All You Need To Know About Circumcision

I would like to take a few moments to talk with you about the procedure circumcision. In this article I’m going to tell you what is a circumcision, I’ll describe why it is done, and I’ll also explain the risks and complications associated with this common urologic procedure.

What is a Circumcision

A circumcision is the removal of the foreskin, which is the tissue covering the head of the penis. It is usually done the first or second day after birth. However, little boys who are of the Jewish faith have their circumcision performed on the eighth day following their delivery.

Why is a Circumcision Done

In older boys and men it is done to treat the condition called phimosis, which is a condition where the foreskin is so tight that it cannot be retracted over the head of the penis. The procedure is done to prevent infections, it’s used to treat infections of the penis and the head of the penis, and also, it is performed for cultural and religious reasons as well as personal preference, which can also impact a family’s decision or a man’s decision regarding the decision to proceed with a circumcision.

Benefits of Circumcision

The benefits of the circumcision are: it will reduce the number of urinary tract infections, it can decrease the risk of a sexually transmitted disease, it protects against penile cancer, and also, there is a benefit to the man’s partner as it will reduce the risk of cervical cancer in women. It will prevent infections of the glans and the foreskin; it also will prevent the risk of phimosis or the inability to retract the foreskin, and also a circumcision is associated with improved hygiene associated with urination.

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Risks of Circumcision

The risks of the procedure are: pain and discomfort after the procedure, bleeding and infection after the procedure, irritation of the head of the penis, and also the increased risk of inflammation around the opening or the meatus, where urine flows due to the head of the penis rubbing against the cotton or nylon underwear.

How is Circumcision Done?

How is the procedure done? In newborns, it is usually done with topical anesthesia. However, in adults, it requires a local or regional anesthesia, requiring the procedure to be done in the hospital.

Complications of Circumcision

The complications associated with a circumcision include infection, bleeding. Also, the results may not be cosmetically as desirable as the man would like and also, it is associated with a change in sensation during intercourse due to the exposure of the glans of the penis to abrasions in the underwear such as against the cotton or the nylon.

In summary, a circumcision is the most common procedure performed in men in the United States. It is easily done, it takes just a few moments in the newborn and approximately 15 to 20 minutes in an adult male. In baby boys, it is done in the office or the hospital before the baby goes home. It is usually associated with minimal discomfort and pain after the procedure. In adult men, they can usually resume sexual intimacy in three weeks after the procedure. I hope you found this article helpful regarding the procedure circumcision.

Testosterone Replacement Therapy for Men

Today’s topic bioidentical hormone replacement therapy for men. This is a hot topic. With us, we have hormone expert Dr. Breen.

Now before we get into today’s topic, who is a typical patient that comes to you, by the way, men and women, who come to you?

Sure, so the guy I’m about to describe, I see patients like this every single day. Let me give you a typical example of three guys that I’ve treated in the last couple of months that I’ve helped. I had a guy; he’s a friend of mine, who served in the Marine Corps, he was of creamery for 20 years. He calls me up out of the blue because he read one of my blogs about testosterone, and he says “Doc, I read your blog, I’m suffering from low libido, I have erectile dysfunction, and I need help.” I said, “how are often you having sex with your wife?”. He says “Doc, it’s bad.” I said, “What’s bad?”. He said, “Maybe once a month.” I said, “well, how are your energy levels?”. He said, “My energy levels are terrible.” He is 44 years old; he’s been married for 18 years. Keep in mind; he has career Marine; he’s always worked out his entire life, he’s used to being in shape, he’s used to being a hard charger, he is working in corporate America.

He calls me because he goes to his doctor and asks him to check his testosterone level because he realized he has all the symptoms of testosterone decline. His doctor checks his levels, and his levels are 3.50. Now the ranges are 3.48 to 1200, so the doctor says “your levels are within the normal range and you don’t need testosterone, testosterone is not your problem.” so he calls me, says “Doc, is there anything you can do for me, I feel like I need testosterone.” That guy flies out to see me, I put him on my program, and within a month he’s feeling amazing. What does that mean? He is now having sex with his wife again regularly, and he’s got, two kids. His workouts are incredible, his strength and endurance at the gym are improved. He comes home, and he has more energy for his wife and kids. That’s a very common story of what happened.

So your clinical experience, that kind of stories happen all the time?

Yes. It’s not just testosterone; we look at all hormone levels, it’s not all just about testosterone. You know, guys go to their doctor and they say “well I just need testosterone.” He happened to be on testosterone, I put them on DHA, which is a precursor hormone, he actually needed some thyroid, so he’s on testosterone, he’s on DHA, he’s on some thyroid. He was deficient in vitamin D, so we gave him vitamin D. we knew he had some nutrient deficiencies because we test him. So there are other things, other than just testosterone, which made him feel amazing. But testosterone is the feel good hormone. It’s what drives our libido, increases our strength.

Can it be dangerous, though? Testosterone speed up cancer growth, on and on, depending on what article you read.

No, absolutely not. Testosterone is not dangerous. In fact, the medical literature says the opposite: having a low testosterone is dangerous, having a low testosterone is associated with increased risk of diabetes, high blood pressure, triglycerides, decrease strength and endurance, decreased functioning. And actually the literature says the opposite about cancer. The journal Circulation a great study in 2007. They looked at 50,000 guys. Now the journal Circulation is one of the most respected cardiovascular journals in the world. What they found is this: they looked at 50,000 guys, who had testosterone levels in the upper quartile of the normal range. So greater than 1000 had a 25-30% reduction in overall mortality, that includes cancer, that includes heart disease.

So typical patient I had, let me give an example, I had a  guy, who is 57 years old, he was an executive, he ran his company. He came in actually with his wife because their sex drive had fizzled, they didn’t have the energy levels that they used to, and they wanted help. Now she happened to go through menopause, so she had vaginal dryness, she had a declining libido, sex wasn’t as enjoyable, it was a little bit more painful for her. He noticed that his erections weren’t as firm, his libido wasn’t there, so they weren’t having sex as often as they wanted to. They also wanted to sail more; they wanted to hike more. And more importantly, what they said to me with this and this is what I think we’ll hit home with a lot of people reading this: they had a daughter, who’s getting ready to have their first grandchild. Now their first grandchild is going to be born in three months. They said to me “we want to do everything we can to look and feel the best, and live the longest and healthy life possible, what can you do for me?”. She got on hormones, so we put her on bioidentical hormones, we fix his testosterone, he needed thyroid, he needed DHEA, he needed vitamin D, just like most of my patients do. And within a month again they felt amazing, they’re having sex again, her vaginal dryness is gone, they’re hiking. His body composition lost eight pounds of fat and put on ten pounds of mussels; we gained two pounds. He’s working out; he’s never felt better in his life. That’s very typical in my practice.