Let's talk about the elephant in the bedroom. Or rather, the penis.
Sometimes, erections can become less reliable than they used to be, testosterone levels start changing, and sex suddenly requires a little more planning. Men's sexual health doesn't get nearly enough attention beyond the little blue pill, and there's actually a lot more going on than just the plumbing.
Dr. James Kuan, board-certified urologist and sexual medicine specialist, joins this episode of Labia Logic for a candid conversation about erectile dysfunction, low testosterone, aging, and how men's sexual health affects their partners.
The Docs discuss how erectile dysfunction can be an early warning sign of cardiovascular disease, why testosterone isn't always the magic fix, and how painful sex, mismatched libidos, and a lack of communication can create a vicious cycle for couples.
This episode explores why sexual health is about more than what happens between the sheets. You'll learn why treating the whole person matters, how couples can navigate changing sexual needs, and why great sex doesn't have an expiration date.
Getting older doesn't mean giving up on pleasure, it might just mean rewriting the playbook.
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About Our Guest
James Kuan MD is a board-certified urologist and sexual medicine specialist with more than 20 years of experience in men’s sexual health, prosthetic and reconstructive urology.
He is the founder of Sexual Medicine for Men, a direct specialty care practice in Seattle. He is the creator of Sex After Retirement, a patient education newsletter focused on sexual health, aging, intimacy, and treatment options through clear, practical, evidence-based guidance.
Known for a thoughtful and approachable style, he helps men navigate both straightforward and complex concerns with clarity and confidence.
More about the hosts of Labia Logic
Dr. Ashley Fuller is a Sexual Medicine Gynecologist and Vulvar Specialist in Seattle, WA.
Dr. Meredith McClure is a Menopause Specialist, Sexual Medicine Gynecologist, and Vulvar Specialist in Dallas, TX.
Follow the show on Instagram @labia_logic
This episode was produced by Audiotocracy Podcast Production.
