Sexologist Alexa Andre (@sexwithalexa) gets back in bed with urologist Dr. Jed Kaminetsky to unpack everything you need to know about men's sexual health: from vasectomies, erectile dysfunction, testosterone, fertility, sperm count, pornography, performance anxiety, lifestyle habits, microplastics, prostate health, post-nut clarity, and why great sex is about so much more than penetration. In this episode, Dr. Jed shares insights from performing over 6,000 vasectomies, explains why vasectomies don't affect erections, orgasms, ejaculation, libido, or masculinity, and discusses who should (and shouldn't) get one. We also dive into why more young men are experiencing erectile dysfunction, the difference between psychological and physical ED, performance anxiety, refractory periods, Viagra vs. Cialis, low testosterone, healthy ways to increase testosterone naturally, pornography's impact on arousal, penis pumps and rings, fertility, declining sperm counts, microplastics, prostate health, ejaculation frequency, steroids, testosterone therapy, men's fears around penis size, micro-penis stigma, post-nut clarity and more. Topics discussed: Dr. Jed's experience performing 6,000+ vasectomiesWhy vasectomies don't affect erections, orgasms, ejaculation or libidoWho should and shouldn't get a vasectomyVasectomy reversals and success ratesMore childfree men choosing vasectomiesPsychological vs. physical erectile dysfunctionPerformance anxiety and first-time sex nervesWhat erectile dysfunction actually meansLifestyle causes of ED (sleep, obesity, smoking, alcohol, exercise)Stress, anxiety and blood flow to the penisRefractory periods and why they change with ageViagra, Cialis and how they workDaily Cialis vs. as-needed dosingTestosterone testing and common misconceptionsNatural ways to increase testosteroneWeightlifting vs. endurance running for hormone healthPenis pumps and c**k ringsPornography, masturbation habits and sexual conditioningLow libido vs. erectile dysfunctionFertility, declining sperm counts and modern lifestyleMicroplastics and male fertilitySauna use, heat exposure and sperm healthProstate enlargement, prostate cancer and ejaculation researchSteroids, bodybuilding and infertilityTestosterone replacement therapy risksWomen's testosterone and libidoPost-nut clarity explainedWhy men's physiology isn't an excuse to neglect a partner's orgasmCommunication, sex therapy and relationship dynamicsMicro-penis myths and penis size insecurityWhy erectile dysfunction is a symptom, not a disease Follow Dr. Jed:Instagram: @drjedkaminetsky Follow Alexa Andre:Instagram: @sexwithalexa Patreon: https://patreon.com/sexwithalexa Sponsor: Thank you, Beducated, for making this exploration possible. Take their quiz to start your journey: https://beduc.at/pd2629-alexa