ВРАЧ-УРОЛОГ: КАК продлить ПОЛОВУЮ ЖИЗНЬ? Нужно ли простату массировать?

Summary

Host Nina Serebrennikova interviews urologist-andrologist Maxim Korshunov about erections, ejaculation, prostatitis, testosterone, and male fertility. The discussion emphasizes that sexual health varies between people and that symptoms—not isolated ultrasound findings or a stopwatch—should guide medical evaluation.

Practical wellness and self-care points

• Stay active and interrupt long periods of sitting. The doctor says prolonged cycling or sitting—especially for an hour or more—may affect pelvic blood flow in some men. Cycling is not automatically harmful; consider breaks and seek medical advice if it is followed by erection problems or pelvic discomfort.
• Avoid constrictive underwear. The guest recommends comfortable underwear that does not compress the genitals.
• Support general health with everyday habits. The doctor identifies smoking, heavy alcohol use, stress, inactivity, and poor diet as possible contributors to sexual problems. He also connects smoking with blood-vessel damage.
• Prioritize sleep and gradual movement. The closing checklist suggests aiming for about eight hours of sleep, taking walks, using stairs, and adding manageable activity rather than abruptly starting intense training. For people who are overweight, the guest suggests beginning gradually, such as with walking or swimming.
• Treat food suggestions as part of a balanced diet, not as a cure. Foods mentioned include seafood, oily fish such as mackerel, walnuts, pumpkin seeds, honey, broccoli, and cauliflower. The guest cautions that some foods may cause allergies; the interview does not establish that any one food will reliably improve potency or testosterone.
• Kegel exercises are not presented as necessary for everyone. The doctor says they may help some people, but favors general movement, squats, and walking as more practical routine activity for many sedentary men.

Sexual function and seeking care

• A two-minute duration is not, by itself, the whole diagnosis. The guest says clinical criteria use ejaculation within roughly two minutes, but stresses that distress and dissatisfaction for the couple matter too. If the issue is troubling, consult a specialist rather than relying only on a timer.
• New erection difficulties deserve attention. The doctor says a change from a person’s usual erection quality can warrant evaluation, including because vascular health may be involved. Preserved morning or spontaneous erections do not have to occur every day; their presence alongside difficulties during sex may suggest a psychological component, but is not a diagnosis.
• For early ejaculation, the cause matters. The interview discusses assessment for prostate inflammation, erection problems, and anatomical issues. Possible treatments mentioned include clinician-directed medication and topical anesthetics; the guest notes that anesthetic products can affect a partner if transferred.
• Some procedures and techniques discussed are not routine fixes. The guest mentions surgery, hyaluronic-acid injections, and Botox-related research, but does not present these as universally appropriate or established treatments. He says circumcision is not a standard or guaranteed solution. A “stop-start” method is also discussed, but he does not routinely recommend it; a small study involving prolonged non-penetrative exercises is described, without enough detail to assess its general applicability.

Prostatitis and testosterone

• Prostatitis is assessed from symptoms and appropriate tests. Symptoms described include a weak urine stream, frequent urination in small amounts, discomfort when urinating, or pain in the lower abdomen, pelvic area, or scrotum. The doctor cautions that ultrasound changes alone do not establish prostatitis. Testing and treatment—including whether antibiotics are appropriate—should be decided by a clinician.
• Do not self-prescribe testosterone. The guest warns that testosterone treatment can raise blood-cell levels and increase health risks, and may suppress the body’s own production of sperm, potentially impairing fertility. He recommends treatment only when deficiency is confirmed and symptoms justify it, under medical supervision.
• The guest’s suggested testing approach: Measure testosterone in the morning, before 11 a.m. and fasting, alongside other hormone tests. If the first result is low, repeat it. He also advises avoiding strenuous exercise beforehand.
• Lifestyle changes may support hormone health. The doctor particularly recommends addressing excess weight and gradually increasing physical activity. He says abstinence is not a way to raise testosterone.
• For fertility, lifestyle comes first. Smoking, alcohol abuse, stress, and other lifestyle factors are discussed as potential influences on sperm quality. The guest also talks about antioxidant supplements, but the interview does not provide enough evidence to treat them as a substitute for medical assessment.

Other advice

• For children’s genital hygiene: The guest advises not to forcibly retract a child’s foreskin and recommends asking a pediatric urologist about examination or care.
• The video does not address prostate massage, despite the question in its title.

This is a summary of the interview, not individual medical advice. Persistent urinary or sexual symptoms should be discussed with a qualified clinician.

Presenters and sources mentioned

• Nina Serebrennikova — host.
• Maxim Korshunov — urologist-andrologist and interview guest.
• The guest refers generally to American, European, and Russian clinical guidelines, and to a Chinese study published in an Andrology journal on a behavioral exercise. The subtitles do not give full citations.
• Nina mentions a prior episode featuring neurobiologist Malipov.
• Quercist/Quercetin and Speroton are mentioned by the guest in the context of prostate or fertility support; the interview does not independently establish their effectiveness.