Diabetes – The Slow Killer of Your Sex Life

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Diabetes – The Slow Killer of Your Sex Life

Diabetes is a progressive disease that can debilitate one’s body organ by organ when left out of control.  It’s most famous for contributing to heart disease, stroke, peripheral vascular disease, blindness, renal failure.  But long before any of these take place, diabetes can kill your sex life. Diabetes itself is not responsible for the damage [...]

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Pelvic Floor Dysfunction

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Pelvic Floor Dysfunction

The muscles of the pelvic floor evolved as a sling of muscles to help control our urethral, vaginal, and anal sphincters.  Also known as the PC muscles, the pelvic floor can be envisioned like a hammock of several muscles criss-crossing over each other to form a network.  They are like a make-shift “floor” under our [...]

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Reconsidering Birth Control Pills

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Reconsidering Birth Control Pills

So many women have come to use birth control pills (or other forms of hormonal birth control), and certainly they have allowed women the freedom to have a healthy sexual involvement while staying free of pregnancy until they are ready to start a family.  But in the recent years, we have learned quite a bit [...]

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Focused on Penis Size

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Focused on Penis Size

Recently I received this question: “Dr. Castellanos, I’m just wondering why all guys seem to be concerned about their size down there?……” Human males have the longest and thickest penis of any member of the ape world (oh get over it people!), considered freakishly long when compared to gorillas, and only pretty long when compared [...]

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The Role of Rehab After Prostate Surgery

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The Role of Rehab After Prostate Surgery

With prostate cancer making up about 30% of all cancers in men, it’s not surprising that over 100,000 men in the United States per year require complete removal of their prostate in what is called a radical prostatectomy.  One of the complications of this type of prostate surgery is loss of erectile functioning, which can [...]

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