Some studies have raised concerns about testosterone therapy (TTh) increasing cardiovascular risk, but is the evidence really solid? This review critically analyzes those claims, revealing significant methodological flaws in studies linking TTh to higher cardiovascular risk. In contrast, numerous well-designed studies actually show that untreated low testosterone is linked to higher cardiovascular risk, while TTh can improve heart health when managed correctly.

So, if you've been hesitant about testosterone therapy because of heart health concerns, this study suggests that the risks may not be what they seem. Instead, proper patient selection and monitoring could make TTh a safe and beneficial option.

This week, someone asked me, “Hi Dr. Malik gm. I am having a problem, I am 62 years old and for some time now I have noticed that the skin of my penis cracks and turns red, I also urinate a lot. I went to my PC doctor and she gave me some ointment that worked for a time but the problem returns can you help?”. Here’s the answer to that, recurrent cracking, redness, and frequent urination could be signs of a few different issues like chronic skin irritation, a fungal or bacterial infection, or even an underlying condition like diabetes, which can lead to frequent urination and make the skin more prone to infections. It's great that the ointment helped temporarily, but since the problem has returned, it's important to take a closer look. I recommend talking to your urologist to see if maybe you should have a biopsy of the area or seeing a dermalogist to better evaluate the skin concerns. If you've been having a lot of wetness from urination on the skin, try some Vaseline to protect the skin from irritation from the urine. Sometimes baby butt cream can help heal areas of redness.

I love hearing from you, so if there’s a question you’ve been wanting to ask, just let me know. Who knows? Your question might be the one I dive into next!

WHAT I’VE BEEN UP TO LATELY

Just wanted to check in and see what's on your minds. I've been brainstorming ideas for a new, personalized product that could make a real difference in people's lives. Here's where I'd love to hear from you: Would you be interested in an app that offers personalized urinary/sexual health advice and tracking? Or perhaps a sexual health product that addresses specific needs and concerns? Alternatively, could a functional beverage that supports sexual health and overall well-being be something that resonates with you?

Your feedback and suggestions would be invaluable in helping me shape this project. I'm eager to create something that truly meets the needs and desires of my community, and I believe that together, we can make something truly special. Let me know by replying to this email.

On a personal note, things have been super busy! I've done three podcast interviews this week alone – so much fun connecting with different experts, and I can't wait for you to hear/watch them

On a more personal note, my son is getting ready to rock the stage with a breakdancing routine for his local talent show, and I couldn't be more excited (and a bit nervous, I won't lie!). Seeing him prepare and perfect his moves has been an absolute joy, and I'm really looking forward to cheering him on.

HIGHLIGHTS FROM MY CHANNEL

I recently discussed a topic that many of my male patients are concerned about – getting an erection during a doctor's exam. Quote: "Getting an erection during an examination is not inappropriate or something to be embarrassed about."

Here are some quick takeaways

• Getting an erection during an exam is a normal physiological response; it doesn't mean you're aroused.

• It shows that your blood flow and nervous system are functioning well, which is a good health sign.

• If it happens, stay calm and remember it's just your body's automatic response, and doctors understand it’s normal.

In this episode, I emphasized that "no doctor is gonna get mad, angry, upset, or accuse you of doing inappropriate things just because you got an erection during an examination." For more insights and reassurance, tune in to the episode and share it with friends who could benefit from this information!

HIGHLIGHTS FROM MY PODCAST

I had an enlightening conversation with Dr. Justin Lehmiller about the complexities of sexual fantasies and how they weave into our lives. Dr. Justin offered some thought-provoking points! He mentioned, “Fantasy, desire, and behavior are all overlapping concepts, but they’re all distinct.”

Here are some cool takeaways

• Men often fantasize about multi-partner and taboo activities, while women lean more towards passion and romance.

• Fantasies don’t always mean you want to act on them—most people have thoughts they never intend to realize.

• Communicating with your partner is key; take it slow, and start by talking about what you love in your current intimacy.

Listen on Apple Podcasts, Spotify, or here, and don't miss out on why Dr. Lehmiller thinks understanding the diversity of fantasies can be freeing—and see why listeners are commenting, “I was very impressed with Dr. Lehmiller. You can tell he’s a very sharp guy. I know it’s his job to be knowledgeable about all these different subjects, but he could go into details on any subject, and do so immediately. I’m sure it’s much more difficult than it would seem. A great guest!”