Posted in Health, news, sex, Sports

Concussions Can Lead to Erectile Dysfunction

A recent study has found former NFL players to be at risk for erectile dysfunction if they sustained a concussion during sports.

Harvard researchers looked at 3,400 former professional football players and found in those who sustained some sort of head trauma, 18% had low testosterone (Low T), 23% reported erectile dysfunction (ED) and 10% had both low T and ED.

The cause of the low testosterone is not clear, but researchers believe it could be due to damage to the pituitary gland.  If the gland is damaged, signals to the testes where testosterone is produced could be disrupted.


Authors write:

One possible explanation, the research team said, could be injury to the brain’s pituitary gland that sparks a cascade of hormonal changes culminating in diminished testosterone and ED. This biological mechanism has emerged as a plausible explanation in earlier studies that echo the current findings, such as reports of higher ED prevalence and neurohormonal dysfunction among people with head trauma and traumatic brain injury, including military veterans and civilians with head injuries.

The more head injuries, the higher the risk of sexual side effects noted.  Medical providers need to be aware that among the issues that could arise down the line in those who sustain trauma to the head (i.e. headaches, mood swings, insomnia, depression), sexual dysfunction may need to be screened as well.

Could Dementia and CTE be Prevented with Oxygen Therapy?



Are Many Athletes at Risk for Depression?


ED Linked to Heart Disease

For years, men have voiced frustration when their medical providers insisted on a cardiac workup prior to initiating an ED prescription.  Some thought it was because they’d have a heart attack during sex.  But it’s not.  Erectile dysfunction is a vascular issue, and if the vessels of the penis are compromised, how does one know his heart vessels aren’t as well?

Now in a recent study from John Hopkins School of Medicine found an increase risk of stroke, heart attack and cardiac arrests in those men who suffered from erectile dysfunction.  Study author, Michael Blaha, professor of Medicine, states, “Our findings suggest that clinicians should perform further targeted screening in men with erectile dysfunction, regardless of other cardiac risk factors and should consider managing any other risk factors — such as high blood pressure or cholesterol — that much more aggressively.”


Last December, a study published in the Journal of Vascular Medicine, found the same risk factors leading to erectile dysfunction are also culprits in heart disease.

Risk factors shared by both erectile dysfunction and heart disease include:

  • High Blood Pressure
  • High Cholesterol
  • Diabetes
  • Smoking
  • Men over age 45
  • Physical inactivity
  • Stress
  • Obesity
  • Family history of heart disease


Last year, researchers from Mount Sinai Medical Center, Florida International University and Baptist Health South Florida reviewed multiple studies and found a link between erectile dysfunction and compromised blood vessels whose endothelium (lining) demonstrated impaired vessel relaxation. This is necessary for both erections as well as blood flow to the heart and rest of the body.

Moreover carotid media-intima thickness, a marker of atherosclerosis, appeared to be correlated to erectile dysfunction as well.

Both studies remind us that if one bodily function is impaired, other organs may be quietly suffering the same impairment.

I like to credit the pharmaceutical companies that created erectile dysfunction drugs with saving millions of men’s lives as:

  1. Men who would refuse to come into any doctor’s office now had an incentive to, resulting in a long-overdue check-up
  2. Those who saw providers who required an EKG or diabetic screening, and unknowingly suffered from a serious cardiac risk factor, could now be diagnosed.
  3. ED drugs allowed those men who couldn’t enjoy sex to now get some much-needed physical activity

Young men aren’t immune to cardiovascular disease and need to be screened as well if they have issues starting or maintaining erections.

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Daliah Wachs, MD, FAAFP is a nationally syndicated radio personality on GCN Network, KDWN, and iHeart Radio.

Posted in Health, news, sex

Why Many Women Fake Their Orgasms

Multiple studies throughout the years have tried to tackle the age old question of “Why do women fake it?” during sex.  One study in 2010 found 50% of women (and 25% of men) admit to faking orgasms. Another found 80% of women to admit they pretend they climaxed.  Why all the theatrics?  Well let’s break it down….


Failure is not an option

Sex, many women believe, should be a truly positive event. So saying “sorry its not going to happen” is the downer many of us want to avoid.  Some feel our partner may give up if they feel they aren’t successful in making us climax.  So we may feel a small white lie could save a relationship.

We want to provide positive reinforcement

Despite a woman faking it once in a while, they still enjoy sex.  So positively reinforcing your partner’s behavior with the notion that you enjoyed yourself will hopefully invite more sexual activity.

Not all women climax

A certain percentage of women cannot orgasm or are incapable of climaxing during penetrating sex.  If the clitoris is not stimulated, many won’t climax. This can easily be rectified by some communication prior to the act of sex, but it’s a conversation many are afraid to have.

We are embarrassed and want to hide the fact that we couldn’t climax

Having an “uneventful” sexual event makes the average women feel like there is something wrong with her so she will be less likely to bring it up for fear of looking “damaged” to her partner. Again this can be easily rectified with explaining what you need to climax.

Faking it helps the real one come on

A recent study found making noise and being more vocal helps an orgasm come on.  Unfortunately, some may feel they went on too long and will just tell their partner they’ve finished when they just needed a little more time and patience.

We have better things to do

The sex is running over and one may find themselves fixating on getting back to work or checking on the kids.  It’s not that their lacking enjoyment it’s that their schedule isn’t very flexible when it comes to afternoon delights.



The Baby Boomer’s Guide to Online Dating


Daliah Wachs, MD, FAAFP is a nationally syndicated radio personality on GCN Network, KDWN, and iHeart Radio.



Posted in Health, medications, news, sex

Common Psychiatric Medication May Interfere with Ejaculation

Sexual dysfunction caused by mood stabilizing medications is nothing new.  Patients have complained of loss of sex drive, inability to start or maintain erections and issues with ejaculation.

A case study out of England this week discusses a 25 year old inmate who was taking quetiapine (Brand name Seroquel) when he acquired an inability to ejaculate during masturbation, with semen back-flowing into his bladder (retrograde ejaculation). This type of “dry orgasm” has been documented in previous studies and occurs when a medication, or neurological disorder, causes weakness of the bladder neck allowing semen to make a wrong turn.

Image result for retrograde ejaculation

Quetiapine is in the class of “atypical antipsychotics” and has been used for schizophrenia, bipolar disorder, mania, depression and poor sleep.

The medication can be very effective, however, a side effect such as the aforementioned could lead to lack of compliance.

Most function is restored when the medication is switched to a different one, and in the above case, symptoms improved with the use of the antidepressant imipramine.  However, some patients may be reluctant to continue treatment and more research needs to be done on side effects and their antidotes to improve compliance for those who struggle with mental health and need pharmaceutical intervention.

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Great Gift!!!

The Ultimate Medical Student HandBook


Daliah Wachs, MD, FAAFP is a nationally syndicated radio personality on GCN Network, KDWN, and iHeart Radio.

Posted in Health, news, sex

Serious Medical Conditions May Be Found During Sex

A grad student from Boston was having sex when her partner found a lump in her breast and urged her to get it looked at.  The 24 year-old had no family history of breast cancer but at the behest of her partner had testing done and to her surprise was diagnosed with Stage 4 metastatic breast cancer.

Most 24 year old females with no family history will not be screened for breast cancer. In fact self breast exams are recommended against by the United States Preventative Services Task Force in fear of over diagnosis of benign lumps.

Moreover the average person cites not having an adequate amount of time with one’s medical provider as visit times are short.  So for many individuals, their partner may be the first and only person to identify a serious medical condition.

So what medical conditions can be found during sex?

  • Breast Lump
  • Lymphadenopathy from cancer metastasis
  • Cervical Cancer – bleeding after sex
  • Menopause – vaginal dryness
  • Testicular lump
  • Diabetes – fruity odor
  • PCOS
  • Vasculitis
  • Laryngospasm
  • Pelvic mass
  • Melanoma
  • Hemorrhoids
  • Anal fissures
  • Rectal mass
  • GERD
  • Irritable Bowel Syndrome
  • Incontinence
  • Thrush

and the list goes on.

The key is exploration and spending time with one’s partner before the sexual act.  Now suggesting a medical exam before sex may kill the mood, but under the guise of foreplay could be very advantageous, with follow up at one’s medical provider paramount.

So sex again has been found to have health benefits…..and now life saving qualities….

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Daliah Wachs, MD, FAAFP is a nationally syndicated radio personality on GCN Network, KDWN, and iHeart Radio.





Posted in Health, news, pornography, sex

Watching Porn Declared a “Public Health Risk”

Millions of people view porn every day and this week Arizona declared pornography to be an “epidemic” and a “public health risk.”

Citing its role in the rise of underage sex, sexually transmitted diseases, and unplanned pregnancies, the bill states pornography,  “perpetuates a sexually toxic environment that damages all areas of our society,” including the ability to build intimate relationships.”

Last year the Florida House approved a resolution to protect their constituents from its inherent health risks, joining other states with similar declarations including: Utah, Tennessee, South Dakota, Pennsylvania, Kentucky, Louisiana, Kansas and Idaho.

According to the Florida resolution’s sponsor, Republican Rep. Ross Spano, “Research has found a correlation between pornography use and mental and physical illnesses, difficulty forming and maintaining intimate relationships, unhealthy brain development and cognitive function, and deviant, problematic or dangerous sexual behavior.”

Criminal penalties will not be levied, but this bill serves as a “gesture” to bring awareness to a growing “health risk” and denounce pornography as a “growing health crisis.”

So is pornography a public health risk?

What constitutes a “Public Health Risk?”

A public health risk is something that could pose a health threat, injury to humans or could contribute to health risks of other humans.  This could include drunk driving, mosquitos or rats transmitting disease, or even smoking.

So watching pornography would pose a public health risk if not only the “pornee” gets hurt but affects others surrounding him. Now the effect of others could be in the form of missing work, viewing porn at work (considered sexual harassment and/or assault by others not wanting to view it), and unwanted sexual acts with one’s partner.

How does watching pornography affect health?

Although we do not have any definitive studies telling us porn is good or bad for our health, there are many opinions on the matter.

One concern is inactivity and time spent in front of a screen.  Sitting in front of a computer, tablet, or hand-held device watching hours of porn could increase risk of a blood clot, heart disease and (prolonged sitting) has been linked to colon cancer.  However, according to PornHub, the average time spent viewing porn only ranges from 9-13 minutes.



What about lack of sleep? Are people secretly watching porn at night, and not getting their 7-9 hours of uninterrupted rest?

According to PornHub the most common time during the day to watch porn was between 10 pm and 1 am.  If one is only online for 10 minutes and falls asleep afterwards, they may still receive a good amount of sleep.


porn times


What about the risks of frequent masturbation?

In 2009 a study found frequent masturbation in young males could increase their risk of prostate cancer, but in older men (>50 years), reduced their risk.  Other studies have suggested reduced risk of prostate cancer that occurs in older men but not aggressive cancer in younger men.

Excessive masturbation could affect one’s refractory period, or time it takes to form an erection again after sex.  For some this could last 15 minutes, for others a week.  So if a date night is planned for later that evening, one with a long refractory period could have issues.

Chafing and inflammation can also occur but are usually rectified with a change in modality.

What about the impact on children?

The American College of Pediatricians released this statement:

The consumption of pornography is associated with many negative outcomes: increased rates of depression, anxiety, violent behavior, early sexual debut and sexual promiscuity, higher rates of teen pregnancy and a distorted view of relationships. For married adults, pornography also results in an increased likelihood of divorce which, in turn, is harmful to children.

Author, L. David Perry, MD, states, “Pornography glorifies decontextualized sex. Its use by adolescents and young adults often leads to a distorted view of sexuality and its proper role in fostering healthy personal relationships.”

If state governments choose to debate porn being a health risk, I agree with strict restrictions on child and adolescent access.  I also agree with education of condom use to protect against unsafe sex practices.  Moreover, counseling resources for those addicted to porn should be increased as internet and porn addiction is a growing public health threat.  However, does the occasional video view pose serious health risks….no.

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Daliah Wachs, MD, FAAFP is a nationally syndicated radio personality on GCN Network, iHeart Radio and Board Certified Family Physician


Posted in Education, Health, Millennials, news, sex

Today is College Student Health Awareness Day

Millions of students are working overtime to become the next generation of wage earners.  But in the process, unfortunately, all too many let their health slip down the priority list.  And when they do, a vicious cycle ensues where grades start going down, forcing a student to further turn to less healthy behaviors such as getting less sleep, eating the wrong foods for energy, or engage in risky behavior.



College Student Health Awareness Day hopes to highlight the multiple health issues incurred by many our students.  These include:

  • Depression, stress and anxiety
  • Frequent colds, illness
  • Poor flu vaccination rates
  • Risky sexual behavior
  • Sexual Assault
  • Poor eating, sleeping and exercise habits
  • Poor study habits
  • Excessive alcohol use
  • Drug use

and more.



College Student Health Awareness Day will happen this Fall. In Nevada it falls on September 16, 2019 and is sponsored by UNLV’s American Medical Student Association and Silver State Health Centers.


This year’s theme is STI Prevention.

Free condoms will be dispensed as well as information on various sexually transmitted illnesses at UNLV from 10:30 am – 3 pm.


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Great Gift!!!

The Ultimate Medical Student HandBook



Daliah Wachs, MD, FAAFP is a nationally syndicated radio personality on GCN Network, KDWN, iHeart Radio and Board Certified Family Physician


Posted in Health, news, sex

Having Bad Allergies? Try Having Sex!

Those with nagging hay fever may alleviate symptoms by having sex.

Published in the Journal Medical Hypotheses, study authors say an episode of intercourse can narrow the blood vessels in the nose that cause congestion.

Many of us have noticed our allergy symptoms subside when we work out. That’s due to our sympathetic nervous system kicking in causing a “flight or fright” response in which adrenaline raises the heart rate, dilates the lungs and shunts resources away from the periphery to the vital organs.

With sex, the activity induces the same response (yep my husband is in fright and wants to flight) so less blood flow goes to the nose, therefore causing less post nasal drip.

In the Sun, they report:

Sina Zarrintan, neurologist and author of the study published in the journal Medical Hypotheses, said: “It can be done from time to time to alleviate the congestion and the patient can adjust the number of intercourses depending on the severity of the symptoms.”

Allergy season usually begins with the start of Spring in March.  Yet many may start their symptoms as early as February if they are allergic to what’s blooming.

Tree pollens start first in January and then taper off in April.  Grass pollen starts to rise in February and March.   Finally weed pollens join the party by the Spring and extend through the Summer and Fall.

Here are your questions answered:

What are allergies?

Allergies are the result of the immune response to a foreign particulate that our body senses.  One could be allergic to pollen, dust, dander, food, insects, mold, metals, transfused blood, grafts, medicine and anything the body senses as a foreign intruder.  Even though these may be individually harmless, a hypersensitivity reaction occurs as a result of their intrusion into the body.  IgE antibodies find the allergen (intruder) and activate mast cells in the tissue and basophils in the blood.  When these cells get activated, they release substances to help protect the body, including histamines, leukotrienes, and cytokines. These help the body attempt to sneeze and cough the allergen out, wall off the antigen, signal more antibodies, or produce tears and nasal secretions to flush it out.

What are symptoms of seasonal allergies?

Symptoms of allergies could include any or a combination of the following:

  • Sneezing
  • Coughing
  • Wheezing
  • Runny nose
  • Eye watering
  • Red Eyes
  • Itchy eyes
  • Itchy skin
  • Rash
  • Itchy throat
  • Fatigue
  • Congestion….. to name a few.

How do they differ from a cold?

Colds may have very similar symptoms to allergies.  However they are different.

The common cold is caused by a virus.  When one gets infected by the virus they may feel malaise, fever, and achy.  This does not occur with allergies.

Moreover, nasal secretions from allergies are usually clear.  In a cold, the mucous could be thicker and with color.

The same holds true with sputum.  During an allergy the cough may have little to no mucous and if so, be light-colored.  Thick mucus could be a sign of an infection.

An allergic sore throat will seem more dry and scratchy.  A sore throat from a cold is more uncomfortable and less easy to soothe.

Allergies may persist or be cyclical.  Cold symptoms will usually subside after a few days and rarely persist longer than 10 days.

Can allergies lead to a cold?

Yes and no.  Allergies should not in and of themselves cause an infection. However they may make one more vulnerable for a virus or bacteria to take over.    Hence a bronchitis, sinus infection, or pneumonia could uncommonly follow an asthma attack.

Are seasonal allergies dangerous?

As stated previously, if one is susceptible to colds, an allergic attack could make them vulnerable. Moreover if one suffers from asthma, an allergy attack could incite an asthma attack.  Very rarely would we see a life threatening anaphylaxis to an allergen such as pollen.

Allergy season is here: What are the worst offenders?


How can we prevent and treat allergies?

Avoiding, or decreasing exposure to the allergen is key.   We suggest the following:

  1.  Be aware of your local weather and pollen counts.  If the weather begins to warm and regional vegetation is blooming, allergy season may be upon you sooner than you know.
  2. Avoid outside pollen from coming into your house.  Avoid the urge to open all the windows during Springtime as wind will bring the pollen in.
  3. Clean your air filters.  Replace air filters frequently and consider using HEPA Filters
  4. Wash off pollen from your hair and clothes before you sit on the couch or jump into bed.
  5. Close your car windows when you park.
  6. “Recirculate” the air in your car
  7. Discuss with your medical provider if you are a candidate for medications such as antihistamines, nasal corticosteroids or leukotriene antagonists.  
  8. If you suffer from respiratory illnesses or a chronic medical condition, discuss with your medical provider if you need to start your allergy medication before allergy season hits. Some of these medications may take a couple of weeks to reach therapeutic levels.

How can I find my local pollen counts?

Local tree, ragweed and grass pollen counts can be obtained here.


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Daliah Wachs, MD, FAAFP is a nationally syndicated radio personality on GCN Network, iHeart Radio and Board Certified Family Physician