ERECTILE DYSFUNCTION MAY SIGNAL CARDIOVASCULAR RISK Erectile dysfunction (ED) is not only a bedroom or quality-of-life concern. The most common form is vasculogenic ED, meaning blood is not flowing into or remaining in the penile tissue as it should. High blood pressure, high cholesterol, and diabetes can affect both erections and cardiovascular health. This does not mean every man with ED has heart disease. ED has several causes. But persistent or worsening ED deserves medical evaluation. Ordering Viagra (sildenafil) or Cialis (tadalafil) online may be convenient, and these medications can be appropriate when prescribed safely. But medication should not replace an evaluation. Treating the symptom without checking blood pressure, cholesterol, blood sugar, medication interactions, and other risks could mean missing an important warning. The Princeton IV Consensus Guidelines are not a test. They are recommendations developed by urologists and cardiologists that identify vasculogenic ED as a cardiovascular risk-enhancing factor. For certain men with low-to-intermediate 10-year cardiovascular risk, a clinician may consider coronary artery calcium (CAC) scoring. This noninvasive CT scan looks for calcified plaque in the arteries supplying the heart and helps refine risk. In this Blue Cure Men’s Health Podcast excerpt, Dr. Juan José Andino explains why men should not live with ED in silence. Dr. Andino is a board-certified, fellowship-trained UCLA Health urologist and Associate Residency Program Director. He focuses on male sexual health, infertility, complex surgery, and prostate cancer survivorship. If you are experiencing ED, schedule a visit and ask whether your blood pressure, cholesterol, blood sugar, and cardiovascular risk should be evaluated. Finding risk factors early may help protect long-term health and, in some cases, improve ED through treatment and lifestyle changes. Learn more: uclahealth.org/providers/jua… Follow Dr. Andino: instagram.com/drandinourolog… For education only. Consult a qualified healthcare professional about symptoms, medications, and cardiovascular risk.

PSA TESTING: WHAT MEN SHOULD KNOW A PSA result is a marker, not a diagnosis. But this simple blood test can signal when further evaluation may be needed. PSA stands for prostate-specific antigen, a protein produced by the prostate. A higher PSA does not automatically mean prostate cancer. An enlarged prostate, inflammation, infection, and other factors can also raise it. That is why a PSA result must be considered in context. In this excerpt from the Blue Cure Men’s Health Podcast, Dr. Juan José Andino explains why, despite its limitations, PSA remains an important screening tool that may help identify prostate cancer at an earlier stage. Dr. Andino is a board-certified, fellowship-trained urologist at UCLA Health, Associate Residency Program Director, and urology lead for UCLA Health’s Oncofertility Program. His work includes male sexual medicine, fertility, complex urologic surgery, and prostate cancer survivorship. Men: At your next checkup, ask whether PSA screening is appropriate for you based on your age, family history, ancestry, and other personal risk factors. Partners and family members: Share this clip and encourage the men you care about to schedule preventive visits and know their numbers. Learn more about Dr. Andino: uclahealth.org/providers/jua… Follow Dr. Andino on Instagram: instagram.com/drandinourolog… For education only. Speak with a qualified healthcare professional about your individual screening needs.

Life After Prostate Cancer Treatment — Quality of Life Matters For Prostate Cancer Awareness Month, we should talk about more than diagnosis and treatment. We should also talk about life after prostate cancer treatment. In this clip, urologist Nicholas Deebel, MD, says life after prostate cancer should not be an afterthought. Controlling the cancer matters. But urinary function, sexual function, recovery, and quality of life matter too. These should not be treated as separate goals. Men deserve care that looks at the whole patient, not just the cancer. If you or someone you love has been diagnosed with prostate cancer, ask your care team: “How could treatment affect urinary function?” “How could treatment affect sexual function?” “What can we do to protect or recover quality of life after treatment?” “What providers can help me with these issues?” Do not suffer silently. Ask early. Keep asking. Quality of life belongs in the prostate cancer conversation. Guest: Nicholas Deebel, MD Urologist Director of Men’s Sexual Health & Male Reproductive Medicine University of South Alabama usahealthsystem.com/provider… Educational only. Not medical advice. Talk with your doctor about your diagnosis, treatment options, side effects, risks, and recovery plan.

HAVE YOU HAD A PSA TEST? Schedule the checkup you’ve put off. Ask the men in your life two simple questions: Have you had a checkup? Have you had a PSA test? Excerpt from my Great Day SA interview on San Antonio’s CBS affiliate KENS 5.

HEART HEALTH = PROSTATE HEALTH? When you’re living with prostate cancer, taking care of your health is about more than one organ. In this clip from the Blue Cure Men’s Health Podcast, Adam B. Weiner, MD, (@Adam_Weiner535) a Cedars-Sinai urologist whose clinical experience includes urologic cancer, shares a simple message he gives patients: what supports heart health can also support prostate and overall health. The conversation originally centered on men with prostate cancer on active surveillance. Dr. Weiner discusses emerging research involving exercise and omega-3 supplementation in men with low-risk prostate cancer, but he is careful not to overstate what we know. He describes the findings as early signals, not proof that these approaches change the biology or course of prostate cancer. That distinction matters. Exercise has well-established benefits for overall health. And practical movement doesn’t have to be complicated. Dr. Weiner notes that many of his patients walk regularly and says he also encourages resistance training as part of helping patients become healthier. The takeaway isn’t that exercise or a supplement treats prostate cancer. It’s that a prostate cancer diagnosis can be an opportunity to pay attention to your whole health. Ask your doctor what physical activity is appropriate for you, especially if you’re living with prostate cancer or undergoing treatment. And when you hear claims that a particular diet, supplement or exercise program can change the course of prostate cancer, ask what the evidence actually shows. Learn more about Dr. Adam B. Weiner at Cedars-Sinai. adamweinermd.com/ For educational purposes only. This is not medical advice. Talk with your healthcare professional about decisions appropriate for your health.

EXERCISE AFFECTS ERECTIONS TOO A lot of men think erectile health is only something to worry about later in life. But erections are connected to blood flow, vascular health, hormones, sleep, stress, metabolic health, and overall fitness. In this clip, Amy Pearlman, MD, urologist and men’s sexual health specialist, explains why exercise is one of the key pillars of men’s health. Many men ask: should I focus on cardio or weights? Her answer: both matter. Cardiovascular exercise supports heart and blood vessel health, which plays an important role in erectile function. Strength training supports muscle, metabolism, hormones, and long-term health. Dr. Pearlman also notes that research suggests aerobic exercise can meaningfully improve erectile function. That does not mean exercise replaces medical evaluation or treatment. Erectile dysfunction can be connected to blood pressure, diabetes, heart disease, medications, low testosterone, stress, sleep issues, relationship factors, and other health conditions. But it does mean this: If erections are changing, pay attention. Your body may be telling you something about your overall health. About Dr. Pearlman: Amy Pearlman, MD is a board-certified urologist specializing in men’s sexual and hormonal health. She is co-founder of Prime Institute in South Florida and co-hosts Fertility and Other F Words with Larry Lipshultz, MD. She also hosts Pearls & Perspectives with Urology Times. Learn more: pearlmanmds.com/ If you are dealing with erectile changes, low libido, low energy, or sexual health concerns, talk with a urologist or qualified healthcare professional you trust. Share this with a man who needs the reminder: exercise is not just about looking better. It is about living better. Educational content only. Not medical advice. Always consult a qualified healthcare professional about your individual health situation.

MANAGING TREATMENT SIDE EFFECTS FOR ADVANCED PROSTATE CANCER One of the biggest misconceptions about advanced prostate cancer is that men always physically “feel” the cancer spreading throughout their body. In reality, many men describe the treatment side effects as more noticeable than the cancer itself. In this clip, Bob Evans shares how the fatigue and lower energy he experiences are primarily related to the medication used to suppress testosterone, a common treatment approach for advanced prostate cancer often called hormone therapy or Androgen Deprivation Therapy (ADT). Because prostate cancer cells often rely on testosterone to grow, lowering testosterone levels can help slow or control the spread of the disease. But that can also come with side effects, including fatigue, hot flashes, reduced energy, changes in mood, loss of muscle mass, and other physical or emotional challenges. Bob also shares something incredibly important that his medical oncologist told him at the time of his diagnosis 17 years ago: “If you can tolerate the side effects, we can keep the cancer from spreading.” That conversation gave him hope. Today, Bob Evans has been living with advanced prostate cancer since 2009 and continues using his voice to encourage and educate other men as a longtime Movember Ambassador and men’s health advocate. Advanced prostate cancer is serious. But many men are living longer because of earlier detection, improved treatments, advanced imaging, ongoing monitoring, and better long-term management strategies. If you or someone you love is living with advanced prostate cancer, stay engaged with your medical team, communicate openly about side effects, stay on top of follow-up care, and do not lose hope. And for men who have never discussed PSA testing or family history with a physician or urologist, start the conversation. Prostate cancer often develops silently in its earlier stages, and earlier detection may provide more treatment options before the cancer spreads. Take ownership of your health. Educational only. Not medical advice.

PSA SCREENING: 35, 40, OR 50? Why do recommendations sometimes differ? As someone diagnosed with prostate cancer at age 35, I’ve spent years hearing different perspectives on when men should begin discussing PSA screening. Many men are surprised to learn that different physicians may recommend discussing PSA screening at different ages. Part of the confusion comes from the fact that screening guidelines are often designed for large, average-risk populations. But individual patients are not averages. In this clip, Adam B. Weiner, MD, urologic oncologist at Cedars-Sinai Medical Center, explains why a urologist may approach prostate cancer screening differently than a primary care setting. He also discusses an important concept many men have never heard: a baseline PSA obtained at age 35 or 40 may provide insight into a man’s future prostate cancer risk, even when cancer is not present at that time. PSA (prostate-specific antigen) is a protein produced by the prostate and measured with a simple blood test. PSA testing can help identify potential prostate concerns, but interpreting the result often requires context. Factors that may influence screening discussions include: • Age • Family history of prostate cancer • Race and ethnicity • Overall health • Personal medical history • Prior PSA results The goal is not simply to find cancer. The goal is to help each man make informed decisions based on his individual situation. If you’re unsure when PSA screening should be part of your health conversations, talk with a doctor you trust. Ask questions. Understand your personal risk profile. And make sure your screening decisions are based on your individual situation, not age alone. Featuring: Adam B. Weiner, MD / @Adam_Weiner535 Urologic Oncologist Cedars-Sinai Medical Center Learn more: adamweinermd.com/ Educational content only. Not medical advice. Always consult a qualified healthcare professional regarding your individual health decisions.

Excellent presentation by urologist @LoebStacy, MD at #AUA26 on plant-based dietary patterns and men’s health. Important to see more research exploring associations between nutrition, quality of life, erectile function, cardiovascular health, and prostate cancer survivorship.

Grateful to speak at the AUA Patient Perspectives program during #AUA26 and hear so many powerful stories from fellow patients and advocates. Thank you @AmerUrological and @AstraZenecaUS.

Active Surveillance Is Not Passive. I’ll be speaking at the 2026 American Urological Association Annual Meeting in Washington, DC, with my session on May 16. I’ll be sharing the patient perspective. What it means to live with prostate cancer over time, how Active Surveillance requires ongoing engagement, how decision-making evolves, and the role lifestyle can play alongside clinical care. Over the past 16 years, I’ve seen how these conversations shape not just individual decisions, but also how we communicate with men and families after a diagnosis. If you’ll be at AUA, I’d welcome the chance to connect. Urologists, researchers, advocates, and others working across healthcare. Always open to connecting and finding ways to work together to reach more men with clear, trusted information. #AUA26 @AmerUrological

When should a man stop checking his PSA? In this clip, @Adam_Weiner535, urologic oncologist at Cedars-Sinai Medical Center, explains how doctors think about PSA screening — and why age alone is not the full story. Many men assume there’s a set age where PSA testing should stop — and some guidelines have suggested age ranges where screening may no longer be needed. But in practice, it’s not that simple. Today, many organizations emphasize overall health, life expectancy, and shared decision-making — not age alone. Doctors often look at the bigger picture — including overall health and life expectancy — not just a number on a chart. A healthy, active man in his 70s may still benefit from screening. Someone with other serious health conditions may choose a different path. That’s why this isn’t a one-size-fits-all decision. PSA screening is a conversation — not an automatic checkbox. If it’s been a while since your last check, or if you’ve never had one, this is a good opportunity to start the conversation. Talk with a urologist you trust. Ask questions. Understand what makes sense for you. No question is off-limits when it comes to your health. — Disclaimer: This content is for educational purposes only and does not replace medical advice. Always consult a qualified healthcare professional regarding your individual health decisions.

CHECK YOUR TESTICLES AT LEAST ONCE A MONTH This takes less than a minute. In this clip, Maheetha Bharadwaj, MD, explains a simple habit many urologists recommend in practice. The goal is not to overthink it. It’s to know what’s normal for you. What to look for: • A new lump or bump • Swelling or firmness • A change in size or shape • Anything that feels different than usual Testicular cancer is not common, but it matters: • About 9,700 men are diagnosed each year in the U.S. • It’s the most common cancer in men ages 15–40 • Average age at diagnosis is around 33 • When caught early, survival rates are over 95% Most cases are first noticed by men themselves. If something feels off, don’t wait. Make an appointment with a urologist or your primary care doctor and get it checked. Early action can make a real difference. — Maheetha Bharadwaj, MD Urologist in Training, PGY-4 For education and awareness. Talk with your doctor about your own health.

TESTICULAR CANCER: KNOW THE SIGNS Testicular cancer is relatively uncommon overall, but it is more common in younger men, particularly between ages 15 and 35. It often presents with subtle but important signs. The most common symptom is a lump or swelling in one testicle. Other possible signs can include: • A feeling of heaviness in the scrotum • A dull ache in the groin • Discomfort on one side • In rare cases, breast tenderness or enlargement These symptoms do not always mean cancer. But they are changes that should not be ignored. When caught early, testicular cancer is highly treatable. CTA: If something feels different, talk with a doctor and get it checked. Featuring: Anthony Corcoran, MD Urologic Oncologist NYU Langone Health Educational only. Not medical advice. April is Testicular Cancer Awareness Month. Share this with someone who should see it.

More men are dealing with this, but staying silent In this clip, Tony Minter, Patient Advocate and U.S. Veteran, shares something I’ve seen firsthand. When one man speaks up, others quietly say they’re dealing with it too, but haven’t talked about it. Prostate cancer can feel isolating. There’s fear. There’s uncertainty. And for many men, there’s silence. But staying silent doesn’t help you. And it doesn’t help the next man trying to make sense of his own diagnosis. Talking about it does. It creates connection. It gives someone else permission to speak. It reminds men they’re not alone. And it leads to something bigger: • More men getting checked • More cancers being caught earlier • More visibility around what men are actually going through • More support for mental health • And over time, more attention, research, and better care Because this isn’t just a moment. For many men, it becomes part of a long-term journey. And no one should have to go through that in silence. CTA If this resonates, share it with someone who may need to hear it. And if you’re going through this, consider opening up to someone you trust. Disclaimer: This content is for educational purposes only and is not medical advice.