
Men's Sexual Health: What It Covers and Where to Start
Men's sexual health is linked to your heart, blood vessels, hormones and mind. Learn where to start looking after it and when to talk to a doctor.
Erectile dysfunction, premature ejaculation, testosterone and TRT, explained plainly.
41 articles · 6 topics
Men's sexual health basics, self-assessment tools and key tests
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Men's sexual health is linked to your heart, blood vessels, hormones and mind. Learn where to start looking after it and when to talk to a doctor.

Missing morning erections on some days is normal. Losing them for weeks, along with lower desire or weaker erections, can point to hormones, blood vessels or sleep problems worth checking.

The Erection Hardness Score is a simple 1–4 scale that helps you and your doctor talk about firmness in the same language.

The IIEF-5 turns how your erections feel into a number you and your doctor understand the same way. It takes less than 3 minutes at home.

Ten yes/no questions that help you decide whether your symptoms are worth a testosterone blood test, plus how to read the result and its important limits.

A semen analysis is simple, painless and very informative. Learn who should have one, how to prepare and how to understand the results.
Why erections fail, what works and what to watch out for
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Erectile dysfunction is common and treatable. Learn the real causes, how ED is linked to heart health, and what modern treatment looks like.

An erection is teamwork between brain, nerves, blood vessels and hormones. Learn which link can fail, and why vascular ED matters for your heart.

Erection problems are treatable in most men. At Dr. Kris Clinic in Surat Thani we look for the cause first, then choose the right medicine, in person or online, confidentially and in English.

PRP for ED is heavily advertised, but the evidence is mixed. Here is what the trials and expert societies actually say, so you can decide with the facts.

Erections come more easily when your body feels safe. Learn how stress switches them off, which relaxation techniques have evidence, and where chakras fit in.

Sexual side effects from antidepressants are common, not your fault, and manageable. Learn the options to plan with your prescribing doctor.

No herb has been proven to treat ED as well as modern medicine, and some 'herbal' products are secretly spiked with ED drugs. Here is the honest evidence.

If you still have burning or stabbing pain after negative STI tests, the pain is real, but the cause may be oversensitive nerves rather than a hidden infection.

Lumps, asymmetry or pain after a penile filler are more common than people think, and many can be fixed. Treatment depends on what was injected.
Choosing the medicine, the dose and how to take it safely
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Tadalafil can help erections for up to 36 hours. Learn how it works, the two ways it is used, its side effects and the interactions you must know about.

Is 20 mg always better than 10 mg? Not necessarily. Learn how doctors pick the lowest tadalafil dose that works well with acceptable side effects.

Neither pattern is best for everyone. Compare daily low-dose and on-demand tadalafil and see which suits your sex life and health.

Most men start sildenafil at 50 mg. Learn when a doctor moves to 100 mg or 25 mg, and how to take it so it actually works.

Cialis or Viagra? Overall effectiveness is similar. The real difference is how you use them, so the right choice depends on your life and your partner's.
Ejaculation problems, training, medicines and the anxiety loop
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Premature ejaculation is the most common sexual problem in men and it can improve. Learn what it really is, why it happens and how to train and treat it.

Dapoxetine is a short-acting medicine made specifically for premature ejaculation. Learn what it can realistically do and how to use it safely.

Delayed ejaculation is not a bonus when it causes distress. Learn the medical, medicine-related and psychological causes, and how it can be managed.

Lost your erection once and now dread every time? Understand the performance anxiety cycle and the evidence-based ways to break it: therapy, mindfulness, sensate focus and honest talk with your partner.

Can finish alone but not with a partner, or lose your erection? Your masturbation style may play a part. An honest look at the evidence and a practical retraining plan.
What testosterone does, symptoms of low T, blood levels and lifestyle
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Testosterone is about more than muscle and sex. Learn what it does, what normal levels look like, and how to get a blood result you can trust.

Low desire, tiredness and fewer morning erections can mean low testosterone, but often have other causes. Learn which symptoms matter and what to do next.

Low energy, no motivation and loss of sex drive can be depression, low testosterone, or both. Learn how to tell them apart and why treatment differs.

Oestrogen isn't the villain in men. Learn what aromatase does, why men need oestrogen, and how to restore balance by treating the real cause.

Your total testosterone can look normal when the hormone your body can actually use is low, or look low when it is actually adequate. SHBG helps you read the result correctly.

Low testosterone, obesity and diabetes feed each other in a cycle. TRT may help some aspects in men with genuinely low levels, but it does not prevent NCDs and does not replace weight loss or treatment for the main disease.

Before thinking about medication, sleep, losing belly fat and the right amount of exercise do the most for testosterone. Most "miracle foods" and testosterone boosters have weak evidence.

DHEA and pregnenolone really are precursors of sex hormones, but there is no good evidence that supplements slow ageing or boost energy in most people, and they have side effects worth knowing.
Starting TRT safely: blood tests, side effects and formulations
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TRT is neither a magic youth pill nor a dangerous steroid. It is a real treatment for a real condition, with manageable risks when properly monitored.

Blood tests before TRT confirm that testosterone is genuinely low and set safety baselines. Learn what to test, how to prepare and how follow-up works.

Most TRT side effects can be prevented or managed if you are monitored regularly. Newer data since TRAVERSE show more clearly what deserves attention and what you need not fear.

TRT does not change everything at once. Libido usually comes first within a few weeks, while muscle, fat and bone take months to a year or more.

No single form is best for everyone. Injections are convenient but levels rise and fall more; gel gives steadier levels but must be applied daily and can transfer to people close to you.

Test E is injected more often but is easy to adjust; Test U is injected less often with steadier levels but is slow to reverse if side effects occur. The choice depends on your goals, convenience and blood results.

TRT helps build muscle in men whose testosterone is genuinely low. In men with normal levels, training, protein and sleep matter far more, and using hormones for muscle comes at a price.

Steroids really do build muscle, but the heart, hormones, fertility and mind pay the price. Whether you are using, thinking about it or want to stop, non-judgemental care can reduce the harm.