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If you’re a man or married to one you’ll probably benefit from this episode of Andrew Huberman’s podcast about Male Sexual Health. Huberman has Dr. Michael Eisenberg as a guest and they discuss the two primary dimensions of male sexual health: fertility and potency. The episode has lots of great… uh, tips… and ideas for what to discuss with your doctor and how to understand the meaning of various tests and procedures.

If you’re a husband, you have a responsibility to take care of your sexual health, both for your own benefit and for the benefit of your wife.. There are a few negative stereotypes that sometimes work against husbands:

  • Men shouldn’t go to the doctor unless it’s an emergency
  • Erectile dysfunction is shameful and shouldn’t be discussed
  • A decline in male sexual health is an inevitable consequence of aging
  • Fertility is primarily a female problem

It’s important for us husbands to overcome these stereotypes so that we can talk with our wives and doctors about our health and then take action to protect and improve our sexual health. The Bible is clear that a husband has a responsibility to satisfy his wife’s conjugal rights:

1 Corinthians 7:2-5

2 But because of the temptation to sexual immorality, each man should have his own wife and each woman her own husband. 3 The husband should give to his wife her conjugal rights, and likewise the wife to her husband. 4 For the wife does not have authority over her own body, but the husband does. Likewise the husband does not have authority over his own body, but the wife does. 5 Do not deprive one another, except perhaps by agreement for a limited time, that you may devote yourselves to prayer; but then come together again, so that Satan may not tempt you because of your lack of self-control.

Husbands: we’ve got a job to do, and we have to keep our tools primed and ready!

(Note: We wrote in 2014 that the term “conjugal rights” includes a lot more than only sex, so go read that post for a deeper understanding.)

Podcast Notes has a good summary of the male sexual health episode; here are their key takeaways:

  • Obesity is a risk factor for lowering testosterone and sperm quality
    • Fat aromatizes testosterone into estrogen
  • Testosterone and sperm quality are barometers of health in men
  • Taking exogenous testosterone without medical need can dramatically reduce endogenous testosterone and sperm count & quality
  • Semen quality doesn’t just relate to fertility – it’s an excellent marker for overall men’s health
    • Men with higher semen tend to live longer, go to the doctor less, and have lower rates of cancer
  • Less than 10% of erectile dysfunction is due to a hormonal issue (e.g., low testosterone); most are related to restricted blood flow and could be a foreshadowing of cardiovascular health
    • The first path of treatment (if all else is healthy, not obese, not smoking, etc.) is oral therapy like Viagra or Cialis
  • Don’t assume sperm is healthy just because you ejaculate – about 50% of men have low semen quality
  • To improve sperm quality: avoid heat (sauna, hot tub), don’t smoke, use alcohol in moderation (or avoid it altogether), avoid drugs (especially benzodiazepines and opioids), use marijuana minimally, stay active and at a healthy weight

If reading this post has made you discouraged, don’t be! We don’t have to be perfect, we just have to work towards the best possible version of ourselves. Each of us can take small steps towards improved sexual health, and over time we can maintain and increase our well-being.

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Everyone knows that testosterone has a significant effect on men, but many people don’t realize that T levels affect women also. Most women have probably never had their testosterone measured during a routine blood test.

As the primary male sex hormone, it plays a leading role in the sexual development of guys. But folks often overlook the role it plays in female sexuality. Yes, women have testosterone, too, though much less of it — and it exerts a far different pull, new research suggests.

“It was quite surprising that the link with masturbation was stronger among women than men,” said study leader Wendy Macdowall of the London School of Hygiene and Tropical Medicine, in the United Kingdom. “And that among women we saw no link with aspects of partnered sex.”

[Women] with high testosterone were more likely to have had a same-sex relationship at some point. They also masturbated more often — and more recently.

High T was also linked to more solo sex for guys. But the masturbation connection was notably stronger among women, the study found.

Do high T levels cause a woman to masturbate, or vice versa? Unknown. The researchers suggest that masturbation is a “truer” measure measure of sexual desire than sex with a partner, because it’s less likely to be initiated by someone else. This suggests that higher T levels can increase a woman’s libido.

The Mayo Clinic says that the evidence in favor of testosterone supplementation for women for the purpose of increasing libido is limited, so it’s not clear if there’s any clear way to act on the research findings above. For women, it might be worth getting your testosterone checked when you have your next routine blood test.

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Here’s a fascinating study about using light therapy to increase the libido of men with low sex drives. Don’t worry, it’s not some hippy thing!

Exposure to bright light – similar to daylight – boosts levels of the male hormone testosterone and can triple sexual satisfaction, the research found.

“Before treatment, both groups averaged a sexual satisfaction score of around two out of 10, but after treatment the group exposed to the bright light was scoring sexual satisfaction scores of around 6.3 – a more than three-fold increase on the scale we used. In contrast, the control group only showed an average score of around 2.7 after treatment.”

While average blood levels of testosterone in the “control” group remained at around 2.3 nanograms per millilitre (ng/ml) before and after the study, those of the men receiving active light treatment rose from 2.1 ng/ml to 3.6 ng/ml.

“The increased levels of testosterone explain the greater reported sexual satisfaction,” said Prof Fagiolini. “In the northern hemisphere, the body’s testosterone production naturally declines from November through April, and then rises steadily through the spring and summer with a peak in October. You see the effect of this in reproductive rates, with the month of June showing the highest rate of conception. The use of the light box really mimics what nature does.”

The article doesn’t mention it, but testosterone is also essential for women’s libido. (Though, of course, at lower levels of the hormone than men require.)

And best of all, you don’t need a fancy “light box”! Just go outside and bare some skin to that giant ball of fire in the sky that God helpfully provided — for free! The study quoted above indicates that as little as 30 minutes per day in the sun will have an effect, so go get some exercise.

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