征和阴茎长度的趋势。本期节目内容丰富，包含了有关男性性健康和生殖健康的实用信息，包括关键检测和家庭评估，以及可以支持男性性健康和生殖健康的行为、营养、运动和处方工具。

👨‍⚕️ **睾酮水平和影响因素：** 睾酮水平会随着年龄增长而下降，肥胖、压力和某些药物也会影响睾酮水平。节目中讨论了如何通过生活方式调整、运动和补充剂来改善睾酮水平。

🧬 **精子质量和生育：** 精子质量会受到环境因素、生活方式、药物和疾病的影响。节目中讨论了如何优化精子质量，包括饮食、运动、减少压力和避免过度饮酒等。

💪 **性功能和勃起障碍：** 勃起障碍可能是多种因素造成的，包括血管问题、神经问题、激素问题和药物副作用。节目中讨论了如何诊断和治疗勃起障碍，包括药物治疗、手术治疗和心理治疗。

🛡️ **前列腺健康和泌尿道健康：** 前列腺健康和泌尿道健康对于男性性健康至关重要。节目中讨论了如何预防和治疗前列腺问题和泌尿道感染，包括生活方式调整、药物治疗和手术治疗。

🧠 **心理因素和性健康：** 心理因素，如压力、焦虑和抑郁，会对性功能产生负面影响。节目中讨论了如何通过心理治疗和生活方式调整来改善心理健康，从而提高性功能。

👨‍⚕️ **男性生殖健康检测：** 节目中推荐了男性生殖健康检测，包括精子分析、激素水平检测和前列腺特异性抗原 (PSA) 检测。这些检测可以帮助男性了解自己的生殖健康状况，并及时进行干预。

🙏 **其他建议：** 节目中还建议男性关注生活方式，包括饮食、运动、睡眠、压力管理和药物使用，这些因素都对男性生殖健康至关重要。

👨‍⚕️ **寻求专业帮助：** 如果男性遇到性健康问题，建议及时咨询医生或泌尿科医生，接受专业的诊断和治疗。

👨‍⚕️ **持续关注和管理：** 男性生殖健康需要持续关注和管理，定期进行检测和体检，保持健康的生活方式，可以降低患病风险，提高生活质量。

👨‍⚕️ **男性生殖健康是一个复杂的议题，需要专业医生进行评估和治疗。**

In this episode, my guest is Dr. Michael Eisenberg, MD, a urologist and professor specializing in male sexual function and fertility at Stanford University. Based on his clinical work and research, he is considered a top world expert on male sexual and reproductive health. We discuss testosterone levels and what really impacts them, testosterone therapy, sperm quality and counts, penile and testicular health and function, pelvic floor and prostate and urinary tract health, erectile function and dysfunction and the various causes and treatments for common male sexual, hormonal and reproductive challenges. We also address post-finasteride syndrome and trends in penile length. This episode is rich in actionable information about men’s sexual and reproductive health, including key tests and at-home evaluations, and the behavioral, nutritional, exercise and prescription-based tools that can support male sexual and reproductive health.

For show notes, including referenced articles and additional resources, please visit hubermanlab.com.

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Timestamps

(00:00:00) Dr. Michael Eisenberg

(00:02:05) Sponsors: LMNT & Waking Up

(00:04:20) Sperm Quality, Geographic & Environmental Factors 

(00:12:00) Fertility & Sperm Quality; Testosterone, Cell Phones & Heat

(00:19:26) Testosterone, Age, Obesity

(00:26:49) Tool: Optimize Sperm Quality, Exogenous Testosterone, hCG

(00:35:56) Sponsor: AG1

(00:36:57) Tool: Lifestyle Factors & Sperm Quality, Alcohol

(00:43:27) Sperm Quality, Recreational & Over-the-Counter Drugs, Cannabis

(00:46:56) High-Impact Sports, Traumatic Brain Injury (TBI), Pituitary & Testosterone

(00:49:55) Bicycling, Numbness & Sexual Dysfunction; Walking & Testosterone

(00:55:39) Exogenous Testosterone Therapy & Cancer

(00:59:57) Sexual & Urinary Health, Nighttime Urination

(01:03:12) Sleep & Semen Quality; Overall Health

(01:09:19) Tool: Sperm Analysis & Overall Health; Sperm Banking

(01:13:21) Paternal Age & Puberty Trends; Older Fathers & Child Health Risk

(01:26:42) Tool: Prostate Health, Urination; Tadalafil (Cialis)

(01:33:02) Urinary Tract Infections (UTIs); Erectile Dysfunction Causes

(01:38:21) Blood Flow & Erectile Dysfunction, Medication; Cardiovascular Health

(01:44:30) Mechanical Erectile Dysfunction Treatments; Peptides; Delayed Ejaculation

(01:52:36) Pelvic Floor Health, Urology & Physical Therapy; Split-Stream Urination

(01:59:03) Penile Length & Trends; Dihydrotestosterone (DHT), Puberty

(02:09:01) Hair Loss, Dutasteride, Finasteride & Sexual Health; Post-Finasteride Syndrome

(02:16:11) Clomiphene, Testosterone & Estrogen Signaling

(02:19:31) Follicle-Stimulating Hormone (FSH) Therapy; Prolactin, Estrogen

(02:24:15) Varicocele; Peyronie’s Disease

(02:27:26) Testis & Cancer Risk; Insurance, Blood Profiles & Semen Analysis

(02:35:03) Zero-Cost Support, Spotify & Apple Reviews, Sponsors, YouTube Feedback, Momentous, Social Media, Neural Network Newsletter

Title Card Photo Credit: Mike Blabac

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